DDD, ID, DD, development disability, intellectual disability, autism, autistic, Down syndrome, mental illness, bipolar, depression, dual diagnosis, day habilitation program, day hab, individual supports, office of licensing, NJ, DHS, CIMU, OOL, office ot investigation, referral, residential placement, congregate setting, residential habilitation program, supervised apartment, unsupervised visits, ISP, support coordination, group home, residential services, DDD services, ddd provider, medicaid, Non profit, EIHAB NJ, In home supports, transportation services, day program, behavioral supports, behavioral services, behavioral health, job assistance, subsidized housing, respite, hospice care, dsp, direct support professional, behavioral specialist, community supports, nursing, LPN, RN, MSW, social services, social work, full-time position, part-time, resume. Do You Have a Question? To Ask Question As we strive to continuously improve our waiver documentation requirements and pre-billing processes, we understand that you may have questions about required documentation and billing. Ensuring compliance is crucial to our operations, and we recognize the importance of providing a platform where you can gain clarity on these matters. We invite you to share any questions you may have. Please indicate your inquiries below, and our dedicated team will promptly get back to you with detailed answers or effective solutions. Your questions are invaluable to us as we work together to make our system more efficient, transparent, and user-friendly. We believe that by addressing your questions, we can help maintain the highest standards of compliance and operational excellence. Your input helps us identify areas for improvement and implement changes that benefit everyone involved. Thank you for your commitment to these standards, and for your continued efforts in supporting our mission. We look forward to your questions and to working together to enhance our processes.

DDD, ID, DD, development disability, intellectual disability, autism, autistic, Down syndrome, mental illness, bipolar, depression, dual diagnosis, day habilitation program, day hab, individual supports, office of licensing, NJ, DHS, CIMU, OOL, office ot investigation, referral, residential placement, congregate setting, residential habilitation program, supervised apartment, unsupervised visits, ISP, support coordination, group home, residential services, DDD services, ddd provider, medicaid, Non profit, EIHAB NJ, In home supports, transportation services, day program, behavioral supports, behavioral services, behavioral health, job assistance, subsidized housing, respite, hospice care, dsp, direct support professional, behavioral specialist, community supports, nursing, LPN, RN, MSW, social services, social work, full-time position, part-time, resume. New Jersey Service Locations RESIDENTIAL SUPPORT Bergen, New Jersey Middlesex, New Jersey Monmouth, New Jersey Burlington, New Jersey Somerset, New Jersey Ocean County, New Jersey DAY PROGRAMMING Bergen, New Jersey Middlesex, New Jersey Monmouth, New Jersey Burlington, New Jersey Somerset, New Jersey Ocean County, New Jersey EMPLOYMENT COACHING Bergen, New Jersey Middlesex, New Jersey Monmouth, New Jersey Burlington, New Jersey Somerset, New Jersey Ocean County, New Jersey INDIVIDUAL COMMUNITY Bergen, New Jersey Middlesex, New Jersey Monmouth, New Jersey Burlington, New Jersey Somerset, New Jersey Ocean County, New Jersey BEHAVIOR SUPPORT Bergen, New Jersey Middlesex, New Jersey Monmouth, New Jersey Burlington, New Jersey Somerset, New Jersey Ocean County, New Jersey Submit Referral Form Your First Name Your Last Name Your Email Your Phone What is your relation to Person Applying: Self Care Manager Parent Family Other (indicate in comment) Which Services Are You Interested in? Residential Services Day Habilitation (With Walls, Without Walls) Community Habilitation Respite Services Behavioral Support Residing Borough Does the person have CCP or SP? * Required Yes No Not Sure Does the person have DDD eligibility? * Required Yes No How Did You Hear About Us? Choose an option Person's First Name Person's Last Name Age Does the person have a Support Coordinator * Required Yes No Support Coordinator Email In Summary, What are Person's Life Goals Additional Comments Get Started Thanks for submitting!

DDD, ID, DD, development disability, intellectual disability, autism, autistic, Down syndrome, mental illness, bipolar, depression, dual diagnosis, day habilitation program, day hab, individual supports, office of licensing, NJ, DHS, CIMU, OOL, office ot investigation, referral, residential placement, congregate setting, residential habilitation program, supervised apartment, unsupervised visits, ISP, support coordination, group home, residential services, DDD services, ddd provider, medicaid, Non profit, EIHAB NJ, In home supports, transportation services, day program, behavioral supports, behavioral services, behavioral health, job assistance, subsidized housing, respite, hospice care, dsp, direct support professional, behavioral specialist, community supports, nursing, LPN, RN, MSW, social services, social work, full-time position, part-time, resume. Ways to Donate Contributing to EIHAB through donations plays a vital role in bolstering their mission by offering essential financial backing. These funds enable the organization to expand its programs, improve the quality of its services, and extend its reach to underserved communities. Additionally, donations support advocacy efforts, raising awareness about the challenges faced by individuals with disabilities and advocating for their rights. With sustained financial support, EIHAB can ensure the long-term sustainability of its initiatives, empowering individuals with disabilities to lead fulfilling lives and fostering greater inclusivity within society. In Person Stop on By New York 168-18 South Conduit Avenue Springfield Gardens, NY 11434 New Jersey 1007 US Highway 9N, Suite 202 Howell, NJ 07731 Pennsylvania 35 East Tioga Street Tunkhannock, PA 1865718411 Online Make a tax deductible donation‏. Click to Give Over the Phone We Would Appreciate the Call New York - Tel: 718-276-6101 New Jersey - Tel: 732 358-7471 New York - Tel: 570- 996-6288

DDD, ID, DD, development disability, intellectual disability, autism, autistic, Down syndrome, mental illness, bipolar, depression, dual diagnosis, day habilitation program, day hab, individual supports, office of licensing, NJ, DHS, CIMU, OOL, office ot investigation, referral, residential placement, congregate setting, residential habilitation program, supervised apartment, unsupervised visits, ISP, support coordination, group home, residential services, DDD services, ddd provider, medicaid, Non profit, EIHAB NJ, In home supports, transportation services, day program, behavioral supports, behavioral services, behavioral health, job assistance, subsidized housing, respite, hospice care, dsp, direct support professional, behavioral specialist, community supports, nursing, LPN, RN, MSW, social services, social work, full-time position, part-time, resume. EIHAB Human Services: New Jersey Application for Employment Eihab is an equal opportunity employer. Eihab does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other characteristic protected by law. Please carefully read and answer all questions. You will not be considered for employment if you fail to completely answer all the questions on this application. You may attach a résumé, but all questions must be answered. Position Applying for Date of Application * required . * Required No Have you worked with us before? Yes If yes, please specify dates of employment . to . Desired