FOR THE AGED, BLIND or PERMANENTLY DISABLED
Approximately 200,000 people in New Jersey who meet the eligibility standard for
being "aged, blind or disabled" receive New Jersey Medicaid.
Historically, these more medically-needy individuals have received
their healthcare through the traditional fee-for-service Medicaid
program, in which they sought out their own physicians and other
healthcare providers who billed New Jersey Medicaid directly for
their services.
Move to managed care for aged, blind
and
disabled New Jersey Medicaid recipients
Today, almost 95,000 people are being moved from
traditional Medicaid to managed care
because it is felt they will receive better, more comprehensive
healthcare through a Health Maintenance Organization. For
more information, contact New Jersey Medicaid at 1-800-356-1561.
New Jersey Medicaid programs for people
who are aged, blind and disabled
People who are aged, blind and disabled can qualify
for different types of New Jersey Medicaid services.
1. New Jersey Medicaid
People who
- are aged 65 or over, and/or
- determined to be blind or disabled by either the Social Security
Administration or by the Division of Medical Assistance and
Health Services
- meet the general requirements for New
Jersey Medicaid
- are financially eligible
are entitled to receive New Jersey Medicaid.
In determining whether a person is financially
eligible, the applicant will be considered as a unit with his or
her spouse or parents. For more information, call 1-800-356-1561.
2. Medically Needy Section of New Jersey Medicaid
for the aged, blind or permanently disabled
This special program provides limited health coverage
to aged, blind or disabled people who do not qualify for regular
New Jersey Medicaid because their income or financial resources
are too high. It includes a spend down provision that allows documented
medical expense to be used to reduce monthly income to meet eligibility
limits.
People who qualify for this Medically Needy section
of New Jersey Medicaid are entitled to most Medicaid services except
for inpatient hospital care and prescribed drugs. Long-term care
services are covered.
For more information, call 1-800-356-1561
3. Institutional Medicaid (including long-term
care) for the aged, blind and permanently disabled
Applicants for this program are considered on an
individual basis and the eligibility process is complex. Once eligibility
is established, full Medicaid coverage is provided. However, the
individual's income must be applied to offset the cost of the institutional
care. For purposes of this program, approved facilities include:
- acute care general hospitals
- nursing facilities
- intermediate care facilities for the developmentally disabled
- psychiatric hospitals for persons under 21 and 65 and over
For more information, call 1-800-356-1561 or contact
your local Medical Assistance Customer Center.
4. Specified Low-Income Medicare Beneficiary
program
In some cases, low-income Medicare recipients
may also qualify for New Jersey Medicaid, which will provide them
with assistance in paying their monthly Medicare Part-B premium.
For information about the income eligibility
requirements of this program,
call 1-800-792-9745.
|
