Mainstreaming Medical Care (The Arc of New Jersey)
The Arc of New Jersey's Mainstreaming Medical Care Program promotes quality health care for people with developmental disabilities throughout New Jersey.
Information and advocacy on the NJ Division of Developmental Disabilities (DDD) policy requiring Medicaid eligibility, as well as information on Supplemental Security Income (SSI), Social Security Disability Insurance (SSDI), Disabled Adult Child (DAC) status, Non-DAC Status, ABLE Accounts and NJ Medicaid.
Examples of advocacy issues:
- A mother wants to apply for DDD services for a son with I/DD who is 20 years old. The father passed away several years ago and the income from the father’s work record is too high for the son to have Medicaid from the County Board of Social Services. The mother is told by school personnel (erroneously) that her son will not be able to have DDD services because he is not Medicaid eligible.
- An individual with I/DD who receives Medicaid needs to have general anesthesia for dental work, but the parents cannot locate a dentist in the network of the Medicaid Managed Care Organization (MCO).
- An individual who receives DDD services had Medicaid from the NJ WorkAbility program, but it is terminating because the individual is no longer employed. The parents are worried that DDD services will end because Medicaid is ending.
- An adult with I/DD receives both Medicare and Medicaid. The parents voluntarily enrolled their daughter in a Dual Eligible Special Needs Plan (D-SNP). Two of the daughter’s doctors do not participate in that Medicare Managed Care Plan, and they want to disenroll.
*NOTE: We will advocate for the best interest of each individual, but there is never a guarantee of a successful outcome.
Employment / Training
Family & Support Services
Behavioral / Mental Health
Crisis / Safety
Intellectual and Developmental Needs
Last Updated: 04/16/21