NJ FamilyCare Health Coverage Programs
The New Jersey Division of Medical Assistance and Health Services administers state- and federally-funded Medicaid health coverage programs known as NJ FamilyCare. Through these programs, qualified New Jersey residents, of any age, may be eligible for free or low cost NJ FamilyCare health services that covers doctor visits, prescriptions, vision, dental care, mental health and substance use services and hospitalization.
Generally, to be eligible for Medicaid a person must be a resident of New Jersey, be a U.S. Citizen or qualified alien, and meet specific standards for financial and income and resources.
NJ FamilyCare health coverage programs administered by DMAHS.
The following are general descriptions of NJ FamilyCare eligibility categories:
Medicaid Only
The Medicaid Only program is an Aged, Blind or Disabled (ABD) program for individuals who do not receive SSI, but have income and resources under the SSI standards.
Medically Needy for the Aged, Blind or Permanently Disabled
This special program provides limited health coverage to aged, blind or disabled people who do not qualify for regular New Jersey Medicaid because their income or financial resources are too high. It includes a "spend down" provision that allows documented medical expense to be used to reduce monthly income to meet eligibility limits. To learn more, click here.
People who qualify for this Medically Needy section of New Jersey Medicaid are entitled to most Medicaid services.
