Answering Your Questions about Medicaid Managed Care
Family Voices of New Jersey at Statewide Parent Advocacy Network, Inc.
1-800-654-SPAN, x 110
email:  familyvoices@spannj.org

Medicaid Managed Care Troubleshooting

Content/Services

Contact Info

your HMO Care Manager

Your first-line troubleshooting resource; start here.  Then if you need more help with your questions or problems, try the next 3 resources.

Get phone number from your HMO
member services

Division of Medical Assistance and Health Services, NJ Department of Human Services (Medicaid)

Booklet: “Your Guide for Making Medicaid Managed Care Work for You”

Medicaid managed care telephone hotline

 1-800-356-1561 toll free
http://www.state.nj.us/
humanservices/dmahs

Managed Health Care Consumer Assistance Program (MHCCAP)

A joint program of New Jersey Protection & Advocacy, Inc., and the Community Health Law Project, sponsored by the Department of Health and Senior Services

helps consumers navigate managed care system;

provides information/education about consumer rights under managed care;

helps file complaints regarding any aspect of the managed care organization’s health care services;

helps consumers file appeals when a covered benefit or service has been denied, limited, or terminated

1-888-838-3180 toll free

http://www.managedcarehelpline.org/

The Health Benefits Coordinator, New Jersey Care 2000+ (Medicaid).  Service provided under a state contract with Maximus

enrolls Medicaid beneficiaries in a managed care plan (HMO);

brochures “How to Join an HMO” and others;

answers questions about Medicaid managed care, and HMO choice, enrollment, and transfers

1-800-701-0710 toll free

(translation services available)

TTY:  800-701-0720

The Arc of New Jersey, a statewide parent and consumer advocacy organization for persons with developmental disabilities

Booklet: “How to Select an HMO:  Individuals with Developmental Disabilities and the Medicaid Managed Care Program in New Jersey”;

Newsletter:  “Healthy Times”

Website:  periodic Medicaid Update

1-732-246-2525, ext. 28

fax: 1- 732-214-1834

http://www.arcnj.org

find your local chapter in phone book

The Boggs Center on Developmental Disabilities (at University of Medicine and Dentistry of New Jersey).  Part of a federally-sponsored national network of university centers of excellence in Developmental Disabilities Education, Research, and Service.

“The Managed Health Care Curriculum:  Supporting People with Disabilities to Utilize Managed Health Care” ($85 list price)

Training, technical assistance, consultation, program development and research in a variety of areas relevant to persons with developmental disabilities.

Comprehensive on-line resource links page.

1-732-235-9300

TDD: 1-732-235-9328

http://rwjms.umdnj.edu/boggscenter

or for booklets and products:

http://rwjms.umdnj.edu/boggscenter/
products/booklets.htm

Community Health Law Project, a statewide non-profit legal aid society dedicated to providing legal and advocacy services to persons with disabilities and senior citizens

Publication, “To Your Health:  Your Consumer  Rights in Managed Health Care”

Access to general information

Access to legal counsel

1-973-275-1175

http://www.chlp.org

Division of Disability Services, NJ Department of Human Services

“New Jersey Resources 2001,” guide to statewide services and disability advocacy;

more updated information by telephone

1-888-285-3036 (toll free)

http://www.state.nj.us/humanservices/
dds/resources/RDcontents.htm

Family Voices of New Jersey see Family Voices National, below

Fact sheets about Medicaid Managed Care (NJ Care 2000+)

1-800-654-7726, x 110;

www.spannj.org/family_voices.htm

email:  familyvoices@spannj.org

Family Voices National, a grassroots organization of families, caregivers, professionals, and friends of children with special health needs

Pamphlet:  “Introduction to Managed Care for Children with Special Health Care Needs;”

On-line Fact Sheets for families of children with special health care needs

1-888-835-5669 (toll-free)

email: kidshealth@familyvoices.org

http://www.familyvoices.org

Legal Services of New Jersey

an independent, non-profit organization that coordinates the statewide Legal Services system

LSNJ strives to ensure equal access to justice under law to all people of New Jersey, providing free legal assistance to qualifying low-income people in civil matters.

1-888-LSNJ-LAW

(1-888-576-5529)

email:  legalhelp@lsnj.org
website:  http://www.lsnj.org/

New Jersey Protection and Advocacy, Inc.

New Jersey's federally-funded designated protection and   advocacy system for state residents with disabilities

technical assistance and training;

legal and non-legal advocacy;

outreach and education

1-800-922-7233 (toll-free)
1-609-292-9742
Fax: 609-777-0187

TDD: 609-633-7106

www.njpanda.org

Special Child, Adult and Early Intervention Services, Department of Health and Senior Services

With individual county boards, funds case management units in each of NJ’s 21 counties to promote family-centered, community-based care and coordinate service delivery for children with special needs.

“Finding Your Way Through Medicaid Managed Care for New Jersey Families of Children with Special Health Care Needs”

at http://www.state.nj.us/
health/fhs/finding/index.html

County-based case managers can help with managed health care issues and problems.

1-888-393-1062 (toll free hotline)

609-777-7778

www.state.nj.us/health

find your county office phone 
number in the blue pages of your 
phone book, listed in the 
County section under Social Services.

New Jersey’s Medicaid HMOs: