WellCare of New Jersey
Managed Long Term Services
and Supports (MLTSS) Booklet
Welcome to WellCare of New Jersey Managed
Long Term Services and Supports (MLTSS)
Welcome to your new MLTSS health plan! We’re excited to have you as a member
and look forward to serving you.
We want you to take an active role in your care. As our member, you’ll partner
with a Care Manager who will help you manage your care and make sure you get
the services you need. Together, we’ll plan and coordinate services to enhance
your quality of life.
We encourage you to read through this entire booklet. You will find very
important information about your health plan, including care and services just
for MLTSS members.
Because these services are offered in addition to those available through NJ
FamilyCare, you should keep this booklet with your member handbook. In your
member handbook, you’ll find information about:
• Your available NJ FamilyCare benefits;
• Advance directives;
• Details about the complaint process for our members (we call these
grievances and appeals);
• How we protect your privacy; and
• Preventive health.
If you have questions, call our Customer Service Department toll-free at
1-855-642-6185 (TTY 1-877-247-6272).
newjersey.wellcare.com
Table of Contents
Important Phone Numbers�������������������������������������������������������������������������������������������3
Your MLTSS Identification (ID) Card ������������������������������������������������������������������������ 4
Get to Know Your Care Manager�������������������������������������������������������������������������������5
Contact Us �����������������������������������������������������������������������������������������������������������������������7
Member Representative ���������������������������������������������������������������������������������������������� 8
Moving Back Home from a Nursing Facility:
The Money Follows the Person Program (MFP)������������������������������������������������������ 9
Participant Direction (Self-Direction)����������������������������������������������������������������������� 10
MLTSS Cost-Sharing����������������������������������������������������������������������������������������������������� 10
MLTSS Services Covered by WellCare �������������������������������������������������������������������� 11
Member Rights and Responsibilities������������������������������������������������������������������������ 25
newjersey.wellcare.com
Important Phone Numbers
MLTSS Customer Service
1-855-642-6185
TTY
1-877-247-6272
MLTSS Member Representative
1-855-642-6185
24-Hour Behavioral Health Crisis Line
1-800-411-6485
Care Manager
Keep these numbers near your phone. You can call toll-free
any time you need help.
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Your MLTSS Identification (ID) Card
You’ll get your WellCare ID card in the mail. If you don’t receive it, call
your Care Manager or call our Customer Service Department toll-free at
1-855-642-6185 (TTY 1-877-247-6272) and we’ll send you another one. You
can also order a new one through our website: newjersey.wellcare.com.
When your WellCare ID card arrives, keep it with you at all times. You’ll need
to show it to receive care or services. Before you put your ID card in your
wallet or purse, look it over to make sure the information on it is correct.
Managed Long Term Services
and Supports (MLTSS)
Member ID #: <00000000000>
Member: <First MI. Last Name>
Effective Date: <XX/XX/XXXX>
Issue Date: <XX/XX/XXXX>
Primary Care Provider:
<Dr. First Last Name>
<Group Name>
<XXXX Main Street>
<Suite XXXX>
<City, ST XXXXX>
Phone: <XXX-XXX-XXXX>
<PLAN NAME>
Medicaid ID #: <00000000000>
<CO-PAY INFORMATION>
<Dental . $<5/10>>
<Emergency$<10/35>>
<PCP . . . . . . $<5/5>>
<Pharmacy $<1/5 5/10>>
<Specialist$<5/5>>
Customer Service:..................................................... 1-855-642-6185 (TTY 1-877-247-6272)
Members: Present this card to receive services from network providers.
For benefits, provider network or general information, call Customer Service.
If you have a medical emergency, dial 911 or go to the nearest emergency room and call
your PCP within 48 hours. Prior authorization is not required.
Servicio al Cliente:.................................................... 1-855-642-6185 (TTY 1-877-247-6272)
Miembros: Presente esta tarjeta para recibir servicios de los proveedores de la red.
Para información sobre beneficios, la red de proveedores o información general, llame
a Servicio al Cliente.
Si usted tiene una emergencia médica, marque al 911 o vaya a la sala de emergencias
más cercana y llame a su PCP dentro de las 48 horas. No se requiere autorización previa.
