Medicaid is the national program that provides vital health care coverage to low-income Americans with limited resources. The program is jointly funded by the federal and state governments and operates under federal regulation with administration by each state.
The New Jersey Medicaid plan is administered by the state’s Department of Human Services. The plan provides coverage for those who qualify, including parents and their dependant children, pregnant women and the elderly, blind and disabled. A variety of services are covered, such as doctors visits, hospital care, prescription drugs and long-term care.
To be eligible for coverage, New Jersey residents must be U.S. citizens or qualified aliens and meet certain income and resource guidelines:
- For regular Medicaid, individuals can earn up to $1,041 in monthly income and have total assets of $4,000. Couples can earn up to $1,409 per month and own $6,000 in assets.
- For long-term community-based or nursing home coverage, a single person can earn up to $2,313 in monthly income and have $2,000 in total assets. Married couples applying together are limited to $4,626 in monthly income and $3,000 in assets.
Medicaid counts income from all sources, but various assets are excluded, including personal effects, one vehicle, a principal home valued at less than $878,000, household furnishings and irrevocable burial trusts.
Married couples with just one spouse applying may still qualify if their joint income and assets are over the above limits. Medicaid disregards the income of a non-applicant spouse and permits the transfer of a spousal living allowance of up to $3,160.50 from the applicant’s monthly income. A non-applicant spouse may also retain up to $126,420 in jointly owned assets.
Paramus seniors in need of Medicaid coverage can complete an online application for the
NJ FamilyCare Aged, Blind, Disabled program or call (800) 356-1561 for more information and assistance.
FamilyCare Managed Long-Term Services and Supports New Jersey Medicaid provides long-term care services for eligible elderly, blind and permanently disabled residents through the
FamilyCare MLTSS program. The program delivers comprehensive medical and long-term care through a participant’s choice of five
managed care organizations serving Bergen County. Services provided for seniors aged 65 and older and adults with disabilities aged 21 and older can include:
- Full Medicaid medical benefits
- Case management
- Respite care
- Personal emergency response systems
- Assisted Living
- Nursing home care
- Community residential services
- Addiction and mental health services
To apply for MLTSS services, those currently enrolled in the state Medicaid program should contact their MCO to request an assessment. All other Paramus residents can contact the
Bergen County Division of Senior Services at (201) 336-7400 to begin the financial and clinical eligibility assessment process.