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 working to develop materials to assist individuals, families and providers in understanding the new system.
10.10.14 Provider Qualification Process Temporarily on Hold
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 Help Desk: DDD.FeeForService@dhs.state.nj.us
Please be advised that effective October 20, 2014, the qualification of new service providers will be temporarily on hold. Any applications currently in process or those in transit and received by October 17, 2014 for open services at this time will continue to be processed.
This change is necessary due to the development of the Medicaid provider application process as part of the Division’s system reform efforts. The Medicaid provider application will remain open for Support Coordination services only.
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
2015 Graduates Aging Out of the School System Timeline
Fee-for-Service Implementation Timeline Part II: January - July, 2015
Support Coordination Ramp-Up Timeline
Provider Portal (Combined Application available here)
Day Habilitation Certification
Supports Program (SP)
Community Care Waiver (CCW)
Medicaid Eligibility and DDD
Fee-for-Service Frequently Asked Questions (FAQs)
Becoming a Medicaid Provider / Medicaid Claims
Fee-for-Service Presentations / Webinars
Implementing the Rate Structure: Tiering in the Fee-for-Service System (webinar)
Implementing the Rate Structure: Tiering in the Fee-for-Service System (slide presentation)
Implementing the Rate Structure: Tiers for Residential and Day Habilitation (slide presentation)
How is Case Management for DDD Services Changing? An Overview for Families of the Support Coordination Model in the New Fee-for-Service System (slide presentation)
How is Case Management for DDD Services Changing? An Overview for Providers of the Support Coordination Model in the New Fee-for-Service System (slide presentation)
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