N.J. Admin. Code § 10:46D-1.2

Current through Register Vol. 56, No. 24, December 18, 2024

Section 10:46D-1.2 - Scope

(a) The provisions of this chapter shall apply to all individuals before they are provided residential services from the Division, with the exception of those individuals whose services are funded through Medicaid fee-for-service in which the State receives a Federal match. Individuals residing in residential settings whose services are funded through Medicaid fee-for-service in which the State receives a Federal match do not pay contribution to care to the Division. All individuals, including those whose services are funded through Medicaid fee-for service are responsible to apply for the Medicaid DDD Community Care Program and all other benefits for which they are entitled. Individuals for whom the provisions of this chapter apply are required to submit financial information to determine their ability to contribute toward the cost of their placement.

(b) An individual must be determined eligible for services under N.J.A.C. 10:46 before the Division can provide residential services. For persons over 18 years of age, the individual shall be responsible to provide his or her financial information to the Division. For children under 18, the parents, otherwise referred to as the legally responsible relatives in this rule, shall be responsible to provide financial information to the Division or its agent.

(c) A determination of the ability to contribute is not required for individuals residing in supported living arrangements or in private intermediate care facilities for individuals with intellectual disabilities (ICF/IID) placements not funded by the Division. These individuals are required to apply and maintain eligibility for all benefits for which they may qualify and to directly use those benefits for expenses of daily living.

N.J. Admin. Code § 10:46D-1.2

Amended by 48 N.J.R. 2440(a), effective 11/21/2016

Amended by 56 N.J.R. 481(b) effective 4/1/2024