Click the image above for important NJ FamilyCare/Medicaid contact information.
Every person with IDD who has DDD services must have NJ FamilyCare/Medicaid. People with IDD who receive NJ FamilyCare/Medicaid are required to have a "redetermination" of their Medicaid eligibility. The exception to this requirement is people who receive Supplemental Security Income (SSI).
Between March 2020 and March 2023, NJ FamilyCare/Medicaid followed special rules related to the federal COVID-19 Public Health Emergency (PHE). These rules allowed members to keep their health coverage, even if they no longer qualified – for example, if their resources were above the allowable limit, which, for most people with IDD, is $2,000.
However, Congress passed legislation that requires state Medicaid programs to resume eligibility determinations as used prior to the pandemic. This process, known as "Medicaid Unwinding," will last for 12 months. Therefore, each month, beginning April 1, 2023, 1/12th of NJ FamilyCare/Medicaid beneficiaries will receive a Medicaid redetermination application.
As part of this review, many members will receive mail from the State of New Jersey or their County Board of Social Services. Members will have to provide or confirm additional information so that NJ FamilyCare/Medicaid can decide whether they still qualify for healthcare coverage. Members who do not respond to NJ FamilyCare/Medicaid mail may lose their coverage.
