Personal Preference Program: An Overview

Posted By: Post 21 Club on March 12, 5:12 PM

Q: “Why should I be interested in the Personal Preference Program (PPP)?”

A: If you and/or your relatives spend a significant part of your week providing caregiving services to your adult child who lives with Autism, the Federal government and NJ State can and will compensate all those involved, up to certain limits, as “employees” of the affected individual?

All that is required is completion of an application process, and filling out regular timesheets online.  When one considers the amount of love, time, and effort that goes into providing care to the individual(s), being paid for these services can be a great help.  What you should know and be aware of:

WHY PARTAKE IN THE PERSONAL PREFERENCE PROGRAM?

PPP enables affected individuals (“consumers”) to:

  • Choose the services they need and want
  • Hire anyone they want: relatives, friends, neighbors
  • Design a service plan to meet their schedule
  • Buy equipment, devices, make home modifications
  • Exercise greater control, flexibility and choice over their personal care

 

ACCESS A CASH ALLOWANCE

An affected individual can use a cash allowance to:

  • Purchase services from an agency
  • Pay friends or relatives when providing caregiving
  • Make modifications to the home, such as a ramp or chair lift, that help the Consumer live more independently
  • Buy equipment, appliances, technology or other items that increase independence, such as a microwave oven, or front loading washing machine that the Consumer can reach from a wheelchair

 

DETAILS: Once families have established their Medicaid eligibility through an NJ Family Care Managed Care Organization/insurance company, they are eligible for Personal Care Assistant services (PCA).
These are non-emergency, health related tasks administered by NJ FamilyCare. Tasks include help with activities of daily living (“ADL”’s), and also household duties essential to the patient's health and comfort, such as bathing, dressing, meal preparation, and light housekeeping.

A. BACKGROUND

1. What is the Personal Preference Program (“PPP”)?

PPP is a way for affected individuals to receive Personal Care Assistant (PCA) services via NJ FamilyCare.

(Per the NJ Department of Human Services, NJ FamilyCare is not a welfare program, but rather the State of New Jersey's way of providing affordable health coverage for kids and certain low-income parents.  See www.nj.gov/humanservices/dmahs/clients/njfamilycare/ )

2. Using a "Cash & Counseling" approach, along with the concept of "consumer direction," PCA services can be accessed under PPP, which allows seniors and people with disabilities who are NJ FamilyCare recipients to direct and manage their own services.

With a monthly cash allowance, participants - or "consumers" - work with a consultant to develop a Cash Management Plan (CMP). This plan helps them decide the services they need and the individuals and/or agencies they can hire to provide those services. Consumers who are cognitively impaired or unable to make their own decisions can choose a representative to make decisions on their behalf.

3. Financial Management PPP also includes Fiscal Management (FM) services to help consumers with the financial aspects of the program. The FM handles all enrollment and payroll responsibilities for individuals/agencies and acts as a bookkeeping service. They also visit every 3 months to monitor and manage services and ensure the safety and well-being of consumers.

BACKGROUND SUMMARY: The Personal Preference Program requires greater individual responsibility. But in return, it offers the consumers more control, flexibility and choice over the services they receive.

B. ELIGIBILITY
Applicants must be:
·   NJ FamilyCare eligible
·   Approved for Personal Care Assistant Services (PCA) and need PCA services for at least six months.
·   Able to self-direct services or choose a representative who can act on his/her behalf
 
C. TO APPLY:
If you are enrolled in a NJ FamilyCare Managed Care Organization (MCO), please contact your MCO to request a PCA assessment for enrollment into PPP.
Aetna
Amerigroup
Horizon NJ Health
United Health Care
WellCare
If you are not enrolled in an MCO, please contact us at 1-888-285-3036 for assistance.
 
CONTACT INFORMATION
Division of Disability Services
11A Quakerbridge Plaza, Mercerville NJ
(Mailing: PO Box 705 Trenton NJ 08625)

Telephone: 888-285-3036
Fax: 609-631-4365
 
RELATED LINKS
2017 PPP FI Transition Information (English) (Spanish
PPP brochure (English) (Spanish) 
 
KEY STAFF
Ursula Baker,  PPP Program Manager
 
 
For more information, or if you have further issues, please contact me at the address below.
Thank you!
Hyun Kim
Consultant, PCG

Personal Preference Program: An Overview

New Jersey Creates Ombudsman for Disability Services

Posted By: Sam Fogelgaren on January 12, 4:24 AM

Earlier this week, Governor Chris Christie signed A-3824 into law. The law 'establishes Office of Ombudsman for individuals with intellectual or developmental disabilities and their families.'

From Lilo H. Stainton of NJ Spotlight: "Estimated to cost anywhere from $150,000 to $1.9 million annually, depending on its workload, the ombudsman and a limited staff would be responsible for helping individuals access appropriate federal, state, and local services; assisting them with communications with government agencies and dispute resolution, while serving as neutral arbitrators; identifying patterns of complaints and recommend improvements; and working with state agencies to better reach those they serve. In addition, the office would be required to report its work to state officials, the governor and the lawmaker each year."

Outgoing Governor Approves Array of Healthcare Programs - NJ Spotlight

 

Tax Bill Information

Posted By: Sam Fogelgaren on December 22, 1:43 PM

On December 20th, Congress passed the Tax Cut and Jobs Act of 2017, which is expected to be signed by President Trump in the coming days. The bill will impact the funding of various aspects of disability services. Read the links below to learn more about the bill, its impact on the disability community, and the reaction of various leaders.

Disability and Disaster Response in the Age of Climate Change

Disability Community Responds to Tax Cut and Jobs Act of 2017 Passing

34 things you need to know about the incoming tax law

Tax Bill May Threaten Disability Services

The GOP's Tax Bill Is a War On Disabled People

(The opinions expressed in the links and articles below do not reflect those of the Post21 Club, and the posting of such material does not equal support or an endorsement by Post21 Club of the views expressed)