Federal Comment Period Open for NJ’s 1115 Medicaid Waiver

March 16, 2022

The New Jersey Division of Medical Assistance and Health Services (DMAHS) announced Friday, March 11, 2022, that the Centers for Medicare and Medicaid Services (CMS) has formally accepted New Jersey’s FamilyCare Comprehensive Demonstration Renewal (also known as the 1115 Waiver) proposal application as complete.

The federal comment period for this proposal will run from March 11, 2022 – April 10, 2022.

All comments must be submitted through Medicaid.gov.

You can find New Jersey’s application and submit comment here.

Submit & View Comments

Renewed with the federal government every five (5) years, this waiver brings federal Medicaid funding to New Jersey for numerous programs, including residential, day, and other services for adults with autism and IDD and home-based services for children.

Learn more about the 1115 Waiver renewal timeline.

Some proposed changes that impact our community are as follows:

Children’s Services

  • Increases Medicaid eligibility for youth with IDD
  • Proposes a new Autism Adjunct Services Pilot (intended to enhance community inclusion and support treatment goals)

Adult Services

  • Maintains eligibility for the Supports Program for those living in a licensed setting
  • Expands eligibility to beneficiaries who are age 18 and older and are outside their educational entitlement
  • Expands eligibility to beneficiaries who are age 18 and living in a CSOC residential setting
  • Provides Support Coordination services to up to 120 days prior to enrollment in the Supports Program and Community Care Program
  • Allows “Community-Based Supports” in the Supports Program and “Individual Supports” in the Community Care Program to be delivered in the hospital during an acute inpatient hospital stay.

The current waiver expires this June; the renewal would extend the waiver until June 2027.