State Profile · Deep
NEW JERSEY
A-Last verified 2026-07-03
Deadlines reflect this state’s rules as researched; they can change — always confirm the current deadline with your state agency or Protection & Advocacy office before relying on it.
HOW TO GET SERVICES & APPEAL IN NEW JERSEY
How services are run
State agency
Your service plan
Individualized Service Plan (ISP)
Self-direction
Self-Directed Services
If you get denied
Deadline to appeal
20 days from your Notice of the agency action (denial, termination, reduction, suspension); Notice of Resolution (managed care)
Keep services during appeal
File within 10 days
- Receive Notice of agency action (or DDD waiver-service notice / MCO adverse benefit determination)
- (Managed care) file MCO internal appeal within 60 days (within 10 days to continue benefits) and receive Notice of Resolution
- Request Medicaid Fair Hearing in writing to DMAHS: general/DDD within 20 days of the notice; managed care within 120 days of the Notice of Resolution; within 10 days to continue benefits
- DMAHS transmits to OAL; hearing before Administrative Law Judge; Initial Decision within 21 days of hearing
- DMAHS Final Agency Decision (45 days); appeal to NJ Superior Court, Appellate Division within 45 days
KEY AGENCIES & RESOURCES
NOTABLE WAIVERS
DDD Supports Program
SourceAdults 21+ with developmental disabilities living with family or independently.
Waitlist: Enrollment after DDD eligibility + Medicaid; no traditional waitlist.
DDD Community Care Program
SourceAdults needing residential-level supports.
Waitlist: Priority waiting list managed by DDD.
Children's System of Care (CSOC) DD services
SourceChildren under 21 with developmental disabilities.
Waitlist: Apply through PerformCare.