Salary When can you start work? * required How did you hear about us? * Required Referral Walk In Job Boards (ie. Indeed) Other Personal Data Your Full Name (last, first, middle) Select an Address Mobile Phone Alternate Phone Email Are you 18 years or older?: * Required Yes No in less than 6 months Do you have a driver's license? * Required Yes No If Yes, Which State? * Required NY NJ PA Other Can you work overtime? * Required Yes No Have you been driving for a minimum of 3 years? * Required Yes No Hours * Required Full-Time Part-Time Per-Diem Shifts * Required Days Evenings Overnights Weekends Are you authorized to work in the U.S. on an restricted basis? * Required Yes No Will you now or in the future require sponsorship for employment visa status? * Required Yes No Have you been told the essential functions of the job or have you been given a copy of the job description listing the essential functions of the job? * Required Yes No Can you perform these essential functions of the job with or without reasonable accomodation? * Required Yes No Educational Qualifications Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training. High School Name Degree/ Area of Study Graduating Year School Full Address Undergraduate College/University Name Degree/ Area of Study Graduating Year School Full Address Graduate College/University Name Degree/ Area of Study Graduating Year School Full Address Special Skills: List any special skills or experience that you feel would help you in the position that you are applying for (leadership, organizations/teams, etc. ) Work History Include your last Seven (7) years of employment history. Start with your present or most recent employment and work back. Job Title #1 Start Date * required End Date * required Currently Employed Here? * Required Yes No Company Name Company Phone Number Supervisor Name and TItle Company Address Summarize nature of work performed and job responsibilities. Reason for Leaving May We Contact this Employer? * Required Yes No Job Title #2 Company Name Start Date End Date Currently Employed Here? Yes No Company Phone Number Supervisor Name and TItle Company Address Summarize nature of work performed and job responsibilities. Reason for Leaving May We Contact this Employer? Yes No Job Title #3 Company Name Start Date End Date Currently Employed Here? Yes No Company Phone Number Supervisor Name and TItle Company Address Summarize nature of work performed and job responsibilities Reason fo Leaving May We Contact this Employer? Yes No References Please list three professional references not related to you, with full name, contact info, and relationship, whom you have known at least three (3) years. Full Name Email Phone Relationship Title and Company Years Acquainted Full Name Email Phone Relationship Title and Company Years Acquainted Full Name Email Phone Relationship Title and Company Years Acquainted Please Read Carefully Before Signing I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Eihab to hire me. If I am hired, I understand that either Eihab or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Eihab has the authority to make any assurance to the contrary.I attest with my signature below that I have given to Eihab true and complete information on this application. No requested information has been concealed. I authorize Eihab to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal. Your Signature Clear Select a date * required Full Name Upload Resume Upload supported file (Max 15MB) Submit Thanks for submitting!

DDD, ID, DD, development disability, intellectual disability, autism, autistic, Down syndrome, mental illness, bipolar, depression, dual diagnosis, day habilitation program, day hab, individual supports, office of licensing, NJ, DHS, CIMU, OOL, office ot investigation, referral, residential placement, congregate setting, residential habilitation program, supervised apartment, unsupervised visits, ISP, support coordination, group home, residential services, DDD services, ddd provider, medicaid, Non profit, EIHAB NJ, In home supports, transportation services, day program, behavioral supports, behavioral services, behavioral health, job assistance, subsidized housing, respite, hospice care, dsp, direct support professional, behavioral specialist, community supports, nursing, LPN, RN, MSW, social services, social work, full-time position, part-time, resume. Everything Westchester! EIHAB Human Services Enters the Westchester Community with New Support Services! EIHAB Human Services is thrilled to announce our expansion into the Westchester community, offering innovative and essential community services, including Respite and Community Habilitation . Our goal is to give back to the community by providing support that promotes personal growth and well-being. Our Commitment At EIHAB, we are dedicated to: Delivering Exceptional Care : Our experienced team is committed to providing high-quality care, ensuring that every individual in our services feels supported and valued. Empowering Personal Growth : We believe in the potential of every individual and aim to provide services that help them achieve greater independence and personal fulfillment. Fostering Inclusivity and Diversity : We strive to create a welcoming and inclusive environment where diversity is celebrated, and everyone has the opportunity to thrive. Respite Services Our respite services are designed to offer temporary relief to primary caregivers by providing a safe and engaging environment where individuals can enjoy various activities and support. Community Habilitation Focused on skill-building and community integration, our community habilitation services help individuals develop essential life skills, promoting independence and active participation in the community. We are excited to engage with the Westchester community through our new services. Join us in our mission to inspire, empower, and create a positive impact. For more information or to get involved, please contact us at intake.admission@eihab.org or click here to complete an application. Our Services Join Us in Making a Difference in Westchester Welcome to Westchester WE ARE CONVIENTLY LOCATED in the heart of Hartsdale, where our Administrative and Program offices are located. EIHAB Westchester Office 210 North Central Avenue Hartsdale, NY 10530 Office Hours: Monday to Friday: 9AM to 5PM Saturday and Sunday: Closed To reach us, please call: Vice President of Operations: Tashah Bigelow, tashah.bigelow@eihab.org Vice President of Behavioral Health Services: Tania Bazzi, tania.bazzi@eihab.org Director of Operations: Jasmine Vargas, jasmine.vargas@eihab.org Intake Coordinator: Sandy Moreira, sandy.moreira@eihab.org

DDD, ID, DD, development disability, intellectual disability, autism, autistic, Down syndrome, mental illness, bipolar, depression, dual diagnosis, day habilitation program, day hab, individual supports, office of licensing, NJ, DHS, CIMU, OOL, office ot investigation, referral, residential placement, congregate setting, residential habilitation program, supervised apartment, unsupervised visits, ISP, support coordination, group home, residential services, DDD services, ddd provider, medicaid, Non profit, EIHAB NJ, In home supports, transportation services, day program, behavioral supports, behavioral services, behavioral health, job assistance, subsidized housing, respite, hospice care, dsp, direct support professional, behavioral specialist, community supports, nursing, LPN, RN, MSW, social services, social work, full-time position, part-time, resume. To File a Report Complete Below: First Name Last Name Email Phone Number Location/Service of Violation Summary of Report Send Thanks for submitting!

