March 23, 2023
Dear Colleague,
Everyone with IDD 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 intellectual and developmental disabilities (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. Please see the pie chart below, which illustrates that only a small portion of the redetermination applications will be received in April, whereas the rest of these applications will be mailed in May 2023 thru March 2024.