Decision Snapshot
| Geography | New Jersey |
|---|---|
| Primary intent | MLTSS Assisted Living in New Jersey |
| Data rule | No invented prices, provider participation, eligibility or availability claims. |
| Verification standard | Use official New Jersey or federal sources for regulated, Medicaid, licensing and coverage claims. |
| Last reviewed | September 2026 |
Who coordinates MLTSS
NJ FamilyCare managed-care organizations coordinate MLTSS services. Current state materials list Aetna, Fidelis Care, Horizon NJ Health, UnitedHealthcare Community Plan and Wellpoint among MCOs administering NJ FamilyCare/MLTSS.
How adults start the process
State guidance says adults who already have Medicaid should contact their assigned MCO to initiate an MLTSS assessment. Adults who do not currently have Medicaid can contact their County Aging and Disability Resource Center or County Social Service Agency to initiate the process.
Why provider verification matters
An assisted-living residence can exist and be licensed without necessarily being the right MLTSS option for a particular member. Verify licensing, funding participation and the member's managed-care arrangement separately.
Frequently Asked Questions
Does MLTSS include assisted living?
Yes. New Jersey's official MLTSS materials list assisted living among covered long-term services and supports.
Who assesses eligibility?
The process depends on current NJ FamilyCare enrollment and includes financial and clinical eligibility steps.
Can I pick any assisted-living residence?
Do not assume so. Participation and managed-care arrangements must be verified.
Where do I start if I do not have Medicaid?
For adults, New Jersey directs people to the County Aging and Disability Resource Center or County Social Service Agency.
Official verification sources
Find the Right Senior Care Option
Start with care needs, location, budget and payment constraints. Then compare settings that can realistically meet those requirements.
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