1. If your coverage is at risk, NJ FamilyCare will mail you a letter in July. The letter will say that your coverage may be ending on September 30, 2026 because of changes in the federal immigration requirements on who qualifies for Medicaid coverage.

   If you believe you have an immigration status that should still qualify for Medicaid coverage after September 30, 2026, you have the chance to send in documents to prove your status. The letter will explain how to submit your documents to HMS, the vendor that is helping NJ FamilyCare with this process.

   NJ FamilyCare will review your documents. After this review is complete, you will be sent another letter from NJ FamilyCare letting you know if you will be able to keep your NJ FamilyCare/Medicaid coverage or if it will end on September 30, 2026. If you did not get a letter, but you think you should have received one, call the HMS hotline at +1 833-635-7060 (TTY: 711) to see if a letter was mailed to you.

If you believe you should have received a Non-citizen Initial Letter, call the HMS hotline at +1 833-635-7060 (TTY: 711).  If a letter was sent to you, but you did not get it, you can ask for another one to be mailed to you. You may also view a digital copy of the letter in the "View letters in your preferred language" section.

1. NJ FamilyCare is sending this letter to all members whose records do not clearly show they qualify under the new rules. If you receive a letter, it doesn't necessarily mean your coverage will end. However, it does mean that NJ FamilyCare needs more information from you.

   You must act now to keep your coverage.

   1. Respond to the letter: If you believe you still qualify, fill out the form and follow the instructions to submit the form with copies of your immigration documents to HMS.
   2. State review: Once received, NJ FamilyCare will review your documents to see if you still qualify.
   3. Decision:
      • If you are found to qualify, you will be able to keep your NJ FamilyCare/Medicaid coverage.
      • If you do not respond, or do not qualify, your coverage will end on September 30, 2026.
      • If you submit documents, you should receive one of the following letters: Non-citizen Eligible Letter, Non-citizen Ineligible Letter, or Non-citizen Incomplete Letter. If you do not hear back, you should call the HMS hotline at +1 833-635-7060 (TTY: 711).

NJ FamilyCare is sending this letter to all members whose Medicaid records do not clearly show they qualify under the new rules. If you have received a letter, NJ FamilyCare was unable to verify that you are a U.S. citizen. Receiving this letter does not mean you are no longer a U.S. citizen or that your citizenship status has changed.

Please submit your citizenship documents as soon as possible so NJ FamilyCare can confirm that you still qualify for coverage. Follow the same document submissions steps included in the Non-citizen Initial Letter. Examples of citizenship documents can be found in the "Immigration Document Guide" section.

Only NJ FamilyCare can verify your submitted documents and determine if you qualify for coverage. No other organization can tell you if you qualify for coverage, though they can help you decide what documents to submit. Once you follow the instructions in the letter and submit copies of the form and documents to HMS, NJ FamilyCare will review your documents and send you a final letter letting you know if your coverage will continue or end after September 30, 2026.

If you submit documents, you should receive a letter in response. If you do not hear back, you should call the HMS hotline at +1 833-635-7060 (TTY: 711).

No. If your spouse or child has not received a Non-citizen Initial Letter and is a U.S. citizen or has an immigration status that qualifies under the new rules, these changes will not apply to them and they are not required to submit any documents. They will keep their coverage as long as they meet other requirements, like income.

Regardless of your spouse or child's citizenship or immigration status, if they have received a Non-citizen Initial Letter, they must submit their documents.

Each person in a household is reviewed individually. One person in the household losing coverage does not mean everyone else will, too.

If you get a letter and think it is wrong, follow the steps below as soon as possible:

1. Complete the form: If you believe you still qualify, fill out the form included with the letter.
2. Gather your immigration or citizenship documents: Make copies of your documents that prove your immigration status.
3. Send your response: Follow the instructions in the letter you received. Submit the form and copies of your documents by the deadline. The best way to send in your documents is through the www.VerifyOS.com portal. If you have any questions about how to send in your information, call the HMS hotline at +1 833-635-7060 (TTY: 711).

If NJ FamilyCare can confirm you have an immigration status that will still qualify after September 30, 2026, you will be able to keep your coverage.

See the "Immigration Document Guide" section for the list of acceptable documents to send for each qualifying immigrant category.

Don't wait! Send in your documents right away so NJ FamilyCare can check if you still qualify for coverage.

1. There are a few ways to get your documents to NJ FamilyCare:

   • Online (preferred option): Upload to the HMS secure site: www.VerifyOS.com. You must enter your reference number and date of birth to log into the portal. You can find your reference number in the top-right corner of the letter mailed to you.
   • Fax to HMS: Fax documents directly to HMS at +1 877-223-8478
   • Mail to HMS: The address to mail copies of your documents is PO Box 165308, Irving, TX 75016-9923. Please allow 3-5 business days for receipt.

