MEDICAID - NJ FAMILYCARE
 

HOW DO YOU APPLY FOR MEDICAID PROGRAMS?

 To obtain an application for Medicaid coverage.
CLICK HERE

Applications for Medicaid coverage will also be accepted by mail, email, fax, and in some cases on-line.
Once you submit your application for Medicaid coverage you will receive a detailed letter indicating what verifications will be required to process your request.

Residents of Gloucester County can apply at Gloucester County Division of Social Services or at one of our outstation locations if scheduled by one of our hospital social workers. To apply at one of our outstations you or a family member must have been admitted to the hospital. 

Inspira Medical Center of Mullica Hill
700 Mullica Hill Road
Mullica Hill, NJ 08062
Thursday’s 8:30am – 12:30pm

Jefferson Washington Township Hospital
435 Hurffville - Cross Keys Rd,
Washington Township, NJ 08080
Tuesday, Wednesday, Friday 8:30am - 12:30pm

** Outstations Are Currently Unavailable Right Now Due to COVID19 **

AVAILABLE PROGRAMS

AFFORDABLE CARE ACT

 CLICK HERE for individuals with income over 138% of poverty level

 CLICK HERE for individuals with income under 138% of poverty level

NJ FAMILYCARE

Provides health coverage to children, pregnant women, parents/caretaker relatives, single adults, childless couples, the aged, blind, disabled and individuals qualified for long-term care services.

NJ FamilyCare’s comprehensive health coverage program provides a wide range of services depending on the person’s eligibility category.  Most NJ FamilyCare beneficiaries (except MEPPA) have their health care coordinated by an HMO of their choosing.

 CLICK HERE FOR MORE INFORMATION

NJ FAMILYCARE AGED, BLIND, DISABLED (ABD) PROGRAMS

Low-income individuals aged 65 and over or individuals who meet the Social Security Administration guidelines for disability or blindness are eligible for the ABD segment of the NJ FamilyCare Program.

CLICK HERE FOR MORE INFORMATION


MEDICAID ONLY

Medicaid only is available to the aged, blind, and disabled residents of Gloucester County. Eligible individuals may reside in the community, a nursing home, or may be confined to a general or rehabilitation hospital. Eligibility is based on the applicant's income, as well as resource guidelines which relate to the individual's living arrangements.

 MANAGED LONG-TERM SERVICES AND SUPPORTS (MLTSS)

MLTSS provides home care to disabled Medicaid beneficiaries meeting the income, asset, and nursing facility level of care requirements established by Medicaid, who otherwise would be unable to safely live in the community. MLTSS is designed to expand home and community based services and includes assistance for persons with traumatic brain injuries, AIDS, and those requiring hospice services. Case management services are provided by the Managed Care Organization. MLTSS also provides comprehensive services and supports, whether at home, in an assisted living facility, in community residential services, or in a nursing home.

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NJ WORKABILITY PROGRAM

This is a state and federally funded program under NJ FamilyCare that provides coverage to disabled individuals under the age of 65 who are employed either full or part time. Financial eligibility is determined using the individual's earned income while disregarding their Social Security disability benefits. A disability determination either from the Social Security Administration or from the Disability Review Team of the New Jersey Division of Medical Assistance and Health Services is required.

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EARLY PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT (EPSDT)

New Jersey FamilyCare and Temporary Assistance for Needy Families (TANF) recipients, whose children are under age 21, are informed of special preventive health services available through Early Periodic Screening, Diagnosis, and Treatment. Recipients participating in well-child yearly examinations are also provided with support services which assist them in locating medical providers.

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FAMILY PLANNING

Professional family planning services are available to all recipients of Medicaid. We provide information and literature on these services through the Early Periodic Screening, Diagnosis, and Treatment staff. 

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BREAST AND CERVICAL CANCER PROGRAM

Provides Medicaid Benefits to uninsured individuals under the age of 65 who have been diagnosed with breast or cervical cancer and are in need of treatment. Individuals must be screened through the New Jersey Cancer Education and Early Detection Screening Program (NJCEED) administered by the New Jersey Department of Health and Senior Services.  For more information on where individuals can get free screening services call 1-800-328-3838

CLICK HERE FOR MORE INFORMATION

MEPPA (MEDICAL EMERGENCY PAYMENT PROGRAM FOR ALIENS)

May cover medical bills related to the treatment of an emergency medical condition and is only for NJ residents who meet other Medicaid eligibility requirements except for their US citizenship/legal status.  Undocumented immigrants or immigrants who do not have legal permanent resident status for 5 years may apply if they have had a recent medical emergency.  An application must be made within 3 months of the date of the emergency to be considered for coverage under this program.

CLICK HERE FOR MORE INFORMATION

Burial Assistance Program

Federal, state, and county funding enables Board to provide burial assistance for Gloucester County residents who had been recipients of Supplemental Security Income (SSI), Medicaid Only, New Jersey Care, Temporary Assistance for Needy Families (TANF), Medically Needy, General Assistance (GA), and Managed Long Term Services and Supports (MLTSS). Payment is made directly to funeral homes.

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MEDICAID EXTENSION

Extended Medicaid benefits are available to families who lose eligibility for Medicaid due to employment-related criteria based upon the income standards and methodologies in effect for the Aid to Families with Dependent Children Program as of July 16, 1996. Thus, extended Medicaid benefits will begin with the loss of Work First New Jersey cash assistance only when that loss is coincident with the loss of Medicaid eligibility under the July 16, 1996, Aid to Families with Dependent Children Program income standards and methodologies.

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MEDICAID SPECIAL

Medicaid Special is designed to provide adequate medical care for children under the age of 21. Financial eligibility is based on the income and resources of the individual and/or his or her parents. The income of the spouse is also considered if married.

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MEDICALLY NEEDY Community

The Medically Needy Program provides limited medical benefits to New Jersey residents who may not be able to afford health care services but have income and/or assets that are too high for them to qualify for Medicaid. Medically Needy provides assistance for persons in the community who are not otherwise Medicaid eligible. The Medically Needy Program is unique in that if the income of the household exceeds the standard, the client may spend down their income and attain eligibility if they have outstanding medical bills.

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QUALIFIED MEDICARE BENEFICIARY (QMB) PROGRAM

Provides eligible Medicare recipients with payment of their Medicare Part B medical insurance premium and deductibles. Coverage for QMB is included in most NJ FamilyCare-ABD programs and does not require a separate application.

CLICK HERE FOR MORE INFORMATION

VOTER REGISTRATION

The National Voter Registration Act was implemented in New Jersey. Accordingly, staff offers all applicants/clients the opportunity to register to vote at each application, address change, recertification, or redetermination interview.

English: CLICK HERE

Espanol: CLICK HERE

MEDICAID FRAUD or ABUSE

To Report Medicaid Fraud or Abuse in New Jersey:

Call the GCDSS Fraud Unit at: 856-256-2216, 856-256-2295 or 
CLICK HERE