3122
THE JOURNEY TO COMMUNITY HOUSING WITH SUPPORTS
FUNDING FOR LONG-TERM CARE
Apply to Social Security for SSI and Medicaid ( p. 2 7)
Apply to DDD for eligibility ( p. 2 6)
Approved
Denied
Complete NJCAT (p. 29) DDD determines eligibility for and enrollment into
Consider appealing DDD decision with legal assistance
Supports Program or Community Care Waiver (CCW) 1, 2 Support Coordination Agency is selected or assigned 3 ( p. 7) Develop ISP (p. 38)
Approved
Denied
Supports Program
CCW
Consider eligibility for other Medicaid services and, if appropriate, apply 4 (p. 31)
Choose from menu of supports available such as Day Habilitation/Employment, Individual Supports (p. 28)
Choose from menu of supports available such as Day Habilitation/Employment, Individual Supports (p. 28) Individual Supports in own home, family home, or licensed residence
Individual Supports in own home or family home
Contact HMO/MCO to request state plan services such as PPP, if eligible 6 (p. 31)
Contact HMO/MCO to request state plan services such as PPP or Private Duty Nursing, if eligible 5 (p. 31)
A person can only be enrolled in one waiver at a time. 1 waiver
Consider alternate and/or additional funding sources
Seek housing voucher through DCA, Public Housing Authorities, etc. (p. 41) Seek mainstream resources (p. 46) Develop natural supports (p. 51) Explore private pay options (p. 44)
1 Currently, the demand for CCW enrollment exceeds capacity. Unless there is an emergency, there may be a multi-year wait before accessing services through the CCW. 2 Individuals who are eligible for the CCW may access the Supports Program while waiting for CCW services (p. 31). 3 Some individuals may still be working with case managers. Going forward, virtually all individuals will eventually transition to Support Coordination Agencies. 4 If a nursing home level of care is met, Managed Long-term Services and Supports (MLTSS) waiver or state plan services may be an option. For more information (p. 30 and 31). 5 No state plan service(s) can be used that are duplicative of services received on the Supports Program. 6 No state plan service(s) can be used that are duplicative of services received on the CCW.
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