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State of New Jersey Deapartment of Human Services  
 
 
State of New Jersey Deapartment of Human Services
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The New Jersey Department of Human Services provides access to mainstream medical care for children and adults. Services are tailored to the needs of families in a variety of situations, whether it be an elderly Medicaid recipient, a low-income worker in a job without health benefits, an individual with a developmental disability, or a family who incurs catastrophic expenses from their child's illness.

The Department strives to ensure that all of New Jersey’s residents have access to affordable, quality health care, through Medicaid or one of the programs described below, or by funding community health programs and hospitals.

DHS works in cooperation with Health Maintenance Organizations (HMOs) and locally-based health care organizations throughout the state to help provide this care. The Department’s primary resource of health care information and access to services is through the Division of Medical Assistance and Health Services (DMAHS).

 
 
Health care services include the following:
The Catastrophic Illness in Children Relief Fund (CICRF) provides eligible families with financial assistance for previously incurred medical expenses for their child that exceed 10% of the first $100,000 of income, plus 15% of any income in excess of $100,000.  For children ages zero to 21, covered expenses include, but are not limited to, special ambulatory care, acute or specialized in- or out-patient hospital care, medical equipment, medically-related home and vehicle modifications such as ramps or wheelchair lifts, home health care, and medical transportation.

Medicaid is a state- and federally-funded health insurance program that provides coverage for more than 1.2 million New Jerseyans who are income-eligible or  who are aged, blind or disabled. It pays for hospital, doctor, prescription drugs, nursing home care and/or many other health care benefits.


Since 1995, most New Jersey Medicaid, including NJ FamilyCare beneficiaries, have been enrolled in managed care. With managed care, beneficiaries are enrolled in an HMO that manages their health care and provides services in addition to the wide array of Medicaid health benefits to which they are entitled.

A major benefit of enrolling in an HMO is that New Jersey Medicaid beneficiaries can choose from among many physicians and other medical professionals who are part of the HMO's network of health care providers. This HMO enrollment also makes services - including surgery, dental care, wellness checkups, mental health and substance abuse treatment - more available and accessible for people with developmental or other disabilities.

Health insurance for income-eligible families and children is provided through the NJ FamilyCare program, with assistance from the federally funded State Children's Health Insurance Program or SCHIP.  NJ FamilyCare helps financially eligible families (usually low-income workers in jobs without health benefits) obtain health insurance to cover the cost of routine physician visits, prescriptions, hospitalizations, lab tests, x-rays, eyeglasses for themselves and for their children and dental care for most children and for some adults.  This eliminates their need to use expensive charity care in the emergency room for primary health care needs. 

The Office for the Prevention of Mental Retardation and Developmental Disabilities is a public educational resource to help educate New Jerseyans about those factors that can cause mental retardation or other developmental disabilities, with a strong focus on prevention. Educational efforts include, but are not limited to:  information for pregnant women about substance abuse and its effects on the unborn fetus; the dangers of ingesting lead paint and other environmental toxins which can cause developmental disabilities; and ways to prevent childhood injuries.
 
 
Health care resources available through DHS...
Follow the links at the left or below to find the many programs within DHS that can assist with health care needs.

Division of Medical Assistance and Health Services (DMAHS)

Division of Addiction Services

Catastrophic Illness in Children Relief Fund

Health Care for People with Disabilities

HMOs

Managed Care

Medicaid

Medical Assistance Customer Centers (MACCs)

Division of Mental Health Services

NJ Disability Health & Wellness Initiative

NJ FamilyCare (SCHIP)

NJ FamilyCare Advantage

NJ WorkAbility

Office for Prevention of Mental Retardation & Developmental Disabilities (OPMRDD)

Prescription Drug Price Registry

Traditional Fee-for-Service NJ Medicaid 
 
 
 
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