New Jersey Family Care Plans
Once you enroll in NJ Family Care, youll have to select a plan based on what is available in your county. Medicaid plans in New Jersey are hosted by Aetna Better Health of New Jersey, Amerigroup , Horizon Blue Cross Blue Shield of New Jersey, UnitedHealthcare Community Plan, and WellCare, all of which include a dental benefit.Back to Top
Managed Long Term Services And Supports
The MLTSS program is focused on serving frail, elderly, and disabled individuals. This program combines traditional health care benefits and long term services and supports such as:
- Care Management. Someone to get you the care and support needed.
- Home and Vehicle Modifications. In-home medical and safety equipment are covered, plus needed modifications to a vehicle.
- Home Meal Delivery. If you can’t safely make meals, we’ll provide them.
- Mental Health & Addiction Services. Counseling and other treatments are covered.
- Personal Emergency Response System. Sends an urgent request for someone to help you.
- Adult Day Care. Friendship and social activities in a safe setting.
- Respite Care. In-home help to give your caregiver a rest.
- Personal Care. Someone to help with dressing, bathing and dining.
Learn more about the MLTSS program here
New Jersey Medicaid Application
The best way to apply for New Jersey Medicaid is to do so online. Youll click the button that says Start New Application and click through the steps. By submitting your application online, you wont miss any steps. However, if you prefer, you can download the New Jersey Medicaid Application here, fill it out, and send it to the address listed on the seventh page.
To complete your New Jersey Medicaid Application, you will need proof of your identity, age, citizenship, marital status, New Jersey residency, ownership, and income. These are some examples of items that you can use:
- Identity: Passport, drivers license or state-issued ID, voter registration card
- Age: Passport, drivers license, birth certificate
- Citizenship: Passport, birth certificate, alien registration card or naturalization papers
- Marriage license, divorce decree, death certificate
- Residence: Home deed, apartment lease, recent utility bill, NJ drivers license
- Ownership: Property deeds, IRAs, vehicle titles, mortgage information, 401k accounts, stocks and bonds
- Income: Recent pay stub, alimony/child support payments, unemployment check, SSI or VA benefit payment
Also Check: West Virginia Medicaid Provider Enrollment
What Is Pregnancy Medicaid
Medicaid is a government-sponsored health insurance program for low-income families who have no medical insurance or inadequate insurance. All states offer Medicaid or a program similar to Medicaid to help pregnant women receive adequate prenatal and postpartum care. Medicaid also offers health insurance to seniors, children, and people with disabilities.
Recommended Reading: Difference Between Medicare And Medicaid Reimbursement
If You Currently Have Marketplace Coverage
- If you want to keep your current Marketplace coverage, donât report your pregnancy to the Marketplace. When filling out your application for Marketplace coverage, select the âLearn moreâ link when we ask if youâre pregnant to read tips to help you best answer this question.
- If you report your pregnancy, you may be found eligible for free or low-cost coverage through Medicaid or the Childrenâs Health Insurance Program . If you are found eligible for Medicaid or CHIP, your information will be sent to the state agency, and you will not be given the option to keep your Marketplace plan.
- If you keep your Marketplace coverage, be sure to update the application after you give birth to add the baby to the plan or enroll them in coverage through Medicaid or CHIP, if they qualify.
Don’t Miss: Is Vyvanse Covered By Medicaid
A Special Program For Expectant Moms
WellBaby Maternity Program gives you helpful tools and information to make healthy choices while pregnant. After all, healthy choices make for a healthier baby. The program helps you better understand and manage your pregnancy. You will get help throughout your pregnancy and for 6 weeks after you have your baby.
Call toll-free to enroll today at 1-844-231-BABY .
Included in the Program:
- Assessments to help us know how you are doing
- Access to a health website for health education information and resources
- Free book on pregnancy and newborn care has information on pregnancy, delivery and newborn care
- CDC immunization chart current recommended infant immunization schedule
- Nurse line Support you will be able to contact a nurse 24 hours a day, seven days a week
- If you have special needs, you will be contacted by a nurse
You can learn more about the program on the WellCare of New Jersey Optum Portal or call 1-844-231-2229 to enroll!