DDD, ID, DD, development disability, intellectual disability, autism, autistic, Down syndrome, mental illness, bipolar, depression, dual diagnosis, day habilitation program, day hab, individual supports, office of licensing, NJ, DHS, CIMU, OOL, office ot investigation, referral, residential placement, congregate setting, residential habilitation program, supervised apartment, unsupervised visits, ISP, support coordination, group home, residential services, DDD services, ddd provider, medicaid, Non profit, EIHAB NJ, In home supports, transportation services, day program, behavioral supports, behavioral services, behavioral health, job assistance, subsidized housing, respite, hospice care, dsp, direct support professional, behavioral specialist, community supports, nursing, LPN, RN, MSW, social services, social work, full-time position, part-time, resume. EIHAB Human Services: New York Application for Employment Eihab is an equal opportunity employer. Eihab does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other characteristic protected by law. Please carefully read and answer all questions. You will not be considered for employment if you fail to completely answer all the questions on this application. You may attach a résumé, but all questions must be answered. Position Applying for Date of Application * required . * Required No Have you worked with us before? Yes If yes, please specify dates of employment . to . Desired Salary When can you start work? * required How did you hear about us? * Required Referral Walk In Job Boards (ie. Indeed) Other Personal Data Your Full Name (last, first, middle) Select an Address Mobile Phone Alternate Phone Email Are you 18 years or older?: * Required Yes No in less than 6 months Do you have a driver's license? * Required Yes No If Yes, Which State? * Required NY NJ PA Other Can you work overtime? * Required Yes No Have you been driving for a minimum of 3 years? * Required Yes No Hours * Required Full-Time Part-Time Per-Diem Shifts * Required Days Evenings Overnights Weekends Are you authorized to work in the U.S. on an restricted basis? * Required Yes No Will you now or in the future require sponsorship for employment visa status? * Required Yes No Have you been told the essential functions of the job or have you been given a copy of the job description listing the essential functions of the job? * Required Yes No Can you perform these essential functions of the job with or without reasonable accomodation? * Required Yes No Educational Qualifications Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training. High School Name Degree/ Area of Study Graduating Year School Full Address Undergraduate College/University Name Degree/ Area of Study Graduating Year School Full Address Graduate College/University Name Degree/ Area of Study Graduating Year School Full Address Special Skills: List any special skills or experience that you feel would help you in the position that you are applying for (leadership, organizations/teams, etc. ) Work History Include your last Seven (7) years of employment history. Start with your present or most recent employment and work back. Job Title #1 Start Date * required End Date * required Currently Employed Here? * Required Yes No Company Name Company Phone Number Supervisor Name and Title Company Address Summarize nature of work performed and job responsibilities. Reason for Leaving May We Contact this Employer? * Required Yes No Job Title #2 Company Name Start Date End Date Currently Employed Here? Yes No Company Phone Number Supervisor Name and TItle Company Address Summarize nature of work performed and job responsibilities. Reason for Leaving May We Contact this Employer? Yes No Job Title #3 Company Name Start Date End Date Currently Employed Here? Yes No Company Phone Number Supervisor Name and TItle Company Address Summarize nature of work performed and job responsibilities Reason fo Leaving May We Contact this Employer? Yes No References Please list three professional references not related to you, with full name, contact info, and relationship, whom you have known at least three (3) years. Full Name Email Phone Relationship Title and Company Years Acquainted Full Name Email Phone Relationship Title and Company Years Acquainted Full Name Email Phone Relationship Title and Company Years Acquainted Please Read Carefully Before Signing I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Eihab to hire me. If I am hired, I understand that either Eihab or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Eihab has the authority to make any assurance to the contrary.I attest with my signature below that I have given to Eihab true and complete information on this application. No requested information has been concealed. I authorize Eihab to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal. Your Signature Clear Select a date * required Full Name Upload Resume Upload supported file (Max 15MB) Submit Thanks for submitting!

