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Official Site of The State of New JerseySupport Coordinator Information
Support Coordination is a Division-funded service that assists individuals in gaining access to needed program and State plan services, as well as needed medical, social, educational and other services.
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Upcoming Webinars for Support Coordinators
Support Coordination Unit Webinar for Support Coordination Agencies
*NEW* August 11, 2022; 1:00pm to 2:00pm; Register at https://attendee.gotowebinar.com/register/3508969735898351374
*NEW* October 13, 2022; 1:00pm to 2:00pm; Register at https://attendee.gotowebinar.com/register/1929358554877221388
*NEW* December 8, 2022; 1:00pm to 2:00pm; Register at https://attendee.gotowebinar.com/register/7984539513341963022
Past Webinars for Support Coordinators (Recordings)
Monthly Training and Education Opportunities for Support Coordination Agencies
Easterseals Agency with Choice Webinars for Support Coordinators
Register Now in advance for any or all of the following Mondays:
- Apr 25, 2022 12:00 PM
- May 30, 2022 12:00 PM
- Jun 27, 2022 12:00 PM
- Jul 25, 2022 12:00 PM
Support Coordination Documents and Forms
GUIDANCE AND TOOLS
- Avoiding Service Gaps
- Claiming for Support Coordination Services for Individuals Enrolled in SP or CCP-FFS
- Electronic Signature (E-Signature) Use in iRecord
- Electronic Signature (E-Signature) Frequently Asked Questions
- Email Validation Process: SC Training (11/28/2018)
- Entering Supported Employment–Individual Employment Support Services Into the ISP
- EVV Guidance for Support Coordination Agencies
- Case Transfer Form
- Communication Protocol
- Community Care Program (CCP) FAQs
- Guidance on Waiver Program Transitions
- Independent Living Discussion Tool
- ISP Review Tool for SCAs
- ISP Review Tool User Guide for SCAs
- ISP and PCPT Submission Criteria
- Quick Reference Guide to Mandated Trainings for SDEs
- Request for Intensive Case Management (ICM)
- SCA Policies & Procedures Guidebook
- Seeking Out Support (SOS) Form
- Support Coordinator Monitoring Tool Work Instructions 2014
- Tips for Preparing an ICM Referral
- Transitioning Individuals from Institutional Settings
- Transportation Services in Fee for Service
- ISP Signature Page Frequently Asked Questions
GUARDIANSHIP
- Guardianship Referral Form
- Instruction for Guardianship Referrals
- Request for Guardianship Need Recommendation
INCIDENT REPORTING
- Incident Reporting Updoc Instructions
- Incident Reporting Levels and Categories Grid
- NJ-IRMS Summary Review – Incident Reporting Levels and Categories Grid
- Initial Incident Report
PLAN DEVELOPMENT AND MONITORING
- Addressing Enhanced Needs Form
- Continuation of Prevocational Training Justification Form
- DDD Mental Health Pre-Screening Checklist
- DVRS/CBVI Determination Form
- DVRS Referral Guidelines
- HIPAA Form Approved for Use by SC Agencies
- Medicaid Eligibility Troubleshooting Form
- Monthly Monitoring Tool
- Non-Referral to DVRS or CBVI Form (Aka F6)
- Participant Enrollment Agreement- English
- Participant Enrollment Agreement-Spanish
- Participant Rights and Responsibilities-English
- Participant Rights and Responsibilities-Spanish
- Support Coordinator’s Guide to the F3 & F6 Forms
- Support Coordinator Face to Face Visit Declination Form
- ISP Review Checklist for Support Coordination Supervisors
- ISP Revision and Notification Form UPDATED
- ISP Worksheet for Day Service Providers UPDATED
- ISP Worksheet for Residential Providers UPDATED
REQUEST FORMS
- AT/EM Evaluation Request Form
- AT/EM/VM Purchase Request Form
- BEHAVIOR ANALYST referral Form
- Goods and Services Request Form Instructions
- Goods and Services Request Form
- Human Rights Committee Referral
- ICF/ID Referral Form
- Individual Supports Request Form
- Retirement Request Form
- Retroactive Change Request Process
- Retroactive Change Request Form
- Single Passenger Rate Transportation Request Form
- Supported Employment Funding Request Form
- Speech Pathologist Referral
- Voluntary discharge from Division Services
RESIDENTIAL PLACEMENT FORMS
Apply to Become a Support Coordination Agency
To become a Division-approved Support Coordination Agency, a provider must complete and submit the Combined Application to Become a Medicaid/DDD Approved Provider (Combined Application) found on the Provider Portal page of the Division's website.
Prior to submitting the Combined Application, agencies interested in providing Division-funded Support Coordination services must
- Review the Division's revised Conflict-Free Policy (Revised 1/2022)
- Review the Support Coordinator's Guide to Unusual Incident Reporting
- Submit an Agency Letter of Interest and an Agency Conflict-Free Policy (both on agency letterhead ) to the Provider Helpdesk: DDD.ProviderHelpdesk@dhs.nj.gov