The Division of Medical Assistance and Health Services (DMAHS) administers the state-and federally- funded Medicaid and NJ FamilyCare programs for certain groups of low- to moderate- income adults and children. Through these programs, DMAHS serves about 1.3 million New Jersey residents:
Medicaid provides health insurance to parents/caretakers and dependent children, pregnant women, and people who are aged, blind or disabled. These programs pay for hospital services, doctor visits, prescriptions, nursing home care and other healthcare needs, depending on which Medicaid program the person is eligible for.
NJ FamilyCare is a Medicaid program for uninsured children whose family income is too high for them to qualify for "traditional" Medicaid but not high enough to be able to afford private health insurance. Some low-income uninsured parents/caretakers may also be eligible for NJ FamilyCare.
Most NJ FamilyCare/Medicaid clients are enrolled in managed care. With managed care, clients are enrolled in a Health Maintenance Organization (HMO) that manages their healthcare.
Division Budget: $11 billion (state funds and federal funds)
Division Director: Valerie J. Harr
Number of Division Staff: Approximately 500
