The Division of Medical Assistance and Health Services has provided managed care services for eligible beneficiaries since 1995. While NJ FamilyCare offers a few services through traditional fee-for-service arrangements, the majority of New Jersey Medicaid benefits are provided through contracts with managed care organizations (MCOs), also commonly referred to as health plans. Today, the majority of NJ FamilyCare beneficiaries are enrolled in managed care plans that provide most health care benefits.
Health plans ensure quality and cost-effective care by emphasizing prevention and coordination of care. Their care management programs help ensure clients have continuity of care and receive services that are appropriate for their condition. Health plans also provide enabling services such as language translation, community outreach, and health education programs that facilitate effective communication and access to appropriate and timely care.
