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UnitedHealthcare Community Plan
UnitedHealthcare Community Plan

NJ FamilyCare

New Jersey – NJ FamilyCare - Managed Long Term Services and Supports (MLTSS)

Managed Long Term Services and Supports (MLTSS)

Managed Long Term Services and Supports (MLTSS) programs are focused on serving frail, elderly, and disabled individuals. It is important to understand that the program combines traditional health care benefits (doctor visits, hospital stays, labs) and long term services and support (providing help in home or community with daily living activities).

For more information on MLTSS, visit the State of New Jersey’s MLTSS page.

This plan is available in the following counties: This plan is available statewide.

Benefits

NJ FamilyCare is a comprehensive health insurance program that provides a wide range of services. In addition to NJ FamilyCare Services (NJFC), MLTSS members will also receive the following benefits:

  • Care Management
  • Home and Vehicle Modifications
  • Home Delivered Meals
  • Personal Emergency Response Systems
  • Mental Health and Addiction Services
  • Assisted Living
  • Community Residential Services
  • Nursing Home Care

If you would like a copy of the member handbook or provider directory, please call Member Services at 1-800-941-4647 (TTY: 711).

Eligibility

Who is Eligible?

Members who have been assessed for long-term services and supports and have met both financial and clinical eligibility requirements established by the State for MLTSS to receive care management and supportive services are eligible.

The purpose of MLTSS is to enable individuals who are at the nursing home level of care to receive person-centered services in the least restrictive and most integrated setting.

Find A Drug
Find A Dentist

The link below takes you to another website. Once there, select "NJ UnitedHealthcare Community Plan" to access a list of in-network dentists.

If you would like a copy of the member handbook or provider directory, please call Member Services at 1-800-941-4647 (TTY: 711).

Search for a dental provider for MLTSS

New Jersey Smiles Program

New Jersey Smiles Directory (June 2013) (PDF 660 KB)

Choose a county:
Atlantic (PDF 271.3 KB)
Bergen (PDF 264.51 KB)
Burlington (PDF 259.51 KB)
Camden (PDF 278.49 KB)
Cape May (PDF 257.27 KB)
Cumberland (PDF 269.8 KB)
Essex (PDF 294.76 KB)
Gloucester (PDF 263.85 KB)
Hudson (PDF 276.35 KB)
Hunterdon (PDF 261.14 KB)
Mercer (PDF 262.04 KB)
Middlesex (PDF 283.66 KB)
Monmouth (PDF 276.26 KB)
Morris (PDF 262.23 KB)
Ocean (PDF 287.43 KB)
Passaic (PDF 271.61 KB)
Salem (PDF 256.89 KB)
Somerset (PDF 253.62 KB)
Sussex (PDF 253.31 KB)
Union (PDF 268.89 KB)
Warren (PDF 262.13 KB)

Find A Pharmacy
Frequently Asked Questions

Please call MLTSS at 1-800-645-9409, TTY: 711 and speak to Care Management.

Please see the state of NJ's FAQ

Glossary of Health Care Terms

Co-Payments - The amounts of money you pay directly to the provider for the service you receive. Certain NJ FamilyCare beneficiaries are required to pay a co-payment.

NJ FamilyCare - A state health insurance program for people with low income who meet certain eligibility requirements. Programs can vary from state to state.

Medicaid/MLTSS - Managed Long Term Services and Supports (MLTSS) programs are focused on serving frail, elderly and disabled individuals. It is important to understand the program combines traditional health care benefits (doctor visits, hospital stays, labs) and long-term services and support (providing help in home or community with daily living activities).

Medicare - A federal health insurance program for people who are 65 or older, disabled persons or those with end-stage renal disease. Medicare eligibility is not based on income, and basic coverage is the same in each state.

