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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 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.
Through managed care, New Jersey beneficiaries have better access to healthcare providers and care coordination than they would have through Medicaid's traditional fee-for-service program. Managed care health plans are also able to provide a comprehensive package of preventive health services that, combined with the full range of Medicaid ...
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.
New Jersey Medicaid covers persons who are age 65 years or over and persons determined blind or disabled by the Social Security Administration or by the Division of Medical Assistance and Health Services.
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 ).
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 ...
Many NJ FamilyCare members need help getting to medical appointments. Transportation is important to improving health and well-being. To address this concern, Medicaid covers “non-emergency medical transportation (NEMT)” rides for eligible individuals to obtain medically necessary, covered services.
Medical Assistance Customer Centers are available to provide customer service to NJ FamilyCare members and the public. Fraud and Abuse Hotline: Members, providers and the public can call to report Medicaid waste, fraud and abuse 1-888-937-2835 or 1-888-692-2140 Medicaid Health Benefits Identification (HBID) Card Requests: 1-877-414-9251