NJ Integrated Eligibility System Independent Verification & Validation ( IV & V )

2026-11-03

1 . The New Jersey FamilyCare ( NJFC ) Integrated Eligibility System project ( IES ), the “ project ”, is the New Jersey Medicaid Eligibility and Enrollment ( E & E ) solution that was implemented by the Division of Medical Assistance and Health Services ( DMAHS ), the State Medicaid Agency , to meet the requirements of the Affordable Care Act ( ACA ). The project includes consolidating and standardizing applications for health coverage under Medicaid and is in the process of replacing many antiquated and legacy systems . The overall purpose of the NJ FamilyCare IES Project is to : a . Improve the health outcomes of eligible clients by providing timely access to health coverage . b . Increase enrollment of eligible clients by developing a system that allows for ease in application and devices options as well as in the submission of required documentation . c . Advance the principles of the Medicaid Information Technology Architecture ( MITA ) framework . d . Significantly reduce Medicaid eligibility and enrollment error rates . e . Improve managerial oversight of the Medicaid programs . f . Improve capacity and eliminate backlogs by increasing worker efficiencies . g . Significantly improve overall client satisfaction through electronic verification of client information resulting in timelier eligibility determination and renewal process . h . Meet CMS requirements for enhanced funding and meet all federal and state regulatory requirements .

New Jersey

2026-04-29