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Medicaid/NJ FamilyCare (NJFC) deployed the MyNJFCHealthData solution to empower members by giving them access to their health information so they can make the best-informed decisions about their care, all while keeping that information safe and secure.  The MyNJFCHealthData solution can be accessed using a compatible third-party application (App) chosen by the member. 

The MyNJFCHealthData solution has three parts: 

• Fee-for-Service Provider Directory Application Programming Interface (API): This solution allows current and prospective members, and the general public, to find a list of participating providers in the Medicaid/NJ FamilyCare (NJFC) Fee-for-Service program.
• Fee-for-Service Patient Access Application Programming Interface (API): This solution allows members who are 18 years or older, are enrolled in the Medicaid/NJ FamilyCare (NJFC) Fee-for-Service program, and not enrolled in one the NJFC managed care organizations (MCOs) to view their NJFC claims information.  Available claims information may include services for hospitalizations, physician visits, dental, vison, pharmacy and other types of services with dates of service from January 1, 2016 or later.  This solution will be expanded to include other member groups at a future date to be announced.  
• Fee-for-Service Drug Formulary Application Programming Interface (API): This solution provides a list of covered medications in the Medicaid/NJ FamilyCare (NJFC) Fee-for-Service program.

If you are enrolled in an NJ FamilyCare MCO or in a Fully Integrated Dual Eligible Special Needs Plan (FIDE SNP) MCO, please call the Member Services phone number printed on your MCO ID card to find out more about how to access your data using third-party Apps. 

See links below for more information:

MyNJFCHealthData Resource Guide July 2023

Documentation for Third-party App Developers

The Fee-for-Service (FFS) Provider Directory aspect of the MyNJFCHealthData provides a current listing of various types of providers that participate in the Medicaid/NJFC Fee-for-Service program.  If you are seeking care for a specific type of specialty and within a certain city or locality, the use of this service may help with your search on the presence or availability of those providers and obtaining their contact information, the language that the provider speaks, and if they are accepting new patients.    

More importantly, having access to your health information through the Patient Access API aspect of the MyNJFCHealthData solution can help you make more informed decisions about your health care and allow you to share information with providers who are involved with your care or treatment.  

Since you authorize sharing of your information with a third-party application (App), you can: 

• Share your Fee-for-Service (FFS) claims information with health care providers by viewing the information directly on your tablet or smartphone.
• Download your personal health information to a file to share with healthcare providers via email or upload to their patient portal. 
• Import your data into other computer-based personal health management tools.

MyNJFCHealthData is updated weekly.   For claims, there may be delays of your recent health care visits becoming available because of processing delays due to incomplete or missing information in the claim submitted by the provider.  We encourage you to check back periodically to view claims that may have become available.