New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 78 - NJ FAMILYCARE › Subchapter 4 - FINANCIAL ELIGIBILITY › Section 10:78-4.1 - Calculation of income eligibility limits

Current through Register Vol. 56, No. 14, July 15, 2024
(a) For parents,
				and caretakers, of dependent children under the age of 19 who applied as such
				for NJ FamilyCare benefits prior to June 15, 2002, and continuously have
				received those benefits, income limits shall be based on 200 percent of the
				poverty income guidelines as defined by the U.S. Department of Health and Human
				Services in accordance with
				42
				U.S.C. §
										9902(2). The
				monthly income standard shall be 1/12 of the annual poverty income guideline
				rounded up to the next whole dollar amount for household unit sizes. The annual
				revision to the Federal poverty income guideline shall be effective, for
				purposes of this section, with the first day of the calendar year for which the
				poverty income guideline is promulgated.
(b) Income limits for single adults and
				couples without dependent children covered under the provisions of this chapter
				shall be based on 100 percent of the poverty income guideline as defined by the
				U.S. Department of Health and Human Services in accordance with
				42
				U.S.C. §
										9902(2). The
				monthly income standard shall be 1/12 of 100 percent of the annual poverty
				income guideline rounded up to the next whole dollar amount for each household
				size of one and two. The annual revision to the Federal poverty income
				guideline shall be effective for the purposes of this section with the first
				day of the year for which the poverty guideline is promulgated.
(c) Income limits for NJ FamilyCare for
				pregnant women covered under the provisions of this chapter shall be based on
				200 percent of the poverty income guidelines as defined by the U.S. Department
				of Health and Human Services in accordance with
				42
				U.S.C. §
										9902(2). The
				monthly income standard shall be 1/12 of the annual poverty income guideline
				rounded up to the next whole dollar amount for household unit sizes. The annual
				revision to the Federal poverty income guideline shall be effective for
				purposes of this section with the first day of the year for which the poverty
				income guideline is promulgated.
(d) Income limits for NJ FamilyCare for
				children under the age of 21 who would qualify for Medicaid Special under the
				provisions of N.J.A.C. 10:69, but for Federal immigration residency
				restrictions, shall be as specified in N.J.A.C. 10:69.
(e) Income limits for NJ FamilyCare for
				children under the age of 19 who would qualify for NJ FamilyCare but for
				Federal immigration residency restrictions shall be covered under the
				provisions of this chapter up to 350 percent of the poverty income guidelines
				as defined by the U.S. Department of Health and Human Services in accordance
				with 42 U.S.C. §
										9902(2). The monthly income
				standard shall be 1/12 of the annual poverty income guideline rounded up to the
				next whole dollar amount for household unit sizes. The annual revisions to the
				Federal poverty income guidelines shall be effective for purposes of this
				section with the first day of the year for which the poverty income guideline
				is promulgated.
(f) For applicants
				who are parents, or caretakers, of dependent children under the age of 19 who
				meet the eligibility criteria contained in
				10:78-3.4(a)6 
				and this chapter, income limits for NJ FamilyCare shall be based on the
				percentage of the poverty income guidelines, as defined by the U.S. Department
				of Health and Human Services in accordance with
				42
				U.S.C. §
										9902(2),
				listed in (f)1 to 3 below. The monthly income standard shall be 1/12th of the
				annual poverty income guideline rounded up to the next whole dollar amount for
				household unit sizes. The annual revision to the Federal poverty income
				guidelines shall be effective, for purposes of this Chapter, with the first day
				of the calendar year for which the poverty income guidelines are issued by the
				U.S. Department of Health and Human Services.
1. Effective September 1, 2005, the income
				limit for NJ FamilyCare for new applicants who are parents or caretakers of
				dependent children under the age of 19 shall be based on 100 percent of the
				Federal Poverty Level.
2. Effective
				September 1, 2006, the income limit for NJ FamilyCare for new applicants who
				are parents or caretakers of dependent children under the age of 19 shall be
				based on 115 percent of the Federal Poverty Level.
3. Effective September 1, 2007, the income
				limit for NJ FamilyCare for new applicants who are parents or caretakers of
				dependent children under the age of 19 shall be based on 133 percent of the
				Federal Poverty Level.