   If you have any questions about submitting documents, call the HMS hotline at +1 833-635-7060 (TTY: 711).

Your reference number is assigned to you by HMS to keep track of your document submissions. You will need the reference number to log into www.VerifyOS.com to submit your documents or check on your documents submission status.
Your reference number is located at the top-right corner of the letter you have received in the mail.

If you have lost or cannot find your reference number, call the HMS hotline at +1 833-635-7060 (TTY: 711) HMS can help you find your number or send you a new copy of your letter.

NJ FamilyCare will mail you an outcome letter once your documents have been reviewed and a decision has been made. NJ FamilyCare cannot give an exact timeline for when you should expect a response, but please give at least 30 days for NJ FamilyCare to process your information. If you have not heard from NJ FamilyCare, call the HMS hotline at +1 833-635-7060 (TTY: 711). To check or view your submission's status, visit the HMS portal at www.VerifyOS.com.

You do not need to do anything if you know that your immigration status no longer qualifies for NJ FamilyCare/Medicaid coverage. Your NJ FamilyCare/Medicaid coverage will end on September 30, 2026.

You will need to find another health insurance provider to avoid becoming uninsured. See the "Where can I get other health care coverage?" section of this FAQ for more information.

In the meantime, continue using your NJ FamilyCare/Medicaid coverage for doctor visits, prescriptions, and other health services. Your benefits remain fully active through September 30, 2026.

Do not ignore the letter. If you do not respond to the letter, your NJ FamilyCare/Medicaid coverage will end on September 30, 2026. You will need to get new health care coverage.

If you have received a letter, that means that NJ FamilyCare thinks these changes may affect you. If you think you should still qualify, sending your documents as soon as possible is the best way to help keep your NJ FamilyCare/Medicaid coverage active.

If NJ FamilyCare mailed you a Non-citizen Initial Letter and you have not received a Non-citizen Eligible Letter confirming you still qualify, your last day of NJ FamilyCare/Medicaid coverage will be September 30, 2026. If you want to check if a letter was mailed to you, call the HMS hotline at +1 833-635-7060 (TTY: 711) to ask if NJ FamilyCare sent you a letter. If a letter was sent to you, but you do not have a copy, you can ask for another one to be mailed to you. You may also view a digital copy of this letter in the "View letters in your preferred language" section.

Please continue using your NJ FamilyCare/Medicaid benefits for doctor visits and prescriptions until that date. Your benefits remain fully active until September 30, 2026.

Starting October 1, 2026, you may qualify for quality health care coverage through Get Covered New Jersey, the State's Official Health Insurance Marketplace. You must complete your enrollment at Get Covered New Jersey within 60 days after your NJ FamilyCare coverage ends on September 30, 2026 to avoid a gap in coverage. Learn more about coverage options at GetCovered.NJ.gov.
In addition, several programs can help New Jersey residents to pay for emergency and hospital-based services. Medical Emergency Payment Program (MEPP) covers emergency services, including labor and delivery, for New Jersey residents age 19 and older who do not qualify for NJ FamilyCare because they do not meet the U.S. citizenship or immigration requirement. Visit www.nj.gov/humanservices/dmahs/individuals-families/familycare/mepp for more information on MEPP.

HMS is a vendor, based in Texas, that NJ FamilyCare has partnered with to help with this effort. HMS is handling the process of collecting documents, sending letters, and answering questions from people who receive these letters. If you have any questions about whether a letter was sent to you or how to submit documents, call the HMS hotline at +1 833-635-7060 (TTY: 711).

There are several places where you can get help:

• HMS: You can call the HMS hotline at +1 833-635-7060 (TTY: 711) for help with questions about your letter, how to submit your documents, or general questions about this process
• Legal Services of New Jersey (LSNJ): If you need help understanding if you may be eligible or need assistance documenting your status, Legal Services of New Jersey may be able to help. Call the LSNJ HealthLine at +1 833-576-5776 (TTY: 711) for information and legal advice. You may also apply for help online at www.lsnjlawhotline.org
• Health Benefits Coordinator Call Center: You can call the Health Benefits Coordinator Call Center at +1 800-701-0710 (TTY: 711) if you have questions on your health benefits

You can get help in the language with which you are most comfortable. For live support, you can call the HMS hotline at +1 833-635-7060 (TTY: 711) and ask for an interpreter. An interpreter can be arranged to join the call at no cost to you.

To view a translated copy of your letter, please visit the "View letters in your preferred language" section. Your letter provides you with more information on how to access translation services.

If you need help understanding if you may be eligible or need assistance documenting your status, Legal Services of New Jersey may be able to help. Call the LSNJ HealthLine at +1 833-576-5776 (TTY: 711) for information and legal advice. An interpreter can be arranged to join the call at no cost to you. You may also apply for help online at www.lsnjlawhotline.org.