Medical claims are to be mailed to: Las reclamaciones médicas deben ser enviadas a:
WellCare P.O. Box 31224 Tampa, FL 33631-3224
newjersey.wellcare.com
Rx Bin: 603286
Rx PCN: 01410000
Rx GRP: 386257
Don’t hesitate to ask your Care Manager any
questions about your ID card.
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Get to Know Your Care Manager
As a member of our MLTSS health plan, you’ll work with a Care Manager.
He or she is a licensed nurse, social worker or qualified health care
professional, and will be your partner.
Your Care Manager will work with you and your medical and behavioral
health providers to make sure you get the care you need. To do this, he or
she will:
• Meet with you face-to-face in your home, hospital or nursing home to
get familiar with your health (within 10 days of your enrollment in our
health plan);
• Work with you, your primary care provider (PCP) and other providers to
create a plan of care and update it regularly or as your health changes;
• Coordinate with your PCP and other providers to make sure you’re
getting the right care;
• Help you make the transition when you leave a nursing facility and
return home, or when you move from your home to a nursing facility;
• Monitor your overall care; and
• Answer any questions you or your family may have about your health.
My Care Manager:
Phone Number:
Write in your Care Manager’s name and phone number. Be sure to keep
this handy!
You should stay in touch with your Care Manager and let him or her
know of any changes in your health.
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Call your Care Manager if:
• Your health changes, for better or worse (so you can increase or decrease
your level of service);
• Your caregiver is not able to provide care to you that’s in your plan of care
(for example, if your caregiver gets sick and can’t make it to your home);
• You go to the hospital or emergency room;
• Any of your medications change;
• You plan to leave our service area for a long period of time (for example,
if you plan to move south for the winter or stay with family);
• Your Medicaid eligibility changes or you get any letters or calls from NJ
Medicaid; or
• You’re moving.
If you have an urgent need to talk with a Care Manager after hours,
call our Customer Service Department toll-free at 1-855-642-6185
(TTY 1-877-247-6272).
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Contact Us
Call or write us with any questions you have. We’re happy to answer them for you.
Customer Service
Toll-free: 1-855-642-6185
(TTY 1-877-247-6272)
WellCare of New Jersey MLTSS
550 Broad Street, 12th Floor
Newark, NJ 07102
You can call us any time you need help with:
• Getting a replacement ID card;
• Finding and choosing a provider;
• Making an appointment with a provider;
• Updating your contact information, such as your mailing address and
phone number; and
• Filing a grievance or an appeal.
We want you to be comfortable when working with us and your providers.
If you speak a different language or need information in Braille, large print
or audio, we can provide translations and alternative formats at no cost to
you. To obtain information in alternate formats, call our Customer Service
Department toll-free at 1-855-642-6185 (TTY 1-877-247-6272).
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Member Representative
In addition to your Care Manager, we have a Member Representative within our
company who will act as your MLTSS advocate. He or she will work with our
different departments to:
• Ensure our members’ best interests are represented when planning for
quality improvement programs;
• Oversee the education of our members, their family and providers with
regards to MLTSS issues; and
• Work on ways to improve our MLTSS health plan for our members and
their providers.
Our Member Representative will also:
• Be another resource for members and their families to go to for any
questions they may have;
• Help make sure our MLTSS members know how to get the most from our
health plan ;
• Make sure members get in touch with the right staff members within
our plan; and
• Provide help with getting any issues or problems resolved.
To get in touch with our Member Representative, call or write:
Customer Service
Toll-free: 1-855-642-6185
WellCare of New Jersey MLTSS
Attn: Member Representative
550 Broad Street, 12th Floor
Newark, NJ 07102
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Moving Back Home from a Nursing Facility:
The Money Follows the Person Program (MFP)
If your health improves enough for you
to leave a nursing facility, we’ll help you
make the move back home and cover the
cost. This is called “community transition.”
There are a few things that need to
happen to help this move occur:
1. Y
our Care Manager will meet
with you to discuss the move.
2. He or she will need to complete
paperwork.
3. Once you’re approved to move,
your Care Manager will meet
with your providers to make
sure your move goes smoothly.
4. Your Care Manager will get any
prior authorizations for services
you’ll need. This will be done
before you leave the nursing facility.
5. Your Care Manager will talk with
you within 3 business days of your
move date to agree and complete
the design of your plan of care. Your
plan of care must be signed before
you leave the nursing facility.
Remember, if your health
changes at any time, call
your Care Manager.
6. You and your Care Manager will
also meet face-to-face within
10 business days of your return home.
