How to apply for New Jersey Managed Long Term Services and Supports (MLTSS)

Who it's for

Managed Long Term Services and Supports (MLTSS) is New Jersey's Medicaid program that delivers long-term care through NJ FamilyCare managed-care plans. It serves residents age 65 and older (and people under 65 who are blind or have a disability) who need a nursing-facility level of care — generally hands-on help with three or more activities of daily living such as bathing, dressing, and transferring, or comparable supervision for cognitive impairment — but who want to receive that care at home or in an assisted-living or community setting instead of a nursing home. MLTSS covers all NJ FamilyCare Plan A medical benefits plus care management, in-home personal care, home-delivered meals, respite for family caregivers, personal emergency response systems, home and vehicle modifications, assisted-living services, and nursing-facility care. Eligibility requires both a clinical assessment confirming nursing-facility level of care and meeting Medicaid's long-term-care financial limits: for 2026 that is monthly income at or below $2,982 (300% of the SSI Federal Benefit Rate) and countable resources at or below $2,000 for an individual, with spousal-impoverishment protections for married couples. To begin, an adult contacts their county Aging and Disability Resource Connection (ADRC) — the statewide line is 1-877-222-3737.

What you'll need

• Proof of age (65+) or Social Security blindness/disability determination
• Proof of New Jersey residency
• Social Security card
• Medicare card (if enrolled)
• Proof of all monthly income (Social Security award letter, pension statements)
• Bank statements and documentation of countable resources for both spouses if married
• Clinical assessment confirming nursing-facility level of care (3+ ADLs or cognitive equivalent)

Where to apply

Renewals

annual financial recertification plus periodic reassessment of level of care