Everyone with intellectual and developmental disabilities who has DDD services must have NJ FamilyCare/Medicaid. During the COVID pandemic, no one was terminated from Medicaid, even if they were no longer eligible. However, the automatic continuation of Medicaid coverage, which has been in effect for three years, is ending, and Medicaid redetermination applications will be required. The process of requiring a Medicaid redetermination application has been referred to as Medicaid “unwinding.” Even if nothing has changed for individuals with IDD, all NJ FamilyCare/Medicaid enrollees will be required to have a “redetermination” of their Medicaid eligibility, and this process will start in April 2023.
There is an exception to the requirement that everyone who has NJ FamilyCare/Medicaid will have to do a Medicaid redetermination: Individuals who currently receive Supplemental Security Income (SSI) and Medicaid will not receive a Medicaid redetermination application. However, it is possible that individuals who receive SSI could receive a redetermination notice from Social Security. Therefore, it is important to respond promptly if Social Security sends a letter requiring a redetermination.
The NJ FamilyCare/Medicaid redetermination applications will be mailed during a 12-month period, and 1/12th of these applications will be mailed each month, between April 2023 and March 2024.
Information provided by NJ Medicaid is available in English and Spanish as well as many other languages. Click here to access all of the information from NJ Medicaid.
The Arc of New Jersey recently set up a new webpage, to make it easier to access the most up-to-date information on Medicaid unwinding, including webinar recordings. As we become aware of additional information, we will post it in this section. Click here to see the current information on Medicaid unwinding and the redetermination process.