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NJ FamilyCare/Medicaid is New Jersey’s public health care coverage program. It covers just about every health care need. There are two main programs: NJ FamilyCare, which covers Children under age 19; Adults; Pregnant Women; NJ FamilyCare Aged, Blind, Disabled (ABD) Programs, which cover People age 65 years or older
The Division of Medical Assistance and Health Services (DMAHS) administers Medicaid’s state-and federally- funded NJ FamilyCare programs for certain groups of low- to moderate- income adults and children. Through these programs, DMAHS serves approximately 1.7 million, or nearly 20%, of New Jersey’s residents.
NJ Medicaid & Managed Care. In 1995, New Jersey began moving Medicaid beneficiaries from a traditional fee-for-service health coverage program, where providers bill Medicaid directly, to managed care. Under managed care, beneficiaries enroll in a health plan or managed care organization (MCO) which coordinates their members' healthcare and ...
NJ FamilyCare /Medicaid provides health care coverage for adults age 19-64 who live in New Jersey and who are either U.S. Citizens or qualified immigrants. For an adult to qualify for NJ FamilyCare, the total family income must be at or below 138% of the Federal Poverty Level.
The Division of Medical Assistance and Health Services (DMAHS) has the authority to file a claim and lien against the estate of a deceased Medicaid beneficiary, or former beneficiary, to recover all Medicaid payments for services received on or after age 55.
An individual is eligible for community Medicaid in New Jersey if his/her gross monthly income is equal to or less than $903 (the first $20 per month of income is excluded). Income includes, but is not limited to, Social Security income, veterans' benefits, pensions,
Division of Medical Assistance and Health Services Home. Consumers & Clients - Individuals & Families. NJ FamilyCare/Medicaid.
New Jersey residents who receive SSI from the federal Social Security Administration (SSA) are automatically eligible for Medicaid. Additionally, the Division’s fact sheets on SSI benefits and SSI Continued Medicaid Eligibility (1619b) provide detail on how program rules protect Medicaid eligibility even if your income rises above certain ...
NJ FamilyCare /Medicaid provides health care coverage to New Jersey children under age 19 whose family income is at or below 355% of the Federal Poverty Level. For a family of 4, that is $9,230 a month (2024 guidelines). On January 1, 2023, under the Cover All Kids initiative, NJ FamilyCare expanded to cover children under 19, regardless of ...
NJ FamilyCare/Medicaid provides health care coverage for pregnant women who live in New Jersey and who are either U.S. Citizens or lawfully present immigrants. To qualify for NJ FamilyCare, the total family income must be at or below 205% of the Federal Poverty Level.