Early Intervention has a Family cost Share Program effective August 1st, 2007.
• The New Jersey Early Intervention System (NJEIS) family cost share is a progressive
co-payment per hour of direct services provided in accordance with an Individualized
Family Service Plan (IFSP) that is based upon family size and NJEIS determined
income along the federal poverty level guidelines.
• Families with an annual income at or above 350% of the federal poverty level will be
required to share in the costs of NJEIS services provided.
• The family will be responsible for a family cost share not to exceed the cost of services
or a maximum of 5% of the family’s monthly NJEIS determined income.
• The family will be charged a co-payment per hour of service and, as appropriate, the
costs associated with assistive technology devices that are identified as needed on the
IFSP. Assistive technology devices are charged based on the cost of the device and
are not charged as a co-payment per hour. The total charges for a month include a
family’s co-payment per hour of services rendered and, as applicable, the costs
associated with assistive technology devices not to exceed a maximum of 5% of the
family’s monthly NJEIS determined income.
• The co-payment per hour will be charged based on the month a service is rendered
including services provided as make-ups and/or compensation from prior months.
• The NJEIS cost share system is similar in structure to the federal income tax
progression and, like the federal tax structure; a larger co-payment is assessed in a
progressive manner as the family's income increases.
• NJEIS determined incomes at 350% of the federal poverty level will start with a $5 per
hour co-payment on the actual cost of service, with progressive co-payment increases
based on income and family size.
• A family cost share table with $500 income increments contains the family's copayment
cost share based on family size and NJEIS determined income. The family’s
actual cost will either be the family co-payment per hour of service or the actual cost of
the services, whichever is less.
Please vist http://nj.gov/health/fhs/eis/cost_participation.shtml for more information.
Please feel free to generate conversation with group members regarding the benefits of EI and the benefits of private therapy for your child. We can also talk about possible insurance reimbursement.