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Applying for determination of eligibility

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

Forms A through D listed above are required, along with appropriate medical and other documentation as identified in the forms.

If you wish to name additional individuals who may speak with PerformCare about the status of your application, please use this form:

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

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

After your application is received at PerformCare, it will be checked to confirm that all required forms and documents are included. If all documents are present, it will be sent to the DD Eligibility Unit for review. If at any point it is found that your application is missing information or documents needed to make a decision, you will receive both a letter and a phone call to explain what is still needed.

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.