Interview with Moish Tov, CEO of Joy Dew

Posted By: Sam Fogelgaren on March 16, 1:06 PM

If there is such thing as a traditional path into constructing an adult autism program, Moish Tov has not followed it. A serial entrepreneur with experience in the technology and medical device industries, Tov’s path to building an adult autism program emanated from his two children (who both have autism). Upon visiting various potential adult programs, he found himself disappointed: “I had the assumption that we would find a good solution - and a good solution for me is a place that allows them to live up to their potential, like any other person.”
After having conversations with parents experiencing similar disappointments with existing programs, he noticed that “21 is like a cliff. When you pass 21, you have to make a lot of decisions: about education, what kind of work you do, where you want to live. It’s a complex issue.”


Tov speaking at a recent meeting of the Post 21 Club.

Tov’s first experience building a skill-based program for people with autism was a program within the Israeli military:
“The Israeli intelligence community, the Mossad, had a problem. They didn’t have a good way to analyze satellite pictures. I knew that our kids - people with autism - they have their own strengths. Some of them have very good vision. So we put one and one together. We taught them how to read satellite imaging. We got them used to doing it, and we created a special environment for them, what we called an autism-friendly environment - and we got to work. And after four or six months, the results showed that they are three times more productive, and four times more accurate than their peers. So the Mossad said, give us more. Today they have 100. So that was the start.”
His experiences in Israel gave him clarity on building his own program:
“First, we decided that we’d focus on employment. So that they’d have a place that they could come and work, that they’d have people like themselves, they’d have a community and social life, and they’d have job training on a high level.”
On a recommendation from a family member of a participant, Tov organized a mammogram reading and analysis trial for adults with autism. The program remains in existence today.
“We have a small career center in Morris County and we’re going to bring one over here, and we’re teaching a group of 10 people how to look at mammograms. About 7 out of 10 are not verbal - we teach them how to compare the mammograms - they use a screen, and they mark differences between one and the other, and then the radiologist can do the diagnosis. It save a lot of time for the radiologist - because they can focus on the diagnosis and not the screening. It gives them 60% more time, and we are increasing the accuracy of the earlier diagnosis by 10 to 15 percent, which is quite good.”
He emphasized that the philosophy of JoyDew critically valued the cultivation of talent:
“We call this Talent and Career Development. We develop the talent of our members, and then the career side, we want to train them in about 15 different jobs, all of them technology and media related… We see that all of these adults have strengths - and when we talk about strengths, when you compare their strengths in these areas to their peers, they are competitive to their peers. They just need to have the right environment and the right way to train them to do the work and to deliver the work. And then they can do much better in certain areas than their peers.”
He elaborated on the ideas that underpin his beliefs:
“If you want to get people employed, you have to find their strengths. But you have to create the environment that will support their needs. And if you don’t create this environment, it makes it harder to succeed… If you treat them like a stigma, like there is no human being inside, you’re missing out.”
When asked to elaborate on his views, Tov compared the social and economic treatment of people with autism to his own experiences as an immigrant:
“I think the best example - and I am part of it - is immigration, the immigrant experience. When I came from Israel to the U.S., I had very bad English. You come, you’re full of knowledge, you just don’t have the ability to express it. And then people look at you as if you’re not smart, you don’t have potential. One thing that when I tried to communicate to people is to make the analogy between different groups.”
In closing, Too spoke about the critical role parents must play in the post 21 experience:
“This kind of effort is not done by one person. We need a village. And the village is the parents. Because the parents are the ones who care about it. We have to come together and agree about what were doing and do it.”
“We are building a new path. I haven’t seen a program like this. If I did, I most likely would’ve sent my kids there.” - Moish Tov

Personal Preference Program: An Overview

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

Once families have received their Medicaid through an NJ Family Care Managed Care Organization/insurance company, they are eligible for Personal Care Assistant Services (PCA).

PCA services are non-emergency, health related tasks through NJ FamilyCare. Tasks include help with activities of daily living (ADLs) and with household duties essential to the patient's health and comfort, such as bathing, dressing, meal preparation, and light housekeeping.

What is PPP?
The Personal Preference Program (PPP) is an alternate way for individuals to receive their NJ FamilyCare Personal Care Assistant (PCA) services, giving them more choice.

Using a "Cash & Counseling" approach, along with the idea 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.

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.

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.
PPP allows 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
You can use your cash allowance to:
·   Purchase services from an agency
·   Pay a friend or relative to help you
·   Make modifications to your home, such as a ramp or chair lift, that help you live more independently
·   Buy equipment, appliances, technology or other items that increase your independence, such as a microwave oven, or front loading washing machine that you can reach from your wheelchair
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
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.
Horizon NJ Health
United Health Care
If you are not enrolled in an MCO, please contact us at 1-888-285-3036 for assistance.
Division of Disability Services
11A Quakerbridge Plaza, Mercerville NJ
(Mailing: PO Box 705 Trenton NJ 08625)

Telephone: 888-285-3036
Fax: 609-631-4365
2017 PPP FI Transition Information (English) (Spanish
PPP brochure (English) (Spanish) 
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

Public Partnerships, LLC (PPL)

Posted By: Post 21 Club on July 12, 9:31 PM

What the New Fiscal Intermediary Means for Individuals/Families The Department of Human Services (DHS) recently announced the selection of Public Partnerships, LLC (PPL) as the new Fiscal Intermediary (FI) for the Division of Developmental Disabilities (DDD), Division of Disability Services (DDS), and Division of Aging Services (DoAS). This means that the current FI for DDD will shift from Easter Seals to PPL. Will PPL function the same way as Easter Seals in terms of my Self-Directed Employee? No. Easter Seals functioned in an Agency with Choice (AwC) service delivery model. With the transition to PPL, New Jersey is also shifting to a Fiscal/Employer Agent (F/EA) service delivery model.