10:71-3.15 County board of social services responsibility and procedures; eligibility
factors
(a) The CBOSS shall be responsible for determining income and resource eligibility, as
outlined in N.J.A.C. 10:71-4, for Medicaid Only when applicant is receiving care in
institutions defined above. This does not include residents of the State psychiatric hospitals,
the State schools for the mentally retarded, Bergen Pines County Psychiatric Hospital, and
Essex County Hospital Center, which are the responsibility of the Institutional Services
Section of the Division of Medical Assistance and Health Services.
(b) When eligibility depends upon the disability or blindness factor, the determination of medical eligibility shall be the responsibility of the medical review team. The CBOSS shall
furnish the MRT with current, pertinent social and medical information as outlined in this
subchapter.
(c) When eligibility for Medicaid Only has been determined, the CBOSS will complete and
process a Medicaid Status File Transaction, Form MAP-1, within ten working days from the
date of such determination. The CBOSS will issue and distribute Medicaid validation stubs
to Medicaid Only beneficiaries who are not in long term care facilities. The CBOSS will
complete the statement of income available for nursing home payment (PR-1) (formerly PA-
3L) when appropriate.
(d) A determination of continuing eligibility shall be made in accordance with subchapter 5
of this chapter.