Medicaid
Provides health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults and people with disabilities. Medicaid is administered by states, according to federal requirements. The program is funded jointly by states and the federal government.
NJ FamilyCare is New Jersey's Medicaid program that provides public health care coverage throughout the state.
There are two primary programs:
- NJ FamilyCare, covering children under 19, adults, and pregnant women.
- NJ FamilyCare Aged, Blind, Disabled (ABD) Programs, covering people 65 and older, and people determined blind or disabled by the Social Security Administration (SSA) or State of NJ. The majority of individuals with IDD receive Medicaid through the ABD programs.
The NJ FamilyCare ABD Programs include:
- Supplemental Security Income (SSI) Medicaid
- Medicaid Only
- New Jersey Care... Special Medicaid Programs
- NJ WorkAbility
- Managed Long Term Services and Supports (MLTSS)
For more information about the ABD Programs, click here.
The Basics of SSI and Medicaid for Individuals with Intellectual and Developmental Disabilities Webinar (10/25/22)
Navigating the Medicaid Maze Webinar (10/18/22)
Fact Sheets and Flyers
- Different Types of Medicaid Fact Sheet
- Medicaid ABD Programs (2024)
- DAC flyer for ABD (Aged, Blind or Disabled) Medicaid Programs
- Medicaid Eligibility for the Supports Program
- Medicaid and Private Health Insurance for Persons with Intellectual and Developmental Disabilities (IDD)
- NJ Board of Social Services addresses by counties
Disabled Adult Child (DAC)
Section 1634 of the Social Security Act - Disabled Adult Child (DAC): This important flyer, developed by the NJ Department of Human Services, is applicable for persons with a disability who have Supplemental Security Income (SSI). When the individual's mother or father retires, or if the parent becomes disabled or dies, this flyer describes the process by which the "disabled adult child" (DAC) can continue to receive Medicaid. However, if the process described in this flyer is not followed, the DAC would likely lose Medicaid benefits and, therefore, access to DDD services would also be jeopardized.
ABD Medicaid Application:
- Click here for a downloadable application
- Click here for NJ Board of Social Services County addresses
Tips when completing the ABD Medicaid Application:
- When the application is completed, it should be brought to the Board of Social Services or mailed in. Please keep a copy of the application. If bringing it in, ask for a receipt that it was received. If mailing, please do it with a return receipt.
- The only income information that is required is the applying individual's income. They don't need income information from anyone else in the household.
SSI & Continued Medicaid Eligibility
Section 1619(b) of the Social Security Act - SSI and Continued Medicaid Eligibility: This important flyer, developed by the New Jersey Division of Developmental Disabilities, describes the process by which individuals who are employed and are eligible for Supplemental Security Income (SSI) may continue to be eligible for Medicaid coverage when their earnings are too high to continue to receive SSI.
LogistiCare:
ModivCare Solutions became NJ's medical transportation broker in July 2009 and is now responsible for arranging through its provider network: upper-mode, non-emergent Mobility Assistance Vehicles (MAVs), Ambulance service and lower-mode, livery service for Medicaid recipients in all counties. Read more...
Affordable Care Act (ACA or "Obamacare")
Health Insurance Through the ACA
Most people with IDD have health insurance through Medicaid, Medicare, and/or a parent's private health insurance plan. However, anyone who is not able to access health insurance from those sources, can obtain it through the health insurance marketplace established by the ACA. Below are links for anyone that needs help in applying for health insurance via the marketplace.
Please note that this information is not applicable for people who are eligible for Medicaid (including persons who receive Medicaid expansion through the federal health care law).
The National Disability Navigator Resource Collaborative has released the first of several fact sheets entitled “Comparing Health Plans’ Benefits and Coverage Summaries.” This fact sheet is intended to inform navigators and other enrollment specialists about what people with disabilities need to look for in the Summary of Benefits and Coverage. Read more...