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New Jersey Medicaid Programs - Part 3

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 last of the three-part series of articles, which briefly discusses the different programs under which New Jersey provides Medicaid services.

MEDICAID-FUNDED WAIVER PROGRAMS

If a child under age 18 is ineligible for Medicaid because of parental income or resources, the New Jersey Division of Developmental Disabilities (DDD) offers to its clients a Medicaid-funded waiver program, the Community Care Waiver, that "waives" the consideration of parental income/resources. The income and resources of the child are still considered but eligibility can be obtained using a special needs trust. For those 18 years and older, while the resource limitation is still $2,000, the income limitation is higher (approximately $1,800/month). For more information, contact DDD at (800) 832-9137.

The New Jersey Division of Disability Services administers the majority of Medicaid-funded waiver programs in New Jersey.

Among those programs are: (1) Community Resources to People with Disabilities (CRPD) - serves Medicaid beneficiaries with disabilities of all ages and provides services in addition to full Medicaid benefits to those who would otherwise be unable to live in the community and who meet the income ($1,737/month) and resource ($2,000) guidelines; (2) ABC Waiver - serves medically fragile children under the care and supervision of DYFS; (3) AIDS Community Care Alternatives Program (ACCAP) - serves any age with AIDS & children up to age 13 who are HIV positive, who meet the program income and resource limits; and (4) Traumatic Brain Injury (TBI) Waiver - serves people with TBI between the age of 18 and 64 and provides services in addition to full Medicaid coverage to those who meet the Institutional Medicaid financial requirements. All of the aforementioned waivers have individual medical necessity requirements and other program-specific requirements. For more information, contact DDS at (609) 588-2621.

The New Jersey Department of Health & Senior Services (DOHSS) administers the following Medicaid-funded waiver programs: (1) Enhanced Community Options - offers care alternatives to individuals who would otherwise qualify for placement in a nursing home and who are financially eligible for Institutional Medicaid; and (2) the Community Care Program for the Elderly and Disabled (CCPED) - provides assistance that allows individuals to remain in (or return to) the community, rather than being cared for in a nursing home or hospital, to those who meet Institutional Medicaid financial requirements. For more information, contact DOHSS at (800) 328-3838.
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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.

 

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