Extenuating Circumstance Application (September 2024)

Extenuating Circumstance FAQ (September 2024)

Census Enforcement Fact Sheet

Census Enforcement FAQ

Mergers and Acquisitions Fact Sheet

2024

November 2024 Slide Deck | November 2024 Recording

August 2024 Slide Deck | August 2024 Recording

May 2024 Slide Deck | May 2024 Recording

February 2024 Slide Deck | February 2024 Recording

2023

December 2023 Slide Deck | December 2023 Recording

October 2023 Slide Deck | October 2023 Recording

August 2023 Slide Deck | August 2023 Recording

June 2023 Slide Deck | June 2023 Recording

April 2023 Slide Deck | April 2023 Recording

February 2023 Slide Deck | February 2023 Recording

2022

2022 Support Coordination Update Webinars

Guidance and Tools

• ABC Care Management Manual (September 2024)
• Amended ISP Quick Reference Guide
• Avoiding Service Gaps
• Claiming for Support Coordination Services for Individuals Enrolled in SP or CCP-FFS
• Communication Protocol
• Community Care Program (CCP) Fact Sheet
• Directory of DDD Helpdesks
• Electronic Signature (e-signature) Fact Sheet
• Email Validation Process: SC Training (11/28/2018)
• Entering Supported Employment–Individual Employment Support Services Into the ISP
• EVV Checkbox Quick Reference Guide
• EVV Checkbox Communication to Support Coordination Agencies
• EVV Guidance for Support Coordination Agencies
• Guidance on Waiver Program Transitions
• Independent Living Discussion Tool
• ISP Plan Reviews: Guidance for SCAs (12-03-2024)
• Quick Reference Guide to Mandated Trainings for SDEs
• Quick Reference Guide to Support Coordination Agency Staff Requirements
• Support Coordination Agency Evaluation Guidebook (2024)
• Support Coordination Agency Policies & Procedures Guidebook
• Seeking Out Support (SOS) Form Now available in iRecord!
• Tips for Preparing an ICM Referral
• Transitioning Individuals from Institutional Settings
• Transportation Services in Fee for Service
• ISP Signature Page Frequently Asked Questions

Guardianship

• Request for Guardianship Recommendation
• Bureau of Guardianship Services (BGS) Referral Form
• Family Information Sheet
• Bureau of Guardianship Services Referral Form Work Instructions

Incident Reporting

• DDD Incident Reporting Documents and Forms

Plan Development and Monitoring

• Addressing Enhanced Needs Form
• Continuation of Prevocational Training Justification
• DDD Mental Health Pre-Screening Checklist
• DVRS Referral Guidelines
• Employment Determination Form – (F3)
• Employment Non-Referral Form to DVRS or CBVI – (F6)
• Employment Forms Instruction Guide – F3 & F6
• HIPAA Form Approved for Use by SC Agencies
• ISP Review Checklist for Support Coordination Supervisors
• ISP Revision and Notification Form
• ISP Worksheet for Day Habilitation Providers
• ISP Worksheet for Residential Providers
• Medicaid Eligibility Troubleshooting Form
• Participant Enrollment Agreement-English
• Participant Enrollment Agreement-Spanish
• Participant Rights and Responsibilities-English Now embedded in the ISP!
• Participant Rights and Responsibilities-Spanish
• Support Coordinator Monitoring Tool – Monthly
• Support Coordinator Monitoring Tool - Quarterly and Annual
• Support Coordinator Monitoring Tool – Work Instructions

Request Forms

• AT/EM Evaluation Request Form
• AT/EM/VM Purchase Request Form
• Community Care Program Waiting List Request Form
• Community Inclusion Services/Individual Supports 15-minute Rate Request Form
• Community Transitions Unit Case Transfer Form
• Early Retirement Request
• Enhanced Reasonable and Customary Wage Request
• Goods and Services Request Form Instructions
• Goods and Services Request Form
• Human Rights Committee Referral Form
• ICD-10 Diagnosis Change Request Form
• ICF/ID Referral Form
• Intensive Case Management (ICM) Referral
• Retroactive Change Request Process
• Retroactive Change Request
• Single Passenger Rate Transportation Request Form
• Supported Employment Funding Request
• Voluntary Discharge from DDD Services
• Waiver Program Disenrollment Request
• Waiver Program Transfer Request

DDD Resource Team Consultation Request Forms

• Board Certified Behavior Analyst (BCBA) Consultation Form
• Registered Nurse (RN) Consultation Form
• Speech Language Pathology (SLP) Consultation Form

Residential Placement Forms

• Residential Referral Cover sheet
• Residential Referral Coversheet Instructions
• Residential Provider Response Form
• Residential Placement Offer Form
• Pre-placement Transition Plan

To become a DDD/Medicaid-approved Support Coordination Agency, an agency must apply to become a provider by completing the Combined Application to Become a Medicaid/DDD Approved Provider.

Prior to submitting the application, agencies interested in providing DDD-funded Support Coordination services must do the following:

• Review the Division's revised Conflict-Free Policy (Revised 1/2022)
• Review the Support Coordinator's Guide to Unusual Incident Reporting
• Submit an Agency Letter of Interest and an Agency Conflict-Free Policy (both on agency letterhead) to the Provider Helpdesk: DDD.ProviderHelpdesk@dhs.nj.gov

Support Coordination Agencies approved to provide Support Coordination services can request access to the iRecord. For the initial request for iRecord access, the Support Coordination Supervisor must complete the iRecord Request Form, scan it, and email it to DDD.ITREQUESTS@dhs.state.nj.us. A username and temporary password will be sent to the Support Coordination Supervisor, including instructions on re-setting the initial temporary password.

After the initial account is set up, the Support Coordination Supervisor can log into the iRecord and request additional users.

Change your iRecord password