Accessibility Tools
Learn about the process to appeal a reduction, termination, or denial of Medicaid services delivered through a Managed Care Organization. This material will help you preserve Medicaid benefits by advocating for yourself and others.
/wp-content/uploads/DRNJ-MCO-Appeals-Presentation.pdf
Medicaid Eligibility Basics
Learn about Medicaid eligibility bought to you by Disability Rights New Jersey and the New Jersey Council on Developmental Disabilities.
This webinar was updated in March 2024 and identifies benefits available to Medicaid Eligibility Groups and may help you understand the legal requirements for review of all possible eligibility before termination. Find the most current information available at this link.
https://disabilityrightsnj.org/wp-content/uploads/DRNJ-NJCDD-Medicaid-Eligibility-Basics-2024.pdf
Medicaid Fair Hearings: Your Right to Appeal a Termination
For the first time since March 2020, the NJ Medicaid program (also known as DMAHS or NJFamilyCare) will begin terminating benefits for people who it thinks do not meet the eligibility standards. While NJ Medicaid reviewed eligibility during the pandemic, it did not terminate anyone’s benefits because of the federal COVID-19 public health emergency. Starting in April 2023, NJ Medicaid will resume mailing termination notices for people it finds ineligible for continued coverage.
If you get a termination notice and disagree, you must act fast to preserve your rights! This webinar will give you the information you need to:
- Update your address with Medicaid
- Recognize a termination notice
- Request a Fair Hearing
- Keep your benefits during an appeal
- Find legal help
https://disabilityrightsnj.org/wp-content/uploads/DRNJ.Medicaid.Fair_.Hearings.3-20-23.pdf
https://disabilityrightsnj.org/wp-content/uploads/Form-Letter-to-Request-Fair-Hearing-60-Day.pdf
Medicaid Renewals
During the Public Health Emergency we know as the COVID-19 Pandemic, individuals receiving Medicaid could not be terminated between March 2020 and April 2023, even if their circumstances changed, such as additional income or higher resources. Beginning in April 2023, the state Medicaid agency began a year-long process of Medicaid renewals for more than 2 million Medicaid beneficiaries, and for the first time since the beginning of the Public Health Emergency, people who were no longer eligible were terminated.
As soon as this began Disability Rights NJ was there, representing clients who were threatened with Medicaid termination, helping them untangle their individual Medicaid renewal situations and working to ensure continued Medicaid coverage. Now halfway through the renewal year, many lessons have been learned that we share with you in this webinar.
NJ WorkAbility Updates
NJ WorkAbility, also known as a Medicaid Buy-in, is a Medicaid program that offers individuals with disabilities, who are employed either full-time or part-time, whose income would otherwise make them ineligible for Medicaid, the opportunity to receive full Medicaid coverage. This webinar content provides information about NJ WorkAbility, including current changes and the next steps that are being planned.
https://disabilityrightsnj.org/wp-content/uploads/WorkAbility-Implementation-Updates.pdf
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