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DDS I & R Specialists initiate the MLTSS referral process for children, 20 years old and younger, who are not otherwise eligible for NJ Familycare.

MLTSS is a Medicaid waiver program that creates access to private duty nursing in the community for children who are not otherwise eligible for NJ FamilyCare due to income but require a skilled level of care. It also provides comprehensive support services, including private duty nursing, to adults with disabilities who meet clinical level of care and financial eligibility requirements. Administered through a NJ FamilyCare MCO, MLTSS is designed to coordinate individually based support services to allow individuals to remain living in the community.

NOTE: Participants previously enrolled in one of the following Medicaid Waiver programs were automatically enrolled in MLTSS effective July 1, 2014

  • AIDS Community Care Alternatives Program (ACCAP)
  • Community Resources for People with Disabilities (CRPD)
  • Traumatic Brain Injury Waiver (TBI)
  • Global Options for Long Term Care (GO)

Managed Care Organizations (MCO)

Unlike the previously administered Medicaid Waivers, which were coordinated by independently contracted care management agencies, MLTSS uses a managed care approach. At this time, NJ contracts with these five MCOs to administer NJ FamilyCare, including MLTSS:


The MLTSS application process will vary depending on whether or not an individual already has NJ FamilyCare. 


     Regardless of age, all individuals who currently have Medicaid
     must contact their assigned MCO to initiate an assessment for MLTSS


     Adults (21 years of age and older)
     Contact your County Aging and Disability Resource Center (ADRC) or
     your County Welfare Agency (Board of Social Services) to initiate an
     assessment for MLTSS eligibility.

     Children (20 years of age and younger):
     Contact the Division of Disability Services at 1-888-285-3036 and follow
     the prompts to speak with an Information and Referral (I&R) Specialist to 
     initiate an assessment for MLTSS eligibility determination.


Managed Long Term Services and Supports (MLTSS) Summary 

MLTSS Resources for Consumers, Providers, and Stakeholders 

NJ FamilyCare Aged, Blind, and Disabled Programs (ABD) Financial Application 

NJ FamilyCare Aged, Blind, and Disabled Programs (ABD) Overview

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