Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Which Medicaid managed care plans do home care agencies contract with in New Jersey?
Last verified October 17, 2026 · All New Jersey resources
New Jersey delivers long-term services and supports through 5 managed care plans in NJ FamilyCare Managed Long Term Services and Supports (MLTSS). New Jersey delivers long-term services and supports, including personal care and other home and community-based services, through NJ FamilyCare managed care organizations under MLTSS. DMAHS lists five health plans under contract: Aetna Better Health of New Jersey, Fidelis Care, Horizon NJ Health, UnitedHealthcare Community Plan and Wellpoint. Agencies contract with each plan whose members they serve. Dual eligibles may instead be in a plan's fully integrated D-SNP, which also covers community-based long-term services.
Which plans are there?
- Aetna Better Health of New Jersey
- Fidelis Care
- Horizon NJ Health
- UnitedHealthcare Community Plan
- Wellpoint (formerly Amerigroup New Jersey)
Most plans serve all 21 counties; the state lists Fidelis Care as serving 20 counties (not Hunterdon).
For the programs that pay for home care, see New Jersey Medicaid waivers.
More for New Jersey
Medicaid managed care by state: other states
Related guides
Authorizations
How Do You Keep Caregiver Hours Inside a Medicaid Authorization?
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
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