Medicaid redetermination
Keeping our community covered
Community & consumer engagement Strengthening ecosystems of care COVID response Data sharing Policy & advocacy Public benefits
What is Medicaid redetermination?
Before the pandemic, New Jersey Medicaid members had to complete a recertification every year to maintain their health coverage. During the COVID-19 Federal Public Health Emergency, the federal government allowed states to keep people on Medicaid without needing to recertify.
This continuous enrollment ended on March 31, 2023, and New Jersey started the year-long process of recertifying everyone on NJ FamilyCare (New Jersey’s Medicaid program) on April 1.
Most Medicaid members in New Jersey will receive a renewal packet in the mail, which they are required to complete and return with supporting documentation so NJ FamilyCare can determine if they still qualify for health coverage. Members who do not respond to or who do not receive their renewal packet may lose their coverage.
What is the Camden Coalition doing to help residents get recertified?
As one of New Jersey’s four Regional Health Hubs, the Camden Coalition is playing a key role, along with our partners throughout South Jersey, to make sure our community members don’t lose access to healthcare coverage. We are:
- Conducting direct telephonic outreach to South Jersey beneficiaries who haven’t yet completed their redetermination paperwork and are at risk of losing coverage
- Training our Community Ambassadors in how to talk to residents about Medicaid redetermination and supporting them in canvassing neighborhoods, flyering at local events, and providing feedback to the Regional Health Hubs and New Jersey’s Department of Human Services on community perceptions and experiences
- Disseminating information and education materials to community-based organizations and provider networks
- Bringing together key partners in Camden who provide services to the Medicaid population to develop and implement a regional response strategy to help community members maintain their health coverage. We meet on a regular basis to share data, discuss best practices, work through challenges, and perform outreach on the community- and individual-level.
I am a New Jersey resident with Medicaid/NJ FamilyCare. What should I do to stay covered?
- Call NJ FamilyCare/Medicaid at 1-800-701-0710 (TTY: 711) to confirm or update your contact information, especially if you’ve moved in the last three years.
- Watch your mail for a renewal packet and reply promptly to avoid a gap in coverage.
- If you believe your eligibility was incorrectly terminated, you have appeal rights. These rights are explained in the packet you receive. If you do not have the letter or you have questions, you can call NJ FamilyCare at 1- 800-701-0710 (TTY: 711).
- If you’ve lost eligibility because you did not provide all the information that was needed, you can provide that information within 90 days to have your renewal application reconsidered.
- If you are ineligible for NJ FamilyCare due to your income level, you can apply for coverage through GetCoveredNJ.
- Go to this website for more information about how to stay covered and what to do if you lose coverage.
Related blog posts
Redetermination: The fight to keep our community members enrolled in Medicaid
Community & consumer engagement Strengthening ecosystems of care
Regional Health Hubs: A way forward in care coordination for New Jersey
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Related resources
Improving Medicaid renewal outreach: Evidence from rapid-cycle testing in New Jersey
Data analysis & integration Measurement & evaluation Public benefits
How Regional Health Hubs can improve care for Medicaid beneficiaries: Lessons from the Garden State
Strengthening ecosystems of care COVID response Funding & financing Policy & advocacy Public benefits Quality improvement