The Role We Play
The Morris County Office of Temporary Assistance provides Medicaid to low income individuals and families, along with those with certain medical conditions. The various Medicaid programs consider the household members’ incomes and resources. There are several Medicaid programs available to those with specific medical issues.
Affordable Care Act
- How the Health Care Law is Making a Difference for the People of New Jersey
- Seniors and the Affordable Care Act
- AIDS Community Care Alternatives Program (ACCAP)
- Breast and Cervical Cancer Prevention and Treatment Program
- Global Options (for those eligible for nursing home care who choose to remain at home)
- Low Income Medicare Benefits
- Medicaid Only Program
- Medically Needy Program
- Medicaid Emergency Services for Aliens
- Mental Health
- Morris View Healthcare Center
- New Jersey Family Care
- Prescription Assistance
- Qualified Medicare Beneficiary (QMBP)
- Social Service Intake
- Traumatic Brain Injury
AIDS Community Care Alternatives Program (ACCAP)
Available to individuals with Acquired Immune Deficiency Syndrome (AIDS) whose income is higher than the Medicaid Only Program standards, and who require medical coverage and home health care. Eligible persons must be diagnosed as having AIDS or ARC, must meet the disability criteria required by the Social Security Administration, meet income and resource guidelines, and must at a minimum require the type of care provided by a nursing home, though choosing to remain in the community. The ACCAP program is also available to HIV-positive children under the age of five, and provides home care. (See insert for current income eligibility levels.) This program offers all New Jersey Medicaid benefits (except nursing facility coverage), plus case management, private duty nursing for 16 hours a day where there is a live-in primary care giver who accepts full responsi- bility for the individual; medical day care; personal care assistant services; limited drug abuse treatment at home; psychotherapy/ family therapy at home; and group foster care home.
Breast & Cervical Cancer Prevention & Treatment Program
Covers services required during treatment for breast or cervical cancer for citizens under age 65 who have been screened for breast or cervical cancer through the Federal Centers for Disease Control and found to need such treatment, and who do not have any type of health coverage whatsoever.
Program is for those who would be eligible for nursing home care (financial and health-related eligibility) but who choose to remain in the community receiving home health care and other medical services. Services include homemaker services, medical transportation, respite care services, adult social day care, case management services and others. This program also can provide coverage for individuals in Assisted Living facilities. The eligibility guidelines are similar to the Medicaid Only Program guidelines for nursing home admission. (See insert for current income eligibility levels)
Hospice care provided for terminally ill individuals (as documented by a physician) who are eligible for Medicaid, and who have a reliable caregiver at home, a plan to get one, or a plan to enter a nursing facility. Services must be deemed reasonable and necessary for the management of terminal illness, and include an interdisciplinary team approach with intermittent visits by nurses, social workers, clergy, home health aides and volunteers; medication and equipment related to terminal illness; 24 hour care in crisis situations; respite care; hospice care in a nursing home; and short term hospital stay for symptom control.
Specified Low-Income Medicare Beneficiary Program (SLMB, SLMB Q1, SLMB Q1-2)
Pay Medicare Part B premiums for individuals whose incomes are too high to qualify them for New Jersey Care Medicaid Program. Individuals’ annual income must fall below 175% of the Federal Poverty Level and the individual must be enrolled in both Medicare Part A and Part B to be eligible. Call 1-800-792-9745.
The Office of Temporary Assistance administers both Community and Institutional Medicaid programs, providing benefits to financially and medically eligible families and individuals.
Medically Needy Program
Provides medical benefits to individuals or children whose income and/or resources are above the Medicaid Only eligibility level, but who cannot afford health care themselves. Applicants whose resources are too high when they apply will be allowed to “spend down” until they become eligible. Services are similar to those covered by Medicaid, with certain limitations. Services include physician, dentist, independent clinics, hearing aids, medical supplies and equipment, lab and x-ray, eye glasses, medical transportation, home health services, personal care assistance, services, medical day care psychologist, optometrist, artificial limbs, and outpatient hospital. In addition, pregnant women are entitled to inpatient hospital, podiatry, chiropractic and prescribed drugs. Needy children are entitled to prescribed drugs, and the elderly, blind or disabled are entitle to podiatry and medical day care services.
Medicaid Emergency Services for Aliens
Provides emergency only medical treatment for immigrants who are not resident aliens.
The Office of Temporary Assistance may provide one-time prescription assistance while a client awaits the receipt of Medicaid or other prescription support programs.
Qualified Medicare Beneficiary (QMBP)
Pays Medicare Part B premium for individuals who qualify for New Jersey Care Medicaid. Eligible individuals are entitled to Medicaid coverage for the cost of their Medicare coinsurance and deductible charges (subject to normal Medicaid reimbursement policies), as well as Medicare Part B premiums.
Social Service Intake
Full range of social services available by calling 973-829-8176. Anyone with an identified problem such as housing, medical needs, financial needs, transportation or personal problems may receive help. Target populations are vulnerable adults or families experiencing housing, financial, child rearing, or mental health problems. Social workers do an initial needs assessment, screen for program eligibility, give information and referrals, and provide short-term services such as links with shelters, back rent/mortgage assistance, utility and relocation assistance. Individuals/families with on-going needs are assigned to the appropriate service unit.
Traumatic Brain Injury
Serves people between ages 18 and 65 who have survived a traumatic brain injury. These individuals receive Medicaid benefits plus additional services, excluding nursing home and personal care assistance. Services include case management, behavioral and drug counseling, community residential services and therapies, behavioral programs, environmental modifications, structured day care, supported day programs, transportation, respite care, night supervision, chore services and companion services.