NJ FamilyCare to Resume Eligibility Reviews; Members Urged to Update Contact Information
The federal government in
To update their contact information, NJ FamilyCare members should call their NJ FamilyCare health plan or 1-800-701-0710 (TTY: 711).
"We want NJ FamilyCare members to be informed about renewing coverage," Commissioner
NJ FamilyCare is
Resuming eligibility checks means some NJ FamilyCare members may no longer qualify and will be disenrolled.
Those who no longer qualify because their income is too high may be eligible to obtain health coverage through
Some individuals may no longer qualify for Medicaid, but will qualify for Medicare. **STANDARD
In both situations, NJ FamilyCare will assist by transferring account information to the marketplace or to a Medicare counselor for review.
Additionally, some consumers who are no longer eligible for NJ FamilyCare may be eligible for health insurance from an employer.
Losing Medicaid or CHIP coverage is called a Qualifying Life Event, which allows consumers to enroll in a marketplace plan outside of the regular open enrollment period.**BULLSEYE
"We've been particularly focused on ensuring that members provide their up-to-date contact information, including mailing addresses, to ensure they can successfully complete the eligibility renewal process when it's their turn," Deputy Commissioner for Health Services
Members who are found to be ineligible will also have the right to appeal through the fair hearings process, a process between Medicaid and the
Human Services will be coordinating with GetCoveredNJ to assist members whose incomes exceed eligibility limits with gaining new coverage and will automatically transfer to GetCoveredNJ the account information of certain consumers.
Consumers whose information is transferred will be contacted by GetCoveredNJ, where they can claim their account, complete their pre-filled application to determine eligibility for financial help, and enroll in coverage. Consumers who lose NJ FamilyCare coverage as a result of not completing their renewal form will not have their information transferred to GetCoveredNJ.
To avoid duplicate coverage and potential tax implications, any consumer not automatically transferred should apply for coverage through GetCoveredNJ after they have received notification from NJ FamilyCare that they are no longer eligible for NJFamilyCare coverage.
Human Services has been partnering with community-based organizations, the NJ FamilyCare managed care organizations, health benefits coordinators, and county boards of social services on member outreach and education.
"If you're a NJ FamilyCare member, please make sure we know where to send your renewal letter," said Assistant Commissioner
Community organizations and individuals interested in helping with outreach can find more information and printable materials in 21 languages by visiting the StayCoveredNJ web site.
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