The Division of Medical Assistance and Health Services (DMAHS) administers the state-and federally- funded Medicaid program for certain groups of low to moderate income people.

Through these programs, DMAHS serves more than 1,000,000 people with an operating budget in Fiscal Year 2007 of $5.5 billion. Its staff of 575 people work both in Trenton and in Medical Assistance Customer Centers (MACCs) throughout the state.

People can apply for these programs either by calling 1-800-356-1561 or by contacting their appropriate local County Board of Social Services .

Health Insurance Programs administered by DMAHS

- New Jersey Medicaid provides health insurance to over 1,000,000 low income parents, children and people who are blind or disabled. The program pays for hospital services, doctor visits, prescriptions, nursing home care and other healthcare needs.

- NJ FamilyCare is a health insurance program for children, whose Family's incomes are too high for them to qualify for "traditional" New Jersey Medicaid but not high enough to be able to afford private health insurance.

Managed Care

[Managed Care Contract Volume 1] | [Managed Care Contract Volume 2]

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 healthcare 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 healthcare providers.

NJ FamilyCare beneficiaries, who are also enrolled in managed care, receive healthcare benefits similar to those offered through the most widely sold health insurance plans in the private healthcare market.

Traditional Fee-For-Service New Jersey Medicaid

Some New Jersey Medicaid beneficiaries, including those who reside in institutions and those who receive both Medicare and Medicaid benefits, continue to receive traditional "fee-for-service" Medicaid. Physicians and other healthcare providers bill New Jersey Medicaid directly for their services. For more New Jersey Medicaid provider information go to Provider Resources or www.NJMMIS.com

For questions about New Jersey Medicaid , call your local MACC or toll-free at 1-800-356-1561. For questions about NJ FamilyCare, call 1-800-701-0710.

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