For questions about New Jersey Medicaid, call 1-800-356-1561 or your County Welfare Agency For questions about NJ FamilyCare call 1-800-701-0710 You can also get information by visiting NJHelps.org, where you can self-screen for eligibility for NJ FamilyCare/Medicaid, as well as for many other social service programs.
New Jersey Medicaid Attorney
He met with me and explained all of my options for my mom, from at home/community care, assisted living, state, county and local programs for the elderly, financial eligibility for benefits, Medicaid qualification, pharmaceutical assistance, utility aid, Medicare and Veteran’s benefits, etc. While I felt overwhelmed by it all, Mr. Niemann clearly was in control of what could be done for Mom. We engaged him to make applications for subsidized at-home care and assistance through available grant programs and as part of his services to us, he is counseling us on a reverse mortgage, income and financial products to enhance Mom’s monthly income and to reduce her expenses. Mom would tell me to let Mr. Niemann make all the decisions although I am her Power of Attorney. I value so much his confident and generally caring manner. If you’re trying to help your Mom, Dad or family member deal with a life changing health condition, call Mr. Niemann. I’m glad I did and so is Mom.
New Jersey Office of the State Comptroller
The New Jersey “Medicaid Program Integrity and Protection Act”, C.30:4D-53 et seq. established the Office of the Medicaid Inspector General to detect, prevent, and investigate Medicaid fraud and abuse, recover improperly expended Medicaid funds, enforce Medicaid rules and regulations, audit cost reports and claims, and review quality of care given to Medicaid recipients. On June 29, 2010, Governor Chris Christie signed P.L. 2010, Chapter 33, which officially transferred these functions, powers and duties of the Office of the Medicaid Inspector General to the Office of the State Comptroller. The Office of the State Comptroller then created the Medicaid Fraud Division. The Division conducts investigations of fraud, waste and abuse, performs background checks on all Medicaid provider applicants, and coordinates oversight efforts among all State agencies which provide and administer Medicaid services and programs, including FamilyCare and Charity Care. The Medicaid Fraud Division also works to recover improperly expended Medicaid funds, enforces Medicaid rules and regulations, audits cost reports and claims, reviews the quality of care given to Medicaid recipients, and excludes or terminates providers from the Medicaid program where necessary. Additionally, the Division refers criminal prosecutions to the Attorney General’s office, issues recommendations for corrective or remedial actions to the Governor, President of the Senate, and Speaker of the General Assembly and conducts educational programs for Medicaid providers, vendors, contractors and recipients.
Medicare.gov: the official U.S. government site for Medicare
New Jersey Medicaid FAQ (Frequently Asked Questions)
Medicaid demands proof of every financial transaction going back 5 years prior to the filing of the application. Accurate records should be gathered and a complete Medicaid application furnished to the County Board of Social Services to make the processing simpler. If records are inaccurate or incomplete or if a Medicaid application package is disorganized, the Medicaid Agency will continue to insist on additional information and the application will be delayed indefinitely. Submission of a complete Medicaid Application requires many hours of time. It is estimated that a professional assembling a Medicaid Application spends approximately 25-40 dedicated and undisturbed hours assembling and organizing the information. A person unfamiliar with the process will spend many times that amount of time.
