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Division of Developmental Disabilities
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The New Jersey Division of Developmental Disabilities is moving from a contracted system of care reimbursement to a Medicaid-based, fee for service (FFS) sytem. We know there are many questions regarding the Division's transition to the FFS model, and we are currently developing materials to assist individuals, families and providers in understanding the new system.

To receive regular updates via our e-news bulletin, Division Update, please send an email to DDD.Communications@dhs.state.nj.us with "Division Update Subscribe" in the subject line (and be sure to add the Division Communications email to your safe sender list).

Fee for Service Helpdesk: DDD.FeeForService@dhs.state.nj.us 


Fee for Service Implementation Announcements

12.16.14   Stakeholder Input Invited

On Monday, December 15, 2014, the Division presented a webinar providing an overview of the Supports Program and the Division's proposed amendments to that program. We invite all stakeholders to review the slide presentation and webinar below and forward comments and suggestions. The Stakeholder Input period will be open through January 7, 2015, and input should be forwarded to DDD.StakeholderInput@dhs.state.nj.us.

Stakeholder Input into Supports Program Amendments: Audio Webinar
Stakeholder Input into Supports Program Amendments: Slide Presentation

Related Documents:
New Jersey's Comprehensive Medicaid Waiver (see pgs. 51-53 for Supports Program Terms and Conditions)
Supports Program Draft Service Definitions


 
Fee for Service Documents

2015 Graduates Aging Out of the School System Timeline
Fee for Service Implementation Timeline Part I: Sep 2014 - Jan 2015
Support Coordination Ramp-Up Timeline
Fee for Service Rate Schedule: Quick Reference Guide
Supports Program (SP) Draft Service Definitions and Qualifications 
Community Care Waiver (CCW) Draft Service Definitions and Qualifications


Fee for Service Related Web Page Links

Provider Portal (Combined Application available here)
Day Habilitation Certification 
Supports Program (SP) 
Community Care Waiver (CCW) 



Fee for Service Frequently Asked Questions (FAQs)

FAQs: Becoming a Medicaid Provider / Medicaid Claims 


 
 
Fee for Service Webinars and Presentations

Understanding DDD System Reforms: An Overview for Emerging Leaders in the Provider Community (slide presentation)

Medicaid Home and Community-Based Services: Hot Topics and Emerging Trends, Boggs Center Lecture by Robin Cooper (slide presentation and audio files)

Understanding the New Fee for Service System: An Overview for Individuals and Families (webinar)
Understanding the New Fee for Service System: An Overview for Individuals and Families (slide presentation)

Update for DDD Providers on Fee for Service Rate Utilization (webinar) 
Update for DDD Providers on Fee for Service Rate Utilization (slide presentation)

Fee for Service Implementation Timeline, Part I: September, 2014 - January, 2015 (4-part webinar)
Fee for Service Implementation Timeline, Part I: September, 2014 - January, 2015 (timeline)


 
 
Accessing Services in the Fee For Service System

In a Medicaid-based, fee for service system, individuals receive Division-funded services through one of two Medicaid waivers: the Supports Program (SP) or the Community Care Waiver (CCW).

For information about the services that will be available through these waiver programs, please review the Supports Program Draft Service Definitions and Qualifications and the Community Care Waiver Draft Service Definitions and Qualifications.


 
 
The Fee for Service Rate-Setting Process

The New Jersey Department of Human Services engaged Myers and Stauffer LC (MSLC) and Johnston Villegas-Grubbs & Associates LLC (JVGA) to develop a standard fee schedule for diability services provided through the new Medicaid-based, fee for service system. A comprehensive statewide analysis began in January, 2013 and the Final Report and Rate Schedule were released on July 18, 2014. At this time, the rates are recommended and have not yet been adopted.

JVGA/DDD Rate-Setting Slide Presentation
JVGA Final Report
JVGA Fee for Service (FFS) Rate Schedule (Original)

DDD Rate Setting Advisory Committee
DDD Rate Setting Financial Committee

General Ledger Overview Part 1 (Video) - November 2013
General Ledger Overview Part 2 (Video) - November 2013
General Ledger Overview Part 3 (Video) - November 2013

Staffing Template (with examples on how to complete for a few key services)
Service Legend (to help identify the same service type)

Provider Staffing and Budget Impact Overview Webinar - October 2013
 
 
 
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