Yodel Developmental Disabilities

Individual / Behavior and Residential Supports

Real Life Choices - Self Directed Supports

Provider Managed Supports

• Individual Supports
• Madical Support - Level 1-6
• Behavior Support - Level 1-4 
• Residential Supports
• Supported Employments
• Respites 
• Recreation
• Counseling

 Child Behavioral Health Services

An Overview:

Services Available through (YMHDD) and

New Jersey’s Community Care Waiver (CCW)

This Overview provides a general description of the wide range of services available to individuals who are enrolled on New Jersey’s Medicaid Community Care Waiver (CCW) and the Qualified Provider YMHDD. The specific services individuals receive is based on their assessed need incorporated into their Service Plan, which is reviewed and updated annually. Specific questions about waiver services should be directed to a case manager.

1. Case Management Services

“Case management services” help individuals learn about and gain access to any

service that can help address their needs. These include, but are not limited to,

Medicaid waiver and Medicaid State Plan services as well as medical, social,

educational, county and municipal services. Please call your local Division of Developmental Disabilities, Community Service Office, located at 2 Echelon Plaza, 221 Laurel Road, Suite 210, Voorhees, NJ 08043, (856) 770- 5900 and ask for a Real Life Choice Assessment for Self-Directed Day Services.

2. Individual Supports

“Individual supports,” sometimes referred to as “personal assistance services,”

provide an individual with the assistance he or she needs to live in, and become

part of, the community. These generally are tasks and activities related to selfcare, personal maintenance, habilitation and household duties. They are

performed in an individual’s own or family home, or in another community-based

setting (such as a group home or a supported apartment) at the direction of the

individual receiving the assistance, his or her family member or guardian.

The people who provide individual supports usually are staff employed by

agencies that either administer and provide services in community residences,

such as group homes or supported apartments, or that provide services in an

individual’s home. Individual supports also may be provided by some members of the individual’s family. The waiver will not pay for services furnished by the individual’s parent (or step-parent) or spouse, or by a guardian, legally responsible relative or a relative who lives with the person receiving the service. This rule will only be waived during periods of transition, such as when a new staff person has been hired but not yet started work. In these cases, relatives residing in the individual’s home will be permitted to provide services for a period of no more than 30 days a year and for no more than 40 hours/week.

Some examples of Individual Supports/ Personal Assistance Services include:

• Attendant Care Services:

o Bathing in bed, in the tub, or shower;

o Assisting in the use of a toilet or bedpan;

o Grooming: hair care (including shampooing), shaving and ordinary nail

cares;

o Helping individuals transfer from bed to chair or wheelchair, or in and out

of a tub or shower;

o Caring for the teeth and mouth;

o Changing bed linens with an individual in bed;

o Assisting with eating and preparing meals, including special therapeutic

diets;

o Dressing;

o Ambulation (walking), indoors and out;

o Escorting individuals to clinics, physician’s offices, related medical

therapies, recreation activities and/or other trips;

o Assisting with medication that can be self-administered;

o Assisting with the use of special equipment such as a walker, braces,

crutches, wheelchair, etc., after a thorough demonstration by a registered

professional nurse or physical therapist, until that person is satisfied that

the individual can use the equipment safely;

o Assisting in implementing physical or occupational therapy, speech

language pathology programs or psychological/behavioral programs.

• Household Chores:

o Kitchen care, to include washing the dishes and making sure the

refrigerator, stove, sink since and floor are clean.

o Bathroom care, to include cleaning the toilet, tub, shower, and floor;

o Laundry, to include caring for an individual’s personal items and bed linen

(may include necessary ironing and mending);

o Making and changing beds, washing windows, cutting lawns and putting

out the garbage

o Other household chores necessary for independent living.

• Routine errands, such as picking up medication or preparing meals, shopping or

any short trip to perform a specific task. It is important to note that these services

are not meant to isolate the individual from the community; therefore, the

individual should accompany the Individual Support Staff wherever possible.

3. Respite Services

“Respite” is care that individuals receive when their parent(s), guardian or other

immediate caregiver is temporarily absent or disabled. Respite services may be

provided at the provider’s business location or private home, in the home of the

individual with developmental disabilities, or in a location approved by the

individual or his/her legal guardian.

DDD bases decisions about whether to grant a request for respite on guidelines

that address what constitutes a need for respite, what respite is and who can

provide respite. In some cases, state laws and regulations also define who can

provide respite services.

DDD may approve members of the individual’s family to provide respite.

However, the division will not pay for services furnished by the individual’s parent

(or step-parent), spouse, or by a guardian, legally responsible relative or a

relative residing in the service recipient’s residence.

4. Supported Employment Services

“Supported employment services” make it possible for some individuals with

developmental disabilities to work and earn an income. These are individuals

whose disabilities are such that they need intensive support in order to perform

paid employment in a work setting on an ongoing basis. One example would be a

job coach who works with a consumer at a community job. Even with these

services, the individuals are unlikely to be able to perform competitive

employment at or above the minimum wage.

Supported employment can occur in a variety of settings, including work sites in

which persons without disabilities are also employed. It may include supervision

and training.

It is important to note that the Division of Vocational Rehabilitation Services

(DVRS) is the primary provider of this service. This service can only be

accessed through the CCW :

1) if it is determined that additional follow along Job Coach hours are

required after DVRS has completed its own Supported Employment

process; or

2) in cases where DVRS finds the individual cannot benefit from its

Supported Employment Services and a qualified DDD provider can

guarantee employment if Supported Employment Services are provided.

If transportation is available to the individual at no cost, he or she will be

expected to use it. Otherwise, it can be provided between an individual’s

residence or pickup/drop off site and his or her supported employment sites, up

to a distance of 38 miles or a total of one hour and fifteen minutes travel time one

way, based upon whichever limit is reached first.

Volunteerism is not included in Supported Employment Services.

5. Support Coordination (Supports for Self-Direction)

“Support Coordination” is the assistance individuals and their families receive as

they learn to self-direct their own services by using an individual budget.

Individuals who self-direct are responsible for managing their own services and

recruiting, hiring and, if necessary, firing the staff that provides those services.

Support Coordination is provided by a Support Coordinator. The Support

Coordinator introduces individuals and their families to the services and supports

available through the waiver and helps them arrange to get them for the

individuals. The Support Coordinator also introduces them to the process of

creating an Essential Lifestyle Plan (ELP), which is the Service Plan for people

who self-direct.

6. Transportation Services

“Transportation Services” refers to transportation that allows individuals to travel to waiver services and supports when it is not otherwise provided. Examples of

transportation services covered by the waiver include the cost of personal drivers*,

taxi fares and train and bus tickets. The waiver also covers transportation services

such as Access Link that are provided by municipalities, counties, or private

contractors. Individuals must select the service that is the most cost-effective means

of transportation available. The State establishes the mileage reimbursement rates.

*The waiver covers two different types of personal drivers:

1. Self-Hire – An individual and his or her family hires their own driver. The driver

uses his or her personal vehicle

2. Agency Hire – An individual and his or her family contracts with an agency to

provide a driver. The driver uses his or her personal vehicle.