Accessibility Tools
Medicaid is a joint federal and state program, together with the Children’s Health Insurance Program (CHIP), provides health coverage to Americans, including children, pregnant women, parents, seniors, and individuals with disabilities. In New Jersey, Medicaid is known as NJ FamilyCare. Medicaid is more than just heath insurance coverage; Medicaid also provides home and community-based supports and services that ensure individuals with disabilities can remain in their homes and out of institutions.
Medicaid Eligibility Basics
Disability Rights New Jersey is excited to share our newly recorded Medicaid Eligibility Basics for Adults presentation. Our annual presentation has been updated to reflect eligibility criteria for 2025. The presentation goes over the many different ways an adult can be eligible for Medicaid in the state of New Jersey, the requirements for various Medicaid programs and how you can apply for the programs. We also go over what to do if your Medicaid is terminated including an explanation of appeal rights and the right to a continuation of benefits pending appeal. The presentation recording is available at Disability Rights New Jersey’s YouTube page and on our website, disabilityrightsnj.org
This webinar was updated in April 2025 to reflect 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.
How to Appeal a Reduction, Termination or Denial of Managed Care Services
Through our webinar, you’ll 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.
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
- Presentation Slides
- Form Letter to Request Fair Hearing
Medicaid Renewals and Helpful Solutions
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 our webinar: Medicaid Renewals: Lessons Learned and the Five Helpful Solutions 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.
Our webinar NJ WorkAbility Updates and Implementation Webinar from September 2023 provides information about NJ WorkAbility, including current changes and the next steps that are being planned.
Protect Medicaid
Resources are available on our dedicated Protect Medicaid page.
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