DDD Intake Form
Are you a caregiver, individual or professional who needs help navigating the DDD (Division of Developmental Disabilities) Application? Dear Jaffa 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 Dear Jaffa We'll get back to you as soon as we can.
REMINDER:
To be determined eligible for DDD services, an individual must:
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Be a New Jersey resident
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Be Medicaid eligible
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Meet the functional criteria of having a developmental disability, and must document that she/he has a chronic physical and/or intellectual impairment that
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Manifested in the developmental years, before age 22;
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Is lifelong; and
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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.
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To receive DDD services, an individual must:
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Apply and become eligible for *Medicaid, and MUST maintain eligibility
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Submit the DDD intake package
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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).

About Us
Dear Jaffa Developmental Disability Services is a compassionate care provider dedicated to supporting individuals with developmental disabilities throughout New Jersey. We believe that every person, regardless of ability, deserves to live a life filled with dignity, independence, and purpose. Our mission is rooted in empowerment, respect, and personalized care.
At Dear Jaffa, we provide holistic, person-centered services that promote growth, inclusion, and well-being. From daily living support to community integration, our team works hand-in-hand with individuals, families, and support coordinators to design care plans that reflect the unique strengths, preferences, and goals of each person we serve.
Our Services Include:
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In-Home & Community-Based Support
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Companion & Respite Services
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Life Skills & Independence Training
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Transportation Assistance
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Recreational & Social Engagement Programs
Our Values:
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Respect & Dignity: Every individual is treated with compassion and care.
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Inclusion & Opportunity: We create pathways for social connection, community involvement, and self-expression.
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Partnership & Advocacy: We work closely with families, guardians, and professionals to champion the rights and needs of those we serve.
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Trust & Transparency: Reliability, safety, and open communication are the foundation of everything we do.
We are proud to be a trusted provider through the New Jersey Division of Developmental Disabilities (DDD) and committed to helping individuals lead fulfilling, enriched lives—at home and in the community.
At Dear Jaffa, we don’t just provide services—we build relationships, open doors, and create possibilities.


