N.J. Admin. Code § 10:49-24.1

Current through Register Vol. 56, No. 23, December 2, 2024

Section 10:49-24.1 - Introduction

(a) Effective for services rendered on or after February 1, 1997, consistent with N.J.A.C. 10:90-13, the Division's fiscal agent shall process Work First New Jersey/General Assistance (WFNJ/GA) claims. 10:49-24.3 describes the covered services that shall be processed by the fiscal agent. 10:49-24.4 describes services that shall not be processed by the fiscal agent. 10:49-24.5 indicates that payment for services shall be made using existing Medicaid reimbursement methodology.

(b) The information in this subsection is provided to assist providers in identifying a WFNJ/GA beneficiary. Consistent with 10:90-13.3, each municipal welfare department (MWD) or county welfare agency (CWA) provides an HBID card or HBID Emergency Services letter for each client, which is used to obtain medical services.

(c) Providers may contact the local MWD/CWA that assists the WFNJ/GA client if there are questions regarding eligibility. Questions regarding WFNJ/GA requirements or coverage of services should be directed to DMAHS. Only questions related to claim processing should be directed to the fiscal agent.

(d) Dispute resolution requirements related to a client's eligibility for WFNJ/GA are contained in N.J.A.C. 10:90-9. Individuals shall contact the county or municipal agency to resolve any questions, consistent with the requirements contained in N.J.A.C. 10:90-9.

N.J. Admin. Code § 10:49-24.1

Amended by R.2008 d.230, effective 8/4/2008.
See: 40 N.J.R. 984(a), 40 N.J.R. 4531(a).
Rewrote (b); and in (c), substituted "CWA" for "CBOSS".