Once you’re home, your Care Manager will call you at least once a month to
check in and see how you’re doing. He or she will also stop by to see you at
least every 3 months. If any changes need to be made to your plan of care,
you can work on them together.
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Participant Direction (Self-Direction)
If you’re getting care in your own home, you can choose participant
direction. (Also called self-direction.)
You can choose who you want to hire to provide certain care for you.
You’ll be given the training and guidance you need to make the right
decisions about your care. You’ll work with the people you hire to meet
the goals in your plan of care.
The goal of participant direction is to give you the freedom to choose how
best to manage your care. It empowers you to choose:
• What kind of care you want and need;
• When and where to get your care; and
• Who will provide your care.
Ask about participant direction when you meet with your Care Manager.
Together you can decide if this would be a good option for you.
You may decide at some point that participant direction is not for you.
If so, you can choose to end it at any time.
You can choose a family member to manage your
participant direction. He or she will be your representative.
Please note: a family member cannot be your self-direction
representative and provide personal attendant services at
the same time.
MLTSS Cost-Sharing
If you’re in a nursing home or assisted living facility, you are responsible
for patient payment liability. This is simply your portion of the cost of care.
The County Welfare Agency (CWA) will review your income to figure out
your portion to pay and will provide this information to you. This cost is in
addition to your NJ FamilyCare co-pays (for these co-pays, please see your
member handbook).
You’ll pay this directly to your nursing home/assisted living facility. If
you don’t make your payments, you could lose your WellCare benefits.
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MLTSS Services Covered by WellCare
In addition to the NJ FamilyCare services we’ll provide to you, we also
cover the following MLTSS services. If you have any questions, call your
Care Manager or call our Customer Service Department toll-free at
1-855-642-6185 (TTY 1-877-247-6272).
Service
Description/Limits
This services allows you to live with up to 2 nonfamily members in the home of a trained caregiver.
The caregiver helps with:
Adult Family Care
(AFC)
• Errands
• Giving medications
• Housekeeping
• Laundry
• Meal preparation
• Personal care
• Recreational and social activities
• Supervision (up to 24 hours if needed)
• Transportation
• Watching over your finances (at your request)
You cannot receive this service at the same time
as Personal Care Assistant services, Chore Services,
Home-Delivered meals, Home-Based Supportive
Care, Caregiver/Participant Training or Assisted
Living Services.
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Service
Description/Limits
These services are available if you’re in a publicly
subsidized assisted living facility, and include:
Assisted Living
Program (ALP)
• Chore Services
• Managing and giving medications
• Homemaker Services
• Personal Care services
• 24-hour on-site staff who will –
­- Meet your needs in a way that allows
for respect, dignity and independence
- Provide supervision, safety and security
You’re responsible for paying your monthly rent
payments and utility bills, as well as for your own
meals and other household items.
You cannot receive this service at the same time as:
- ­Adult Family Care (AFC)
- Assisted Living Services
- Caregiver/Participant Training
- Chore Services
- Home Based Supportive Care (HBSC)
These services are available if you’re in an assisted
living facility, and include:
Assisted Living
Services – Assisted
Living Residence
• Chore services
• Homemaker services
• Managing and giving medications
• Personal care services
• Recreational and social activities and programs
• 24-hour on-site staff who will –
­- Meet your needs in a way that allows
for respect, dignity and independence
• - Provide supervision, safety and security
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Service
Description/Limits
An Assisted Living Residence (ALR) is a facility that’s
approved by the Department of Health to provide:
• Apartment-style housing
• Assisted living services
Group dining
Each apartment-style unit includes a/an:
• Front door that can be locked from inside
• Private bathroom
• Small kitchen (kitchenette)
• Unfurnished bedroom
Assisted Living
Services – Assisted
Living Residence
In an ALR, you can get to your own apartment
kitchen and the facility’s pantry at any time to get
food and drinks.
