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New Jersey Medicaid waivers that pay for home care

Last verified April 30, 2026 · All New Jersey resources

New Jersey Medicaid pays for in-home personal care and related services through 2 programs, including the Managed Long Term Services and Supports (MLTSS) and the Personal Preference Program (PPP). New Jersey administers MLTSS through NJ FamilyCare MCOs. PCA services are non-emergent ongoing tasks performed by qualified staff in an eligible Medicaid member's home. The Personal Preference Program is the consumer-directed option allowing the member to hire and direct their own personal care worker.

Which New Jersey waivers can a home care agency bill?

Each waiver below lists who it covers, the services it pays for, and how providers bill.

Managed Long Term Services and Supports (MLTSS)

Population
Adults with disabilities and elderly individuals who meet nursing facility level of care; children who require skilled level of care
Services covered
  • personal care assistant (PCA)
  • private duty nursing
  • adult day health
  • respite
  • home-delivered meals
  • homemaker
  • case management
Billing format
Capitated managed care via NJ FamilyCare MCO; EVV via HHAeXchange
Prior authorization
Required
Open waiver page (opens in a new tab)

Personal Preference Program (PPP)

Population
NJ FamilyCare/Medicaid members eligible for PCA services who choose to self-direct
Services covered
  • personal care services (consumer-directed)
  • skill-building services
Billing format
Consumer-directed via Vendor Fiscal/Employer Agent (VF/EA); EVV via HHAeXchange
Prior authorization
Required
Open waiver page (opens in a new tab)

Sources

More for New Jersey

Medicaid waiver lookup: other states

Related guides

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.

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