HOW TO APPLY

FOR

THE COMMUNITY CARE PROGRAM

FOR

THE ELDERLY AND DISABLED

What is the Community Care Program?

for the Elderly and Disabled?

The Community Care Program for the Elderly and Disabled (CCPED) provides certain free in-home care services to aged (65 or over), blind or disabled individuals who are in need of such care as a result of serious illness. The purpose of the program is to provide these services in such a manner as to allow the individual to remain in his/her home rather than having to enter an institution (hospital or nursing home).

HOW MUCH INCOME

AND

RESOURCES CAN I HAVE

AND

STILL BE ELIGIBLE?

If your total gross monthly income is less than $1,536 you may be eligible.

The total value of all of you RESOURCES, such as cash on hand and money in the bank must be NO MORE THAN $2,000.

WHAT DO I NEED TO APPLY

FOR

THE COMMUNITY CARE PROGRAM

FOR

THE ELDERLY AND DISABLED?

When applying for the CCPED program, you will be asked to provide documents concerning your situation. If you have any of the documents listed below, bring them with you when you come to the office. If you do not have them, the worker will help you obtain the ones you need.

BIRTH CERTIFICATE

SOCIAL SECURITY CARD

PROOF OF ALL INCOME AND RESOURCES

PROOF OF SERIOUS ILLNESS, DISABILITY OR

BLINDNESS

COPIES OF LIFE INSURANCE POLICIES

SOCIAL SECURITY OR SSI AWARD LETTER

COPY OF DEED OF PROPERTY OWNED

ALIEN REGISTRATION, PASSPORT, VISA

COPIES OF HEALTH INSURANCE CARDS

COPY OF PRE-PAID BURIAL CONTRACT/PLOT/FUNDS

A LETTER FROM A QUALIFIED HEALTH CARE PROVIDER STATING THAT AN INSTITUTIONAL LEVEL

OF CARE IS REQUIRED

WHAT ARE MY RESPONSIBILITIES?

. To help the welfare agency obtain information needed to determine your eligibility and amount of benefits.

. To notify the welfare agency when you or any family members moves, gets a job or experiences any change in income, resources

or circumstances.

NOT MEETING ANY OF THESE RESPONSIBILITIES COULD MEAN THAT YOUR CCPED BENEFITS WILL BE DENIED, REDUCED OR STOPPED.

WHERE DO I APPLY?

Persons not receiving SSI should apply at the Essex County Division of Welfare, Suburban Citizen Services Center:

50 South Clinton Street, 2nd Floor

East Orange, New Jersey 07018

(973) 395-8165

(Formerly 498 Main Street, 2nd floor, Orange, New Jersey)

SHOULD I CALL FOR AN APPOINTMENT?

Yes, definitely.

HOW TO APPLY FOR

COMMUNITY CARE PROGRAM

FOR

THE ELDERLY AND DISABLED

BENEFITS

IN

ESSEX COUNTY

Joseph N. DiVincenzo, Jr.

County Executive

Sheila Oliver

Department Director

Department of Citizen Services

Bruce Nigro

Acting Division Director

Division of Welfare