Division of Medical Assistance & Health Services - Trenton, NJ

Division of Medical Assistance and Health Services (DMAHS)

The Division of Medical Assistance and Health Services (DMAHS) administers New Jersey's state and federally funded Medicaid program, known as NJ FamilyCare. Operating under the New Jersey Department of Human Services, this agency provides vital health insurance coverage to approximately 1.7 million residents, including low-to-moderate income adults, children, pregnant women, seniors, and people with disabilities. The Division is responsible for the oversight and management of the Managed Care Organizations (MCOs) that deliver healthcare services to beneficiaries. While the day-to-day eligibility determination is often handled by County Boards of Social Services, DMAHS sets the policy, monitors compliance, and manages the funding for these essential social safety net programs. The agency ensures that eligible New Jerseyans have access to comprehensive care, including doctor visits, hospitalization, prescriptions, dental, and vision care.

NJ FamilyCare and Programs

DMAHS's primary program, NJ FamilyCare, combines traditional Medicaid with the Children's Health Insurance Program (CHIP). This expansion allows a broader range of families to qualify for free or low-cost health coverage. The Division also oversees specialized programs such as Managed Long Term Services and Supports (MLTSS), which helps seniors and individuals with disabilities live in their communities for as long as possible rather than in institutions. Additionally, DMAHS manages the Senior Gold Prescription Discount Program and other initiatives designed to reduce the financial burden of healthcare for vulnerable populations. The agency works continuously to streamline enrollment and renewal processes to maintain coverage for eligible members.

Administration and Location

The Division's headquarters are located at Quakerbridge Plaza in the Mercerville section of Hamilton Township, just outside of Trenton. This facility serves as the administrative hub for the state's Medicaid operations. It is important to note that this location is primarily for administrative staff and is not a walk-in customer service center for benefits applications. Residents seeking to apply for services should contact their local County Board of Social Services or use the online NJ FamilyCare portal. For existing members, the Division operates Medical Assistance Customer Centers (MACCs) regionally to assist with complex cases that cannot be resolved through standard channels. Visitors to the Quakerbridge Plaza office must sign in with security upon arrival.

• Medicaid Administration: Oversees NJ FamilyCare and CHIP programs.
• Managed Care Oversight: Monitors health plans to ensure quality of care.
• Policy Development: Establishes eligibility rules and benefit packages.
• Long-Term Support: Manages home and community-based service waivers.