You cannot receive this service at the same time as:
• Adult Day Health services
• Adult Family Care (AFC) services
• Assisted Living Program (ALP)
• Attendant Care
• Caregiver/Participant Training
• Chore Services
• Home Based Supportive Care (HBSC)
• Home-Delivered meals
• Personal Emergency Response System (PERS)
• Residential Modifications
• Respite care
• Social Adult Day Care (SADC): Social and
recreational activities in a group
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Service
Description/Limits
A Comprehensive Personal Care Home (CPCH) is
a facility that’s approved by the Department of
Health to provide:
• Assisted Living Services
• Room and board
• Arrange for resident transportation to and from
health care services
In a CPCH:
Assisted Living
Services –
Comprehensive
Personal Care
Home
• The stove in the kitchen can be removed if it’s a
safety hazard
• There’s a front door that can be locked from inside
• You can get to your own apartment kitchen at
any time to get food and drinks
• You may share a unit with another person (no
more than 1)
You cannot receive this service at the same time as:
• Adult Day Health services
• Adult Family Care (AFC) services
• Assisted Living Program (ALP)
• Attendant Care
• Caregiver/Participant Training
• Chore Services
• Home Based Supportive Care (HBSC)
• Home-Delivered meals
• Personal Emergency Response System (PERS)
• Residential Modifications
• Respite care
• Social Adult Day Care (SADC)
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Service
Description/Limits
This service provides training and counseling to
those who provide care to you.
Caregiver/
Participant
Training
The training can be provided in a one-on-one or
group setting and can include seminars.
The training needs must be listed in your plan of care.
Limited to 1 training session a day.
You cannot receive this service at the same time
as Adult Family Care, Assisted Living Program or
Assisted Living Services.
The following services involve tasks and
maintenance to keep your home clean and safe.
They go beyond the tasks of day-to-day living such
as housekeeping and laundry. These chore services
are available when you, a relative or landlord cannot
do them because of physical or financial reasons:
Chore Services
• Changing screens/storm windows, weather
stripping around doors and caulking windows
for seasonal weather
• Cleaning appliances
• Cleaning and securing rugs and carpets
• Cleaning attics and basements to remove fire
and health hazards
• Clearing walkways of ice, snow and leaves and
trimming overhanging tree branches
• Installing safety equipment
• Replacing door locks and window catches
• Replacing fuses, light bulbs, electric plugs and
bad cords
• Washing walls, windows and scrubbing floors
You cannot receive this service at the same time
as Adult Family Care, Assisted Living Program or
Assisted Living Services.
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Service
Description/Limits
This is treatment you can get if you’ve had a
traumatic brain injury (TBI) or have been in a TBI
waiver program.
The treatment is to help maintain and prevent
worsening of your ability to:
Cognitive
Therapy (Group
and Individual)
• Make decisions for yourself
• Pay attention and focus
• Remember things
• Solve problems
What kinds of therapy and how often you get
them are decided by:
• A first-time and on going assessments you’ll
receive
• Your plan of care
Therapy can be provided in your home, a
rehabilitation center or residential program.
These services are offered if you’ve had a
traumatic brain injury (TBI) or have been in a
TBI waiver program.
The services are given in your home, and include:
Community
Residential
Services (CRS)
• Chore Services
• Companion Services
• Night supervision
• Personal care
• Recreational activities
• Transportation
Your CRS provider will arrange these services
for you.
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Service
Description/Limits
This is financial aid to help cover the costs you may
face when setting up your home after moving out
of a medical institution and cannot afford them on
your own.
Covered expenses include:
Community
Transition
Services
• Any fees for arranging and managing your move
• Installation of things to help you get around in
your home (for example, a ramp or grab bars)
• Moving costs
• Necessary household items like furniture, food
preparation tools and bed linens
• Pest control and cleaning (one-time, when you
first move in)
• Security deposits to lease an apartment or house
• Set-up fees for utilities (for example, electricity
and phone)
Your financial aid needs must be listed in your plan
of care.
Service limits include:
• Does not cover vehicle modification
• Financial aid cannot be used to buy TVs or
other recreational items
• Monthly rent/mortgage payments and utility
bills are not covered
• This service can only be used once in your
lifetime
• Total expenses cannot be more than $5,000
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Service
Description/Limits
These services help you with your Instrumental
Activities of Daily Living (IADL) needs so you can
stay in your home and be as independent
as possible.
Services include, but aren’t limited to:
Home Based
Supportive
Care (HBSC)
• Grocery shopping
• Laundry
• Light housework
• Meal preparation
• Watching over your finances
You cannot use this service at the same time
as Assisted Living Services.
You can have meals delivered to your home if you
do not live in a medical facility, are unable to shop
for and/or prepare food without help, or do not
have a caregiver to make meals for you.
