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  • Request For Tier Assignment Form - Nj

Get Request For Tier Assignment Form - Nj

New Jersey Department of Human Services Division of Developmental Disabilities www.nj.gov/humanservices/ddd Request for Tier Assignment This form is for use by individuals and/or their legal guardians.

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How to fill out the Request For Tier Assignment Form - Nj online

Filling out the Request For Tier Assignment Form - Nj is an essential process for individuals and their legal guardians seeking tier assignment information from the Division of Developmental Disabilities. This guide will provide you with clear, step-by-step instructions to complete the form online efficiently.

Follow the steps to successfully complete your request form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Complete the individual's information, including their name, DDD ID number, and date of birth. Ensure that all details are accurate and clearly written.
  3. Fill in the details of the requestor, which should be the legal guardian of the individual. This includes the requestor's name, relationship to the individual, phone number, and email address.
  4. Review all provided information to ensure its accuracy. Remember to comply with the guideline that you must submit this request at least 30 days after the NJ CAT assessment has been completed.
  5. To submit online, go to the secure site where you will enter the requestor’s name, phone number, and email.
  6. In the DDD SU Unit dropdown menu, select 'Request Tier' from the options.
  7. Upload the completed Request For Tier Assignment Form.
  8. Press Submit to finalize your online request.

Begin your online submission of the Request For Tier Assignment Form today for a seamless process.

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Available services include assistive technology, behavioral supports, day programming, a variety of employment options, various therapies, transportation, and the option to self-direct both employees and support services, including classes in the community.

This information is gathered using the New Jersey Comprehensive Assessment Tool (NJCAT). The NJCAT evaluates the need for support in three main areas: self-care, behavioral, and medical. The results also establish the individual's tier, which determines the annual budgets that will be available for services.

There are five base tiers: A, B, C, D, & E (as well as an exception tier – Tier F – that is assigned in very rare cases). There is also a factor that will be added to the tier for individuals with high clinical support needs based on medical and/or behavioral concerns.

To meet the functional criteria for a developmental disability, you must provide documentation that you have a chronic physical and/or intellectual disability that began before you were 22 years old, is expected to be lifelong, and limits your ability to care for yourself and live on your own.

If an individual experiences changes in his support needs before that time or believes that the original assessment was completed improperly, a request for a reassessment can be submitted to DD.DDPIAssessmentRequests@dhs.state.nj.us or by mail to NJ Division of Developmental Disabilities, PO Box 726, Trenton, NJ 08625- ...

There are five base tiers: A, B, C, D, & E (as well as an exception tier – Tier F – that is assigned in very rare cases). There is also a factor that will be added to the tier for individuals with high clinical support needs based on medical and/or behavioral concerns.

DDD administers two Medicaid waiver programs, the Supports Program and Community Care Program. Through enrollment in one of these programs, individuals can receive home and community based services based on their assessed needs and individualized budget.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232