New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 162 - INTOXICATED DRIVING PROGRAM
Subchapter 6 - TREATMENT PROGRAM OPERATIONAL REQUIREMENTS
Section 10:162-6.16 - Treatment costs
Current through Register Vol. 56, No. 18, September 16, 2024
(a) The Division shall not be responsible for any treatment costs for any treatment or treatment agency evaluation costs for a client unless the client provides proof that he or she is an eligible recipient, and the grantee or sub-grantee providing such services indicates what percentage of the costs have been or will be paid from other sources. The Division may then make payments from the Fund on a sliding scale up to 100 percent of the costs.
(b) If a client is an eligible recipient and meets the criteria set forth in (c) and (d) below, treatment shall be provided by an approved grantee to the client at no cost to the client when monies from the Fund are available, subject to the provisions of (d) below regarding nominal co-payments. When monies from the Fund are not available, affiliated treatment programs and approved grantees shall provide treatment on a sliding scale basis or at no cost for up to 10 percent of their Intoxicated Driver Resource Center/Intoxicated Driving Program clients.
(c) Recipients for this program will be required to meet eligibility criteria that consider income, resources, Federal Poverty Guidelines, and medical indigency status. Eligibility for this program will be based on Federal Poverty Guidelines as published annually in the Federal Register by the Secretary of Health and Human Services, with an applicable income threshold of 350 percent for applicants seeking residential treatment, and 250 percent for applicants seeking other levels of treatment. For the purpose of this section, medical indigency is defined to include circumstances where an applicant exceeds these Federal Poverty Guidelines, but due to reduced income or necessary medical, legal, legally-mandated, or educational expenses, still lacks sufficient resources to pay for treatment determined to be clinically necessary pursuant to 10:162-6.1 through 6.4.
(d) A client who claims to be an eligible recipient shall provide proof of income and, when applicable, documentation of medical indigency status including, but not limited to, garnishments, alimony, child support and legal fines, to an approved grantee pursuant to N.J. A.C. 10:162-6.1(d). Proof of eligibility does not relieve the client of the responsibility to pay the Intoxicated Driving Program and Intoxicated Driver Resource Center fees required pursuant to N.J.A.C. 10:162-2.4 and 8.1, and any nominal co-payment charged by an approved grantee for therapeutic purposes, as approved by the Division.
