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. The draft Fee for Service Rate Schedule* was released on July 18, 2014.
Services Available in the FFS System
*These are recommended rates and have not yet received final approval
FFS Webinar Scheduled for DDD Providers
What: Update for DDD Providers on Fee for Service Rate Utilization*
When: Thursday, September 18, 2014, 10:00 am - 11:30 am EST
Who: This webinar is specifically geared toward DDD providers, to assist them in understanding how to utilize and apply the Fee for Service rate structure that was released on July 18th. Space is limited, so Please Register Now.
*A separate webinar with a similar focus, specifically geared toward families and individuals, is scheduled for Tuesday, October 21, 2014, with registration available in early October.
We understand there are many questions and uncertainties regarding the Final Rate Report and Rate Schedule, and the Division's transition to the FFS system. We are working to develop user-friendly materials to assist individuals, families and providers in understanding the new system and rate structure, and we will distribute them as soon as we are able, both here on the FFS Implementation web page and via our e-news bulletin, Division Update. (To subscribe to Division Update, please send an email to DDD.Communications@dhs.state.nj.us and include Division Update Subscribe in the subject.)
In addition, a dedicated Fee for Service Help Desk is in place for FFS-related questions and comments, at DDD.FeeForService@dhs.state.nj.us.
For information about the services that will be available through the Medicaid-based FFS system, please review the following documents:
Supports Program Service Definitions and Qualifications
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
Fee for Service (FFS) Rate Schedule
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