Everything You Want To Know

Medicaid / New Jersey

Medicaid for Home Care in New Jersey

Medicaid Certified Home Care Agency in New Jersey

Claiming Medicaid in New Jersey requires homecare agencies to get HHA (Home Health Agency) certification. The agencies need to follow certain regulations that are set by their state regarding certifications and licensing. These can be found at the Bureau of Licensing and Certification or state’s Department of Human Services.

Governing Body: New Jersey Department of Human Services


Medicaid in New Jersey for the elderly is also known as the NJ FamilyCare program to provide coverage to aged, blind, and disabled people (ABD). Anyone making up to 138% of the federal poverty level (FPL) is eligible for Medicaid.

Medicaid Programs:

  • Institutional / Nursing Home Medicaid
  • Regular Medicaid / Aged Blind and Disabled
  • Personal Preference Program (PPP)

Income Requirements:

  • For children under 18 years, household income up to 355% of the FPL ($7,278 per month) for a family of four
  • For adults, income up to 138% of the FPL ($2,829 per month) for a family of four or income up to $1,387 per month for an individual
  • For pregnant women, income up to 205% of the FPL ($4,203 per month) for a family of four
  • For seniors, blind or disabled people, income less than $1,005 per month for an individual and $1,354 per person for a family of two, including assets worth less than $4,000 for an individual and $6,000 for a family of two

Application Process:

To apply online for the available Medicaid programs in New Jersey, you can visit NJ FamilyCare.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
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  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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