NJ Managed Long Term Services and Supports (MLTSS)

At-home care and support to live independently long term.

Is MLTSS right for you or your loved one?

Managed Long Term Services and Supports (MLTSS) provides help for NJ FamilyCare members with long-lasting health problems or disabilities.

Long-term care services include help with everyday tasks like bathing, dressing, getting around the house, making meals, or doing household chores. A designated Care Manager will help you find the services you need. They will do an in-home assessment, develop a personal care plan, and coordinate benefits with your other healthcare providers.

MLTSS is for individuals in New Jersey who meet:

Financial eligibility requirements, including monthly income and assets

Clinical requirements (qualifies for nursing home level of care)

Age and/or disability requirements

Age 65 years or older; or

Under age 65 and blind or disabled

Interested in becoming an MLTSS member?

Call 855-661-1996 (TTY 711) to find out more about MLTSS and how to enroll with Wellpoint.

What services are covered?

Benefits of Wellpoint MLTSS NJ FamilyCare coverage include:

Home-based supportive care

Home-delivered meals

Personal emergency response system

In-home respite care

Inpatient respite care

Home modifications

Vehicle modifications

Assisted care living facility

Assisted living program

Adult family care

Be sure to review the Wellpoint MLTSS companion guide for a complete list of benefits. For some services, a doctor’s order and/or approval from Wellpoint may be required.

Support for behavioral health needs

If you’re enrolled in MLTSS, Fully Integrated Dual Eligible Special Needs Plans (FIDE-SNP) or clients of the Division of Developmental Disabilities (DDD) you have access to behavioral healthcare completely through managed care including:

Acute partial hospitalization

Adult mental health rehabilitation

Outpatient mental health services

Acute inpatient psychiatric hospitalization

Medication Assisted Treatment

Partial care/psychiatric partial hospitalization

Substance use disorder services — including outpatient, intensive outpatient, partial care, ambulatory withdrawal management, short-term residential, and detoxification services

Let us help coordinate your care

Our Care Management team works to help make healthcare less complicated for our MLTSS members. We manage all your physical, behavioral health, and long-term care services through care coordination. These services include: