STATE oF NEW JERSEY NJ FamilyCare Division of Medical ...
NJ FamilyCare Division of Medical Assistance and Health Services Aged, Blind, Disabled Programs ... NJFC-ABD-AP-1017 Application for Aged, Blind and Disabled Programs FOR OFFICE USE ONLY ... Is this person also applying for the Aged, Blind, Disabled Programs? No Yes, please complete the Spouse Information form.
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DEPARTMENT OF THE TREASURY DIVISION OF REVENUE AND ENTERPRISE SERVICES NOTARY PUBLIC APPLICATION PHONE (609) 292-9292 Important: Please read instructions on reverse side. ...
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NJ FamilyCare Division of Medical Assistance and Health Services Aged, Blind, Disabled Programs ... NJFC-ABD-AP-1220 Application for Aged, Blind and Disabled Programs FOR OFFICE USE ONLY ... Is this person also applying for the Aged, Blind, Disabled Programs? q No q Yes, please complete the Spouse Information form. ...
The NJ FamilyCare Aged, Blind, Disabled (ABD) Programs provides medical coverage to individuals who are age 65 years or older as well as individuals determined blind or disabled by the Social Security Administration or by the State of NJ. It is designed for people whose income and resources are not enough to meet the cost of necessary care
STATE OF NEW JERSEY Department of Human Services Division of Medical Assistance and Health Services NJ FamilyCare Aged, Blind, Disabled Programs ABD CHECKLIST Applicants’ Income, Resources and Documentation The NJ FamilyCare Eligibility Determining Agency (EDA) verifies your application information.