Managed Long Term Services and Supports (MLTSS)

Managed Long Term Services and Supports (MLTSS)

Managed Long Term Services and Supports (MLTSS) refers to the delivery of long-term services and supports through New Jersey Medicaid‘s NJ FamilyCare managed care program. MLTSS is designed to expand home and community-based services, promote community inclusion and ensure quality and efficiency.

MLTSS uses NJ FamilyCare managed care organizations (also known as HMOs or health plans) to coordinate ALL services. Currently, NJ FamilyCare members have their acute and primary health care services and their home and community based services coordinated by different care management agencies. MLTSS provides comprehensive services and supports, whether at home, in an assisted living facility, in community residential services, or in a nursing home.

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:

 

HOW TO APPLY FOR MLTSS

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

INDIVIDUALS WHO CURRENTLY HAVE MEDICAID:

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

INDIVIDUALS WHO CURRENTLY DO NOT HAVE MEDICAID:

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.

MORE INFORMATION

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

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