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Apply for Medicaid in New Jersey Eligibility: The aged, blind, and disabled. Also, adults with income up to 138% of poverty, and pregnant women with income up to 200% of poverty. Children are eligible for Medicaid or CHIP with income up to 350% of poverty.
You can check on the status of your Medicaid application online at the NJ Family Care website, as well as receive electronic notifications. It can take between 45 and 90 days for your application to be processed.
Prior authorizationsometimes called preauthorization or precertificationis a health plan cost-control process by which physicians and other health care providers must obtain advance approval from a health plan before a specific service is delivered to the patient to qualify for payment coverage.
To verify members eligibility, the in-network status of the facility, verify benefits and for prior-authorization requests and other related clinical questions, please call 1-800-682-9094.
As your income changes, so will your Medicaid eligibility. For more information, call the Medicaid Hotline toll-free: 1-800-701-0710.
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People also ask

If a response for a Prior Authorization request for non-emergency services is not received within 15 days call 1-800-682-9091.
Providers need prior authorization (PA) for some outpatient care and planned hospital admissions. We dont require PA for emergency care.
Fax 1-800-693-6703 Check the members ID card for pharmacy and prior authorization information.

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