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In 1965, a state and federal entitlement partnership known as Medicaid was created to provide basic health insurance at no cost for very low-income families, the aged and individuals with disabilities. Over the decades, however, the program has expanded to provide coverage and services to an increasing number of people at higher income levels. As a result, its costs have sky-rocketed, placing a considerable financial burden on states' budgets.

Many ideas have been considered for effective, long-term, cost-containing changes to Medicaid. The goal of the Waiver is to give New Jersey the flexibility it needs to define who is eligible, the benefits they receive and value-driven service delivery.

If you have any questions or comments on the Waiver, e-mail

More information about the Department's Comprehensive Medicaid Waiver can be found in the links below:

Waiver Renewal: NJ FamilyCare Comprehensive Demonstration
August 1, 2017 – June 30, 2022

Waiver Renewal - 1115 Demonstration Special Terms and Conditions 7-25-19

1115 Demonstration Special Terms & Conditions: Attachment H DSRIP (Updated 4/9/2020)

1115 Demonstration Special Terms & Conditions: Attachment M Evaluation Design

1115 Demonstration Special Terms & Conditions: Attachment M(a) Evaluation Design

New Jersey FamilyCare Comprehensive Demonstration SUD Evaluation Design:Attachment M(b)

1115 Demonstration Special Terms & Conditions: Attachment O SUD Monitoring Protocol

1115 Demonstration Special Terms & Conditions: Attachment R Appendix K

1115 Demonstration Technical Corrections 12-09-2019

1115 Waiver Technical Corrections 12-21-18

1115 Waiver Technical Corrections 5-31-18

NJ FamilyCare Comprehensive Demonstration Implementation Protocol for the Opioid Use Disorder (OUD)/Substance Use Disorder (SUD) Program 5-17-18

1115 Waiver Amendments Public Notice 4-10-18 

Substance Use Disorder (SUD)/Opioid Use Disorder (OUD) Waiver Approval Letter and Special Terms and Conditions (STCs)

Waiver Renewal Approval Letter

Updated Renewal Application 2-24-17

Renewal Application 1-6-17

Renewal Application Attachment A: DSRIP

Renewal Application Attachment B: Quality Activities

Renewal Application Attachment C: Interim Evaluation

Renewal Application Attachment C1: Supplement to Waiver - Interim Evaluation

Renewal Application Attachment C2: DSRIP and Midpoint Evaluation Report

Renewal Application Attachment D: Budget Neutrality Monitoring

Renewal Application Attachment E: Summary of Public Comments

Renewal Application Attachment F: Standard Terms and Conditions Compliance

Renewal Public Notice January 2017

Public Notice 

Presentations from the Waiver Renewal Public Listening Sessions:

Medical Assistance Advisory Council Meeting 6/15/16

Division of Mental Health and Addiction Services 6/28/16

NJ Comprehensive Medicaid Waiver Renewal Application Video

Comprehensive Medicaid Waiver October 1, 2012 through June 30, 2017

Waiver Approval Letter

Waiver Special Terms and Conditions

NJ Division of Medical Assistance and Health Services Quality Strategy

Comprehensive Medicaid Waiver Interim Evaluation DRAFT

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