Payment, Medicaid & MLTSS
Understand common payment pathways for adult day health care, including Medicaid/MLTSS and private-pay options.
How adult day health services may be paid for
Eligible NJ FamilyCare members enrolled in Managed Long Term Services and Supports (MLTSS) may be able to receive adult day health services when those services are authorized in the member’s care plan. Other funding sources may include respite programs, Veterans benefits or private pay.
Coverage is not automatic. Eligibility and authorization depend on the person’s program, plan and assessed needs. The center can help explain the enrollment process but cannot promise coverage on this website.
What to have ready for the conversation
- The participant’s current insurance or managed-care plan
- The town where the participant lives
- Whether transportation is needed
- Your preferred contact number