Maintaining Program Eligibility

Section 5.4, Supports Program/Community Care Program Policies and Procedures Manual

As indicated in the Participant Enrollment Agreement, which the individual signs when enrolling in the Supports Program or Community Care Program, it is important to know what the individual needs to do (or not do!) to remain eligible for program services .

WHAT TO DO:

 Submit all required information and documentation on time.

 Provide accurate and updated information.

 Participate in monthly, quarterly, and annual contacts/visits conducted by the Support Coordinator.

 Maintain Medicaid eligibility.

 Follow the rules explained in the Participant Enrollment Agreement.

If one or more of the following situations occurs, the individual may not be able to access DDD services:

 The individual loses their Medicaid eligibility.

 The individual has moved out of New Jersey.

 The individual has enrolled in another Medicaid waiver program.

 The individual does not access program services (other than Support Coordination) for more than 90 days due to lack of need of services rather than lack of availability of services.

For a complete list of requirements for maintaining program eligibility, see Section 5.4 of the Supports Program and Community Care Program policy manuals.