Medical Assistance: NJ FamilyCare and Adult Medicaid

NJ FamilyCare Medicaid are programs that provide health insurance for Middlesex County residents in a variety of living arrangements. Income and/or asset limits apply to eligibility depending upon what level of care is required by the applicant.

NJ FamilyCare Medicaid health care coverage is usually facilitated by Medicaid funded enrollment in a Managed Care Organization (MCO). Enrollment covers:

  • Doctor visits
  • Hospitalization
  • Prescriptions
  • Regular check-ups
  • Dental
  • Eyeglasses
  • Lab Tests
  • X-Rays
  • Preventative Screenings
  • Mental Health
  • Autism services
  • Community doula services
  • Help with personal care needs

It may also cover other services based on an eligible person’s medical condition.

The Board also determines eligibility for NJ FamilyCare Medicaid programs for the Aged, Blind and Disabled (ABD), as defined by the Social Security Administration. Income and asset limits apply and vary based on what your living arrangement is: whether the applicant lives at home in the community alone or with others, or in an Assisted Living Facility, or a Long-Term Care Facility or hospital.

Payments of funeral and burial expenses may be provided for recipients of WFNJ, SSI, and Medicaid. Payments for such expenses are not a benefit automatically payable at death, but are a means of supplementing the resources, when available, including voluntary contributions.

Learn More About Medical Assistance Program

Program Details

  • NJ FamilyCare coverage is based on a household’s income and the Federal Poverty Limits (FPL). MCBOSS handles cases for:
    • Single adults, childless couples and parents under 138% FPL
    • Newborns and pregnant women up to 199% FPL
    • Children up to 150% FPL
  • Click the link for the Federal Poverty Income Limits (FPL).

NJ FamilyCare has restrictions based on alien status and medical condition.  Please visit njfamilycare.org for detailed information.