Division of Developmental Disabilities

Governor Mikie Sherrill • Lt. Governor Dr. Dale G. Caldwell

Division of Developmental Disabilities

Apply to Become a Provider

To apply to become a DDD-Medicaid provider of home and community based services (HCBS) through one of DDD's two Medicaid waiver programs (Community Care Program, Supports Program), follow the steps below.

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Before applying to become a Medicaid/DDD-approved provider, it is important to understand the policies and procedures that govern the delivery of home and community based services (HCBS) in the DDD fee-for-service system. Please take time to review the Policy Manuals for the Supports Program and Community Care Program.

  • If you are applying to provide Day Habilitation, Support Coordination, or Supports Brokerage, you are required to follow the added steps below.
  • If you are interested in becoming approved to open/manage a licensed residential setting (e.g., group home), please review the Prerequisites for Licensed Residential Settings below.

If you are not applying for any of the above services, skip to Step 3.

Before submitting the Combined Application, agencies interested in providing Day Habilitation services must apply for and receive provisional Day Habilitation Certification.

Before submitting the Combined Application, agencies interested in providing Support Coordination services must:

  • Review the DDD policy manuals, particularly the sections related to Support Coordination.
  • Review DDD's revised Conflict-Free Policy.pdf (revised January 2022).
  • Submit (1) an Agency Letter of Interest, and (2) an Agency Conflict-Free Policy (both on agency letterhead) by email to DDD.ProviderHelpdesk@dhs.nj.gov. 

Before submitting the Combined Application, agencies interested in providing Supports Brokerage services must:

The DDD-Medicaid service delivered in a licensed residential setting is Individual Supports. Agencies interested in operating a licensed residential setting will need to submit the Combined Application and select Individual Supports.

After you are approved to provide Individual Supports and before submitting a licensing application:

  • You must provide documentation of the agency's history of provision of direct care services for individuals with intellectual and developmental disabilities, in New Jersey or another state, for a minimum of 24 months, including survey or audit results and plans of correction.

If you have questions, please contact the DDD Provider Helpdesk at DDD.ProviderHelpdesk@dhs.nj.gov.

The National Provider Identifier (NPI) is a unique 10-digit identification number issued to health and human service providers in the United States by the Centers for Medicare and Medicaid Services (CMS).

You need to apply for an NPI for each location from which you plan to provide services. If the services you provide are community based and not provided through a specific location (Community Based Supports or Supported Employment, for example), apply for an NPI for the main location (administrative office).

Once you obtain your NPI(s), you may complete the Combined Application to Become a Medicaid/DDD Approved Provider*.

Please Note:

  • Providers of Day Habilitation, Support Coordination, and Supports Brokerage services must take the added steps above before and/or during the combined application process.
  • Providers of Individual Supports (residential or in-home) must sign and submit the Attestation for Providers of Individual Supports.pdf.

Mail your completed application, together with any required documents for the service(s) you are applying to provide, to the following:

   Gainwell Technologies
   Provider Enrollment Unit
   PO Box 4804
   Trenton, NJ 08650-4804

*Retain a copy of your original Combined Application.

If you have questions or need help:

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