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New Jersey Department of Children and Families Policy Manual




Child Protection & Permanency

Effective Date:






Health Services







Health Care Considerations  for Adolescents


Purpose        9-20-2010


The purpose of this policy section is to discuss the importance of health care issues relevant to adolescents transitioning out of the child welfare system. Key issues include but are not limited to: adolescent’s need for health care insurance; and educating adolescents regarding the importance of designating another individual to make health care treatment decisions, on his or her behalf, in the event the adolescent is unable to do so for himself or herself.


Authority       9-20-2010


•     John Chafee Foster Care Independence Act of 1999

•     Section 475(8)(B)(iii) of the Social Security Act

•     P. L. 110-351, the Fostering Connections to Success and Increasing Adoptions Act of 2008 (FCSIAA)

•     P. L. 111-148, the Patient Protection and Affordable Care Act

•     Coordinated Health Care Plan for Children in Out-of-Home Placement

Definition of Terms            9-20-2010


Adolescent, for the purposes of this policy section, means a person between the age of 18 to 21 years old.


Health Care Representative, (also known as Health Care Proxy or Health Care Power of Attorney) means someone (18 years of age or older) designated by an adolescent (18 years of age or older) to have legal authority to make health care and treatment decisions on the adolescent‘s behalf in the event the adolescent becomes incapacitated. See CP&P Form 11-74, Health Care Representative Brochure, and CP&P Form 11-73, Health Care Representative Proxy Directive, form and form instructions.


Adolescents and Health Care Needs    9-20-2010


The Patient Protection and Affordable Care Act (P.L. 111-148) amended three sections of Titles IV-B and IV-E of the Federal Social Security Act to ensure that children (adolescents):


·         Receiving independent living services; and/or

·         Receiving education and training vouchers; and

·         Those who are aging out of resource care are provided additional instruction and information related to their health care needs upon exiting the child welfare system.

CP&P policy is to provide to adolescents in any of the above categories, upon turning 18 years of age:


1.    Information and instruction regarding the importance of selecting a Health Care Representative, and the opportunity/option to do so;

2.    Information and instruction regarding the importance of obtaining and utilizing health insurance, including information regarding the Medicaid Extension for Young Adults. See CP&P-V-A-3-500, Medicaid Extension for Young Adults (MEYA), Also Known as Chafee Medicaid; and

3.    A copy of the Adolescent Services Guide, which may be accessed on the DCF Intranet > Services Directories > CP&P Adolescent Services Guide.

The Worker provides this information and instruction in coordination with the development of the youth-directed Transition Plan. See CP&P-VI-B-1-300, Adolescent Services Toward Self-Sufficiency.