Applying for Determination of Eligibility

Dear Parents and Caregivers:

Out of an abundance of caution, PerformCare recommends that eligibility applications for CSOC intellectual and developmental disability services be submitted online through the Family Portal.

Completing the application online will also process faster at this current time.

Please note that the Family Portal only supports Internet Explorer version 11 or greater. Download Internet Explorer on Microsoft’s website.

For youth determined eligible for Developmental Disability Services

For children with developmental disabilities

Applications for eligibility for developmental disability services for children under age 18 must be submitted to PerformCare, the single access point into the New Jersey Children's System of Care (CSOC).

The application materials below may be downloaded and printed out for completion by hand. You may also call PerformCare at 1-877-652-7624 to request that the application materials be mailed to you. Please refer to the instructions below for guidance on completing the required application forms and submitting the required supporting documentation.

Complete the eligibility application online in our secure portal.

Atención: Por el momento, la solicitud de elegibilidad en internet para los servicios de discapacidad intelectual o del desarrollo está disponible únicamente en inglés.  Si le resulta más cómodo leer y escribir en español, por favor imprima y complete los formularios de solicitud disponibles en español que figuran a continuación.  

Special notice for young adults ages 18 to 21

Applications on behalf of individuals who have turned 18 years old or older must be submitted to the Department of Human Services (DHS) Division of Developmental Disabilities (DDD). CSOC will honor determinations of eligibility and provide developmentally disability services made by DDD for individuals between the ages of 18 and 21. Eligibility for services from CSOC ends the day before an individual's 21st birthday. Please visit the DHS DDD website for more information on DDD's application forms and process.

Downloadable instructions and guidelines

Please review these forms and use them as a guide for submitting your application.

Application forms

Para descargar la solicitud de elegibilidad en español, haga clic aquí

These forms are specific to children up to age 18 and have additional instructions to assist families and their advocates in applying for eligibility. Many of the changes are based on feedback from families and community representatives that occurred in 2013. Please note that the requirements for eligibility under NJ statute have not changed. These updated forms are designed to make the eligibility process for children easier to understand.

Application forms: required

You can also access these application forms in additional languages.

Forms A through D listed above are required, along with appropriate medical and other documentation as identified in the forms. Some applications may also need a Authorization for Disclosure of Health Information form (PDF). For more information on this form, please see the Disclosure of Health Information section below or visit the PerformCare Forms page.

The completed application forms and supporting documentation should be mailed to PerformCare at the following address:

PerformCare New Jersey
Attention: DD Eligibility Unit
300 Horizon Drive, Suite 306
Robbinsville, NJ 08691

Authorization for Disclosure of Health Information

Some applications may need an Authorization for Disclosure of Health Information form. PerformCare may ask you to complete an authorization form in order to allow another person or organization of your choosing, such as a doctor or your child’s school, to communicate with PerformCare about your child’s needs in regards to the application. For more information on completing and mailing the authorization form, please see the Forms page.

Family portal

For those who prefer, this application is also available to complete online, with real-time tracking of your application status.

Go to the secure family portal.

Please review all the forms and materials above before completing the application online.

What to expect after you apply

Once PerformCare receives your application, it will be sent to the DD Eligibility Unit to confirm that all required forms and documents are included. After an initial review of the application, you will receive a letter to explain what is still needed if your application is missing any documents and/or other information needed to make a decision.

From the date that an application has been submitted, the family has up to one year to submit necessary documents (if the youth is under age 18 years old). After one year, you will need to submit a new application.

A decision will be made within 60 days after the DD Eligibility Unit has all the information they need.

If the child is eligible for services, you will receive an eligibility letter from PerformCare. If the child does not appear to be eligible, the application materials will be sent for further review. This second review, if necessary, may extend the decision beyond 60 days.