The New Jersey Personal Preference Program (PPP) offers an alternative way for NJ FamilyCare A members who qualify for the Personal Care Assistant (PCA) services benefit to remain in their home and active in their community, and does not require the use of a home health care agency. The PPP’s goal is to offer a State Plan Medicaid PCA service option that you direct and in which you manage a monthly budget and receive counseling services, in lieu of traditional agency-delivered services.

To apply for PPP, please complete the application.

Instructions:
Review the information contained in the Personal Preference Program Participant Information Packet. On the Personal Preference Program (PPP) Services Options form, please initial in the boxes for lines 1 - 14.

For Item #3 - if you wish to designate an Authorized Representative, please include the name and phone number of that individual and initial in the box. If you do not wish to designate an Authorized Representative, please indicate N/A in the box for line #3.

You are entitled to receive services through an agency while you await completion of your PPP enrollment.

If you wish to receive services through an agency in the interim, please circle I accept.

If you do not wish to receive services through an agency in the interim, please circle I decline.

Mail the completed application to the following address:

Horizon NJ Health
3 Penn Plaza East
Newark, NJ 07105-9874
Attn: PPP Department - PPP-HL-01M

If you want to email the completed application, please send to HNJHPPPApplications@HorizonBlue.com.

For Spanish page only: Please complete the application in its entirety and return all 9 pages to the Horizon NJ Health PPP Department.

If you have any questions, please contact the Horizon NJ Health PPP Hotline at 1-855-465-4777 (TTY 711).