NJ FamilyCare is the single program for all public medical assistance in New Jersey, including all adults and children eligible for services under any state or federal authority. The Department of Human Services' Division of Medical Assistance and Health Services (DMAHS) administers the state- and federally-funded NJ FamilyCare program to low- to moderate-income adults and children.
NJ FamilyCare provides health care coverage to single adults, adults without dependent children, parents/caretakers, dependent children, pregnant women, and people who are aged, blind or disabled and/or those requiring long-term services and supports. NJ FamilyCare pays for hospital services, doctor visits, prescriptions, nursing home care, home and community-based services and other healthcare needs. Click here (hyperlink to Health Care and other Services page) for more Health Care Services information.
DMAHS has been providing managed care services for eligible beneficiaries since 1995. Health plans ensure quality and cost-effective care by emphasizing prevention and coordination of care. Their care and case 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 educational programs that facilitate effective communication and access to appropriate and timely care.
Providers, keep in mind:
If you are interested in becoming an NJ FamilyCare provider, please visit www.njmmis.com for Medicaid provider enrollment application information.
Call the health plan Provider Relations Department for managed care provider application information. A provider must be a part of the provider network of an NJ FamilyCare-contracted health plan in order to provide services to NJ FamilyCare patients. Call Provider Relations of any of the NJ FamilyCare-contracted health plans for information regarding provider applications.
Let patients know the health plans in which you participate. Patients may select their health plan based on whether a specific provider is in a plan’s network.
Patients may call their health plan’s Member Services Department for questions about changes in enrollment or primary care provider (PCP) selection.
Provider Newsletters are available. Frequently, the Division of Medical Assistance and Health Services distributes Provider Newsletters containing important contract information and NJ FamilyCare program updates. To view Provider Newsletters, visit www.njmmis.com.
General questions about Medicaid managed care? Call NJ FamilyCare's
Medicaid Hotline at 1-800-356-1561 (TTY: 1-800-701-0720)
