GENERAL WEBINARS

• New Provider Overview: A Practical Guide for New Providers
• Division Oversight and Quality Monitoring System
• Steering Clear of Medicaid Fraud, Waste and Abuse
• Developing Policies and Procedures

SERVICE OVERVIEW WEBINARS

• • Behavioral Supports
  • Career Planning
  • Community Based Supports
  • Community Inclusion Services
  • Day Habilitation
  • Individual Supports
  • Interpreter Services
  • Natural Supports Training
  • Occupational / Physical / Speech Therapy 
  • Prevocational Training
  • Respite
  • Supported Employment

SERVICE DELIVERY LOGS

• Community Based / Individual Supports Log
• Community Inclusion Activities Log
• Community Inclusion Individualized Goals Log
• Community Inclusion Annual Update
• Day Habilitation Activities Log
• Day Habilitation Individualized Goals Log
• Day Habilitation Annual Update
• Natural Supports Training Log
• Prevocational Training Activities Log
• Prevocational Training Individualized Goals Log
• Prevocational Training Annual Update
• Supported Employment Pre-Employment Service Log
• Supported Employment Intervention Plan and Service Log

TRAINING AND COMPETENCY ASSESSMENTS

• Prevention of Abuse, Neglect, and Exploitation (PANE) Supervisor Q&A Guide
• Prevention of Abuse, Neglect, and Exploitation (PANE) Competency Assessment Form
• Medication Administration: On-Site Competency Assessment Forms
• Medication Administration: Training Module Updates

FINGERPRINTING INFORMATION

• Current Fingerprinting Procedures
• Flag Removal Form
• Blank Archive Request Template
• Archiving FAQ
• Appendix A

REQUEST FORMS

• Human Rights Committee Referral Form

• Voucher Process When Medicaid Terminates
• Request to Submit Voucher for Payment
• Payment Voucher Template
• Payment Voucher (fillable)

Section 1919(e)(7) of the Social Security Act and Chapter 42 of the Code of Federal Regulations, Sections 483.100 through 483.138 specify the requirements for preadmission screening of all individuals with intellectual and developmental disabilities before they enter a Medicaid certified nursing facility (NF), regardless of payment source.

Federal regulations require the PASRR Level I screenings take place prior to admission in order for a state to receive federal financial participation for Medicaid reimbursement of nursing home care.  Individual determined to require Specialized Services through the PASRR Level II process are prohibited from being admitted to a NF, or remaining in a NF.>

For further information about the Level I process, and forms that are used for that process, please visit the Division of Aging Services / PASSR.

If an individual who is currently living in a NF and who has an intellectual or developmental disability has been identified through the Minimum Data Set 3.0 (MDS 3.0)as having a significant change in condition, then the Division of Developmental Disabilities must be notified via completion and submission of the PASRR Resident Review Referral Form.

Below are documents for preparation of a Division of Developmental Disabilities (DDD) contract application as well as annual contract reporting. Third-party contract providers should familiarize themselves with the NJ Department of Human Services Contract Policy and Information Manual.  

Questions about contracting with DDD may be forwarded to: DDD.CAInquiries@dhs.nj.gov for existing providers and ddd.providerhelpdesk@dhs.nj.gov for new providers.

** NOTE - If you previously had a contract with DDD and are now fully fee for service, please email the ddd.providerhelpdesk@dhs.nj.gov email address for assistance with your questions.

Items 1-14 are for annual reporting:

1. Required Documents Checklist
   1. Condensed Annex A
2. Standard Language Document
   1. Non State Agency (used by Provider Agencies)
   2. State Agency (used by State Agencies, i.e. state universities, counties, municipalities)
3. Annex B (Budget Template)
4. Business Associate Agreement (revised 2013)
5. Source Disclosure Certification/(N.J.S.A. 52:34-13.2) (formerly Ex Order 129)
6. Standardized Board Resolution
7. AA-302/Affirmative Action Employee Information Repor
   1. AA-302 Instructions A
   2. A-302 Form
8. Annual Report to the Secretary of State
9. Notification of Licensed Public Accountant
10. Equipment Inventory List
11. Public Law 205, Chapter 51 (only applicable to For-Profit Organizations)
    1. Chapter 51 For
    2. Certification and Disclosure Form
12. NJ Charitable Registration (only applicable to Charitable Organizations)
13. Agency Contact For
14. Cluster Designation
    1. Cluster Designation Form
    2. DDD Cluster Policy
15. P1.10/Contract Modification
    1. P1.10 Policy   
    2. P1.10 Form
16. ACH/Electronic Payment Authorization ACH Instructions   ACH Form
17. W-9/Vendor Questionnaire
18. Payment Voucher
    1. Instructions
    2. Payment Voucher Form (Word)
    3. Payment Voucher (Excel)