Medicaid Unwinding Resources, Information, & Updates
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 NJ FamilyCare/Medicaid 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 go back to the rules that were used prior to the start of the COVID pandemic. This process, which is known as "Medicaid Unwinding," will last for 12 months. Therefore, each month, from April 1, 2023 through March 2024, 1/12th of the NJ FamilyCare/Medicaid beneficiaries will receive a Medicaid redetermination application. The exception to the requirement of completing a Medicaid redetermination application is individuals with IDD who receive Supplemental Security Income (SSI).
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 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.