How Much Does Medicaid Cost In New Jersey
The estimated cost for New Jersey Medicaid is determined by the beneficiary. Some of the medical services will be covered 100% while others might be offered at a cost that is lower than what it typically is. Some Medicaid recipients are exempt from any types of payment. Examples of those who do not pay for any services are pregnant women and children age 19 and under.
Read Also: How Do I Qualify For Medicare And Medicaid
I Sent In My Application Four Weeks Ago And Have Not Heard Anything What Should I Do
If you mailed an application or submitted an online application to the State Health Benefits Coordinator 4 weeks ago and have not heard anything, call and ask about the status of your application. Ask for your policy ID number for future reference. If your application was sent to your local County Welfare Agency, call them to inquire about the status and to get your case number.
Recommended Reading: Change My Ohio Medicaid Plan
It Can Take An Extremely Long Time To Process A Medicaid Application And Receive Approval
The length of time necessary to process a Medicaid Application varies from county to county and is dependent on the quantity and quality of the financial information being submitted. In some counties, an application can be approved within 90 150 days. In other counties, it takes 6 months to a year. In special situations, the application must be approved in Trenton and this can take 18 months or longer. During the application process, it is not uncommon for the assigned caseworker to re-request duplicative information or lose information so it is critical that you keep copies of all documents given in connection with your application and the date it was submitted. Establishing a paper trail should be a high priority.
While the Medicaid Application is pending, the nursing home bill continues to mount up
At the time of approval, Medicaid will inform the applicant of his/her future monthly share of the costs of care. But before approval, and while the application is being processed, an applicant must generally pay his/her income to the facility in which he/she resides. But not so, however, for home-based care under an MLTSS home care application. As mentioned in the prior paragraph, an MLTSS Medicaid home care application allows a person to keep substantially more income to pay for the costs of living at home and not at a facility. However, there is no retroactive eligibility for home care. Ill explain this later on this page.
Also Check: Is Mental Health Covered By Medicaid
Medicaid Applications In New Jersey
Medicaid in NJ is a program that is designed to provide medical care and coverage for families who are in need of medical coverage because they cannot afford it based on their income. In short, it s a low income medical coverage provided by a combination of the federal and state governments. The medicaid program will cover a child until they are age 18 through their parents or primary caregiver. The applications are typically done in your home state through the state department. NJ Medicare
In the state of New Jersey medicaid applications are accepted and managed through the Department of Human Services Division of Medical Assistance and Health Services. This department will be able to answer any specific questions you have about your application for medicaid in New Jersey. In general, there are many different types of people who will qualify for medicaid coverage. If you are in a low income situation and you are under 18, then you should qualify. If you are pregnant and in a low income situation according to the state of New Jersey, then you should qualify. Also, if you are aged or disabled and you live in the state of New Jersey, then you may also qualify.
Medicaid in NJ can pay for medical services in your own home or if you live in a residential care facility that takes Medicaid residents.
New Jersey Familycare Mailing Address
New Jersey Medicaid Street: P.O. Box 4804State: New JerseyZip Code: 08608
Apply-for-Medicaid-Online.com is a leading hub that provides the best and most updated information for New Jersey Familycare and New Jersey state health insurance.
Our users may find new information for New Jersey Familycare and New Jersey state health insurance, and usually share it with us, helping us help other users. If you find new data for New Jersey Familycare, we would appreciate if you dropped us a quick message via the contact us page form or the comments form below.
We always make sure to confirm any new information as soon as it is released and publish it for free for the benefits of you and all users who wish to apply to New Jersey Familycare and New Jersey state health insurance.
This Apply-for-Medicaid-Online.com website was created as a completely independent website that is not affiliated with New Jersey Familycare, New Jersey state health insurance or any state or federal office, department, agency, board, or commission.
