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New Jersey State Medicaid Waiver Program Application Guide

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  • New Jersey State Medicaid Waiver Program Application Guide




    Waiver #1: New Jersey Comprehensive Waiver


    Who Can Apply?

    Circumstances/Diagnosis:Children and adults of any age with any form of disability, Physical or Intellectual. New Jersey’s lone waiver covers all Intermediate Care Facility, Nursing Facility, Hospital

    Income: Eligibility is determined by income a family’s total income must be at or below 355% of the federal poverty level to qualify for the comprehensive waiver. There is a medically needy provision that allows families to subtract medical bills and health insurance premiums to reach the monthly income threshold.

    What do I get?

    Coverage is determined by contracted health care companies. However, typically coverage plans extend New Jersey Medicaid services to include long term services and supports and expand home and community-based services.

    How do I apply?

    To start the application process click here New Jersey’s Medicaid application is entirely online and run through the website NJfamilycare.com

    For additional help and an overview of the process you can visit the Division of Developmental Disabilities

    What does the Goally Team Think?

    New Jersey's waiver program is partially good and partially bad. They have one comprehensive waiver which is easy to locate however due to income requirements not accessible for everybody who needs it. Additionally, New Jersey licenses out their actual coverage to private healthcare companies making information about which services are covered hard to locate. Calling about billing/application is a pain and hard to do. I had to go through four different numbers before getting real answers.

    Goally Waiver Scorecard

    Website clarity and ease of navigation: 3/5

    Access and requirements of qualification: 2/5

    Healthcare coverage: 3/5

    Other online resources for New Jersey:

    Statewide Parent Advocacy Network (SPAN) is a non-profit organization advocating for individuals and families with neuro-differences.

    Autism New Jersey is an organization for families, professionals, and the general public providing information about autism and NJ specific resources.

    Telephone Resources

    NJ medical assistance helpline - 800-356-1561

    NJ Family Cares number - 800-701-0710
    Last edited by Nate; 07-06-2020, 08:42 PM.
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