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. *These are recommended rates and have not yet received final approval
Update for DDD Providers on FFS Rate Utilization: Archived Webinar and Slide Presenation
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.
DDD October 4th Family Forum Canceled, to be Re-scheduled
The DDD Family Forum scheduled for Saturday, October 4th has been canceled. We are working to identify an alternative date for this event and will share that information as soon as we have it. Thank you for your understanding.
On September 18, 2014, the Update for DDD Providers on Fee for Service Rate Utilization Webinar was held. The archived recording of that webinar will be available soon. The Update for DDD Providers on Fee for Service Rate Utilization Slide Presentation is available as a pdf document to view and download.
Fee for Service Implementation Timeline and Accompanying Webinar
The Division has developed the first part of a Fee for Service Implementation Timeline, covering September, 2014 through January, 2015.
For guidance on understanding this timeline, please view/listen to the pre-recorded FFS Timeline Implementation Webinar, available in 4 parts on the DHS YouTube page. The webinar is not intended as a stand-alone presentation and should be viewed along with the timeline.
Services Available in the FFS System
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