New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 37E - OUTPATIENT SERVICE STANDARDS
Subchapter 2 - PROGRAM OPERATION
Section 10:37E-2.7 - Utilization review

Universal Citation: NJ Admin Code 10:37E-2.7

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

(a) In addition to meeting the quality assurance requirements as promulgated in N.J.A.C. 10:37-9, the PA shall also monitor and evaluate utilization of OP resources.

(b) At a minimum, the following data shall be routinely collected and analyzed:

1. Wait for service data:
i. The length of time from referral to intake interview from a designated screening center or a psychiatric emergency service with a written affiliation agreement with a designated screening center for medication monitoring; referrals from inpatient settings for medication monitoring; and referrals from other sources;

ii. The length of time from intake interview to initiation of ongoing therapy, categorized by referrals for medication monitoring and referrals from inpatient settings for medication monitoring; and referrals from all other sources;

iii. Monthly number of clients on the waiting list.

2. Caseload size per therapist; and

3. Percentage of direct service time and indirect service time spent by each therapist each month.

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