At the time the need for a residential placement becomes necessary, a case manager or Support Coordinator can explore residential options with the individual. Some residential options that may be offered to an eligible individual include:
- Group homes – in which individuals share a home with no more than three other residents and receive services from staff who are on-site 24 hours a day.
- Supervised apartments – in which an individual lives alone or with a roommate in an apartment that is leased or owned by a provider agency, which also employs staff that is available to serve the individual 24 hours a day.
- Supportive Housing – in which an individual leases his or her own apartment and receives services on an as-needed basis either in person or through phone contact up to a total of 24 hours a day, seven days a week.
- Community Care Residence – in which an individual lives as part of the family of a caretaker and receives assistance from that person and/or from an agency on a routine basis.
Contribution To Care
Individuals who move into a residential placement provided by DDD should be aware that they will be required to help contribute to the cost of their care. This legal obligation, referred to as the “contribution to care,” is outlined in NJAC 10:46D and can be found in Division Circular 3A. This contribution helps the State cover the cost of shelter, food and other maintenance items.
An individual’s contribution to care begins to be assessed on the 31st day after he or she enters a residential placement.
- The contribution for an individual age 21 and older will be based on his or her wages and/or unearned income.
- In all cases, a lien will be filed against the real and personal property of the individual who is entering a residential placement.
Individuals and families may request an adjustment in their assessed Contribution to Care if they are able to show that their situation fits one or more of the eight (8) special circumstances. These are outlined in DDD’s Division Circular 3A “Contributions to Care and Maintenance Requirements.” To request consideration for a special circumstance or circumstances, individuals and/or families should complete the DDD Special Circumstances Form and return it to the address shown on the form.
Individuals with questions about contribution to care should contact their case manager or the fiscal officer in the DDD Community Services Office that serves the county in which they live.
Fact Sheet about Contribution to Care for adults
Transition to Fee-for-Service and Contribution to Care
The Division is transitioning to a Medicaid-based fee-for-service system, which is expected to be fully implemented statewide by June 30, 2019.
As individuals transition into fee-for-service, the traditional Contribution to Care model will be replaced by a new model. In the fee-for-service system, an individual living in a licensed residential setting will need to contribute the following:
- 30% of his/her monthly income toward rental costs
- An additional monthly amount - determined by the residential provider - toward other care-related costs
For more information, please see Fee-for-Service and Contribution to Care.
Housing vouchers are an option for eligible adults, age 21 and older, who are seeking to live independently or with a roommate. For more information, please see Community Living Options.