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New Jersey Medicaid Expansion
Medicaid Expansion:
New Jersey is fully participating in the Medicaid Expansion under provisions of the Affordable Care Act (ACA).
 
For additional background on the State’s policy decisions regarding the Medicaid Expansion option, see: Background.
 
Medicaid in New Jersey:
The NJ Department of Human Services, Division of Medical Assistance and Human Services administers New Jersey Medicaid.
Information about New Jersey Medicaid, including beneficiary enrollment information, can be found at: http://www.state.nj.us/humanservices/dmahs/clients/medicaid/.
Provider Participation:
Providers must enroll in the Medicaid fee-for-service program to receive payments for covered services. Information about enrolling in the Medicaid fee-for-service program can be found at: http://www.state.nj.us/humanservices/dmahs/clients/medicaid/.
The Medicaid website provides information about services covered by fee-for-service payments and payment amounts: http://www.state.nj.us/humanservices/dmahs/clients/medicaid/.
In order to retain access to all Medicaid patients in the state, providers must also connect to the managed care plans individually.
 
Medicaid Managed Care:
Some New Jersey Mediciad beneficiaries are enrolled in managed care plans. Basic information about the program, called HMO Program, can be found at: http://www.state.nj.us/humanservices/dmahs/clients/medicaid/hmo/.
Some managed care plans cover individual New Jersey counties and independent cities. The Medicaid website has jurisdictional information: http://www.state.nj.us/humanservices/dmahs/clients/medicaid/.
Division of Medical Assistance and Human Services Beneficiaries Participating in Managed Care:
Managed care plans participating in HMO Program offer detailed information about covered benefits for individuals enrolling in their plans. This information is available on the managed care websites shown below.
Managed Care Plans Participating in HMO Program:
Amerigroup NJ, Inc.
 
Healthfirst NJ
 
Horizon NJ Health (Blue Cross Blue Shield of NJ)
 
United HealthCare Community Plan
 
 
 
 
 
 
 
 
 
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