UPDATE: Obtaining Medicaid care in 2020 will require applicants to meet most of the same requirements and undergo the same process described below.
Medicaid benefits eligibility now includes thousands of New Jersey patients in need, thanks to the election of Medicaid expansion. With Medicaid eligibility in NJ now welcoming so many new applications, qualifications have changed. What are the requirements for Medicaid?
Disabled, blind and aged beneficiaries are now granted top-quality healthcare, but in order to fully understand who is eligible for Medicaid additionally, applicants must know the specifics. Affordable health insurance is motivating members of the newly-eligible population, thanks to the new Medicaid benefits eligibility guidelines.
Still, how to qualify for Medicaid in NJ is the most important step in determining whether or not you will receive medical assistance benefits. Continue below to read more on:
- What Are the Income Requirements for Medicaid in New Jersey?
- Non-Financial Medicaid Eligibility Requirements in New Jersey
- Available Programs for Eligible Medicaid Recipients in New Jersey
What Are the Income Requirements for Medicaid in New Jersey?
What are the Medicaid application guidelines when it comes to financial qualifications? In order to understand how to qualify for Medicaid in New Jersey, there are some basic rules of thumb by which to abide. To start, Medicaid eligibility requirements clearly state that the aged, the blind and the disabled can receive care from participating providers in New Jersey.
However, Medicaid application guidelines for every other type of patient are reviewed closely by NJ Medicaid caseworkers, who oversee all financial information. All income requirements for Medicaid are determined by the Modified Annual Gross Income (MAGI).
To qualify for ObamaCare subsidies, Modified Annual Gross Income (MAGI) system is the main point of reference used during the application process. MAGI methods have long been a preferred system for figuring out if a person meets the Medicaid requirements for premium tax credits.
Health insurance plans will not enroll patients until MAGI figures are set side-by-side with the following types of income: non-taxable Social Security benefits, untaxed foreign income, and tax-exempt interest. If you are not quite sure how to calculate MAGI, it is important to remember one thing – MAGI is extremely close to adjusted gross income, if not identical.
What are the requirements for Medicaid broken down in groups? Adults with incomes that do not exceed 138 percent of the Federal Poverty Level (FPL), pregnant females with incomes that do not exceed the Medicaid application guidelines of 200 percent of the FPL and children with household incomes that do not exceed 350 percent of the FPL match the Medicaid qualifications.
Keep in mind that when determining who is eligible for Medicaid in NJ, children can enroll in the Children’s Health Insurance Program (CHIP), which is the division of government-sponsored healthcare designed for them, specifically.
If you cannot determine if you meet the Medicaid income requirements on your own, consider calling a trained representative. New Jersey has a well-equipped staff on hand to take calls on a regular basis. It is in your best interest to confirm your Medicaid eligibility prior to filing an application, as the paperwork can prove to be time-consuming.
Explore the different Medicaid qualifications by downloading our informative guide.
Non-Financial Medicaid Eligibility Requirements in New Jersey
Requirements to be eligible for Medicaid in NJ extend beyond the financial criteria because non-financial requirements must be taken into account to ensure a smooth Medicaid application process. The beneficiary must reside in the state in which he or she is learning how to qualify for Medicaid. When reviewing the Medicaid qualifications in New Jersey to determine your Medicaid eligibility, ask yourself the following questions:
- Do you have proof that you are a U.S. citizen or that you have legal status in the United States?
- Can you provide acceptable proof that you are currently a New Jersey resident?
- Is it possible for you to prove your identity with acceptable forms of state or government identification?
- Can you clarify your age with official documentation?
- Are you able to provide your Social Security Number?
- If you are blind, disabled or pregnant, can you provide medical documentation to support your condition?
What are the application guidelines for Medicaid in New Jersey? You meet them if only if you are able to answer ‘yes’ to all of the above questions. Deciding eligibility for Medicaid benefits is a strict process, and applicants are required to provide all official documentation in support of the above.
If you cannot provide all of the mandatory listed items to be eligible for Medicaid, do not proceed with your medical assistance application. As mentioned prior, a trained staff of Medicaid representatives is at your disposal. If you have any questions about the items required, do not hesitate to call in to speak with a knowledgeable Medicaid worker to discuss your specific situation.
Available Programs for Eligible Medicaid Recipients in New Jersey
If you meet the application guidelines for Medicaid in New Jersey, you are given the opportunity to enroll in different types of medical assistance programs. Each program made available has a different set of Medicaid income requirements, which means that it is not possible for everyone to enroll in the same exact Medicaid sub-program in New Jersey.
Nonetheless, the health programs are so well-designed that people of all ages with various types of health conditions are likely to meet the New Jersey Medicaid benefits eligibility rules within at least one of the outlined programs for healthcare assistance.
Families with dependent children, pregnant women, and beneficiaries aged 65 and older can reap the benefits of the following medical assistance programs in New Jersey:
- Home and Community-Based Medicaid Benefits
- Home and Community-Based Services for People with Disabilities
- Medical Emergency Payment Program for Aliens
- NJCEED (New Jersey Cancer Education and Early Detection Program)
Once you have confirmed you qualify for Medicaid, the next step in the process is to file an application. Review our section on How to Apply for Medicaid in New Jersey to begin your paperwork, so you can enroll in a Medicaid program as soon as possible. Learn more about Medicaid eligibility requirements by downloading our comprehensive guide.