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. 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.
Frequently Asked Questions (FAQs)
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).
NEW! Fee for Service Rate Schedule: Quick Reference Guide
The Division has developed a revised, more user-friendly Fee for Service Rate Schedule: Quick Reference Guide.
Provider Information Session Announced
With anticipated implementation of the new Day Habilitation Certification process in the coming weeks, the Division has scheduled a Day Habilitation Certification Process Information Session. There are four time-slots to select from in November, and pre-registration is required by October 31, 2014. Please see the Information Session flyer for details.
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: Quick Reference Guide to refer to during the presentation.
Please see below for a list of Fee for Service FAQs, by topic. Published FAQ topics will be revised as new information becomes available, and new FAQ topics will be posted as they are developed.
FAQs: 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 Draft Service Definitions and Qualifications and the Community Care Waiver (CCW) Draft 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
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)
CCW DRAFT Service Definitions & Qualifications
Supports Program Service Definitions & Qualifications
Provider Staffing and Budget Impact Overview Webinar - October 2013