DDD, ID, DD, development disability, intellectual disability, autism, autistic, Down syndrome, mental illness, bipolar, depression, dual diagnosis, day habilitation program, day hab, individual supports, office of licensing, NJ, DHS, CIMU, OOL, office ot investigation, referral, residential placement, congregate setting, residential habilitation program, supervised apartment, unsupervised visits, ISP, support coordination, group home, residential services, DDD services, ddd provider, medicaid, Non profit, EIHAB NJ, In home supports, transportation services, day program, behavioral supports, behavioral services, behavioral health, job assistance, subsidized housing, respite, hospice care, dsp, direct support professional, behavioral specialist, community supports, nursing, LPN, RN, MSW, social services, social work, full-time position, part-time, resume. EIHAB Services Welcome to EIHAB, where our passion lies in enriching the lives of individuals with intellectual and developmental disabilities. Our organization prides itself on offering a comprehensive suite of person-centered services, meticulously tailored to meet the unique needs of each person under our care. EIHAB is committed to making a positive impact in the lives of individuals across state lines, providing exceptional services to those with developmental disabilities across various counties and communities in New York, New Jersey, and Pennsylvania. Through our Residential Services, we strive to cultivate a safe and nurturing environment where individuals can thrive with the support they deserve. Our Day Program Services are designed to foster personal growth and skill development, while our Community Services encourage socialization and inclusion through active participation in local events and activities. Additionally, our Respite Services offer temporary relief for caregivers, ensuring that their loved ones receive the care they need. "EIHABilitation" "EIHABilitation" is EIHAB's innovative twist on habilitation services, integrating life coaching and self-awareness to encourage exploration and out-of-the-box thinking. This approach prioritizes personal growth, allowing individuals to develop skills, establish new foundations, and progress at their own pace while maintaining a focus on happiness and fulfillment. By combining traditional habilitation with elements of life coaching and self-awareness, EIHABilitation aims to empower individuals with intellectual and developmental disabilities to lead purposeful lives, embrace new opportunities, and cultivate a sense of self-awareness and agency in their daily living and learning experiences. With a mission to empower individuals with developmental disabilities to achieve their full potential and lead fulfilling lives, EIHAB remains dedicated to leaving a lasting positive impact across state borders. At EIHAB, we believe in going beyond mere support – our goal is to create opportunities for growth, independence, and meaningful connections within the community. Through our meticulously crafted programs, individuals are empowered to develop essential life skills, engage in enriching activities, and build lasting relationships. Our commitment to person-centered care means that every aspect of our services is carefully tailored to align with the goals and preferences of each individual we serve. Whether it's through vocational training, recreational activities, or residential support, we strive to create environments that promote autonomy, dignity, and inclusion. Backed by a team of dedicated professionals and a network of community partners, EIHAB is here to guide and support individuals on their journey towards realizing their full potential. Together, we work tirelessly to build brighter, more fulfilling futures for everyone under our care. Residential Support Individual Community Day Program In-Home Behavioral Services Sibling & Family Support Employment Paths After School & Summer Camp To get more info To get more information about our services, give us your contact information below: First Name Last Name Email Phone Send Thanks for submitting!

DDD, ID, DD, development disability, intellectual disability, autism, autistic, Down syndrome, mental illness, bipolar, depression, dual diagnosis, day habilitation program, day hab, individual supports, office of licensing, NJ, DHS, CIMU, OOL, office ot investigation, referral, residential placement, congregate setting, residential habilitation program, supervised apartment, unsupervised visits, ISP, support coordination, group home, residential services, DDD services, ddd provider, medicaid, Non profit, EIHAB NJ, In home supports, transportation services, day program, behavioral supports, behavioral services, behavioral health, job assistance, subsidized housing, respite, hospice care, dsp, direct support professional, behavioral specialist, community supports, nursing, LPN, RN, MSW, social services, social work, full-time position, part-time, resume. NY Privacy Officer Contact Address: 168-18 South Conduit Avenue, Springfield Garden NY 11434 Phone: 718-276-6101 Email: privacyofficer@eihab.org REQUEST ACCESS TO YOUR CLINICAL INFORMATION To request access to your clinical information or to request any of the rights listed here, complete the form below. First Name Last Name Email Phone Number Files Requested Your Relation Self Legal Guardian Family/Natural Support (documented) Family (undocumented) Other Additional Information Your Signature Clear Send Thanks for submitting! NOTE: Other regulations may restrict access to HIV/AIDS information, federally protected education records, and federally protected drug and alcohol information. See any special authorizations or consent forms that will specify what information may be released and when, or contact the Privacy Officer listed above. COMPLAINT If you believe your privacy rights have been violated, you may file a complaint below. First Name Last Name Email Phone Number Complaint Report Your Relation Self Legal Guardian Family/Natural Support (documented) Family (undocumented) Other Your Signature Clear Send Thanks for submitting! You may also : Contact the Director of Office for Civil Rights, U.S. Department of Health and Human Services , 200 Independence Avenue, S.W., Room 509F HHH Bldg., Washington, D.C. 20201, Secretary of the Department of Health and Human Services. You may call them at (877) 696-6775 or write to them at 200 Independence Ave. S.W., HHH Building Room 509H, Washington DC, 20201. File a grievance with the Office of Civil Rights by calling or writing Region II – US Department of Health and Human Services, Jacob Javits Federal Building, 26 Federal Plaza, Suite 3312, New York, New York 10278. Voice Phone (800) 368-1019, FAX (212) 264-3039, TDD (800) 537-7697. All complaints must be submitted in writing. You will not be penalized for filing a complaint. Contact the Director of Office for Civil Rights Contact the Office of Civil Rights

DDD, ID, DD, development disability, intellectual disability, autism, autistic, Down syndrome, mental illness, bipolar, depression, dual diagnosis, day habilitation program, day hab, individual supports, office of licensing, NJ, DHS, CIMU, OOL, office ot investigation, referral, residential placement, congregate setting, residential habilitation program, supervised apartment, unsupervised visits, ISP, support coordination, group home, residential services, DDD services, ddd provider, medicaid, Non profit, EIHAB NJ, In home supports, transportation services, day program, behavioral supports, behavioral services, behavioral health, job assistance, subsidized housing, respite, hospice care, dsp, direct support professional, behavioral specialist, community supports, nursing, LPN, RN, MSW, social services, social work, full-time position, part-time, resume. JOIN US JOIN US JOIN US

