New Jersey

In September, 2010 a state law (NJ P.L. 2010, Chapter 74) was passed directing Medicaid to establish a three-year pilot demonstration for medical homes focusing on the frail elderly and those with chronic diseases. In response to the legislation, the Department of Human Services, Division of Medical Assistance and Health Services (DMAHS) entered into a Memorandum of Agreement (MOA) with the four Medicaid contracted managed care organizations (MCOs) in NJ to participate in a pilot to enhance or create infrastructure, within their networks, for medical home services. Three of these MCOs are also participating in the statewide Comprehensive Primary Care (CPC) initiative in New Jersey.

New Jersey has two publicly funded Behavioral Health Home programs and a privately funded primary care/behavioral health care project. New Jersey is currently working on the development of a Medicaid Health Homes program based on the experiences with these programs that will focus on individuals with behavioral health care needs. 
 

Primary Care Innovations and PCMH Activity

Dual Eligible 2703 SPA CPC CPC+ PCMH QHP PCMH Legislation Private Payer

Multi-Payer Programs

State Legislation

Legislation Status Year
NJ P.L. 2011, Chapter 114

In August 2011, Governor Christie signed this bill into law requiring the  Department of Medcial Assistance and Health Services (DMAHS) to establish a three year Medicaid Accountable Care Organization (ACO) demonstration project.

Active 2011

State Facts:

Population:
8,849,300
Uninsured Population:
12%
Total Medicaid Spending FY 2013: 
$10.6 Billion 
Overweight/Obese Adults:
62.8%
Poor Mental Health among Adults: 
31.3%
Medicaid Expansion: 
Yes 

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