New Jersey-specific Medicaid spend-down rules
New Jersey administers Medicaid through the Division of Medical Assistance and Health Services (DMAHS) under the Department of Human Services. Long-term care applications usually start at the county Board of Social Services in Essex, Hudson, Mercer, Bergen, and Camden counties.
Nursing facility Medicaid and MLTSS managed care both require a level-of-care determination. MLTSS plans cover home care, assisted living, and nursing home services through Horizon NJ Health, Amerigroup, and other contractors, but asset tests still follow the same countable resource standard for the applicant unless DMAHS posts a different cap.
New Jersey does not mirror New York's $33,038 resource allowance. Until we log an official DMAHS bulletin, this site treats the $2,000 single and $3,000 couple limits as UNVERIFIED federal floor estimates. Your county worker may cite a handbook figure that differs.
Applicants above the monthly income standard generally must assign excess funds to a Qualified Income Trust, also called a Miller Trust, with a New Jersey trustee. Income rules on this page carry the same UNVERIFIED flag as the asset cap.
Community spouses may keep the greater of the CSRA calculation or certain income protections under spousal impoverishment rules. The state uses a federal minimum home equity cap of $713,000 in 2026 unless a spouse or dependent child still lives in the house. Confirm the equity figure with DMAHS before you rely on it.
Burial spaces, one vehicle, and up to $1,500 in a designated burial fund can be excluded if titled correctly. Prepaid funeral contracts follow separate DMAHS policy memos that county workers interpret on each case.
Look-back reviews cover asset transfers made within 60 months before application. Penalty length equals the uncompensated transfer amount divided by the average monthly nursing home cost published by DMAHS.
Urban applicants in Newark and Jersey City follow the same resource test as families in rural Salem County. MLTSS interest lists vary by region, but the UNVERIFIED $2,000 asset floor on this page does not change by zip code.
Common mistake: Assuming New Jersey exempts a second home because a sibling visits on weekends. Non-homestead real estate counts unless occupied by a spouse or dependent child under DMAHS rules. Budget property taxes and sale costs before you rely on an appraisal.