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DDD Intake Form

Are you a caregiver, individual or professional who needs help navigating the DDD (Division of Developmental Disabilities) Application? The Arc of New Jersey Family Institute can assist you with questions or concerns. Please include as much information as you can when filling out the form. After you submit the information, a member of The Arc of New Jersey Family Institute staff will contact you. We'll get back to you as soon as we can.


To be determined eligible for DDD services, an individual must:

  • Be a New Jersey resident
  • Be Medicaid eligible
  • Meet the functional criteria of having a developmental disability, and must document that s/he has a chronic physical and/or intellectual impairment that
    • Manifested in the developmental years, before age 22;  
    • Is lifelong; and
    • Substantially limits the individual in at least three of the following life activities: self-care; learning; mobility; communication; self-direction; economic self-sufficiency; and the ability to live independently. 

To receive DDD services, an individual must:

  • Apply and become eligible for *Medicaid, and MUST maintain eligibility
  • Submit the DDD intake package
  • Establish that New Jersey is his or her primary residence at the time of application

Remember: An individual can apply for DDD services at 18 years of age and older, but can’t utilize the service until the age of 21. If an individual is found eligible but under 21 they can receive services through the NJ Department of Children and Families (DCF).

Check out our DDD Go Bag here

Consumer Information
Has the individual been found eligible for services through:
Has the individual ever applied for DDD before?
Contact Information
Additional Details

Would you like to receive email updates from The Arc of New Jersey Family Institute?

I give permission for this information to be forwarded by The Arc of New Jersey to the Department of Children and Families (DCF), the Division of Developmental Disabilities (DDD) and/or NJ Division of Medical Assistance and Health Services (NJ Medicaid), or any other agency that may be able to help.
The Arc of New Jersey Family Institute

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