How to Be Eligible for Medicaid in Nj

To qualify for Medicaid in New Jersey, you must meet certain income and asset limits. For individuals, the income limit is generally 138% of the federal poverty level (FPL). For families, the limit is 138% of the FPL for the family size. Asset limits also apply, and vary depending on whether you are applying as an individual or a family. If you meet the income and asset requirements, you may be eligible for Medicaid coverage. To apply, you can complete an application online, by phone, or in person at your local county social services office. You will need to provide documentation of your income, assets, and other information. Once your application is processed, you will be notified of your eligibility status.

Medicaid Eligibility in NJ: Income and Asset Limits

To qualify for Medicaid in New Jersey, you must meet certain income and asset limits. These limits vary depending on your household size, and they are subject to change each year. For the most up-to-date information, please visit the New Jersey Department of Human Services website.

Income Limits

The income limits for Medicaid eligibility in New Jersey are as follows:

  • For a single person, the income limit is $2,400 per month.
  • For a family of two, the income limit is $3,600 per month.
  • For a family of three, the income limit is $4,800 per month.
  • For a family of four, the income limit is $6,000 per month.
  • For each additional person in the household, the income limit increases by $600 per month.

Asset Limits

The asset limits for Medicaid eligibility in New Jersey are as follows:

  • For a single person, the asset limit is $2,000.
  • For a family of two, the asset limit is $3,000.
  • For a family of three, the asset limit is $4,000.
  • For a family of four, the asset limit is $5,000.
  • For each additional person in the household, the asset limit increases by $500.

Please note that these are just the general income and asset limits for Medicaid eligibility in New Jersey. There are a number of exceptions and special rules that may apply to your situation. For more information, please contact your local Medicaid office.

Income and Asset Limits for Different Medicaid Programs

The income and asset limits for Medicaid eligibility may vary depending on the specific Medicaid program for which you are applying. For example, the income and asset limits for Medicaid expansion are different from the income and asset limits for traditional Medicaid. The following table provides a summary of the income and asset limits for different Medicaid programs in New Jersey:

ProgramIncome LimitAsset Limit
Medicaid Expansion138% of the federal poverty level$2,000 for a single person; $3,000 for a family of two; $4,000 for a family of three; $5,000 for a family of four
Traditional Medicaid100% of the federal poverty level$2,000 for a single person; $3,000 for a family of two; $4,000 for a family of three; $5,000 for a family of four
Medicaid for Children and Pregnant Women185% of the federal poverty levelNo asset limit
Medicaid for People with DisabilitiesNo income limit$2,000 for a single person; $3,000 for a family of two; $4,000 for a family of three; $5,000 for a family of four

NJ Medicaid: Residency and Citizenship Requirements

To be eligible for Medicaid in New Jersey, you must meet certain residency and citizenship requirements. These requirements are designed to ensure that only those who are truly in need of assistance receive benefits.

Residency Requirements

  • You must be a resident of New Jersey.
  • You must have lived in New Jersey for at least 12 months, or you must be able to prove that you intend to make New Jersey your permanent home.
  • You must provide proof of residency, such as a driver’s license, a utility bill, or a lease agreement.

Citizenship Requirements

  • You must be a U.S. citizen or a qualified non-citizen.
  • Qualified non-citizens include lawful permanent residents, refugees, and asylees.
  • You must provide proof of citizenship or qualified non-citizen status, such as a birth certificate, a passport, or an alien registration card.

In addition to the residency and citizenship requirements, you must also meet certain financial and medical requirements to be eligible for Medicaid in New Jersey. For more information on these requirements, please visit the New Jersey Department of Human Services website.

Income and Asset Limits

NJ Medicaid Income/Asset Limit (2023)
Monthly Gross Income LimitAsset Limit
Single Person$1,793$2,000
Couple$3,586$3,000
Family of 3$4,379$4,000

Who Is Eligible for Medicaid in New Jersey?