DDD, ID, DD, development disability, intellectual disability, autism, autistic, Down syndrome, mental illness, bipolar, depression, dual diagnosis, day habilitation program, day hab, individual supports, office of licensing, NJ, DHS, CIMU, OOL, office ot investigation, referral, residential placement, congregate setting, residential habilitation program, supervised apartment, unsupervised visits, ISP, support coordination, group home, residential services, DDD services, ddd provider, medicaid, Non profit, EIHAB NJ, In home supports, transportation services, day program, behavioral supports, behavioral services, behavioral health, job assistance, subsidized housing, respite, hospice care, dsp, direct support professional, behavioral specialist, community supports, nursing, LPN, RN, MSW, social services, social work, full-time position, part-time, resume. STANDARD OF CONDUCT VISION AND MISSION STATEMENT Everyone, regardless of race, religion, color, gender, age, sexual orientation, or disability deserves the same opportunities for dignity and self- respect. We have a moral mandate to do our utmost to serve that in need, achieve self -reliance and help them to take their places as productive members of society. The individuals we serve deserve genuine caring and excellent service. We want not only to develop programs that serve the under-served and hard to serve communities, but to increase public awareness of their needs. EIHAB has clearly stated mission and purpose approved by the EIHAB’ Board of Directors. EIHAB is committed to comply with all applicable laws and regulations and to detect and prevent unethical, improper, or unlawful behaviors or acts in the delivery and billing of services and prevention and detection of fraud, waste and abuse. EIHAB Human Services (sometimes referred to as “Agency”) Standards of Conduct is applicable to all Affected Individuals. “Affected Individuals “ defined as all persons who are affected by the provider’s risk areas, including employees, the Chief Executive and other senior administrators, managers, contractors, subcontractors, independent contractors, and governing body and corporate officers. INTEGRITY EIHAB Human Services is an equal employment action employer and is committed to providing a workplace that is free of discrimination of all types from abusive, offensive or harassing behavior. Any employee who feels harassed or discriminated against should report the incident to his or her manager or to the Director of Human Resources. EIHAB Human Services has an active governing body that is responsible for setting the mission and strategic direction of the organization and oversight of the finances, operation and policies of EIHAB. This document is a formal statement of EIHAB’s commitment to the standards and rules of ethical conduct. All Affected individuals must abide by EIHAB’ Standards of Conduct which includes abiding by the requirements of Medicaid, and other Federal and State laws. This involves reporting any alleged violations of wrongdoing and assist Management and the Compliance Officer in investigating allegations of wrongdoing. All Affected individuals should feel comfortable to speak, particularly with respect to ethics concerns that are not addressed by this document or existing policies and procedures, affected. ETHICS AND BUSINESS CONDUCT EIHAB commitment is to comply with all laws and regulations applicable and to conduct business with the highest degree of integrity. This applies to all affected individuals we employ or have business relations with. Because of the nature of our organization, we bound to uphold applicable program, licensing requirements, employee credentials, screening requirements and laws governing consumer protection. EIHAB conducts exclusion screening and background checks to verify that all employees and independent contractors have not been excluded from federal healthcare programs. EIHAB conducts exclusion check searches of the OIG, Office of Inspector General - List of Excluded Individuals/Entities OIG Most Wanted, Office of Inspector General – List of Restricted and Excluded Providers / OMIG, Office of the Medicaid Inspector General- Most Wanted Fugitives SAM, System for Award Management: Excluded Parties SDN, Office Of Foreign Assets Control. Procedures for Affected Individuals with Honesty : EIHAB is committed to comply with all applicable laws and regulations. EIHAB established its Corporate Compliance Program, Standards of Conduct, policies and procedures, training and education and auditing and monitoring as an expression of our commitment to uphold ethical and legal behavior. EIHAB staff should contribute with EIHAB Vision and Mission which includes to be honest and transparent, whether financial or organizational. This involves maintaining and following truthful and accurate practices with service recipients, other providers, supplier, and all others with whom EIHAB does business. CONFLICT OF INTEREST This section is designed to help EIHAB identify situations that present potential conflicts of interest. All Affected individuals are responsible to avoid activities, agreements, business or interest, or other situations that that conflict or appear to conflict or interfere with the duty to provide services to the best of his or her ability. This applies to all Affected individuals when an employee or a family member is in a position to benefit personally, directly, or indirectly, from his or her relationship with the person or entity conducting business with EIHAB. For the purpose of this section, an immediate family member includes an individual’s spouse, spousal equivalent, children, whether natural or adopted, grandchildren, great-grandchildren, siblings, whether by whole or half-blood, and the spouses of children, grandchildren, and great-grandchildren. Affected individuals have an obligation to report any potential conflict of which he or she becomes aware involving a family member. To say that one has a conflict of interest doesn’t necessary mean that the individual involved acted or is expected to act inappropriately. However, the appearance of a conflict of interest may be as serious as an actual conflict of interest. When it comes to conflicts of interest, appearance is an important reality. This why disclosing conflicts of interest is important. Avoiding Conflicts of Interest There are various types of conflicts of interest can occur because of the nature of relationships versus rules of EIHAB or Federal and State laws: We must avoid any relationship or activity that might impair, or even appear to impair, our ability to make objective and fair decisions when performing our jobs. At times, we may be faced with situations where the business actions we take on behalf of EIHAB may conflict with our own personal or family interests because of the course of action that is best for us personally may not also be the best course of action for EIHAB. We owe a duty to EIHAB to advance its legitimate interests when the opportunity to do so arises. We must never use EIHAB property or information for personal gain or personally take for ourselves any opportunity that is discovered through our position with EIHAB. Here are some other ways in which conflicts of interest could arise: 1. Being employed (you or a close family member) by, or acting as a consultant to, a competitor or potential competitor, supplier, or contractor, regardless of the nature of the employment, while you are employed with EIHAB. 2. Hiring or supervising family members or closely related persons. 