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Do I meet NJ FamilyCare requirements?
Understanding NJ FamilyCare can be tricky. But we’re here to walk you through the whole process. The first step is to see if you qualify. Just visit the New Jersey Department of Human Services website and use their screening tool.
What is NJ FamilyCare?
What is NJ FamilyCare?
It’s a government program that provides no-cost or low-cost health care for millions of Americans. Aetna Better Health® is a managed care organization (MCO) taking part in NJ FamilyCare. An MCO is the health plan that provides your benefits. MCOs provide health coverage and standard benefits. People who qualify for NJ FamilyCare are covered for many benefits and services, like:
Preventive care
Vision care
Dental care
Medications
Disease management
Behavioral health services
What should I know about NJ FamilyCare?
What should I know about NJ FamilyCare?
It’s a program for adults and children who meet certain state guidelines. There are five different plans: A, B, C, D and ABD. The plan you’re eligible for is based on your total family income and household size. You must enroll with a Division of Medical Assistance and Health Services (DMAHS)-contracted health plan to get NJ FamilyCare services and benefits. DMAHS then reviews your enrollment in NJ FamilyCare. If you qualify, you can choose Aetna Better Health of New Jersey as your health plan.
Who does NJ FamilyCare cover?
Who does NJ FamilyCare cover?
We serve every county in New Jersey. Members fit into one or more of these groups:
People with low incomes
Parents/caretakers of dependent children
Pregnant women
People who are 65+, blind or disabled
Children under the age of 18
You can visit the NJ FamilyCare website to see if you’re eligible.
Managed long-term services and supports (MLTSS)
Extra support for long-term care
If you meet the state’s guidelines for needing a higher level of care, you may qualify for MLTSS benefits. You can get them from the comfort of your home or an assisted living home. We cover these MLTSS benefits:
Skilled nursing facility services (91+ days)
Personal care services
Self-directed personal help services
Community first choice option
Home- and community-based services
You can visit the DMAHS website to see if you qualify for MLTSS benefits.
How to apply for MLTSS
How to apply for MLTSS
Current NJ FamilyCare members
You’ll want to contact your health plan to get started.
Non-members of NJ FamilyCare
For adults (21+): Contact your County Aging and Disability Resource Center (ADRC) or your county welfare agency.
For children (20 and under): Call the Division of Disability Services at 1-888-285-3036. Then, just follow the steps.
Centauri Health Solutions
What if I have a disability?
People who have disabilities can get more help in the form of monthly payments. The Social Security Administration offers two kinds of benefits:
Supplemental Security Income (SSI)
For adults with children and little or no work history. To get help, you must meet certain income and asset limits. If you get SSI, you might also be able to get supplemental nutrition assistance (SNAP) and help with housing.
Social Security Disability Insurance (SSDI)
For people who have a work history but can no longer work. If you have SSDI, you can get Medicare after 2 years. Once you get Medicare, you can also get Part D to help with drug costs. Do you have SSDI and a dependent under age 18? If yes, they may also get benefits.
We use Centauri Health Solutions to help members apply for SSI and SSDI benefits. They follow HIPAA rules to keep your info private. You can watch a video English | Español about Centauri.
Need help? You can chat online with an agent on the Centauri Health Solutions website. Or call 1-866-263-6608 for help.
What’s next?
If you think you qualify for NJ FamilyCare, you can check out our “How to apply” page. We'll help you get started.