Goals of Care Coalition of New Jersey. Helping patients get the care they need and no less, and the care they want and no more. Helping patients with serious illness get the care they need and no less, and the care they want and no more.

New NJ FamilyCare (Medicaid) Community-Based Palliative Care Benefit

photo of happy senior being assisted by a health professional

As of April 1, 2026, NJ FamilyCare (Medicaid) covers community-based palliative care for eligible members living with serious illness.

GOCCNJ is committed to supporting providers, educating communities, and ensuring that this new benefit delivers on its promise — helping patients with serious illness get the care they need and no less, and the care they want and no more.

New Jersey has taken an important step in expanding access to supportive care for people living with serious illness.

What is the New Benefit?

NJ FamilyCare members with serious illness (adult and pediatric patients) are provided care from a specialized team in addition to their regular doctor to manage symptoms and stress of serious illness and help them navigate the healthcare system.

This program does not require a terminal prognosis or stopping curative treatment, unlike hospice.

It is designed to provide access to crucial support services to improve quality of life.

Who Is It For?

This benefit is for NJ FamilyCare members (adult and pediatric patients) who:

Are living with a serious illness*

*Examples of serious illness (not an exhaustive list) include: Advanced heart, lung, liver, kidney disease, cancer, dementias and neurological disease

Show evidence of reduced quality of life, including:

  • Experiencing difficulty with 1+ activity of daily living**
  • Two or more emergency department visits in the past six months
  • One (1) hospitalization in the past year

**Activities of daily living include: bathing, dressing, toileting, transferring/mobility, continence, feeding/eating

What Does It Include?

Covered services may include:

  • Symptom assessment and management
  • Care planning and coordination
  • Goals-of-care discussions
  • Emotional and spiritual support
  • Assistance navigating the healthcare system
  • Support for caregivers

Services are delivered by trained healthcare professionals working as part of an interdisciplinary team.

photo of mother hugging adult daughter who is undergoing chemotherapy

How Do I Access Care?

If you or someone you care for has NJ FamilyCare and is living with serious illness:

SPEAK with your primary care provider or specialist

ASK whether community-based palliative care may be appropriate

COMPLETE the eligibility screener. Download the screener in ENGLISH or SPANISH.

IF ELIGIBLE, CONTACT your NJ FamilyCare managed care plan

RESOURCES
search icon
Palliative Care Directory

Find palliative care providers in NJ

CAPC info sheet
Palliative care at-a-glance

Quick info on palliative care
external link icon

external link icon
4Step iCarePlan

Simple approach to help making difficult medical decisions
icons of guidebook, play video, and multiple languages

icon of NJ POLST
POLST Form

Informs healthcare providers about the types of medical treatment a patient would like to receive
icons of guidebook, play video, and multiple languages