Update for persons receiving DDD services who do not currently have Medicaid – from The Arc of NJ

I was forwarded this message (dated 02/27/13), which originated from The Arc of New Jersey.

Dear Colleague,

As you probably know, DDD regulations have changed, and everyone age 21 and older who is receiving DDD services must have Medicaid to continue to receive these services. Information will be distributed very soon about two free Webinars, hosted by The Arc of New Jersey, focusing on Medicaid eligibility. The Webinars can be accessed from one’s computer and/or by phone:

Medicaid Eligibility Webinar Part 1 will be broadcast on Tuesday, March 5, 2013 at 6:30 pm. One of the panelists at this Webinar will be Liz Shea from the NJ Department of Human Services.

Medicaid Eligibility Webinar Part 2 will be broadcast on Monday, March 11, 2013 at 6:30 pm

This update is intended for families, legal guardians, and other caregivers of individuals receiving DDD services who do not currently have Medicaid. The information in this e-mail is not applicable for DDD consumers who already have Medicaid.

DDD is tracking the progress of caregivers who are working on getting Medicaid for consumers who receive DDD services. DDD is requesting that caregivers contact DDD by March 1, 2013 to let them know the status of their efforts in the Medicaid eligibility process

When caregivers provide DDD with an update on their progress with Medicaid eligibility, this is what they should include:

Consumer’s name and address
Date of birth
Brief status update. For example: Have you scheduled an appointment with your County Board of Social Services or with the Social Security office? If yes, what is the appointment date? Did you recently complete a Medicaid application at the County office? If yes, when was that appointment? Have you scheduled an appointment with an attorney to discuss a special needs trust? If yes, when was that appointment?

The best way for caregivers to let DDD know about their Medicaid eligibility progress is via e-mail, to this address: DDD.MediElighelpdesk@dhs.state.nj.us. There is also a phone number for this purpose, but there have been so many phone messages that the voice mail box is often full (even though messages are taken off the machine often). Therefore, DDD is requesting that this phone number be used only by people who do not have access to email: 609-631-6505.

DDD consumers who are not eligible for Medicaid:

DDD recognizes that some consumers who are receiving DDD services are not eligible for Medicaid under the current Medicaid regulations, through no fault of their own. For example: Consumers are not Medicaid eligible if they started to receive a Social Security Disability (SSD) check greater than $931/month (based on their parent’s work history), because a parent retired, became disabled, or died, and the SSD checks started arriving before the consumer started to receive Supplemental Security Income (SSI) from the Social Security Administration. In circumstances such as this, there are two ways to provide a status update to DDD:

If a consumer has applied for Medicaid and was determined ineligible within the last six months, you can either scan and e-mail the ineligibility determination letter to DDD at DDD.MediElighelpdesk@dhs.state.nj.us, or mail it to this address: Attention: Medicaid Eligibility Project, Division of Developmental Disabilities, Central Office, P.O. Box 726, Trenton, NJ 08625-0726, or
The caregiver can complete either DDD’s troubleshooting form or The Arc of NJ’s Medicaid Eligibility Problem Form (the two forms are very similar) and e-mail the form to DDD.MediElighelpdesk@dhs.state.nj.us (preferred method), or mail it to the DDD address above. The two Medicaid forms are attached to this e-mail.

Even if a consumer is not currently eligible for Medicaid, the family should address the issue of excess assets, if applicable. DDD personnel are going to try to have this group of currently ineligible consumers become Medicaid eligible, and they want to be certain that they won’t have to deal with assets as a barrier. See also the paragraph below.

If the consumer’s assets exceed the Medicaid eligibility maximum:

If consumers are not Medicaid eligible because their assets are above the allowable Medicaid limit, the caregivers must determine how they will deal with this problem because those assets will jeopardize the continuation of the consumer’s DDD services! In these cases, families are advised to seek the advice of an attorney with extensive experience in developing a special needs trusts for persons with developmental disabilities. Please note: An attorney will be speaking about assets above the allowable Medicaid limit at The Arc of NJ’s Webinar on March 11th at 6:30 pm.

Please share this e-mail with others who may also be interested. Thank you!