The meals are high in nutrition and provide 1/3 of
the Recommended Dietary Allowance (RDA).
Home-Delivered
Meals
Meals from a restaurant, cafeteria or caterer may
be substituted if:
• They’re to be delivered outside of a
normal day/time
• You have special dietary needs
• You live in a hard-to-reach area
Limited to 1 meal each day.
You cannot use this service at the same time
as Adult Family Care (AFC) and Assisted Living
Services since meals are already included in these.
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Service
Description/Limits
This service is to help you remember to take your
medication on time and as instructed if you live
alone or are alone for long periods of time during
the day.
Here’s how the service works:
Medication
Dispensing
Device
• The device automatically dispenses your
medication as the prescription requires
(amount and timing)
• Once your medication is dispensed, you’ll need
to get it within a certain period of time; if you
don’t, the machine will give you reminders
• If you don’t get to your medication by the last
reminder, an automatic phone call will be made
to you, your emergency contact and your Care
Manager until someone answers
• If there’s no answer, the machine will lock your
missed medication
Includes installation of the device and service.
This service must be medically necessary.
Nursing
Facility Services
(Custodial Care)
Occupational
Therapy (Group
and Individual)
Services are to meet your medical, nursing, dietary
and psychosocial needs in a setting that provides
continuous medical supervision and nursing care.
The NJ Department of Human Services, Office
of Community Choice Options or their designee
decides if you need this kind of care.
Services are to help keep you from relapsing and
losing any more daily living functions that have
been re-gained through rehabilitation.
This service must be medically necessary.
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Service
Description/Limits
These are devices that enable you to get help in
an emergency and are available if you:
• Live alone
• Need regular supervision and are alone for a
long period of time during the day
Personal
Emergency
Response
System (PERS)
These devices:
• Are connected to your phone.
• Send a signal to a response center when you
press the “Help” button.
• Are also available as portable “Help” buttons,
which allow you to move around your house
and still be able to call for help when needed.
Includes installation of the PERS and service.
This service must be medically necessary.
Physical Therapy
(Group and
Individual)
Services are to help keep you from relapsing and
losing any more bodily functions (movement
and mobility) that have been re-gained through
rehabilitation.
This service must be medically necessary.
This is one-on-one, on going nursing care that’s
provided to you in your home by a registered nurse
(RN) or licensed practical nurse (LPN).
Limits include:
Private-Duty
Nursing (for
adults age 21
and older)
• This service is not available if you’re an inpatient
at a hospital or in a nursing facility.
• Up to 16 hours of service are approved in a
24-hour period (the remaining time should be
provided by an adult caregiver living in your home).
This service must be medically necessary. Prior
authorization is required.
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Service
Description/Limits
These are special changes made to your home to
help you live on your own (without these changes,
you would have to move to a nursing facility).
Changes to your home must be:
• Needed for your care, as well as for your
health and safety
• Meet state and local building codes
Changes can include:
• Installing a ramp and grab bars
• Widening doorways
Residential
Modifications
Changes or improvements for general use are not
covered, such as:
• Carpeting
• Central air conditioning
• Changes that increase the total square footage
of your home
• Roof repair
Limits include:
• Total expenses cannot be more than $5,000 each
calendar year or $10,000 in your lifetime
• You cannot use this service if you live in an
assisted living residence or assisted living program
• Changes to a rental unit must be approved in
advance by the landlord, and you must continue
to live in the unit for at least 1 year after the
changes are completed
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Service
Description/Limits
These services ensure you receive care for short
periods when your regular caregivers are absent.
The services are:
Respite Care
• Available to you if you’re unable to care for
yourself
• Provided in your home or a Medicaid-licensed
nursing facility
• Not meant to take the place of care usually
provided by a nurse or therapist
Services are limited to 30 days each calendar year.
This group program offers different health, social
and related support services if you have a functional
impairment. It is designed to meet non-medical
needs.
Social Adult
Day Care (SADC)
The program involves going to a supervised adult
day care center on a regular basis for several hours
and taking part in recreational and social activities.
Limits include:
• You cannot use this service if you’re in an
Assisted Living Facility.
• You cannot use this service at the same time
as Adult Day Health Services.
Speech, Language
and Hearing
Therapy (Group
and Individual)
Services are meant to help you keep the speech,
language and hearing functions that you have
re-gained through rehabilitation.
These services must be medically necessary.
