Private Pay
Resident or family funds cover provider charges directly.
Verify: Provider-specific pricing and fee schedule.
Medicaid / MLTSS
New Jersey long-term-services pathway for eligible members; assisted living can be included.
Verify: Eligibility, MCO coordination and provider participation must be verified.
Medicare
Medical insurance; not a default payer for long-term custodial assisted-living room and board.
Verify: Service-specific Medicare coverage rules.
Long-Term Care Insurance
Policy benefits may help pay for eligible long-term-care settings when contract requirements are met.
Verify: Policy terms, benefit triggers, elimination period and covered settings.
Veterans Benefits
Eligible veterans or survivors may qualify for pension-related Aid and Attendance benefits.
Verify: VA eligibility and current benefit rules.
PACE
Integrated care model for eligible participants living in a PACE service area.
Verify: Program eligibility and current service-area availability.
Payment object rule
Each payment object must identify what it can help pay, what eligibility or contract constraint applies, and what still requires provider-specific verification.