Gloucester County, NJ. Website
DISABLED WIDOW(ER) S – program for surviving spouses who lose their Supplemental Security Income as the result of the receipt of Title II benefits. HOME AND COMMUNITY CARE BASED SERVICE PROGRAMS FOR BLIND OR DISABLED CHILDREN AND ADULTS (MODEL WAIVER) – is similar to the Community Care Program for the Elderly & Disabled. It provides many medical services to help qualified disabled individuals and children stay in their homes. HOSPICE – program for the terminally ill whose life expectancy is 6 months or less. INSTITUTIONAL MEDICAID – provides payment of institutional benefits, such as nursing facility care, for eligible New Jersey residents. MEDICAID – provides medical assistance to TANF and GA eligible persons through a mandatory managed healthcare system. A variety of HMO’s provide managed care to recipients. MEDICAID ONLY – offers medical assistance to income/resource eligible aged, blind or disabled individuals or couples, based on living arrangements in the community, or to an individual in need of Title XIX facility (such as a hospital for acute care) for 30 consecutive days. MEDICAID SPECIAL PROGRAM – provides Medicaid coverage to families, dependent or independent child under age 21, and pregnant women on behalf of an unborn child who meet certain guidelines. MEDICAL ASSISTANCE PROGRAM – provides Medicaid benefits to Work First NJ recipients. MEDICAL EMERGENCY PAYMENT PROGRAM FOR ALIENS – may provide payment for emergency services to persons who are not eligible for Medicaid or NJ Kid Care-Plan A because of citizenship/alien requirements for these programs has not been met. Eligible applicants must be 65 years of age or older, blind or permanently disabled, pregnant, under age 21 or a caretaker relative of children under 18 years of age and meet income guidelines. MEDICAL EMERGENCY PRENATAL CARE FOR SPECIFIC PREGNANT ALIEN WOMAN – provides emergency prenatal care for a pregnant alien who is a resident of New Jersey but is not considered an eligible alien under INF regulations. MEDICALLY NEEDY PROGRAM – offers specialized Medicaid coverage with limitations to certain groups of medically needy persons. These groups include pregnant women, dependent children under 21 years of age, persons 65 of age and older & persons who are blind or disabled . Each individual group has a specific group of covered medical services. NEW JERSEY CARE PROGRAM – SPECIAL MEDICAID PROGRAM – provides complete Medicaid coverage to eligible pregnant women during their pregnancy and for 60 days following the date on which the pregnancy ends. Coverage is also provided to eligible infants, up to age 1, persons 65 or older, and blind or disabled persons . NEW JERSEY KIDCARE – provides affordable health insurance coverage, through managed care (HMO), to income eligible children, from age 1 and up to age 19, in order to help meet certain health care needs. NEW JERSEY KIDCARE PRESUMPTIVE ELIGIBILITY PROGRAM – provides children who appear to be eligible for the NJ Kid Care Program access to medical care while awaiting a full determination of eligibility for NJ Kid Care benefits. NEW JERSEY SUPPLEMENTARY PRENATAL CARE PROGRAM – provides prenatal care services to eligible legally admitted immigrant women who entered the United States as permanent residents on or after August 22, 1996 and are ineligible for Medicaid due to a restriction in the Personal Responsibility and Work Opportunity Act of 1996. NEW JERSEY WORKABILITY – Medicaid buy-in program for permanently disabled individuals between ages 16 and 65 who are employed and receiving Social Security Disability or Railroad Retirement benefits. PICKLE AMENDMENT – Medicaid may be available under this program for individuals who have become financially ineligible for continued Medicaid coverage under the Supplemental Security Income (SSI) Program due to their receipt of Social Security cost of living increases. PRESUMPTIVE ELIGIBILITY – offers prenatal care to eligible pregnant women prior to application for Medicaid benefits and while an application is being processed. The qualified Healthstart provider completes the application for Presumptive Eligibility. QUALIFIED MEDICARE BENEFICIARY (QMB) PROGRAM – provides eligible recipients with payment of Medicare Part B medical insurance premiums and deductibles. QMB clients are automatically eligible for the New Jersey Care. . . Special Medicaid Program TRAUMATIC BRAIN INJURY PROGRAM – provides home and community based services to eligible persons disabled by a traumatic brain injury. Eligible applicants must be 18 to 65 years of age and meet certain medical requirements regarding brain injuries. MEDICAL TRANSPORTATION – The Medical Transportation unit of GCBSS, in conjunction with the Gloucester County Division of Transportation, arranges transportation for Medicaid recipients to and from medical appointments. Call 856-256-2281 for further information. RETROACTIVE MEDICAID – Medicaid Only applicants may be eligible for help in paying medical bills incurred up to three months before their application for assistance. Caseworkers will have more details. CHARITY CARE – Charity Care offers payment assistance for hospital care for New Jersey residents who are ineligible for health care coverage through private or governmental programs. Eligibility is based on income and asset limits. NJ PROTECTS – A non income based health insurance program that covers individuals who have preexisting conditions and have been without health bennefits for 6 months. There is a monthly premium based on income. If interested please click on the following website: http://www.state.nj.us/dobi/division_insurance/njprotect/index.htm Charity Care applications are available through hospitals and some health care provider agencies. GCBSS does not take Charity Care Applications