This is called a deeming period. Eligibility for NJ FamilyCare is based on income and household size. For other medical assistance programs click here. See, Rooming/Boarding Houses and Mobile Home Parks, Forms for Lawsuits and Representing Yourself, Division of Child Protection and Permanency/Child Welfare, Rights Connected with Special Medical Problems, Deferred Action for Childhood Arrivals/DACA, Education Representation Project (ERP) brochure, Individual Tax Payer Identification Numbers/ITIN, Free Tax Preparation for Low-Income Tax Payers, Medicaid Eligibility and the Modified Adjusted Gross Income (MAGI) Method of Calculating Income​, The NJ FamilyCare Aged, Blind, Disabled Programs. The services provided by these programs, as well as the premiums and cost-sharing, differ depending on the income of the household. Yes, if your health insurance is not accessible to your family, they may be eligible for NJ FamilyCare. Medicaid is a wide-ranging, jointly funded state and federal health care program for individuals with limited income and resources, and is intended to assist individuals of all ages. new Medicaid Eligibility Expansion Group. Important. Parents still need to renew the coverage each year. Beginning October 1, 2013, ACA changes the Medicaid eligibility rules by streamlining the populations we Adults without dependent children with ages 19-64 and incomes up to 133% FPL ($15,282 single/ $20,629 couple) are considered to be another Pregnant Women up to 200% FPL. The NJ FamilyCare eligibility renewal process for members who are Aged, Blind and Disabled is different and requires different updates. under this category. Our Hotline staff will be working remotely and you may encounter delays when calling. www.njejla.org, Use of this website signifies your agreement to our, NJ FamilyCare 2020 Income Eligibility Levels, If you are denied or terminated from any NJ FamilyCare program, make sure that the agency is using the 2020 (not 2019) income guidelines, and that the agency has also considered your eligibility for all other NJ FamilyCare programs. Rather, NJ FamilyCare is the umbrella name given to all of New Jersey’s health coverage programs for low-income residents. For the most part, these programs have no premiums or co-pays. Aged, Blind or Disabled programs or Long Term Care, there are no changes in eligibility. In addition to income limits, NJ Family Care ABD programs have resource limits (e.g., $4,000 for a single individual in the 100% FPL program) and some immigration restrictions. Probably the most common NJ FamilyCare program is the ACA Medicaid Expansion for adults ages 19 to 64. when filed, will be electronically verified. Medicaid Eligibility and the Modified Adjusted Gross Income (MAGI) Method of Calculating Income​. Click here for Spanish version of of this table. and childless couples. The amount of the copay is listed on your member ID card. That means qualified NJ residents of any age may be eligible for free or low cost health insurance that covers doctor visits, prescriptions, vision, dental care, mental health and substance use services and even hospitalization. Managed Long Term Supports and Services (MLTSS) Who's eligible? NJ FamilyCare provides health coverage to parents/caretakers and dependent children, pregnant women, and people who are aged, blind or disabled and/or those requiring long-term services and supports. Financial eligibility will be determined by the latest federal tax return which, when filed, will be electronically verified. The State of New Jersey decides your benefits. Open enrollment for this new eligibility group begins October 1, 2013. For a household of four, 147% FPL in 2020 is $3,101 per month or $37,204 per year. You can appeal or file a new application, asking that your eligibility be reconsidered under the 2020 guidelines and restored retroactively to the month in which you originally applied. What programs fall under the NJ FamilyCare label? Children 18 and under are eligible with higher incomes up to Visit www.NJ FamilyCare.org for the latest News about New Jersey FamilyCare, state-approved, Quality Insurance program for children of New Jersey. Children 18 and under will continue to be eligible with higher incomes up to 350% FPL ($82,425 for a family of four). People who qualify for this program pay no premiums or cost-sharing. Parents/Caretaker Relatives For questions about NJ FamilyCare call 1-800-701-0710 You can also get information by visiting NJHelps.org, where you can self-screen for eligibility for NJ FamilyCare/Medicaid, as well as for many other social service programs. Beginning October 1, 2013, ACA changes the Medicaid eligibility rules by streamlining the populations we cover under NJ FamilyCare which include: children, pregnant women, parents/caretaker