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NEW JERSEY MEDICAID PROGRAMS FOR PREGNANT WOMEN

  1. New Jersey Medicaid for pregnant women

  2. Pregnant women who meet the general requirements and financial eligibility criteria for New Jersey Medicaid are covered..

    If the woman is eligible at any time during her pregnancy, she will remain eligible until 60 days beyond the end of her pregnancy.

    A pregnant women who meets all the other criteria for New Jersey Medicaid except that she is an alien because she entered this country before August 22, 1996 is entitled to receive the care and services necessary for the treatment of an emergency medical condition. This includes labor and delivery. She is not eligible for any other New Jersey Medicaid benefits.

    For additional information, call 1-800-356-1561.

  3. New Jersey Medicaid Program for Pregnant Women and their infant children

  4. This program provides New Jersey Medicaid for pregnant women who meet the general requirements but whose family income is up to 185 percent of the federal poverty level, or $32,653 for a family of four. This coverage extends to women during the pregnancy and for 60 days following delivery or the date on which pregnancy ends. A child born to an eligible woman may be eligible for New Jersey Medicaid for up to one year regardless of changes in the family's income.

    Income eligibility guidelines for Pregnant Women and Children under the Age of 1

    Family Size
    Monthly Income
    1
    2
    3
    4
    5
    6
    $1,325
    $1,790
    $2,256
    $2,721
    $3,187
    $3,653

    For additional information, call 1-800-356-1561.

  5. Medically Needy Section of New Jersey Medicaid for Pregnant Women

  6. Pregnant women who meet all the criteria for New Jersey Medicaid except that their income or resources are too high may qualify for the program through a spend down provision that allows documented medical expense to be used to reduce monthly income to meet eligibility limits.

    Pregnant women eligible for this program are entitled to most Medicaid services except inpatient hospital care and prescribed drugs. This includes long term are services.

    For additional information, call 1-800-356-1561.

     

         
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