For Families Enrolled in NJ FamilyCare/Medicaid

NJ FamilyCare will start re-determining members’ eligibility on April 1, 2023. All members enrolled in an NJ FamilyCare program will be reviewed to see if they still qualify for coverage. As part of this review, many members will receive mail from the State of New Jersey or their County Board of Social Services. Members must provide or confirm additional information so NJ FamilyCare/Medicaid can decide whether they still qualify for healthcare coverage. Families who do not respond to NJ FamilyCare/Medicaid mail will lose coverage. NJ FamilyCare/Medicaid will send renewal packets to families to complete and return. Then NJ FamilyCare/Medicaid will decide if members still qualify for coverage. Members who still qualify will keep their NJ FamilyCare/Medicaid coverage.

To prepare for the return to annual eligibility checks, a member can call NJ FamilyCare/Medicaid at 1-800-701-0710 (TTY:771) to update their contact information. This is especially important if you have moved in the last three years. Watch for a mailer from the State of New Jersey or the county, and reply promptly to avoid a coverage gap.

What happens if members no longer qualify for NJ FamilyCare/Medicaid?

• Families should take time to make sure the renewal process goes smoothly by responding to requests for information and reporting changes in their household, like pregnancy, address, income, and so on. Those members determined to be eligible will continue to receive NJ FamilyCare/Medicaid benefits.
• If a member no longer qualifies for coverage through NJ FamilyCare/Medicaid, they may be referred to GetCoveredNJ, where they can get help paying for healthcare coverage. GetCoveredNJ is the state’s official health insurance marketplace where individuals and families can easily shop for and buy affordable healthcare coverage.
• If a member has lost coverage but believes they still qualify, call the County Board of Social Services or the NJ FamilyCare health benefits coordinator at 1-800-701-0710 (TTY: 711).
• Members with Medicare may qualify for help with premiums, co-pays, and deductibles through New Jersey’s Medicare Savings Programs. Learn more about program eligibility and benefits by calling 1-609-792-9745 (TTY: 711).

Respectfully Yours,

Dr. Eniola Ajayi

Assistant Superintendent of Special Education and Student Services