SSI - Supplemental Security Income

Links to Health Information

healthfinder®
Since 1997, healthfinder® has been recognized as a key resource for finding the best government and nonprofit health and human services information on the Internet. healthfinder® links to carefully selected information and Web sites from over 1,700 health-related organizations.

www.state.nj.us/humanservices
This link will take you to the Department of Human Services for the state of New Jersey.

www.state.nj.us
This link will take you to New Jersey's official state home page.

www.cms.hhs.gov
This will link you to other State Children's Health Insurance Programs (SCHIP)

www.njhelps.org
The NJ Helps DHS Services Home Page is designed to give consumers a one-stop shopping resource for the wide range of programs and services provided by the Department of Human Services and its partners, to assist individuals, families and communities in New Jersey.

www.njfamilycare.org

This will link you to the NJFamilyCare website.

www.nj.gov/nj/community/senior
This will link you to the Aging & Disability Resource Connection (ADRC). The New Jersey Division of Aging and Community Services (DACS) administers programs designed to make it easier for seniors to get the help they need to support their well-being and maintain themselves in the community for as long as possible with independence, dignity and choice.

www.state.nj.us/njparentlink
This will link you to The Early Childhood Parenting and Professional Resource Center. The goal of the website is to improve the accessibility, coordination and delivery of information and services to parents of young children, and to improve communication capabilities for ongoing service collaborations and policy development.

Member Information

Member Handbooks
Member Handbook (English) (PDF 907.8 KB)
Member Handbook (Español) (PDF 989.75 KB)

News Bulletins
National Flu Campaign Questions and Answers: English (PDF 59.3 KB)  | Español (PDF 30.29 KB)

Notice of Privacy Practices
We have a Notice of Privacy Practices that tells you how health information about you may be used and shared. We are required by law to let you know that the Notice is available, and how you can get a copy of it. You can download a copy of our Notice of Privacy Practices below.
NOTICE OF PRIVACY PRACTICES (PDF 433.54 KB)
AVISOS DE PRÁCTICAS DE PRIVACIDAD DEL PLAN DE SALUD (PDF 447.14 KB)

Member Rights
As a member of UnitedHealthcare, you have certain rights concerning health care. Click here for more information in English (PDF 103.57 KB) or Español (PDF 108.13 KB).

Seasonal Flu Facts
Questions and answers regarding the seasonal flu vaccine.
Click here, for more information. (PDF 100.95 KB)

Quick Facts About H1N1
We want to help you understand some important facts about the novel H1N1 Flu so you can help protect you and your family. Click here for more information. (PDF 99.89 KB)

Social Security Number Privacy
Protecting personal information is important to UnitedHealth Group companies, so we protect the confidentiality of Social Security numbers that we receive. Read Bulletin Details Click here for more information. (PDF 25.12 KB)

Take Charge of Your Health: Get a Flu Shot
Flu season is here. The flu can be very serious. Getting a flu vaccine is your best protection against the flu. The best time to get your flu shot is October through December. You should talk to your doctor about having a flu shot. Or you can call our Customer Service Center.

Third Party Liability
A guide to understanding health coverage in New Jersey if you have Medicaid and Medicare and/or other health insurance.
Click here for more information. (PDF 474.08 KB)

Protect Your Children from Lead Poisoning
Lead poisoning can cause serious health problems. You can't see it or smell it. Here's what you need to know to keep your kids out of danger. Click here for more information. (PDF 481.79 KB)

Citizenship Documents Required
There are new laws that may require you to show proof of citizenship in order to renew your health coverage. Click on a document below to read about what you will need:

English (PDF 84.96 KB)
Spanish (PDF 132.6 KB)
Chinese (PDF 194.71 KB)
Russian (PDF 127.41 KB)
Arabic (PDF 118.8 KB)
Nuer (PDF 123.74 KB)

Twitter Follow @UHCPregnantCare and Follow @UHCEmbarazada
 Follow us on Twitter to get helpful tips and links to resources for you and your baby. You do not        have to be a member to follow us. 

Questions?

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Call Us
1-800-941-4647
TTY: 711

8:00 a.m. - 6:00 p.m. EST
Monday - Friday.

Lookup Tools

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Dentist Lookup

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Pharmacy Search

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Lab Search

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Member Information

Member Website

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Member Handbook

More Resources

Member Page

View more news, updates and resources for members.

Member Handbook