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THE JOURNEY TO COMMUNITY HOUSING WITH SUPPORTS
7HAT SERVICES CAN BE FUNDED THROUGH -EDICAID WAIVERS
IS THERE A WAITING LIST FOR WAIVER SERVICES?
A wide variety of services and supports can be funded through a Medicaid waiver through hiring of staff from approved provider agencies or self-hires (self directed employees). Each waiver has its own regulations and service definitions. For a full explanation, these waivers can be found on the internet. Go to WWWNJGOVHUMANSERVICESDDDPROGRAMS SUPPORTS?PROGRAMHTML for information about the Supports Program and the related policy manual. Go to WWWNJGOVHUMANSERVICESDDDSERVICESCCWINDEX HTML for information about the Community Care Waiver (CCW).
DDD’s Community Care Waiver is the most comprehensive source of funding for residential supports or services, and there is a lengthy wait for these services. The Supports Program is another means of obtaining limited supports while living at home with family or in your own home. Previously, many people placed their name on the waiting list as soon as they were eligible and waited for a group home or supervised apartment placement. Today, eligibility for Medicaid is a pre-requisite for obtaining any services from DDD. Individuals must have Medicaid and meet an institutional level of care to qualify for these intensive long-term supports. Individuals wait for waiver funding to obtain individual support services in their own home, in their family home or in a licensed community residence. In circumstances where DDD determines that a Medicaid recipient’s circumstances meet the criteria of an emergency, the individual may receive services regardless of their position on the waiting list. For more information go to WWWSTATE NJUSHUMANSERVICESDDDSERVICESCCWCCWWLHTML . Yes, most waivers have a waiting list. For instance, a waiting list exists to receive more comprehensive services through DDD’s Community Care Waiver (CCW). A person may also be eligible for other waivers that exist such as the Managed Long Term Services and Supports (MLTSS) described below. After an assessment is completed, a person may qualify for these intensive supports. If services are not available, a person may be assigned to a waiting list for waiver services. Services are distributed based upon funding initiatives, available resources and/or the assessment of a person’s level of care needs.
WHAT ARE THE MEDICAID WAIVERS IN NEW JERSEY?
There are a few waivers administered by different entities of state government. Each has different eligibility criteria and a menu of supports. An individual can only enroll in one waiver at a time. COMMUNITY CARE WAIVER (CCW) ADMINISTERED BY DDD New Jersey’s Division of Developmental Disabilities administers the Medicaid Community Care Waiver (CCW) to pay for specific services that are needed so individuals with I/DD can live in the community. The CCW is reserved for people who require the most intensive levels of support. This Medicaid waiver funds most licensed residential programs and supported living services to those with I/DD. For more information visit WWWNJGOVHUMANSERVICESDDD HOME . These services can be obtained through one or more service providers selected by the individual. For a fact sheet on CCW go to WWWNJGOVHUMANSERVICES DDDDOCUMENTS$OCUMENTSFOR7EB##7 2ENEWAL&!1S
SUPPORTS PROGRAM ADMINISTERED BY DDD
Through the Supports Program adults with I/DD, who live with their families or in a non-licensed setting, can access Division-funded supports from a list of eligible services. For more information visit WWWSTATENJUSHUMANSERVICES DDDPROGRAMSSUPPORTS?PROGRAMHTML . Such services are generally individual-directed with a menu of options accessed through the assistance of a Support Coordinator.
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