State: New Jersey
You May Like: Job And Family Services Ohio Medicaid
New Jersey Familycare For Kids/nj Chip
Kids can meet NJ Family Care eligibility if the household income is at or below 350% of the Federal Poverty Level. Alternatively, there are two programs for kids who do not quite qualify for FamilyCare. Medicaid Special is for those under 21 whose household income is below 133% of the Federal Poverty Line but have aged out of Medicaid. Medically Needy NJ Medicaid is for those under 21 whose family makes too much money to qualify for Medicaid but whose medical expenses put them within the Medicaid eligibility limits. If you are unsure whether or not you or your child is eligible, call NJ FamilyCare at 1-800-701-0710 or contact your local County Board of Social Services.Back to Top
What You Need To Know Before You File For New Jersey Medicaid
In New Jersey, Medicaid Applications are filed in person or in some cases by mail with the County Board of Social Services of the county where the applicant resides, either at home or in a facility. Some counties maintain outreach offices within the county, otherwise the application must be filed at the home office of the County Board of Social Services. You should contact your County Board of Social Services for their current policy on filing Medicaid applications.
Many documents are required to be filed in connection with a Medicaid application.
You dont just file an application. Much more information is demanded. In NJ, you dont just file an application much more information is required. Required documentation begins with a birth certificate to establish proof of US citizenship. A marriage certificate must be produced if the applicant is or has been married or a death certificate or divorce decree if the marriage has been dissolved or ended by death or divorce. In addition, five years of complete and detailed financial records are required.
Many people ask what to do if they are unable to locate a birth certificate, marriage certificate, death certificate or divorce decree.
All applicants must prove that it is medically necessary that he/she be receiving a nursing home level of care, even if that care will be provided at home. Medicaid eligibility is mandatory before Medicaid approval will be given.
You May Like: How To Get A Contract With Medicaid
Also Check: Medicaid Ga Number Customer Service
Is It True That Applicants For Nj Familycare Must Be Without Health Insurance For 3 Months Before They Can Be Eligible
Yes, this is true. However, there are exceptions to this rule, such as if you lost your insurance because your place of work went out of business or you were laid off. Depending on income, other exceptions may apply for families privately paying for health insurance or for COBRA benefits. We strongly urge you to call and speak with a Health Benefits Coordinator to find out if any exceptions apply to you.
Beware Of The Big Medicaid Application Companies
BEWARE OF MEDICAID APPLICATION COMPANIES. THEY ARE NOT STAFFED BY ATTORNEYS. OFTEN TIMES THEY MAKE MANY MISTAKES AND/OR GIVE POOR AND/OR GROSSLY INACCURATE LEGAL ADVICE THAT CAN COST YOU ELIGIBILITY. THESE COMPANIES ARE IN BED WITH THE LARGE NATIONAL AND REGIONAL NURSING HOMES AND ASSISTED LIVING COMPANIES. THEY ARE NOT OUT TO PROTECT YOU. THEY DO NOT OFFER STRATEGIES AND LEGAL ADVICE TO ASSIST FAMILIES IN PROTECTING A LIFETIME OF SAVINGS AND INCOME FROM LONG-TERM CARE COSTS. THEY ARE RECOMMENDED BY THE BUSINESS OFFICE OF THE LARGER NURSING HOME AND ASSISTED LIVING CHAINS BECAUSE THEY WILL MAXIMIZE THE $ SPENT BY FAMILIES AT THESE FACILITIES. THEY ARE NOT YOUR FRIENDS!
Contact Fredrick P. Niemann, Esq. of Hanlon Niemann & Wright on any questions concerning eligibility for NJ Medicaid or applying for Medicaid approval. Call toll-free 376-5291or email him at . His team of experienced medical lawyers and paralegals have filed many hundreds of applications throughout New Jersey.