3. Serving as a board member for an outside commercial company or organization. 4. Owning or having a substantial interest in a competitor, supplier, or contractor. 5. Having a personal interest, financial interest, or potential gain in any EIHAB transaction. 6. Placing company business with a firm owned or controlled by an EIHAB employee or his or her family. 7. Accepting gifts, discounts, favors, or services from a customer/potential customer, competitor, or supplier, unless equally available to all EIHAB employees. Determining whether a conflict of interest exists is not always easy to do. Employees with a conflict-of-interest question should seek advice from senior management. Before engaging in any activity, transaction or relationship that might give rise to a conflict of interest, employees must seek review from their managers or the Compliance Officer. All conflict will be disclosed and made available for review by Board members. GIFTS, GRATUITIES, AND BUSINESS COURTESIES The Standards of Conduct and the following guidelines are intended to help you make appropriate, responsible, and correct decisions in these and all matters. EIHAB is committed to competing solely on our quality of services provided. We should avoid any actions that create a perception that favorable treatment of outside entities by EIHAB was sought, received or given in exchange for personal business courtesies. Business courtesies include gifts, gratuities, meals, refreshments, entertainment or other benefits from persons or companies with whom EIHAB does or may do business. We will neither give nor accept business courtesies that constitute, or could reasonably be perceived as constituting, unfair business inducements that would violate law, regulation or polices of EIHAB or consumers, or would cause embarrassment or reflect negatively on EIHAB reputation. Accepting Business Courtesies Most business courtesies offered to us in the course of our employment are offered because of our positions at EIHAB. We should not feel any entitlement to accept and keep a business courtesy. Although we may not use our position at EIHAB to obtain business courtesies, and we must never ask for them, we may accept unsolicited business courtesies that promote successful working relationships and good will with the firms that EIHAB maintains or may establish a business relationship with. Employees who award contracts or who can influence the allocation of business, who create specifications that result in the placement of business or who participate in negotiation of contracts must be particularly careful to avoid actions that create the appearance of favoritism or that may adversely affect the company’s reputation for impartiality and fair dealing. The prudent course is to refuse a courtesy from a supplier when EIHAB is involved in choosing or reconfirming a supplier or under circumstances that would create an impression that offering courtesies is the way to obtain EIHAB business. Use of EIHAB Resources Agency resources, including time, material, equipment and information, are provided for business use only. Nonetheless, occasional personal use is permissible as long as it does not affect job performance or cause a disruption to the workplace. Employees and those who represent EIHAB are trusted to behave responsibly and use good judgment to conserve company resources. Managers are responsible for the resources assigned to their departments and are empowered to resolve issues concerning their proper use. Generally, we will not use Agency equipment such as computers, copiers and fax machines in the conduct of an outside business or in support of any religious, political or other outside daily activity, except for Agency-requested support to nonprofit organizations. We will not solicit contributions nor distribute non-work related materials during work hours. In order to protect the interests of EIHAB consumers and our fellow employees, EIHAB reserves the right to monitor or review all data and information contained on an employee’s company-issued computer or electronic device, the use of the Internet. We will not tolerate the use of Agency resources to create, access, store, print, solicit or send any materials that are harassing, threatening, abusive, sexually explicit or otherwise offensive or inappropriate. Questions about the proper use of company resources should be directed to your manager or the Compliance Officer. The Organization has developed policies and procedures to assure that the confidentiality of EIHAB Human Services information and information about service recipients is protected and released only with the appropriate authorization or for lawful reasons. All Affected Individuals are required to comply with EIHAB Human Services’ HIPAA Policy. If you have any questions concerning confidential information or the HIPAA Policy, contact your immediate supervisor or the Compliance Officer. RETENTION AND DESTRUCTION OF RECORDS EIHAB provides the systematic review, retention and destruction of records received or created by EIHAB’ staff for services delivered. This section discuss and covers all records, regardless of physical form, contain guidelines for how long certain records should be kept and how records should be destroyed. EIHAB wants to ensure that EIHAB complies with Federal and State laws and regulations, to eliminate accidental or innocent destruction of records and to facilitate EIHAB’ operations by promoting efficiency and freeing up valuable storage space. The Retention and Destruction of Records applies to all records in any form that contains information about individuals’ services, plans or eligibility for services. Anything that can be represented with words or numbers is a record for purpose of this policy. Documents after the audit review period will be archived. Employees and independent contractors must record all information related to EIHAB Human Services and its operations, its service recipients and financial information fully accurately and honestly. All corporate records must be true, accurate and complete, and company data must be promptly and accurately entered in our books in accordance with EIHAB and other applicable accounting principles. We must not improperly influence, manipulate or mislead any unauthorized audit, nor interfere with any auditor engaged to perform an internal independent audit of EIHAB books, records, processes or internal controls. Record Retention Records will be kept in a secure location and the confidentiality of consumers, employees and business operations and activities will be protected. Records that are no longer needed, are no longer required to be kept or are duplicative of other records maintained will be destroyed on a routine basis using the standard procedures outlined below. Records relating to a specific incident or report should be retained at least during the period the review or the investigation is ongoing. Otherwise, all records (with the exception of a summary of activities, findings and corrective actions) related to a specific incident that has been resolved should be destroyed on a periodic basis unless otherwise required by applicable state or federal law or the organization is advised to retain the records by corporate counsel. Records relating to the Compliance Plan including memoranda, meeting minutes and reports will be retained indefinitely in order to maintain a record of Compliance Program activities. These documents can be used by the organization to prove the existence of an active and effective Compliance Program. Records relating to individual’s program, medical, HIPPA and billing will follow this