New Jersey Medicaid Programs
by
Herbert D. Hinkle, Esq. and Valerie A. Powers Smith,
Esq.
Hinkle,
Fingles & Prior, Attorneys at Law
2651 Main Street
Lawrenceville, New Jersey 08648
(609) 896-4200 or (215) 860-2100
This
is the second of a three-part series of articles,
which briefly discusses the different programs under
which New Jersey provides Medicaid services.
Split Application Medicaid is for disabled
children who are not income-eligible for Medicaid
through SSI or otherwise because of their parents’
income; and who have a non-disabled sibling. Parents
must apply for both children under the Medically
Needy Program. Under the “split application” analysis,
the parents’ income is deemed to the child without
a disability and the child with the disability is
now considered on his/her own, so the child with the
disability will now meet the income eligibility requirements.
The disabled child must also meet the SSI disability
requirements and the resource limit of $6,000.
Institutional Medicaid provides Medicaid payment
for institutional stays (such as, nursing home care)
for those who meet both financial criteria ($1,737/month
in income & up to $2,000 in resources) and medical
necessity requirements.
New Jersey Work Ability Program is for individuals
between 16 and 65 years of age, who have been determined
to be permanently disabled by SSA or the Division
of Medical Assistance & Health Services, and are
employed. Income limits for individuals may be up
to 250% of the Federal Poverty Level (that is, 250%
of $9,080) and resources up to $20,000.
Work First New Jersey/General Assistance provides
cash and medical assistance to single individuals
who have a monthly income of less than $140 per month
($210/month for those unable to work); and to couples
without minor dependent children with less than $193
gross income per month ($289/month for those medically
certified as unable to work). Inpatient and outpatient
hospital services are not covered under this program.
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Hinkle,
Fingles, & Prior maintains a multi-state law practice
with offices in Lawrenceville, Marlton, and Florham
Park, New Jersey, and Yardley, and Plymouth Meeting,
Pennsylvania. They lecture and write frequently on
topics of law, aging, disability and estate planning
and are available
to speak to groups in New Jersey
and Pennsylvania at no charge.
Comments
and suggestions for future articles should be mailed
to: Hinkle, Fingles & Prior, Attorneys at Law,
2651 Main Street, Suite A, Lawrenceville, New Jersey
08648-1012.
Copyright
2007 Herbert D. Hinkle. All rights reserved.