To qualify for Medicaid in New Jersey, you must:

  • Be a U.S. citizen or a qualified immigrant
  • Be a New Jersey resident
  • Meet income and asset limits
  • Be in one of the following qualifying groups:
  • Pregnant women
  • Children under 19
  • Parents/caretakers of children under 19
  • Seniors 65 and older
  • Disabled individuals
  • Individuals receiving SSI or TANF

Special Eligibility Categories in NJ Medicaid

In addition to the general eligibility requirements, there are special eligibility categories in NJ Medicaid for individuals with specific circumstances or conditions.

  • Medically Needy Program: This program provides Medicaid coverage to individuals who have high medical expenses and limited income and assets.
  • Home and Community-Based Services (HCBS) Waiver Programs: These programs provide Medicaid coverage for long-term care services received in a home or community setting, rather than a nursing home.
  • NJ FamilyCare: This program provides comprehensive health coverage to children, pregnant women, and families with low incomes.

Income and Asset Limits for Medicaid Eligibility in NJ

To be eligible for Medicaid in New Jersey, your income and assets must fall below certain limits. The income and asset limits vary depending on your household size and composition.

Household SizeIncome LimitAsset Limit
1$2,000/month$2,500
2$2,500/month$3,500
3$3,000/month$4,500
4$3,500/month$5,500
5 or more$4,000/month$6,500

Applying for NJ Medicaid: Application Process and Documents Needed

NJ Medicaid, also known as NJ FamilyCare, provides health insurance coverage to eligible individuals and families in New Jersey. To apply for NJ Medicaid, you can follow these steps and provide the necessary documents.

Application Process

  1. Obtain an Application Form: You can download the application form from the NJ FamilyCare website or request one by mail or phone.
  2. Fill Out the Form: Provide accurate and complete information, including personal data, income, assets, and household members.
  3. Gather Supporting Documents: Collect documents to verify your identity, income, assets, and residency. The specific documents required may vary depending on your circumstances.
  4. Submit Your Application: Mail the completed application and supporting documents to the address provided on the form.
  5. Await Processing: Your application will be reviewed by the NJ FamilyCare staff. You may be contacted for additional information or verification.
  6. Receive Notification: You will be notified by mail or phone regarding the status of your application. If approved, you will receive a Medicaid ID card.

Documents Needed

  • Proof of Identity: Driver’s license, state ID, passport, or birth certificate.
  • Proof of Income: Pay stubs, Social Security award letters, or unemployment benefits statements.
  • Proof of Assets: Bank statements, investment account statements, or a vehicle registration.
  • Proof of Residency: Lease agreement, utility bills, or a voter registration card.
  • Proof of Citizenship or Legal Residency: Birth certificate, naturalization certificate, or a U.S. passport.
  • Proof of Disability (if applicable): A statement from a doctor or other healthcare professional.
  • Proof of Pregnancy (if applicable): A statement from a healthcare provider.
DocumentRequired For
Proof of IdentityAll applicants
Proof of IncomeAll applicants
Proof of AssetsAll applicants
Proof of ResidencyAll applicants
Proof of Citizenship or Legal ResidencyNon-U.S. citizens and permanent residents
Proof of DisabilityIndividuals with disabilities
Proof of PregnancyPregnant women

Additional Information

For more information about NJ Medicaid eligibility, the application process, or the documents needed, visit the NJ FamilyCare website or contact the NJ FamilyCare Customer Service Center at 1-800-701-0710.

Thanks for taking the time to read all about Medicaid eligibility in New Jersey. I hope you found this information helpful and informative. If you have any other questions, feel free to reach out to your local Medicaid office or visit the official Medicaid website. Remember, the rules and regulations surrounding Medicaid can change, so it’s always a good idea to check back here from time to time to stay up-to-date on the latest information. Keep an eye out for new articles and updates on our website. Thanks again for reading, and we appreciate your continued support.