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The following changes apply to NJ FamilyCare members enrolled in Managed Long Term Services and Supports (MLTSS), Special Needs Plans (FIDE-SNPs), or clients of the Division of Developmental Disabilities (DDD)

What are these changes, and how do they affect me?

Effective October 1, 2018, additional mental health and substance use disorder treatment services will be covered by your health plan and will include, but not be limited to:

  • Outpatient individual, group and family therapy for both mental health and substance use disorders;
  • Partial Care/Partial Hospitalization/Acute Partial Hospitalization day programs for both mental health and substance use disorders;
  • Adult Mental Health Rehabilitation (supervised group homes and apartments);
  • Hospital-based acute services for both mental health and substance use disorders;
  • Intensive Outpatient Services for substance use disorders;
  • Inpatient Medical Detox/Medically Managed Inpatient Withdrawal Management (hospital);
  • Short Term Residential Treatment for substance use disorders;
  • Non-hospital medically monitored detox;
  • Ambulatory Withdrawal Management for substance use disorders; and,
  • Medication Assisted Treatment for substance use disorders.
  • See the MLTSS Behavioral Health Dictionary for more service-related information.
 
 
How do I access these benefits?

If you are in need of mental health or substance use disorder treatment services, or have questions about these or other health plan services, please call your health plan Member Services’ phone number located on the back of your health plan identification card. Phone numbers for each health plan are also listed on: https://www.state.nj.us/humanservices/dmahs/clients/medicaid/hmo/.

 
 
Health Plan and Stakeholder Resources

Presentation: Behavioral Health October 1, 2018 Changes

Frequently Asked Questions for Behavioral Health Changes effective 10/1/18

2018 Mental Health and Substance Use Disorder Service Benefit Plan

Behavioral Health Codes for Health Plan Contracted Services

Health Plan Newsletter (April 2018)

Health Plan Newsletter (November 2017)

Contact information for each NJ FamilyCare health plan is available at: http://www.state.nj.us/humanservices/dmahs/clients/medicaid/hmo/

 
 
 
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