Aged, Blind, and Disabled
People who are aged, blind and disabled may be eligible for one of the Medicaid programs described below:
1. New Jersey Care... Special Medicaid Program for the Aged, Blind, and Disabled
To qualify for this program, you must
- be 65 years of age or older, and/or
- be determined to be blind or disabled by either the Social Security Administration or by the Division of Medical Assistance and Health Services
- meet the general requirements for New Jersey Medicaid - resident of New Jersey and U.S. Citizen or qualified alien (most immigrants who arrived after August 22, 1996 are barred from these Medicaid programs for 5 years)
- be financially eligible (see chart below)
Consult the Aged, Blind, and Disabled Fact Sheet for more information.
In determining whether a person is financially eligible, the applicant will be considered with his or her spouse or parents. Click here to see what you may need in order to apply.
2. Medically Needy Section of Medicaid for the aged, blind or permanently disabled
This special program provides limited health coverage to aged, blind or disabled people who do not qualify for regular New Jersey Medicaid because their income or financial resources are too high. It includes a "spend down" provision that allows documented medical expense to be used to reduce monthly income to meet eligibility limits. To learn more, click here.
People who qualify for this Medically Needy section of New Jersey Medicaid are entitled to most Medicaid services. Exceptions include such things as inpatient hospital care, prescriptions, podiatry and chiropractic services. Long-term care services are covered. Click here to see what you may need in order to apply.
3. Long-term care for the aged, blind and permanently disabled
Applicants for these programs are considered on an individual basis and the eligibility process is complex. Once eligibility is established, full Medicaid coverage is provided. However, the individual's income must be applied to offset the cost of the long term care. For purposes of this program, approved facilities include:
- acute care general hospitals
- nursing facilities
- facilities to assist the developmentally disabled (For more information about services for the developmentally disabled, click here)
- psychiatric hospitals for persons under 21 and 65 and over
Click here to see what you may need in order to apply.
4. Waiver programs for receiving services in the community
In certain circumstances, the types of services offered in long term care can be provided in the community by means of a waiver program. Such programs allow clients to remain in the community settings, such as their own home or an assisted living facility, while receiving certain Medicaid services. To learn more about community resources for people under age 65 with disabilities, traumatic brain injury, or AIDS, click here.
For community waiver programs for those 65 and over, click here. For those already on SSI, contact the Office of Community Choice Options in the Department of Health and Senior Services.
Below is a general guideline on eligibility, although certain deductions may be taken from income to arrive at these amounts. Couples are evaluated on a case by case basis.
||SSI eligible Medicaid
||Waiver and Long Term Care programs
||New Jersey Medicaid Aged, Blind, and Disabled
* Maximum monthly amount
** To arrive at this amount, the Medically Needy Program uses the Spend Down process to subtract certain medical bills and health insurance premiums from your income until it is equal to the monthly income limit you must reach.
Click here to see what you will need in order to apply. For a more detailed explanation of financial eligibility, click here.
5. NJ Workability
The NJ WorkAbility Program offers full New Jersey Medicaid health coverage to people with disabilities who are working, and whose earnings would otherwise make them ineligible for Medicaid. For income eligibility and more information, click here.
6. Medicare Savings Programs
In some cases, low-income Medicare recipients may also qualify for New Jersey Medicaid, which will provide them with assistance in paying their monthly Medicare premiums, co-pays and deductibles. For those meeting the income and resources specified above for the Aged, Blind, and Disabled, click here to learn more. For those whose income and/or resources are greater than the indicated amount, the Department of Health and Senior Services administers other Medicare Savings Programs. For information about the income eligibility requirements of this program, call 1-800-792-9745 or click here.
A complete list of programs for the aged and disabled is available from the Division of Aging and Community Services in the Department of Health.