Helpful tutorials are available here! Call NJPIES Call Center for medical information related to COVID: For DDD-related application questions, contact, Review the Supports Program and Community Care Program Policy Manuals, particularly the sections that pertain to Support Coordination. Cannot communicate effectively without the assistance of others or a mechanical device. Application packets must be submitted to[emailprotected] no later than 14 days prior to clinic date requested. The process for requesting a reasonable modification can be found at, Arizona Adult Protective Services Action Plan, Find Out If You Are Eligible for Services, World Elder Abuse Awareness Day Conference, Senior Community Service Employment Program, Workforce Innovation and Opportunity Act (WIOA), New Contract for Home and Community Based Services (RFQVA DDD-2024) web page, Section 1 - Notice of Request for Qualified Vendor Application, Section 5 - Services Requirements / Scope of Work, Attendant Care - Service Not Currently Being Solicited Effective 01/31/2023, Career Preparation Readiness - ServiceNot Being Solicited Effective 03/31/2023, Center-Based Employment - No Longer Being Solicited as of 04/05/2022, Day Treatment and Training, Adult - ServiceNot Being Solicited Effective 03/31/2023, Day Treatment and Training, Child (After School) - ServiceNot Being Solicited Effective 03/31/2023, Day Treatment and Training, Child (Summer) - ServiceNot Being Solicited Effective 03/31/2023, Employment Support Aid - ServiceNot Being Solicited Effective 03/31/2023, Group Supported Employment - ServiceNot Being Solicited Effective 03/31/2023, Habilitation, Communication - Service Not Being Solicited, Habilitation, Community Protection and Treatment Hourly - Service Not Being Solicited, Habilitation, Consultation - No Longer BeingSolicited as of 10/01/2021, Habilitation, Early Childhood Autism Specialized - No Longer Being Solicited as of 10/01/2021, Habilitation, Group Home - No LongerBeing Solicited as of 10/01/2021, Habilitation, Community Protection and Treatment Group Home - No Longer Being Solicited as of 08/14/2022, Habilitation, Enhanced Behavioral Group Home - ServiceNot Being Solicited Effective 03/31/2023, Habilitation, Hourly Support - Service Not Currently Being Solicited Effective 01/31/2023, Habilitation, Individually Designed Living Arrangement -Service Not Currently Being Solicited Effective 01/31/2023, Habilitation, Music - ServiceNot Being Solicited Effective 03/31/2023, Habilitation, Nursing Supported Group Home - No Longer BeingSolicited as of07/01/2022, Habilitation, Specialized Behavior - Service Not Being Solicited, Habilitation, Vendor Supported Developmental Home (Child and Adult) - Service Not Currently Being Solicited Effective 01/31/20232, Home Health Aid - Service Not Being Solicited Effective 03/31/2023, Homemaker - Service Not Currently Being Solicited Effective 01/31/2023, Individual Supported Employment - ServiceNot Being Solicited Effective 03/31/2023, Licensed Health Aid - ServiceNot Being Solicited Effective 03/31/2023, Nursing - ServiceNot Being Solicited Effective 03/31/2023, Occupational Therapy - ServiceNot Being Solicited Effective 03/31/2023, Person Center Planning Facilitation - Service Not Being Solicited, Physical Therapy - ServiceNot Being Solicited Effective 03/31/2023, Respiratory Therapy - ServiceNot Being Solicited Effective 03/31/2023, Respite - Service Not Currently Being Solicited Effective 01/31/2023, Room and Board, All Group Homes - ServiceNot Being Solicited Effective 03/31/2023, Room and Board, Vendor Support Developmental Homes (Child and Adult)- Service Not Currently Being Solicited Effective 01/31/2023, Speech Therapy - ServiceNot Being Solicited Effective 03/31/2023, Support Coordination (Case Management) - Service Not Being Solicited, Transition to Employment - ServiceNot Being Solicited Effective 03/31/2023, Transportation - ServiceNot Being Solicited Effective 03/31/2023, Section 9A - Application and Award Agreement, Section 9B - Qualified Vendor Application and Directory System, Section 9C - Certification Regarding Lobbying, Section 9E - Data-Sharing Request/Agreement View Sample, Section 9F - Developmental Home Third Party Agreement, Section 9G - Request for Central Registry, Background Check, Section 9J Business Associate Agreement, Section 9L - Participation Boycott of Israel, Section 9M - Forced Labor of Ethnic Uyghurs Ban, RFQVA #DDD 710000 Amendment 8 - Effective April, 15, 2022, RFQVA #DDD 710000 Amendment 7 - Effective January 17, 2020, Equal Opportunity and Reasonable Modification, No documents currently available for public comment. Birth weight under 1000 grams with neurological impairment. Call Availity at 1-800-282-4548 Monday-Friday, 8 a.m. to 8 p.m. (excluding holidays). Once an applicant is licensed as an ADH / CDH Provider and placement is made, the providers are paid for two services: Room and Board and Habilitation. The user is on notice that neither the State of NJ site nor its operators review any of the services, information and/or content from anything that may be linked to the State of NJ site for any reason. The person needing care and be paid by him or her directly. How do I know if my child needs early intervention? A person age 3 years to 6 years must 1) voluntarily apply, 2) be an Arizona resident,and 3) either have one of the following developmental disabilities: Autism Spectrum Disorder, Cerebral Palsy, Intellectual (Cognitive) Disability, Epilepsy, Down Syndrome OR be at-risk for developing one of these disabilities to qualify for Division of Developmental Disabilities services. To register for the Life Safety Rulestraining, send email request to [emailprotected] Subject line: Life Safety Rules, with clinic participants name, email address and date of clinic requested. DDD can accept your application packet in one of three ways: If you would like to speak to an Eligibility Specialist in person, they are available at the below locationsduring the hours listed*. You will need to fill out and submit a HIPAA Release Formto give us