Renewal Data Reports
In April 2023, NJ FamilyCare resumed eligibility renewals with a focus on support for our members and collaboration with community partners.
The federal government gave states 12 months to redetermine all members’ eligibility for Medicaid, which means that around one-twelfth of our 2 million members will start going through the renewal process each month.
NJ FamilyCare wants to share information with the public throughout this process. We will provide monthly updates to data and reports to show our progress. We are focused on ensuring equitable outcomes across geography, racial and ethnic backgrounds, income, and disability status.
Below is our progress as of March 31, 2024, with the data that we have available. We have also included data that we plan to report in the future but do not currently have available. The full monthly report for March can be found using the link at the bottom of the page.
We have started our regular renewal processes:
NJ FamilyCare has started the renewal process for 2,066,206 members (as of March 31).
We are reaching out to members through multiple channels:
In our initial phases of outreach for members whose renewals have begun, Medicaid Managed Care Organizations (MCOs) have:
- Mailed 1,484,657 postcards to households
- Sent 989,882 texts
- Sent 406,134 emails
If we do not hear from members, we also try to reach them by phone. Medicaid Managed Care Organizations have called 1,206,274 members.
In addition, we are reaching out to members through other channels, including County Social Service Agencies, Regional Health Hubs, and community-based organizations to spread the word about Medicaid renewals.
We have used data to automatically renew members:
NJ FamilyCare has automatically renewed 334,040 members.
When possible, NJ FamilyCare attempts to verify members’ Medicaid eligibility based on reliable information from other data sources, such as Supplemental Nutritional Assistance Program (SNAP) eligibility. In these instances, members will receive a letter that says they have been renewed and that no further action is required.
We are reviewing eligibility information from members:
NJ FamilyCare has renewed an additional 524,029 members based on eligibility information they submitted. Overall, 858,069 members have been renewed and retained in NJ FamilyCare.
There may be people who did not respond to their eligibility mailing or who were found ineligible after review and may no longer qualify for NJ FamilyCare; 529,563 members no longer qualify for NJ FamilyCare.
We have transferred members who no longer qualify for NJ FamilyCare to other sources of healthcare coverage:
NJ FamilyCare transfers members to GetCoveredNJ, the state-based health insurance marketplace, if they are found to be ineligible due to income. 39,530 individuals who were enrolled in NJ FamilyCare at the start of Unwinding have enrolled in a qualified health plan (QHP) through GetCoveredNJ (the state’s health insurance marketplace) as of March 31, 2024.
The data on members who are referred to other sources of healthcare coverage is coming soon.
We are committed to helping members maintain healthcare coverage:
NJ FamilyCare will continue to do everything we can to support our members throughout this process and protect anyone who remains eligible from unnecessarily losing their healthcare coverage. Actions we are taking include:
- Improving our renewal process by using additional data sources to automatically renew members
- Working with Medicaid Managed Care Organizations, Regional Health Hubs and other community partners to reach out to members regularly
- Extending call center hours to answer questions members may have
- Allowing members to request extensions if they require additional time to complete their renewal applications
- Providing 90 days for members who did not respond in time to send in their renewal applications and retain coverage
We encourage members to send in their renewal packets even if overdue.