N.J. Admin. Code § 8:17-9.5

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:17-9.5 - Payer of last resort

(a) NJEIS funding shall not be used to satisfy a financial commitment for services that would have been paid for from another public or private source, including any medical program administered by the Secretary of Defense, but for the enactment of Part C.

(b) Whenever considered necessary by the Department to prevent delay in the receipt of appropriate early intervention services for a child or the child's family in a timely fashion, NJEIS funding may be used to pay for the services pending the reimbursement from the agency that has ultimate responsibility for payment.

(c) Funding described in (a) above shall not be applied to medical services or well-baby health care.

(d) NJEIS funding shall be used only for early intervention services that an eligible child needs but to which the child is not entitled from any other Federal, State, local, or private source.

(e) The availability of NJEIS funds shall not be construed to permit the State to reduce medical or other assistance available, or to alter eligibility pursuant to Title V of the Social Security Act, 42 U.S.C. §§ 7001-713 (relating to maternal and child health), or Title XIX of the Social Security Act, 42 U.S.C. §§ 1396-1396v (relating to Medicaid for children with disabilities) within the State.

N.J. Admin. Code § 8:17-9.5

Amended by 54 N.J.R. 1798(a), effective 9/19/2022