Managed Long Term Services and Supports (MLTSS)

DDS Community Resource Specialists initiate the MLTSS referral process for children and young adults, 20 years old and younger, who are not otherwise eligible for NJ Familycare.

MLTSS is a Medicaid waiver program that creates access to private duty nursing in the community for children who are not otherwise eligible for NJ FamilyCare due to income but require a skilled level of care. It also provides comprehensive support services, including private duty nursing, to adults with disabilities who meet clinical level of care and financial eligibility requirements. Administered through a NJ FamilyCare MCO, MLTSS is designed to coordinate individually based support services to allow individuals to remain living in the community.

NOTE: Participants previously enrolled in one of the following Medicaid Waiver programs were automatically enrolled in MLTSS effective July 1, 2014

  • AIDS Community Care Alternatives Program (ACCAP)
  • Community Resources for People with Disabilities (CRPD)
  • Traumatic Brain Injury Waiver (TBI)
  • Global Options for Long Term Care (GO)

Managed Care Organizations (MCO)

The State of New Jersey has chosen a managed care approach to long term services so that consumers have better coordinated health care services and supports through a broad array of health care providers. NJ contracts with the following MCOs to administer NJ FamilyCare, including MLTSS:

How To Apply for MLTSS

The MLTSS application process will vary depending on whether or not an individual already has NJ FamilyCare.

Individuals Who Currently Have Medicaid
Regardless of age, all individuals who currently have Medicaid must contact their assigned MCO to initiate an assessment for MLTSS eligibility.

Individuals Who Currently Do Not Have Medicaid

 MLTSS Level of Care Requirements for Children (ages birth – 20)