06:42 AM

A healthier New Jersey for the one in five residents who rely on Medicaid


More New Jerseyans get their health insurance coverage from Medicaid than any other single source. Half of them choose Horizon every year. Horizon works closely with the NJ Department of Human Services, which administers the Medicaid program, to provide comprehensive, high-quality coverage that helps ensure they can achieve their best health.

Here are five things you should know about Horizon’s Medicaid coverage:

  • One of the nation’s largest. With more than 900,000 children and adults in the Medicaid and NJ FamilyCare programs, Horizon is one of the nation’s largest Medicaid Managed Care Organizations (MCOs).
  • One of the nation’s best. Horizon’s Medicaid programs are consistently recognized as a national leader for innovation and excellence.
  • Focus on independent living. About 20,000 Horizon members are enrolled in the company’s Managed Long-Term Services and Supports (MLTSS) program. MLTSS provides the tools and services members need to live safely and independently in their own community. Horizon employs about 240 nurse case managers to coordinate many intensive and personalized MLTSS services to meet complex needs. Horizon’s MLTSS program was named as the top performer in 2020 based upon data collected by the State’s External Quality Review Organization.
  • Maternal health focus. A Black mother in New Jersey is seven times more likely to die than a white mother because of maternity-related complications. To help address this disparity, Horizon is leading a unique public/private workgroup to match at-risk expectant mothers who have coverage through Medicaid with a doula. Doulas are patient advocates with a track record of helping pregnant women and new mothers achieve better health outcomes.
  • Improving health by different “degrees”. Understanding how educational achievement opens new doors of opportunity – and statistically better health outcomes – Horizon NJ Health connects eligible members to High School Equivalency (HSE) preparation centers. The goal is to remove any barriers, including book and testing fees, facing students from getting their HSE diploma.