records retention procedures. Accurate Public Disclosures We will make certain that all disclosures made in financial reports and public documents are full, fair, accurate, timely and understandable. This obligation applies to all employees, including all financial executives, with any responsibility for the preparation for such reports, including drafting, reviewing and signing or certifying the information contained therein. No business goal of any kind is ever an excuse for misrepresenting facts or falsifying records. Employees should inform management or the Compliance Officer if they learn that information in any filing or public communication was untrue or misleading at the time it was made or if subsequent information would affect a similar future filing or public communication. Accountability Each of us is responsible for knowing and adhering to the values and standards set forth in this Code and for raising questions if we are uncertain about company policy. If you are concerned whether the standards are being met or are aware of violations of the Code, we must contact you immediate supervisor or the Compliance Officer. EIHAB takes seriously the standards set forth in the Code, and violations are cause for disciplinary action up to and including termination of employment. FALSIFICATION OF RECORDS You must not make any false entries in any of the Organization’s records or in any public record for any reason. You may not alter any permanent entries in the Organization’s records. Any records to be appropriately altered must reflect the date of the alteration, the name, signature, and title of the person altering the document, and the reason for the alteration, if not apparent. You may not sign the name of another person to any document. Signature stamps may not be used. You may not create or participate in the creation of any records that are intended to mislead or to conceal anything that is improper. Backdating and predating documents is unacceptable. PROTECTION OF CONFIDENTIAL INFORMATION During your employment, contract, or association with the Organization, you may acquire confidential information about EIHAB Human Services, its staff, and service recipients which must be handled in strict confidence and not discussed with outsiders. The protection of confidential business, employee, and service recipient information is very important. Violations may result in fines and penalties, legal action, or criminal charges. SELECTIVE DISCLOSURE We will not selectively disclose (whether in one-on-one and/or small discussions, meetings, presentations, proposals or otherwise) any material nonpublic information with respect to EIHAB’s operations, plans, financial condition, results of operations or any development plan. We should be particularly vigilant when making presentations or proposals to consumers to ensure that our presentations do not contain material nonpublic information. CONFIDENTIAL AND PROPRIETARY INFORMATION Integral to EIHAB business success is our protection of confidential company information, as well as nonpublic information entrusted to us by employees, service recipients and other business partners. Confidential and proprietary information includes such things as pricing and financial data, consumer names/addresses or nonpublic information about other companies, including current or potential supplier and vendors. We will not disclose confidential and nonpublic information without a valid business purpose and proper authorization. Eihab recipients’ confidentiality is to be maintained in accordance with HIPPA Laws in accordance with e Human Resources Manual. Termination of Employment or Contract You may not use any confidential information gained from your employment or contract with the Organization for your benefit or another organization’s benefit. You may not take copies of any reports, documents, or any other property belonging to the Organization. Upon termination of employment or contract with the Organization, you must return all of the Organization’s property including, but not limited to, copies of documents, notes, and other records containing confidential information; computer disks; your ID and keys; and credit cards. GUIDELINES FOR THE USE OF INFORMATION TECHNOLOGY FOR AFFECTED INDIVIDUALS These are general guidelines to follow for the protection of IT devices and security of private information. Follow departmental procedures to safely handle and dispose of protected information. Employees may be held responsible for any lost, stolen or improperly accessed data if that data was not protected (e.g. password protected and encrypted). Do not leave devices unattended. Computers, internet access, email or other office communication systems are intended for business- related purposes only and not for uses that may disruptive, offensive, harassing, or harmful to others. All Affected Individuals are required to comply with EIHAB’s procedures pertaining electronic devices and materials. FAIR DEALING EIHAB’s commitment to integrity begins with complying with laws, rules and regulations where we serve individuals. The compliance Program, these Standards of Conduct, and policies and procedures are developed to provide guidance in in your day-to-day work and activities you perform on behalf of EIHAB. Further, each of us must have an understanding of EIHAB policies, laws, rules and regulations that apply to our specific roles. We are responsible for preventing violations of law and for speaking up if we see possible violations. EIHAB has put in place procedures and practices to ensure that: All service documentation, records, and reports are prepared timely, accurately, and honestly; All documentation supporting claims for service is complete and maintained in accordance with the regulatory requirements and EIHAB’s policies; Claims are only submitted for services provided by eligible providers; All claims submitted to outside entitles are accurate and comply with all Federal and State laws and regulations and payer requirements; All claims are properly documented and accurately coded and identified billing errors are returned to the payer. It is against the law and EIHAB policies to knowingly or carelessly submit a false claim. Submitting a false claim includes using false records, using wrong code, double billing, or billing, or causing to be billed services that are not provided or fully documented. GUIDELINES FOR AFFECTED INDIVIDUALS: FAIR DEALING The Standards of Conduct and the following guidelines are intended to help you make appropriate, responsible, and correct decisions in these and all matters: Kickbacks and Rebate Kickbacks and rebates in cash, credit, or other forms are prohibited. They are not only unethical, but also in many cases illegal. Agreements with Contractors and Vendors The Organization must ensure that any agreements with contractors and vendors clearly and accurately describe the services to be performed or items to be purchased. Performance standards and the applicable compensation, if any, must be reasonable in amount, not be excessive in terms of industry practice, and must equal the value of the service(s) rendered or items purchased. FEDERAL AND STATE PROGRAMS EIHAB Human Services is committed to complying with the laws and regulations that govern the Federal and State programs that it administers. The Compliance Program, these Standards of Conduct, and policies and procedures are developed to provide guidance in your day-to-day work and activities you perform on behalf of the Organization. You must abide by the policies and procedures and the Standards set by the Organization. EIHAB Human Services’ programs and services are