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Who is Eligible?


The Affordable Care Act (ACA) Simplifies Medicaid Eligibility.
Beginning October 1, 2013, ACA changes the Medicaid eligibility rules by streamlining the populations we cover under NJ FamilyCare which include: children, pregnant women, parents/caretaker relatives, single adults and childless couples. Financial eligibility will be determined by the latest federal tax return which, when filed, will be electronically verified.

Children 18 and under will continue to be eligible with higher incomes up to 350% FPL ($82,425 for a family of four). Parents still need to renew the coverage each year.

Parents/Caretaker Relatives with income up to 133% FPL ($31,322 for a family of four) must have tax dependent children in their household in order to be eligible under this category. This is a new Medicaid Expansion eligibility group. Dependent children in the household must be insured also.

Adults without dependent children with ages 19-64 and incomes up to 133% FPL ($15,282 single/ $20,629 couple) are considered to be another new Medicaid Eligibility Expansion Group.

Pregnant Women up to 200% FPL. There are no changes to pregnant women.

Aged, Blind or Disabled programs or Long Term Care, there are no changes in eligibility.

For other medical assistance programs click here

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