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Federal Government


Center for Medicare and Medicaid Services (CMS), formerly known as the Health Care Financing Administration (HCFA), is the agency that governs both Medicare and Medicaid at the federal level.

Medicare

Medicare is a health insurance program, administered by CMS, for people 65 years of age or older, certain younger people with disabilities, and people with end-stage renal disease (ESRD).

800.MEDICARE (633.4227)
www.medicare.gov

Medicare Part A Hospital Insurance - helps pay for care in hospitals, skilled nursing facilities, and hospice care.  

Medicare Part B Medical Insurance - helps pay for doctors, outpatient hospital care, and certain other services not covered under Part A.

Prescription Drug Coverage - Most people will pay a monthly premium for this coverage. Everyone with Medicare can get this coverage that may help lower prescription drug costs and help protect against higher costs in the future. Medicare Prescription Drug Coverage is provided through private insurance companies. Beneficiaries choose the drug plan and pay a monthly premium.


Medicaid

Medicaid is a federal program that provides medical and health care to the aged, blind, and disabled. In addition, Medicaid pays for long-term care for many people, including adults with disabilities who receive residential services from the NJ Division of Developmental Disabilities (DDD). The NJ Medicaid program is administered by the NJ Division of Medical Assistance and Health Services and covers services for individuals who meet eligibility standards.

NJ Department of Human Services
Division of Medical Assistance and Health Services

PO Box 712
Trenton, NJ 08625-0712
800.356.1561

Exclamation PointLearn about Eligibility, Benefits, Quality of Care, NJ Family Care and more


Social Security Administration

Services are delivered through a nationwide network of over 1,400 offices that include regional offices, field offices, card centers, teleservice centers, processing centers, hearing offices, the Appeals Council, and our State and territorial partners, the Disability Determination Services.

General Assistance 800.772.1213

Supplemental Security Income (SSI)
Supplemental Security Income (SSI) is a Federal income supplement program funded by general tax revenues (not Social Security taxes) and is designed to help aged, blind, and disabled people, who have little or no income and provides cash to meet basic needs for food, clothing, and shelter. Unless income levels of families meet eligibility requirements, most individuals with autism living at home will not meet requirements for benefits until age 18, when family income is no longer considered for eligibility.

Social Security Disability Insurance (SSDI)
The Social Security and Supplemental Security Income disability programs are the largest of several Federal programs that provide assistance to people with disabilities. While these two programs are different in many ways, both are administered by the Social Security Administration and only individuals who have a disability and meet medical criteria may qualify for benefits under either program.

Social Security Disability Insurance (SSDI) pays benefits to you and certain members of your family if you are "insured," meaning that you worked long enough and paid Social Security taxes. Supplemental Security Income pays benefits based on financial need. 



Adults with Autism

Medicaid and Social Security are important funding mechanisms for adult services.  Visit our Adult Section for additional information and resources to assist you.

 

Medicaid, SSI and Other Important Entitlements Webinar

This free Medicaid, SSI and Other Important Entitlements webinar featuring the Law Firm of Hinkle, Fingles & Prior will help families learn how to maximize health coverage, navigate the system, gain coverage under other programs such as Medicaid and Medicaid-funded waivers, and master appeal procedures.

 To access webinar:

  1. Click here. (Link takes you to Box.com website.)
  2. Click the Download Button.
  3. Open or Save the webinar on your computer.

Hinkle Fingles & Prior 

AUTISM NEW JERSEY
500 Horizon Drive, Suite 530 Robbinsville, NJ 08691
Phone: 609.588.8200; 800.4.AUTISM | Fax: 609.588.8858
Email: information@autismnj.org