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Page 219 of 233 § 10:90-5.9 Medicaid extension (employment-related)

(e) New members added to a family in receipt of extended Medicaid are not included in the extended coverage, with the exception of a child born to or legally adopted by the family during the extension period. (f) The following individuals shall not be included, or continue to be included, in the eligible WFNJ/TANF assistance unit for Medicaid extension: 1. Any child who reaches the age of 18, or if a full-time student in secondary or vocational school, until the month of graduation or attainment of the age of 19, whichever is first. Any child who is about to become ineligible due to age shall be evaluated for eligibility under other components of the Medicaid program; and 2. All other family members who are receiving Medicaid extension solely based on the presence in the home of a child who has attained the age maximums stated in (d)1 above. (g) When the last remaining child eligible for Medicaid extension is no longer eligible for an extension, eligibility for the other members ceases. (h) Medicaid shall be the payer of last resort in those instances in which a recipient or his or her dependent child(ren) have third party (employer-provided or from a noncustodial parent) health care coverage. History

HISTORY: Amended by R.2003 d.226, effective June 16, 2003. See: 34 New Jersey Register 2713(a), 35 New Jersey Register 2670(a). In (a), added N.J.A.C. reference; added a new (c) and (d); and recodified former (c) through (f) as (e) through (h).

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