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Traumatic Brain Injury (TBI) Waiver | NJ Division of Medical Assistance and Health Services

Eligibility
Individuals must be financially eligible under the New Jersey Medicaid institutional eligibility standards for both income and resources and have been declared permanently disabled by the Social Security Administration or by the Department of Mental Health and Addiction Services (DMHAS) Disability Review Section. Individuals must also meet nursing facility level of care standards established by the State’s preadmission screening process and also meet the following criteria:
  • Diagnosis of acquired brain injury after their 21st birthday but prior to turning 65 years of age;
  • Exhibit medical, emotional, behavioral and cognitive deficits;
  • Have a rating of at least 4 on the Rancho Los Amigos Level of Cognitive Functioning Scale.
Required documents
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Hours
Website: 24 hours a day, 7 days a week
1-888-285-3036
Voice·

Toll-Free

Application process
Call and leave a voicemail to begin the application process.
Fees
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Service area
NJ

Provides in-home support to brain-injured individuals, who are currently in nursing facilities or who are in the community and at risk for placement in nursing facilities. Reintegrates into and maintains individuals in the community so that supervision is no longer needed or is minimized. Primarily serves ambulatory young adults with cognitive, behavioral, and physical deficits which require supervised and supportive care.

Providing organization
NJ Division of Medical Assistance and Health Services

Offers health coverage to children, pregnant women, parents/caretaker relatives, single adults, childless couples, the aged, blind, disabled, and individuals qualified for long-term care services. Also provides comprehensive health coverage and a wide-range of services including: doctor visits, hospital services, prescriptions, tests, vision care, mental health care, dental, nursing home care and other healthcare services, depending on the person’s eligibility category.