Also Check: Ent Doctors That Accept Medicaid
Understanding The Medicaid Application Process
Actual Client Testimonial
My aunt is 80 years old and a widow. Shes in good health and lives alone. My cousin and I are very close to her, but I live in North Carolina and my cousin in California. That makes it hard for us to help her as much as we would like to. She wanted to do some estate planning and asked us to help her find an elder law attorney. I did some homework and research and after many inquiries, found Mr. Niemann. He came recommended to me by several sources. Mr. Niemann was the perfect match for my aunt. He demonstrated a kindness and sensitivity that made us feel welcomed and comfortable. He met with us right away and was caring and patient with my aunt and answered all our questions. He even called my aunt to make sure she was following up on his advice. Mr. Niemann offered us ideas and solutions we hadnt even thought of. We very much appreciated that. My aunt truly values having Mr. Niemann as her attorney. So do I
Robert Newell, Raleigh, NC
Nj Workability Program Qualifications
The New Jersey WorkAbility program was created in 1999 as a result of the Ticket to Work/Work Incentives Improvement Act of 1999. It allows you to receive New Jersey Medicaid benefits even if you are not eligible for Medicaid because you are disabled and working.
You can qualify if you are between the ages of 16 and 64, have a permanent disability, are employed, and have not earned more than $60,625 annually . You must also not make more than $981 per month in pensions, child support, or interest and you cannot have more than $20,000 in liquid assets .
Recommended Reading: Dentist In Hendersonville Nc That Accept Medicaid
What Is New Jersey Familycare Number
New Jersey Familycare number where you can call and speak to New Jersey state health care agent regarding New Jersey Medicaid Application is .
New Jersey Familycare hours of operation regarding New Jersey Medicaid Application are Monday through Friday, from 8:30 am to 4:30pm, Eastern Time, closed on State holidays, but the best calling hours for New Jersey Familycare to call regarding New Jersey Medicaid Application are 10:00 am to 12:30 pm and 2:00pm to 3:30pm.
Income Requirements For New Jersey Medicaid
All of the requirements for Medicaid with regard to an individual or family income are determined by the MAGI . Adults have to have an income that is less than 138% of the FPL . If you are a family with a pregnant member, the income cannot be more than 200% of the FPL. If there are children in the home, 350% of the FPL is the number to beat.
You can see the specific numbers of income levels and family or household members here.
You May Like: How To Switch Providers On Medicaid
Eligibility Criteria For New Jersey Medicaids Long Term Care Programs
To be eligible for New Jersey Medicaid, a person has to meet certain financial requirements and functional requirements. The financial requirements vary by the applicants marital status, if their spouse is also applying for Medicaid, and what program they are applying for Nursing Home / Institutional Medicaid, Home and Community Based Service Waivers or Aged Blind and Disabled Medicaid / Regular Medicaid.
New Jersey Medicaid Nursing Home Medicaid Eligibility Criteria
For married applicants with both spouses applying, the 2022 asset limit for Nursing Home Medicaid through New Jersey Medicaid is $3,000 combined, and the income limit is $2,523 / month per spouse for a total of $5,046 / month combined. For a married applicant with just one spouse applying, the 2022 asset limit is $2,000 for the applicant spouse and $137,400 for the non-applicant spouse, and the income limit is $2,523 / month for the applicant. The income of the non-applicant spouse is not counted.
New Jersey Medicaid applicants are not allowed to give away their assets in order to get under the asset limit. To make sure they dont, New Jersey Medicaid has a look-back period of five years. This means the state will look back into the previous five years of the applicants financial records to make sure they have not given away assets.
New Jersey Home and Community Based Service Waivers Eligibility Criteria
How New Jersey Medicaid Counts the Home
Cost And Coverage Of Medicaid In New Jersey
When your application for Medicaid has been approved, you will receive a letter in the mail that will give you the information regarding the premium for your coverage. This cost will be determined by a variety of factors that will include your family or household size, income, how many people will need coverage, and more.
Also Check: How Do I Find My Provider Medicaid Number