largely funded by Federal and State healthcare programs, including Medicaid and Medicare. EIHAB Human Services is committed to full compliance with all Federal and State healthcare program requirements. EIHAB Human Services must also comply with laws and regulations designed to combat fraud, waste, and abuse and the submission of inaccurate or false claims. EIHAB Human Services has put in place procedures and practices to ensure that: All service documentation, records, and reports are prepared timely, accurately, and honestly; All documentation supporting claims for service is complete and maintained in accordance with regulatory requirements and the Organization’s policies; All claims submitted to any government or private healthcare program are accurate and comply with all Federal and State laws and regulations and payer requirements; Claims are only submitted for medically necessary services provided by eligible providers; All claims are properly documented and accurately coded; and Billing errors are promptly identified and any payments received in error are promptly returned to the payer. Employees and independent contractors responsible for the documentation, charging, coding, billing, and accounting of services must comply with all applicable State and Federal regulations and EIHAB Human Services policies and procedures. It is against the law and EIHAB Human Services’ policies to knowingly or carelessly submit a false claim. Submitting a false claim includes using false records, using the wrong code, double billing, or billing or causing to be billed services that are not provided or fully documented, and billing for services that are not medically necessary. All Affected Individuals have a responsibility to notify the Compliance Officer promptly if they are charged with a criminal offense related to healthcare or are proposed or found to be subject to exclusion from Federal or State healthcare programs. GOVERNMENTAL INVESTIGATIONS There may be times that the Organization is asked to cooperate with an investigation by a Federal or State governmental agency, or to respond to a request for information. A request may be formally addressed to the Organization or to an individual employed by or associated with the Organization. All Affected Individuals must report any requests for information or cooperation with an investigation to the Chief Executive and Compliance Officer immediately. EMPLOYMENT ENVIRONMENT EIHAB is committed to maintaining a working environment free from all forms of discrimination, including any action that is considered sexual harassment. Therefore, we expect all employees to maintain a high standard of personal and professional behavior. At EIHAB everyone should feel comfortable to speak his or her mind, particularly with respect to ethics concerns. Managers have a responsibility to create an open and supportive environment where employees feel comfortable raising such questions. We all benefit tremendously when employees exercise their power to prevent mistakes or wrongdoing by asking the right questions at the right times. EIHAB will investigate all reported instances of questionable or unethical behavior, including allegations of sexual harassment and discrimination or any other unethical behavior. In every instance where improper behavior is found to have occurred, the organization will take appropriate action. We will not tolerate retaliation and/or intimidation against employees who raise genuine ethics concerns in good faith. All Affected individuals are required to support EIHAB’s commitment to a safe and professional work environment and to demonstrate appropriate behavior in the workplace. EIHAB Human Services is committed to creating a safe and professional workplace where employees and others are treated with respect and without regard to their race, sex, age, religion, national origin, color, marital status, disability, or other protected characteristics. Business integrity, teamwork, trust, and respect are the Organization’s most important values. Unlawful discrimination or harassment of any sort violates these values. All Affected Individuals must exhibit and promote respect, integrity, trust, and teamwork in the workplace and must comply with the Organization’s policies prohibiting discrimination and harassment in all facets of the Organization’s work. All Affected Individuals are required to support the Organization’s commitment to a safe and professional work environment and to demonstrate appropriate behavior in the workplace. All Affected Individuals are prohibited from joking about another person’s race, sex, age, religion, national origin, color, marital status, disability, or other protected characteristics. All employees are prohibited from considering someone’s race, color, religion, sex, national origin, age, disability, or other protected characteristic in making decisions about hiring, placement, assignment of duties, training, promotion, termination, compensation, benefits, and other work terms. Sexual harassment is prohibited. Sexual harassment includes any form of unwelcome sexual advance, request for sexual favors, or other verbal or physical conduct of a sexual or sex-based nature. Affected Individuals are responsible for understanding the Organization’s policy prohibiting discrimination and sexual harassment. You should consult with an appropriate supervisor, administrator, or Human Resources if you have questions about your right to a workplace free from unlawful harassment or discrimination or if you have questions about your duty to avoid discrimination. Be alert to any situation that could violate EIHAB Human Services’ Standards of Conduct, Compliance Program, policies and procedures, guidelines, and/or Federal and State laws and regulations. Promptly report any questions, issues, compliance concerns, wrongdoing, violations, or suspected violations to your supervisor, another member of Management, a member of the Compliance Committee, or the Compliance Officer.

DDD, ID, DD, development disability, intellectual disability, autism, autistic, Down syndrome, mental illness, bipolar, depression, dual diagnosis, day habilitation program, day hab, individual supports, office of licensing, NJ, DHS, CIMU, OOL, office ot investigation, referral, residential placement, congregate setting, residential habilitation program, supervised apartment, unsupervised visits, ISP, support coordination, group home, residential services, DDD services, ddd provider, medicaid, Non profit, EIHAB NJ, In home supports, transportation services, day program, behavioral supports, behavioral services, behavioral health, job assistance, subsidized housing, respite, hospice care, dsp, direct support professional, behavioral specialist, community supports, nursing, LPN, RN, MSW, social services, social work, full-time position, part-time, resume. Pennsylvania Service Locations INDIVIDUAL COMMUNITY Lehigh, Pennsylvania Tunkhannock, Pennsylvania RESIDENTIAL SUPPORTS Lehigh, Pennsylvania Tunkhannock, Pennsylvania Submit Referral Form Your First Name Your Last Name Your Email Your Phone What is your relation to Person Applying: Self Care Manager Parent Family Other (indicate in comment) Which Services Are You Interested in? Residential Community Habilitation Residing County Does the person have CCP or SP? * Required Yes No Not Sure Does the person have ODP eligibility? * Required Yes No How Did You Hear About Us? Choose an option Person's First Name Person's Last Name Age Does the person have a Support Coordinator * Required Yes No Support Coordinator Email In Summary, What are Person's Life Goals Additional Comments Get Started Thanks for submitting!