Are Home Health Care Services Covered by Medicaid in New Jersey?

When it comes to navigating the complex world of home health care services in New Jersey, many individuals and their families often wonder, “Is this covered by Medicaid?” From managed long term services to personal emergency response systems, the landscape of available resources can be difficult to understand. This post aims to shed light on this topic, particularly on the range of term services and supports that Medicaid may cover.

Whether you’re considering an assisted living facility or looking into options to pay for home health services, understanding your coverage is crucial.

In this post, we delve into the specifics of what Medicaid covers, how it intersects with home health services, and what this means for residents of New Jersey. Join us as we explore these essential aspects of home health care and Medicaid coverage.

Overview of Medicaid

Medicaid is a joint federal and state program that provides health coverage to people with low income, including some low-income adults, children, pregnant women, elderly adults, and people with disabilities. Medicaid is administered by states, according to federal requirements. The program is funded both by states and the federal government.

What is the Purpose of Medicaid?

The primary purpose of Medicaid is to provide health insurance to individuals and families who might not otherwise be able to afford it. Medicaid is a lifeline for those who fall into these categories, ensuring they have access to essential healthcare services.

Some people may think Medicaid is only for the unemployed, but that’s not the case. Many working families qualify for Medicaid, especially since the Affordable Care Act expanded eligibility requirements in many states. It’s a crucial safety net that ensures the most vulnerable populations can access the medical care they need.

What is the difference between medical Medicare and Medicaid?

Medicare is a federal program that provides health coverage if you are 65+ or under 65 and have a disability, no matter your income. Medicaid is a state and federal program that provides health coverage if you have a very low income.

Saba Home Healthcare: Redefining Home Health Care Services in New Jersey

Saba Home Health Care of Toms River, New Jersey offers a comprehensive range of home health care services for children, adults, and geriatric patients. Their offerings include short-term transitional care for those recovering from hospital stays, live-in 24-hour care for those needing constant attention, and skilled nursing services for complex medical needs. We also provide companion care to combat loneliness and isolation, hospice and end-of-life care for utmost comfort, and certified home health aides to assist with activities of daily living.

Home health aides play a critical role in supporting everyday tasks like bathing, dressing, meal preparation, and medication management. Notably, Saba goes a step further by offering home-delivered meals, ensuring nutritional needs are met conveniently at home.

Additionally, Saba embraces the concept of adult day health care. These programs provide therapeutic, health, and social services to those with serious health conditions, providing a much-needed respite for family caregivers.

A key feature of Saba’s approach is managed care. This model ensures seamless coordination of all aspects of a patient’s care, simplifying their healthcare journey and enhancing satisfaction.

The need for home health care services in New Jersey is substantial, given the aging population, increasing chronic disease rates, and preference for aging in place. Saba Home Healthcare, with its diverse range of services and compassionate care, is meeting these demands effectively, promoting independence, enhancing quality of life, and revolutionizing home health care in New Jersey.

Medicaid Coverage for Home Health Care in New Jersey: A Comprehensive Guide

Medicaid in New Jersey plays a pivotal role in providing home health care services to eligible residents. With various programs available, understanding the coverage can be complex, but it’s essential to secure the right care.

According to this document from, “Low-income individuals who are covered by Medicaid have access to home-based services as an alternative to nursing facility placement.”

Understanding Medicaid Coverage for Home Health Care

In New Jersey, Medicaid covers both clinical and non-clinical home care services. This includes medical care by skilled professionals and assistance with daily living activities provided by home health aides. Many enrollees receive services through NJ FamilyCare’s Aged, Blind, and Disabled programs.

nj medicaid home health care programs

One of the key Medicaid programs is the Managed Long Term Services and Supports (MLTSS) Program. This comprehensive program provides services at home, in an assisted living facility, in community residential services, or even in a nursing home. It ensures that eligible individuals who are at risk of nursing home placement can access a broad range of home and community-based services.

Eligibility Criteria for Medicaid Home Health Care

To receive these services under Medicaid, there are certain eligibility criteria. These factors vary based on the specific program, but generally include income limits, asset limits, and a demonstrated need for care. For home care services, agencies must have a Home Health Agency (HHA) certification to claim Medicaid in New Jersey.

The American Council on Aging states, “In addition to care services in nursing homes, adult foster care homes, comprehensive personal care homes, and assisted living facilities, NJ Medicaid pays for non-medical services and supports to help frail seniors remain living in their homes.”

In New Jersey, Medicaid is called NJ FamilyCare, and specific to the elderly, it is called NJ FamilyCare Aged, Blind, Disabled (ABD) Programs. While NJ FamilyCare is state and federally funded, it is administered by the state within federally set parameters. The New Jersey Department of Human Services, Division of Medical Assistance and Health Services is the administering agency.

Applying for Medicaid Home Health Care Services

Applying for these services involves submitting an application through the New Jersey Department of Human Services. Documentation demonstrating financial need and medical necessity for home health care services will be required. Assistance with the application process can often be sought from social workers, elder law attorneys, or Medicaid planning professionals. Take this Medicaid Eligibility Test to see if you qualify for long term care assistance.

Medicaid plays an integral role in providing essential healthcare services to New Jersey’s most vulnerable residents

Home health care, a crucial aspect of overall healthcare, provides a spectrum of services ranging from clinical care to support with daily living activities. Programs like the Managed Long Term Services and Supports (MLTSS) offer exceptional coverage, enabling people to access the right care for their specific needs.

Understanding the eligibility criteria and application process for Medicaid-funded home health services is crucial to securing these benefits. As we grapple with an aging population and rising chronic disease rates, Medicaid’s role in facilitating home health care is more important than ever. With providers like Saba Home Healthcare, New Jersey residents can expect comprehensive, patient-centered care that promotes independence and enhances their quality of life.

Call 732-797-0700 or Contact Us to Discuss New Jersey Home Health Care and Medicaid Payment Assistance