Fee for Service Implementation
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. The draft Fee for Service Rate Schedule* was released on July 18, 2014. *These are recommended rates and have not yet received final approval
Fee for Service Frequently Asked Questions (FAQs)
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.
You can submit FFS-related questions to the Division's Fee for Service Helpdesk at: DDD.FeeForService@dhs.state.nj.us
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).
October 4th Family Forum CANCELED, to be Re-scheduled
The DDD Family Forum scheduled for Saturday, October 4th has been canceled. We are working to identify an alternative date for this event and will share that information as soon as we have it. Thank you for your understanding.
Webinar for Individuals and Families Scheduled
When: Tuesday, October 21, 2014, 10:00 am - 11:30 am EST
What: Understanding the Fee for Service Rate Structure: An Overview for Individuals and Families
Presenters: Elizabeth M. Shea, Assistant Commissioner; Thomas Papa, Chief of Staff
Registration: To reserve your space, Please Register Now*
*Webinar participants should print out a copy of the Fee for Service Rate Schedule to refer to during the presentation.
We will update FAQs as new information becomes available, and Fee for Service FAQs will be posted by topic as they are developed.
Becoming a Medicaid Provider / Medicaid Claims
Now Available: Archived Provider Webinar and Slide Presentation
Webinar: Update for DDD Providers on Fee for Service Rate Utilization (YouTube video)
Slide Presentation: Update for DDD Providers on Fee for Service Rate Utilization (pdf document)
Fee for Service Implementation Timeline and Accompanying Webinar
The Division has developed the first part of a Fee for Service Implementation Timeline, covering September, 2014 through January, 2015.
For guidance on understanding this timeline, please view/listen to the pre-recorded FFS Timeline Implementation Webinar, available in 4 parts on the DHS YouTube page. The webinar is not intended as a stand-alone presentation and should be viewed along with the timeline.
Accessing Services in the Fee For Service (FFS) System
In a Medicaid-based fee-for-service system, individuals receive Division-funded services through one of two Medicaid waivers: the Supports Program or the Community Care Waiver (CCW).
For information about the services that will be available through these waiver programs, please review the Supports Program Service Definitions and Qualifications and the Draft Community Care Waiver (CCW) Service Definitions and Qualifications.
Questions related to these services can be submitted to the Supports Program Help Desk at DDD.SuppProgHelpDesk@dhs.state.nj.us.
The 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.
JVGA began a comprehensive statewide analysis in January, 2013 and released its Final Report and Rate Schedule 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
Fee for Service (FFS) Rate Schedule
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)
CCW DRAFT Service Definitions & Qualifications
Supports Program Service Definitions & Qualifications
Provider Staffing and Budget Impact Overview Webinar - October 2013