New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 161B - STANDARDS FOR LICENSURE OF OUTPATIENT SUBSTANCE USE DISORDER TREATMENT FACILITIES
Subchapter 6 - CLIENT CARE POLICIES AND SERVICES
Section 10:161B-6.2 - Client care policies and procedures

Universal Citation: NJ Admin Code 10:161B-6.2

Current through Register Vol. 56, No. 18, September 16, 2024

(a) Client care policies shall facilitate continuity of care and client safety, and shall include, but need not be limited to, the following:

1. Admissions and exclusionary criteria that include identification of the conditions or diagnoses eligible and ineligible for admission;

2. Orientation of new clients;

3. Services offered including, but not limited to, screening, assessment, diagnosis, counseling, education, and case management;

4. Client rights, that include the acknowledgement that the client is made aware of, and has approved, receiving counseling services from a substance abuse counselor intern;

5. Staffing patterns;

6. Referral of clients to health care providers outside of the facility, including referrals to other treatment programs along the continuum of care;

7. Emergency care of clients;

8. Care of clients during an episode of communicable disease;

9. Care of clients with tuberculosis, which is not transmissible, or no longer communicable;

10. Informed consent requirements and methodology, including provisions for obtaining informed consent from parents or guardians of juveniles;

11. Initiation, implementation, review, and revision of a written treatment plan of care to include DSM-5 diagnosis, ASAM level of care assessment, measurable goals, objectives and treatment outcomes;

12. Health education of clients through various mediums, including written, and presented multi-lingually on the basis of client composition of the program;

13. Criteria for discharge, transfer and re-admission of clients from the program;

14. Screening clients for substance use through random urinalysis or other approved methods of drug screening on grounds that are reasonable and not unfairly discriminatory;

15. Conducting of research activities;

16. Reporting of critical incidents, complaints and threats;

17. Conflict resolution process; and

18. Community relations.

(b) The facility shall establish policies and procedures regarding financial arrangements established between clients and the facility, including:

1. The method and time frames for retention of records of financial arrangements and transactions;
i. The facility shall provide clients with copies of all financial arrangements and transactions relevant to the client;

2. Clients shall be advised in writing at admission of all fees and payments charged by the facility including any services such as physician or nursing visits that are billed separately;
i. Any sliding fee scales or special payment plans, at a minimum, shall provide notice to clients that a description of the sliding fee scales or special payment arrangements, and the circumstances in which they may be appropriate, is available on-site for review upon request;

3. The fee schedule for the provision of services for which the program charges as follows:
i. The facility shall not assess charges, expenses or other financial liabilities in excess of those established in the fee schedule without the written approval of the client, except in the event of an emergency, which requires that the client be provided with special services or supplies; and

ii. The facility shall provide the client written copies of all of his or her approvals of additional expenses, or expenses incurred in rendering services to the client during an emergency;

4. The method for notifying clients regarding the program's agreements with insurance companies, health maintenance organizations (HMOs) and other third-party payers; and

5. The method for notifying clients regarding sources of financial assistance available to clients, and the method for referring clients directly to the source(s) of financial assistance, when appropriate.

(c) If the facility provides medical and/or nursing service, the facility shall establish policies and procedures for the acceptance of verbal and telephone orders from physicians or other licensed practitioners authorized under New Jersey statute, to include the following:

1. Limitations on verbal and telephone orders to emergency situations; and

2. Written documentation of verbal and telephone orders shall be written into the client's clinical record by the person receiving such orders, and countersigned by the person issuing such orders within 72 hours of the issuance of the verbal or telephone order.

Disclaimer: These regulations may not be the most recent version. New Jersey may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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