Navigating healthcare programs can be complex, especially when you’re seeking personalized care options. If you’re a New Jersey resident with NJ FamilyCare/Medicaid and are considering the Personal Preference Program (PPP) for in-home support, knowing how to reach the right contacts is crucial. For those enrolled in or considering Fidelis Care as their Managed Care Organization (MCO), finding the Fidelis Customer Service Number specific to PPP is a key step. This guide will provide you with the necessary information to connect with Fidelis Care and understand the benefits of New Jersey’s PPP, empowering you to take control of your personal care services.
Understanding the New Jersey Personal Preference Program (PPP)
The New Jersey Personal Preference Program (PPP) is a state-supported initiative designed to offer independence and choice to individuals needing personal care assistance. This program is available to NJ FamilyCare/Medicaid members who qualify for Personal Care Assistant (PCA) services. Unlike traditional home care services that often involve agencies, PPP allows you to self-direct your care. This means you have the flexibility to choose:
- What services best meet your specific needs.
- Who will provide these services, including the option to hire friends, family members, or neighbors.
- When and where these services are delivered, within the program’s guidelines.
PCA services under PPP are non-emergency, health-related tasks essential for your well-being and comfort. These include Activities of Daily Living (ADLs) such as bathing, dressing, and eating, and Instrumental Activities of Daily Living (IADLs) like meal preparation and light housekeeping.
It is important to have access to comprehensive information to make informed decisions about your healthcare.
Why Choose the Personal Preference Program?
The PPP offers numerous advantages for those who seek greater control over their care at home. By participating in PPP, you can:
- Personalize Your Care: Select home care services that are tailored to your unique requirements and preferences.
- Hire Trusted Individuals: Empower people you know and trust, such as friends, relatives, or neighbors, to become your care providers.
- Flexible Service Planning: Design your service schedule and routines to align with your individual lifestyle and needs.
- Enhance Independence: Live more independently in your own home and community with greater control over your daily life.
Are You Eligible for PPP?
To be eligible for the Personal Preference Program, applicants must meet the following criteria:
- NJ FamilyCare Eligibility: You must be eligible for NJ FamilyCare, New Jersey’s publicly funded health insurance program. You can apply for NJ FamilyCare through your local County Social Service Agency or apply online.
- PCA Services Approval: You need to be approved for Personal Care Assistant Services (PCA) and require these services for a minimum of six months.
- Self-Direction Capability: You must be able to direct your own services or have an Authorized Representative (AR) who can manage the program on your behalf if needed.
How to Apply for PPP with Fidelis Care
If you are already enrolled in NJ FamilyCare and are with Fidelis Care (formerly known as WellCare) as your Managed Care Organization (MCO), starting your PPP application is straightforward. Contact Fidelis Care directly to request a PCA assessment and express your interest in enrolling in the Personal Preference Program.
Fidelis Care Customer Service Number for PPP Enrollment:
1-855-642-6185 (Select option #3, then option #2)
When you call, be sure to specify that you are interested in the Personal Preference Program and need to request a PCA assessment for PPP enrollment. The Fidelis Care customer service representatives will guide you through the initial steps and provide information specific to their procedures.
Besides Fidelis Care, other MCOs in New Jersey also offer PPP. If you are with a different MCO, you can contact them using the numbers below to inquire about PPP:
| Managed Care Organization (MCO) | Customer Service Number |
|---|---|
| Aetna Better Health of New Jersey | 1-855-232-3596 |
| Aetna Assure Premier Plus (D-SNP) | 1-844-362-0934 |
| Horizon NJ Health | 1-855-465-4777 |
| UnitedHealthcare Community Plan | 1-800-645-9409 (select option #3) |
| Wellpoint (formerly known as Amerigroup) | 1-855-661-1996 (select option #1) |
The Role of the Fiscal Intermediary (FI) – Public Partnerships LLC (PPL)
Once enrolled in PPP, a Fiscal Intermediary (FI) will assist you with the employer responsibilities associated with self-direction. Currently, Public Partnerships LLC (PPL) is the FI for New Jersey’s PPP. PPL provides crucial support to both you (the employer) and your chosen workers.
PPL’s Support for You (the Employer):
- Manages employer fees and taxes.
- Processes payments for employer obligations.
- Arranges Workers’ Compensation insurance.
- Helps create a backup plan for service continuity.
- Processes payments for approved goods and services related to your care.
PPL’s Support for Your Worker:
- Handles payroll processing for your workers.
- Offers guidance and resources for finding and hiring qualified workers.
PPL Customer Service Contact Information:
- Phone (English): 1-844-880-8702
- Phone (Spanish): 1-844-880-8703
- Fax: 1-844-627-6834
- Email: [email protected]
- Website: PPL Program Website
Additional PPP Resources and Contacts
For current PPP participants or those seeking more general information, numerous resources are available:
- General PPP Questions: Contact the PPP State Team for further assistance.
- PPP Program Documents: Access essential forms and information at the PPL Program Documents page.
- Training and Workshops: Learn more about PPP through program overviews and General FAQs.
- State Program Office: For direct inquiries, contact the New Jersey Division of Medical Assistance and Health Services, Personal Preference Program at P.O. Box 712, Trenton, NJ 08625, or call 609-631-2481. You can also email: [email protected].
By utilizing these resources and contacting Fidelis Care at 1-855-642-6185, you can gain clarity and begin your journey towards self-directed personal care through New Jersey’s Personal Preference Program. Take the first step today to enhance your independence and control over your home care services.