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Service
Description/Limits
These services are offered if you’ve had a traumatic
brain injury (TBI) or have been in a TBI waiver
program.
Services are provided outside of your home in a
one-on-one or group setting.
Structured
Day Program
The program will provide activities to help you
become more independent and get back into your
community.
Activities are aimed at improving your:
• Attention skills
• Completing tasks
• Problem solving ability
• Managing finances
• Safety awareness
These services are offered if you’ve had a traumatic
brain injury (TBI) or have been in a TBI waiver
program.
Supported Day
Services
Services are aimed to get you active in your
community through:
• Recreational activities
• Shopping
• Volunteering
A plan of care will be created for you that includes
these types of activities, and you’ll do them with a
health care professional one-on-one.
newjersey.wellcare.com | 23
Service
Description/Limits
These services are offered if you’ve had a traumatic
brain injury (TBI) or have been in a TBI waiver
program, and are experiencing severe anxiety or
aggressive behavior that’s dangerous to yourself or
others.
Traumatic
Brain Injury
(TBI) Behavior
Management
(Group and
Individual)
Services are provided in your home or a group
setting with the goal of treating the behaviors and
getting you back to an improved state.
To do this:
• A first-time and ongoing assessments will be
done by a psychiatrist, neuropsychologist or
neuropsychiatrist
• A behavioral modification plan will be created
and followed
This service must be medically necessary.
Services include:
• Changes to a vehicle that would help you to be
more independent at home and in your
community, while keeping you safe
• Examples include mechanical lifts and electronic
monitoring systems
Vehicle
Modifications
The need for these changes must be identified in
your plan of care.
Service Limitations:
• You or your authorized representative must own
the car and it must be registered in NJ.
Changes/Modifications must follow NJ motor
vehicle codes.
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Member Rights and Responsibilities
You have the right to:
• Ask for and receive information about the services available to you
• Have access to and choice of qualified service providers
• Be informed of your rights before getting selected and approved
services
• Receive services without regard to race, religion, color, creed, gender,
national origin, political beliefs, sexual orientation, marital status or
disability
• Have access to appropriate services that support your health and
welfare
• To make decisions concerning your care needs
• To choose between a nursing facility and a Home Based Supportive
Care (HBSC), whichever meets your needs
• To assume risk after being fully informed and able to understand the
risks and consequences of your decisions
• Participate in the development of and make changes to your plan of
care
• Request changes in services at any time, including to add, increase,
decrease or discontinue services
• Ask for and receive from your Care Manager a list of names and duties
of any person(s) assigned to provide services to you under your plan
of care
• Receive help and guidance from your Care Manager to resolve
concerns about your care needs and/or complaints about services or
providers
• Be informed of and receive in writing facility-specific resident rights
upon admission to an institutional or residential setting
• Be informed of all the covered/required services you are entitled to,
required by and/or offered by the institutional or residential setting,
and any charges not covered by our health plan while in the facility
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Member Rights and Responsibilities
• Not to be transferred or discharged out of a facility except for
medical necessity –
­- To protect your physical welfare and safety or the welfare and safety
of other residents, or
­- After reasonable notice, you fail to make payments to the facility
that are based on your statement of available income for Medicaid
payment
• Have us protect and promote your ability to exercise all the rights
identified in this document
• Have all rights and responsibilities mentioned here passed on to your
authorized representative or court-appointed legal guardian
You have the responsibility to:
• Provide all health and treatment-related information, including but not
limited to medication, circumstances, living arrangements, informal and
formal supports to your Care Manager in order to identify care needs
and develop a plan of care
• Understand your health care needs and work with your Care Manager
to develop or change goals and services
• Work with your Care Manager to develop and/or change your plan of
care to facilitate timely authorization and implementation of services
• Ask questions when you don’t understand something
• Understand the risks associated with your decisions about care
• Report any significant changes to your health condition, medication,
circumstances, living arrangements, informal and formal supports to
your Care Manager
• Let your Care Manager know if any problems occur or you’re not
happy with the services being provided
• Follow our rules and/or those rules in an institutional or residential
setting
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Customer Service: 1-855-642-6185
(TTY/TDD 1-877-247-6272)
58410
newjersey.wellcare.com
NJ025328_CAD_BKT_ENG State Approved 05162014
092-14-005
©WellCare 2014 NJ_01_14
NJCADBKT58410E