On October 1, 2026, the eligibility rules for NJ FamilyCare are changing. Some lawfully present non-citizen adults will lose health coverage. The rules for children are not changing. Children in New Jersey receiving NJ FamilyCare/Medicaid will continue to qualify. Cuban or Haitian Entrants, COFA migrants, and Lawful Permanent Residents (LPRs) who meet certain conditions will remain eligible. See below for more details.

NJ FamilyCare will be sending out letters to adults who may be impacted by this change. If you receive this letter and have questions, Legal Services of New Jersey may be able to provide free legal advice and assistance. Contact the LSNJ FamilyCare helpline at 888-576-5776. Visit www.LSNJLAW.org for updates.

What to Do If You No Longer Qualify for NJ FamilyCare/Medicaid

You may be eligible for GetCoveredNJ, New Jersey’s Health Insurance Marketplace where individuals and families can buy coverage. To apply, visit GetCoveredNJ.

Adults (19 and older) who are ineligible for NJ FamilyCare/Medicaid due to immigration status may qualify for prenatal care and family planning services under the New Jersey Supplemental Prenatal and Contraceptive Program (NJSPCP). You can apply online or through a participating provider.

Ineligible immigrant adults may qualify for the Medical Emergency Payment Program (MEPP), which covers emergency services, including labor and delivery. You can apply through the hospital or at your local County Social Services Agency within 3 months of the emergency.

Federally Qualified Health Centers (FQHCs) may still be able to provide medical care on a low-cost basis, depending on income. You can search for an FQHC here: Federally Qualified Health Centers (from the NJ Department of Health)

Non-Citizen Adults Who Will Continue to Qualify for NJ FamilyCare/Medicaid

Non-citizen adults who meet all other eligibility requirements will continue to qualify for NJ FamilyCare/Medicaid as of October 1, 2026, include:

Lawful Permanent Residents (LPRs), who:

• Have had LPR status (green card holder) for at least five years
• Adjusted to LPR status less than five years ago, but have at least five years combined in any qualified status (including victims of domestic violence who had a prima-facie determination while pending LPR)
• Non-Citizens who are in one of the following groups who have adjusted status to Lawful Permanent Resident (green card)
• Refugees, asylees, or certified victims of trafficking and their spouse, child, sibling, or parents
• Veterans or active-duty military and spouses or unmarried dependents who also have a qualified non-citizen status
• Amerasian immigrants
• Iraqi and Afghani special immigrants and parolees
• Individuals who were paroled into the U.S. between February 24, 2022 and September 30, 2024 under the Ukrainian Humanitarian Parole (UHP) program
• People whose deportation is being withheld

Cuban or Haitian Entrants (even if adjusted to another immigration status)

Compacts of Free Association (COFA) migrants, which includes people from Micronesia, Marshall Islands, and Palau

Lawfully present pregnant adults

Lawfully present children up to age 21

Children up to age 19, regardless of their immigration status

Non-Citizen Adults Who Will No Longer Qualify for NJ FamilyCare

Some non-citizens will lose their coverage on October 1, even if they received health coverage before:

Temporary humanitarian parolees (those paroled into the U.S. for at least one year)

Non-citizens in the following groups who have NOT adjusted to Lawful Permanent Resident status:

• Refugees, asylees, or certified victims of trafficking and their spouse, child, sibling, or parents
• Veterans or active-duty military and spouses or unmarried dependents who also have qualified non-citizen status
• Iraqi and Afghani parolees
• Individuals who were paroled into the U.S. between February 24, 2022 and September 30, 2024 under the Ukrainian Humanitarian Parole (UHP) program
• People whose deportation is being withheld
• Victims of domestic violence applying under Violence Against Women Act (VAWA)

This information last reviewed: Jul 8, 2026