Medicaid is a national program that delivers basic health care to over 65 million Americans who can’t afford to pay for health insurance. The program is jointly funded and regulated by the federal government and administered by each state.
In New Jersey, the program is called NJ FamilyCare and is overseen by the Department of Human Services. It serves the health care needs of more than 1.5 million state residents, including families with dependent children, expectant mothers, senior citizens and those who are blind or disabled. Residents who qualify receive a number of health care benefits, such as:
- Doctor and specialist visits
- Hospital services
- Emergency room treatment
- X-rays, lab tests and preventive screenings
- Dental services
- Prescription medications
- Long-term care in a nursing home
Qualifying for New Jersey Medicaid for Long-Term Care To qualify for coverage for long-term care, Bridgewater residents must be American citizens or legal immigrants and aged 65 or older or blind or disabled. Applicants must be assessed as needing a nursing home level of care and eligible for
Supplemental Security Income benefits or meet the following NJ FamilyCare
financial guidelines:
- Single applicants are allowed a maximum monthly income of $2,313 and no more than $2,000 in countable assets.
- Married couples applying together may have $4,626 in monthly income and $3,000 in combined countable assets.
All sources of income count toward the limits but some assets are automatically disregarded, such as household and personal effects, burial trusts, an owner-occupied home worth up to $878,000 and one automobile.
Seniors who meet the eligibility requirements for NJ FamilyCare long-term care coverage may qualify if:
- They’re eligible for the Medically Needy Segment spend-down program due to high medical bills. It lets individuals with countable monthly income that’s over $367 put the funds toward allowable care and medical bills to reach the qualification threshold for a six-month period.
- They establish a Qualified Income Trust for depositing over-the-limit income. Funds put into the trust don’t count toward the Medicaid eligibility limit, and they can only be removed to pay for approved medical and care expenses.
Residents of Bridgewater can
apply for NJ FamilyCare coverage online or call the
Medical Assistance Customer Center serving Somerset County at (856) 614-2870 for information or assistance.
FamilyCare Managed Long-Term Services and Supports Bridgewater seniors aged 65 or older and disabled adults aged 21 or older who are Medicaid-eligible and in need of long-term care can enroll in the
FamilyCare Managed Long-Term Services and Supports program. This comprehensive Medicaid waiver program has no enrollment cap, so all eligible residents receive services. Once enrolled, applicants have a choice of
managed care organizations that provide full medical services, and also:
- Case management
- Community residential services
- Assisted living care
- Nursing home care
- Mental health and addiction services
- Respite care
- Personal emergency response systems
To request an assessment for the Managed Long-Term Services and Supports program, seniors already enrolled in NJ FamilyCare should contact their managed care organization.
To apply for Medicaid and the MLTSS program, seniors can contact the
Somerset County Office on Aging and Disability Services at (908) 704-6346.