What is the purpose of the WFNJ Med 1 form?
The WFNJ Med 1 form is used to request a medical deferral from the work participation requirement in New Jersey's Work First New Jersey (WFNJ) program. When an individual claims a medical issue, this form helps assess whether they can engage in any work activities or if a medical deferral is justified based on their condition.
Who is qualified to complete the WFNJ Med 1 form?
A licensed healthcare professional, such as a physician, psychologist, midwife, or advanced practice nurse, must complete the WFNJ Med 1 form. This ensures that the evaluation is conducted by someone with the appropriate professional credentials and experience.
What information is required in Section 1 of the form?
In Section 1, the examining healthcare professional must provide their name, signature, professional credentials, license number, office address, and phone number. This information helps verify the identity and qualifications of the person conducting the evaluation.
What should be included in Section 2 of the form?
Section 2 requires detailed clinical information about the patient, including the date of their last exam, date of birth, current diagnoses, and treatment regimen. The professional must also indicate whether the patient can participate in work activities, along with a prognosis for their ability to work in the future.
What happens if the form is not submitted within 30 days?
If the fully completed form is not returned to the WFNJ office within 30 days, the individual will be expected to participate in a work activity. Failing to comply may result in loss of public assistance benefits.
What types of work activities are considered under the WFNJ program?
The WFNJ program includes a variety of work activities such as full-time employment, volunteer positions, vocational training, and educational programs. These activities are designed to accommodate different levels of physical and psychological capability.
What should be done if additional information is needed?
If the WFNJ office requires more information regarding the case, they will request clarification or additional details from the healthcare provider. It is important for the provider to respond promptly to ensure that the assessment can be completed.
Can someone still work if a medical deferral is granted?
While a medical deferral indicates that a recipient is not currently able to engage in work activities, the individual may still seek employment in a capacity that aligns with their medical recommendations. The deferral is specifically related to the work participation requirement of the WFNJ program.
How does the WFNJ Med 1 form affect public assistance beneficiaries?
The WFNJ Med 1 form is crucial for beneficiaries as it determines their eligibility for a medical deferral. If the form demonstrates a valid medical condition preventing work participation, the beneficiary may continue to receive assistance without the obligation to participate in work activities.