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Monmouth Cares engages the services of many different providers on behalf of our children and families.

Whenever possible, we help families arrange for the services their child needs by using their natural financial resources. If more intensive or specialized service is needed to meet the child's needs than their resources allow, we arrange services through the NJ Children's System of Care. Some of these services are paid by Medicaid and others are paid directly by Monmouth Cares' Flexible Funding. These services by nature are short-term. We work intensively with families through our Child and Family Teams to help the families move toward obtaining sustainable services that can continue beyond our involvement.

Providers that Monmouth Cares authorizes for Medicaid payment or who are paid directly through Flexible Funding are required to have a signed agreement with the Monmouth Local System of Care in order to be paid or authorized. That agreement is known as a Memorandum of Understanding (MOU).

Providers that are paid through other means (insurance, self-pay, sliding scale) that are working with a MonmouthCares family are asked to sign either the MOU or an Affiliation Agreement.pdf.

The Affiliation Agreement indicates the provider's agreement with the Wraparound philosophy which is the basis of our work with families. It is important to the success of our families that all providers be part of the Child and Family Team and participate fully in the Team process.

Click this link to access the survey form for the Monmouth Local System of Care Memorandum of Understanding. You will need to have complete information on all your staff including licenses, certifications, areas of strength, and more. You will also need to have Medicaid provider information, if you are a Medicaid provider and know your CYBER ID Number. You will also need information on all insurance panels. If you are not a Medicaid provider, you will still need to obtain a CYBER ID Number from PerfomCare.

We suggest you print out a blank copy of the document before you attempt to complete it online to gather the information you need.

You will also need to submit supplemental information to the special fax number included in the document. It is a digital fax repository. We will not accept hard copies of either the MOU or supplemental information in our office.

All MOU applicants need to enter their information on the MonmouthResourceNet go to monmouthresourcenet.org. If you are already entered on the site, please be sure your information is current and correct.

Once the MOU form has been submitted and your MonmouthResourceNet entry is current, we will review it and if you are accepted, we will email you an acceptance document for you to sign and return to the digital fax repository.