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.

• Information for Individuals and Families
  
• Information for Support Coordinators
  
• Information for Prospective Support Coordination Agencies
  

• Information for Individuals and Families
  In the Medicaid-based, fee-for-service system, all individuals who are eligible for and wish to access Division-funded services must either select or be assigned to a Support Coordination Agency (SCA). The Support Coodination Agency assigns a Support Coordinator to work with the indiviudal and his/her family to ensure completion of the Person-Centered Planning Tool (PCPT) and to develop the Individualized Service Plan (ISP).

  To assist individuals and families in understanding the process for selecting an SCA, The Boggs Center has developed two helpful guides:

  • Selecting A Support Coordination Agency: A Guide for People With Disabilities 
  • Selecting A Support Coordination Agency: A Guide for Families.
    
    

  To select and/or change an individual's Support Coordination Agency, a Support Coordination Agency Selection Form must be submitted to DDD.

  The Support Coordination Agencies List is an up-to-date list of all Medicaid/DDD approved Support Coordination Agencies.
  
  
  

• Information for Support Coordinators
  Service Delivery Documents
  • 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

  Tip Sheets:

  • Avoiding Service Gaps
  • Guidance on ISP Signature

  Other Documents and Forms

  • Addressing Enhanced Needs Form
  • AT/EM Evaluation Request Form
  • AT/EM/VM Purchase Request Form
  • Continuation of Prevocational Training Justification Form
  • DVRS/CBVI Determination Form
  • Goods and Services Request Form
  • HIPAA Form Approved for Use by SC Agencies
  • Individual Supports Request Form
  • ISP Quality Review Checklist
  • Medicaid Eligibility Troubleshooting Form
  • Move to Discharge Form
  • Participant Enrollment Agreement- English
  • Participant Enrollment Agreement-Spanish
  • Participant Rights and Responsibilities-English
  • Participant Rights and Responsibilities-Spanish
  • Retirement Request Form
  • Quick Guide to Mandated Training for Self-Directed Employees
  • Single Passenger Rate Transportation Request Form
  • Support Coordination Agency Selection Form
  • Support Coordination Monitoring Tool
  • Supported Employment Funding Request Form

  Residential Pre-Placement and Transition Forms

  Transfer Requests and Pre-Placement Requirement WEBINAR SLIDES

  • Residential Provider Transfer Referral Form
  • Residential Provider Response Form
  • Residential Placement Offer Form
  • Pre-placement Transition Plan

  Interim Program Support Coordination

  • Interim Policy Guide to Support Coordination
  • Support Coordinator's Guide to Unusual Incident Reporting
  • Conflict-Free Policy (revised 01.2015)

   iRecord Tutorials (pre-recorded)

  • iRecord Tutorial: Employment Outcomes
  • iRecord Tutorial: Health and Nutrition
  • iRecord Tutorial: Individual Demographics
  • iRecord Tutorial: Login
  • iRecord Tutorial: Medical Screen
  • iRecord Tutorial: Notes

  iRecord Training Materials

  • iRecord User Guide (v3.0, 10.16.2015)
  • iRecord Documents 
  • iRecord Expenditure 
  
  
  
  
• Information for Prospective Support Coordination Agencies
  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:
  1. Review the Division's revised Conflict-Free Policy (revised 01.2015)
  2. Review the Support Coordinator's Guide to Unusual Incident Reporting
  3. Submit an Agency Letter of Interest and an Agency Conflict-Free Policy (both on agency letterhead ) to the Supports Program Helpdesk at: DDD.SuppProgHelpDesk@dhs.state.nj.us