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Since March of 2020, NJ FamilyCare/Medicaid has followed special rules related to the federal COVID-19 Public Health Emergency (PHE). These rules have allowed most NJ FamilyCare/Medicaid members to keep their health coverage, even if they no longer qualified – for example, if their income was too high.
There are new Medicaid rules beginning April 1, 2023 and NJ FamilyCare will begin its eligibility determination process. We could see the first wave of disenrollments in Medicaid starting May 1, 2023. It is estimated that over 350,000 people may be losing coverage.
States have 12 months after the April 1 re-start date to initiate eligibility renewals for all Medicaid beneficiaries, including more than 2 million NJ FamilyCare members. There are also new rules from Congress about eligibility and outreach. This “unwinding” represents the single largest renewal exercise
in the history of New Jersey’s Medicaid program.
This means that:
- All members enrolled in an NJ FamilyCare program will be reviewed to see if they still qualify for coverage.
- Many members will receive mail from the State of New Jersey or their County Board of Social Services as part of the review.
- Members will have to confirm or provide additional nformation so NJ FamilyCare/Medicaid can decide whether they still qualify for healthcare coverage.
- Members who do not respond to NJ FamilyCare/Medicaid mail may lose their coverage.
Important steps to take now include:
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Confirm or update your contact information by calling NJ FamilyCare at 1-800-701-0710 (TTY: 711)
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Look for and respond to mail from the State of New Jersey or the local County Board of Social Services.
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If NJ FamilyCare requests information, respond right away to avoid a gap in NJ FamilyCare coverage.
Note: People who no longer qualify for NJ FamilyCare may be able to get Health coverage through GetCoveredNJ, the state's official health insurance marketplace.
GetCoveredNJ offers immediate eligibility results and lets people know if they can get help lowering the cost of their monthly premiums.
Visit StayCovered NJ website for more information and tools
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