New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 49 - ADMINISTRATION MANUAL › Subchapter 2 - NEW JERSEY MEDICAID BENEFICIARIES › Section 10:49-2.12 - Medicaid or NJ FamilyCare Eligibility Identification Number and Health Benefits Identification (HBID) Card

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each Medicaid
				or NJ FamilyCare beneficiary will be issued a permanent, plastic identification
				card, the Health Benefits Identification (HBID) Card. The front of the card
				will include the beneficiary's name and a 16-digit Card Control Number (CCN).
				The back of the card will include a magnetic strip, which electronically stores
				the beneficiary's name and CCN.
(b)
				A Medicaid or NJ FamilyCare Eligibility Identification Number consists of 12
				digits, which includes a two digit Person Number. The Medicaid or NJ FamilyCare
				Eligibility Identification Number is automatically linked in the Medicaid/NJ
				FamilyCare computer system to the beneficiary's CCN number on the HBID Card.
				The provider will only need to know the CCN number to verify beneficiary
				eligibility. The beneficiary's Medicaid/NJ FamilyCare Eligibility
				Identification Number will be provided when eligibility is verified and this
				number must be entered on the claim when seeking reimbursement. The components
				of a Medicaid or NJ FamilyCare Eligibility Identification Number as it is
				initially assigned to a beneficiary are described in (c) through (g)
				below.
(c) The first two digits
				usually designate the county of residence as follows:AtlanticGloucester
01--Atlantic
08--Gloucester
15--Ocean
02--Bergen
09--Hudson
16--Passaic
03--Burlington
10--Hunterdon
17--Salem
04--Camden
11--Mercer
18--Somerset
05--Cape
12--Middlesex
19--Sussex
06--Cumberland
13--Monmouth
20--Union
07--Essex
14--Morris
21--Warren
23 and 24 Statewide eligibility determination agency.
1. Exception: 23 and 24 are limited to use by
				the Statewide eligibility determination agency.
2. For some adult beneficiaries (that is, the
				Medicaid Only program and New Jersey Care . . . Special Medicaid programs for
				Aged, Blind, and Disabled) the first two digits of the Medicaid Eligibility
				Identification Number designate the county of residence where eligibility was
				originally determined but not necessarily the location where the beneficiary is
				currently residing. In these instances, when the beneficiary moves to another
				county, the beneficiary retains the Medicaid Eligibility Identification Number
				of the original county of application.
3. For beneficiaries in certain State or
				county facilities, the first two digits of the Medicaid Eligibility
				Identification Number designate the facility where the beneficiary resides. In
				a few unique situations, the first two digits designate a special State
				program. The following list identifies the first two digits used to identify a
				State or county facility or a special State program. Following the name of the
				facility and enclosed in parentheses, is the Institutional Services Section
				(ISS) office responsible for inspection of care, periodic medical reviews in
				the facility and eligibility processes serving that facility. For those
				facilities below marked by an asterisk (*), it should be noted that when the
				first two digits of a Medicaid Eligibility Identification Number are used to
				identify more than one facility, a specific series of numbers for the fifth
				through 10th digits shall be used to designate the second or third facility, as
				well as to designate the sequential identification number of the Medicaid
				beneficiary.
i. Identification of State and
				county psychiatric facilities:
31 Greystone Park Psychiatric Hospital (Central ISS
				  office)
32 Trenton Psychiatric Hospital (Southern ISS office)
*32 (300,000 series) Forensic Psychiatric Hospital (Southern
				  ISS office)
*32 (600,000 series) Senator Garrett W. Hagedorn Center for
				  Geriatrics-Psychiatric Section (Central ISS office)
34 Ancora Psychiatric Hospital (Southern ISS office)
				  (excluding 800,000 series)
37 Bergen Regional Medical Center (Central ISS office)
38 Essex County Hospital Center--Cedar Grove (Central ISS
				  office)
39 Camden County Psychiatric Hospital (Southern ISS
				  office)
ii. Identification of
				Intermediate Care Facilities/Mental Retardation
41 Vineland Developmental Center (Southern ISS office)
42 North Jersey Developmental Center (Totowa) (Central ISS
				  office)
43 Greenbrook Regional Center (Central ISS office)
44 Woodbine Developmental Center (Southern ISS office)
45 New Lisbon Developmental Center (Southern ISS
				  office)
47 Woodbridge Developmental Center (Central ISS
				  office)
48 Hunterdon Developmental Center (Central ISS
				  office)
iii. 51 New Jersey
				Veteran's Home (Unit Dose Drugs) (ISS office, which serves the county in which
				the home is located)
iv. 90 Division
				of Developmental Disabilities Community Care Services (Waiver and Non-Waiver)
				and Special Residential Services, Statewide. (ISS office, which serves the
				county in which the beneficiary resides.)