In 2014, New Jersey transitioned its waivers to a single, comprehensive Medicaid waiver that is an 1115 demonstration program. Most participants in previous 1915(c) HCBS waivers have been transferred to the new program and will be placed in managed care programs. This program includes a pilot project for autism, one for children with developmental disabilities, and a new Supports program that provides a limited benefit package to adults with developmental disabilities. Children who meet a nursing home level of care can qualify for the Medicaid Managed Long Term Services and Supports (MLTSS) program, which is based only on the child's income. Information on New Jersey's new Comprehensive Waiver can be found on the Office of Home and Community Services page.
Some individuals with developmental disabilities may remain in the Community Care Waiver, an HCBS waiver, which is now adult-only.
Advocacy Organizations in New Jersey:
Programs in New Jersey
- Target Population: Children and adults with any form of disability, including physical disability, developmental disability, AIDS, brain injury, and mental health challenges.
- Ages: all ages
- Levels of Care: Intermediate Care Facility, Nursing facility, Hospital
- Income Waiver: Income limits are in place for most individuals; however, children who meet a nursing home level of care can qualify for the Medicaid Managed Long Term Services and Supports (MLTSS) program, which is based only on the child's income.
- Waiver Type: 1115
- Spots: unlimited
- Expiration Date: 6/30/2022
- Description from medicaid.gov: New Jersey’s new section 1115 demonstration entitled New Jersey Comprehensive Waiver (NJCW) is a statewide health reform effort that will expand existing managed care programs to include long term services and supports and expand home and community based services to some populations. This Demonstration builds upon existing managed acute and primary care programs and established provider networks. The 1115 Demonstration also combines under a single demonstration authority several existing Medicaid and CHIP waiver and demonstration programs, including two 1915(b) managed care waiver programs; a title XIX Medicaid and a title XXI CHIP section 1115 demonstrations and four 1915(c) programs.
- Online State Information: Comprehensive Medicaid Waiver
- Official Federal Information
- How to Apply: Contact your County Welfare Agency. For children with developmental disabilities, call Division of Disabilities Services (DDS) at 1-888-285-3036 (press 2 after prompt and then press 1 after next prompt) to speak with an Information and Referral Specialist.
- Waiting List: none
- Advocacy/Support Group: Let us know if there is one.