New Jersey Medicaid: Overview and Eligibility Guidelines

In this article...
  • New Jersey Medicaid provides health coverage for low-income individuals. Keep reading to learn more about this type of coverage and find out how to apply.

What Is New Jersey Medicaid?

New Jersey Medicaid is a government program that provides health coverage for residents of New Jersey who fall into one or more of the following groups:

  • Pregnant women
  • Families with dependent children
  • Individuals with blindness or other disabilities
  • Older adults (65+)
  • Low-income adults between the ages of 19 and 64

The program covers a variety of services, including inpatient hospitalization, visits with a doctor, X-rays and other imaging tests, prescription drugs, preventive screening and dental care, among others. Five health plans provide care to individuals enrolled in New Jersey FamilyCare: Aetna, Amerigroup, Horizon NJ Health, United Healthcare and WellCare. New Jersey Medicaid also has a fee-for-service program to cover services that aren't included in any of these five health plans. 

What Is NJ Medicaid Called?

In New Jersey, the Medicaid program is known as New Jersey FamilyCare. The program receives funding from the federal government as well as the New Jersey state government, ensuring that low-income residents of New Jersey have access to health care coverage.

What Is the Difference Between Medicaid and New Jersey FamilyCare?

There's no difference. New Jersey FamilyCare is just another name for New Jersey Medicaid. 

Who Is Eligible for Medicaid in New Jersey?

To qualify for New Jersey FamilyCare, an applicant must be a resident of New Jersey. Applicants must also meet certain citizenship requirements. In most cases, Medicaid coverage is only available to U.S. citizens or lawfully admitted immigrants who have lived in the United States for five years. Children who haven't lived in the United States for five years may still be eligible for coverage, but they must still be lawfully admitted.

What Is the Income Limit for Medicaid in New Jersey?

The income limit for New Jersey Medicaid depends on an applicant's age, medical status and/or family situation. For adults without dependent children and parents/caretakers with dependent children, the income limit is set at 138% of the federal poverty level (FPL). New Jersey FamilyCare, like other Medicaid programs, uses Modified Adjusted Gross Income (MAGI) to determine if an applicant is under the income limit. MAGI is calculated by taking an individual's adjusted gross income and adding back deductions taken for things like student loan interest, rental losses and tuition and fees.

The table below shows the income limit for New Jersey Medicaid based on household size. These limits apply to adults (19-64) without dependent children and parents/caretakers with tax-dependent children.

Household Size

Income Limit

1

$17,609

2

$23,791

3

$29,974

4

$36,156

5

$42,338

6

$48,521

7

$54,703

8

$60,886

9

$67,068

10

$73,250

The limits are higher for pregnant women, up to 205% of the FPL, and children under 18, up to 355% of the FPL.

How Do I Enroll in Medicaid in New Jersey?

New Jersey FamilyCare offers several application methods.

  • To apply online, create an account on the New Jersey FamilyCare Once you have an account, you can save your application and return to it later, view a submitted application and sign up to receive electronic notifications regarding your Medicaid coverage.
  • Visit your local County Board of Services
  • Call (800) 701-0710 to request an application by telephone.

Have your income, citizenship and residency information ready when you start your application. If you'd like to self-screen to find out if you're eligible for benefits before you take time to complete the application, use the screening tool on the NJHelps website.

Contact Information for New Jersey Medicaid

Address:

NJ Department of Human Services
Division of Medical Assistance and Health Services
PO Box 712
Trenton, NJ 08625-0712

Telephone: (800) 701-0710

Website: New Jersey FamilyCare