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.
CHIPRA:
No
MAPCP:
No
Dual Eligible:
No
2703 Health Home:
Yes
CPCi:
Yes
SIM Awards:
Yes
PCMH in QHP:
No
Legislative PCMH Initiative:
Yes
Private Payer Program:
Yes
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
CPC+:
CPC+
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