Medicaid Provider Enrollment Overview
New Jersey offers 3 Medicaid waiver programs for home care agencies. The state Medicaid program is administered by New Jersey Department of Human Services - Division of Medical Assistance and Health Services. Currently, New Jersey is actively enrolling new home care providers.
The average enrollment timeline is 120-180 days from initial application to receiving your first client. With high demand for home care services, New Jersey represents an excellent opportunity for agencies looking to serve Medicaid clients.
New Jersey Medicaid Waiver Programs
Home care agencies in New Jersey can enroll in the following waiver programs. Each program serves different populations and has specific service requirements.
Managed Long Term Services and Supports (MLTSS)
1115 WaiverComprehensive managed LTSS
Community Care Waiver (CCW)
1915(c) WaiverServices for individuals with developmental disabilities
Supports Program
State) WaiverDD support services
New Jersey Provider Requirements
To become a Medicaid provider in New Jersey, your home care agency must meet the following requirements:
- New Jersey business registration
- Home Health Agency or Health Care Services Firm license from DHSS
- Criminal background checks
- Professional liability insurance
- DOBI certification (if applicable)
- Quality assurance standards
Step-by-Step Enrollment Process
Follow these steps to enroll as a Medicaid waiver provider in New Jersey:
Obtain New Jersey HHA or HCSF license
Apply for NPI
Complete NJ FamilyCare Provider Enrollment
Register in NJMMIS
Contract with MLTSS MCOs (Amerigroup, Horizon, UHC, WellCare)
Complete required training