permission to discuss your application with the person who is helping you. NOTE: to be processed, your completed form must identify Arizona Department of Economic Security as the State Agencyand list 220 as the Agency number. If you need assistance in a language other than English, please review the Divisions Language Assistance Services for Individuals with Limited English Proficiency. The process for requesting a reasonable modification can be found at, Arizona Adult Protective Services Action Plan, Find Out If You Are Eligible for Services, World Elder Abuse Awareness Day Conference, Senior Community Service Employment Program, Workforce Innovation and Opportunity Act (WIOA), Office of Licensing, Certification, and Regulation (OLCR), Federal Employment Identify Number (FEIN), Arizona Department of Administration General Accounting Office (ADOA-GAO), section 7 of the Current Request for Qualified Vendor Application, Arizona Substitute W-9 & Vendor Authorization Form, Centers for Medicare and Medicaid Services, Arizona Health Care Cost Containment System (AHCCCS), AHCCCS Direct Care Worker Training and Testing Program, ARS Title 36, Chapter 5.1 Public Health and Safety, Developmental Disabilities, Arizona Administrative Code Title 6, Chapter 6. Pursuant to Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA) and other nondiscrimination laws and authorities, ADES does not discriminate on the basis of race, color, national origin, sex, age, or disability. Please view ourParent Providers FAQ documentto seeall the important details. DES DDD Customer Service Center[emailprotected]Toll Free (844) 770-9500 option 1TTY/TDD 711Fax: (602) 542-6870, Office Hours:Monday - Friday, 8:00 a.m. - 5:00 p.m. (Arizona Time)Closed on State Service Holidays, Report Fraud Online or call (877) 822-5799. Agencies approved to provide Support Coordination services can request access to the iRecord. People who identify as BIPOC, people with disabilities, people from the LGBTQ+ community and people with lived experiences of forced displacement or immigration are all encouraged to apply. Pre-Admission Screening and Resident Review (PASRR) Provider Website ROPA Self Directed Attendant Care Treat & Refer Provider Survey Non-Emergency Medical Transportation Rates and Billing Managed Care Fee-for-Service Copayments FQHC & RHC Hospital Assessment Hospital Presumptive Eligibility Hospital Reimbursement Nursing Facility Assessment Offices are closed on state service holidays. If respite is to be provided in the respite providers home, they must also pass the state home inspection. Please complete the Release of information form (which will be sent with your application) with the name of the places you need us to ask for records. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. The Training Materials accessible on this page are intended as samples of acceptable course content for vendors qualified through the Division of Developmental Disabilities(DDD). The Arizona Provider program is a service delivery model where individuals with developmental disabilities and their families choose to utilize independent attendants for their Home and Community Based services through Arizona Department of Economic Security, Division of Developmental Disabilities. Arkansas. Vendors need to apply for and submit their Federal Employment Identify Number (FEIN). Pursuant to Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA) and other nondiscrimination laws and authorities, ADES does not discriminate on the basis of race, color, national origin, sex, age, or disability. Division Circulars; . Complete the Prevention and Support New Instructor Clinic Packet to register. Persons that require a reasonable modification based on language or disability should submit a request as early as possible to ensure the State has an opportunity to address the modification. Step 2:Complete the Combined Application to Become a Medicaid/DDD Approved ProviderOnce NPIs have been obtained, complete the Combined Application to Become a Medicaid/DDD Approved Provider. Prior to, or during the application process, you will be required to: Once everything on the checklist is submitted, it is considered a complete application packet. Persons that require a reasonable modification based on language or disability should submit a request as early as possible to ensure the State has an opportunity to address the modification. The person needs assistance from a mechanical device like a wheelchair or a walker to move from place to place. Our Arizona Host Home program, also known as Adult Developmental Homes, specializes in matching compassionate caregivers who open their homes to adults with disabilities. The Division has identified and is actively recruiting for the following services that are needed statewide: Please contact Network Development & Recruitment for more information. You can mail the completed application and all required documentation to any DDDoffice statewide. This includes completing household chores, preparing simple meals, using microwaves or other household equipment, using public transportation and shopping for food and clothing. Provider Page California Anthem Blue Cross of California Blue Shield of California Yes No Requirements: An out-of-state provider does need to register to bill the payer, however a provider can directly bill a non-Medi-Cal eligible patient. Persons that require a reasonable accommodation based on language or disability should contact ADESs Office of Equal Opportunity at [emailprotected]. Eligibility is determined based on the same criteria that is outlined in the above sections based on the applicants age, 0-3 years, 3-6 years, and 6 years to adulthood. Prior to submitting the Combined Application, agencies interested in providing Support Coordination services must: Submit an Agency Letter of Interest and an Agency Conflict-Free Policy (both on agency letterhead) to:DDD.ProviderHelpdesk@dhs.nj.gov. Learn more about the re-determination process. This will be done eitherby phone (during regular business hours), email or U.S.mail.