relatives, single adults and childless couples. SUBJECT: Income Eligibility Standards Effective January 1, 2020 . NJ Family Care . Other NJ Family Care ABD programs, including the Medicaid Workability program and Long Term Care Medicaid (often referred to as MLTSS), have different income and resource limits. For example, these rules include an automatic $20 disregard in counting income, which means that the 2020 income limit for the NJ Care ABD program at 100% FPL of $1,064 (referred to previously) is effectively $1,084 per month. Most health services are coordinated by one of five managed care organizations, or regional PACE providers, contracted with the Division of Medical Assistance and Health Services. For 2020, for a person applying as a single individual, 138% FPL, is $1,468 per month or $17,609 per year. When NJ FamilyCare C and D members reach their family cost‐share limit, they will no longer have a copay for more services. www.lsnj.org (By contrast, 138% FPL in 2019 was $1,437 per month, or $17,237 per year.) You must also be a resident of New Jersey and be a U.S. citizen or have a qualified immigration status. It includes all of New Jersey’s Medicaid and CHIP (Children’s Health Insurance Program) programs. Since the ACA changes were implemented in 2014, you may qualify for Medicaid based solely on your income. 2020 Income Limits Before . New Jersey FamilyCare, like other Medicaid programs, uses Modified Adjusted Gross Income (MAGI) to determine if an applicant is under the income limit. This is a new Medicaid Expansion eligibility group. For a list of information that may be requested for eligibility renewal, click HERE HERE opens a dialog window‌. Effective September 1, 2007, Essex, Hunterdon and Warren counties will join the.ner counties by processing retroactive eligibility for Medicaid Only, New Jersey Care...Special Medicaid Programs and NJ FamilyCare Plan A cases. cover under NJ FamilyCare which include: children, pregnant women, parents/caretaker relatives, single adults In determining whether a person is financially eligible for NJ FamilyCare ABD Programs, the applicant’s financial eligibility will be considered along with his or her spouse or parents. NJ FamilyCare can show you how to do this. The income limits depend on … US Citizen or Qualified Immigrant. On Feb. 19, 2020, the New Jersey agency that administers all NJ FamilyCare programs published income eligibility levels for 2020. By contrast, ABD programs use traditional Medicaid income counting rules. The NJ FamilyCare Integrated Eligibility System (NJFC IES) electronically verifies (in real time): social security number, citizenship, first name, last name, date of birth, death confirmation (if applicable) and identity through the Verification Tab. The Medicaid or NJ FamilyCare Eligibility Identification Number is automatically linked in the Medicaid/NJ FamilyCare computer system to … After you apply, it may take between 30-45 days for your membership to start. Your username should be the email address you used to register with this site. NJ FamilyCare will now cover: children, pregnant women, parents/caretaker relatives, and single adults/childless couples. New Jersey Resident. If you were enrolled in Medicaid as of March 18, those benefits must be continued, unless you move out of state or voluntarily request termination, until the last day of the month when this public health emergency is officially ended. Children and parents may apply for NJ FamilyCare. If a member loses his or her Medicaid eligibility, he or she can still remain a Horizon NJ TotalCare (HMO D-SNP) member for up to 60 days while he or she reestablishes Medicaid eligibility. 1. Need to register? 12 . All adults age 19-64 with income up to 138% of the Federal Poverty Level should apply for NJ FamilyCare. These include both Medicaid and CHIP. Immigrant adults must have Legal Permanent Resident status in the US for at least five years in order to be eligible for NJ FamilyCare. NJ FamilyCare includes: children, pregnant women, parents/caretaker relatives, single adults and childless couples. The NJ FamilyCare Aged, Blind, Disabled (ABD) Programs provides medical coverage to individuals who are age 65 years or older as well as individuals determined blind or disabled by the Social Security Administration or by the State of NJ. NJ FamilyCare is New Jersey's state and federally funded Medicaid program for eligible adults and children. Coverage begins January 1, 2014. To keep these benefits, the member must keep his or her Medicaid (NJ FamilyCare) eligibility up to date and renew annually. Presumptive Eligibility Provider Training. Family income for all family members residing in the same household is used to determine financial eligibility. Can I qualify for the NJ FamilyCare program?