New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 52A - PSYCHIATRIC ADULT ACUTE PARTIAL HOSPITAL AND PARTIAL HOSPITAL SERVICES
Subchapter 4 - PROGRAM REQUIREMENTS
Section 10:52A-4.11 - Documentation requirements for APH and PH

Universal Citation: NJ Admin Code 10:52A-4.11

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

(a) The APR and PH programs shall maintain a comprehensive signature log, signed by each beneficiary, which reflects the beneficiary's daily participation in the program.

(b) Each APH program shall provide daily documentation for each beneficiary in the program. Each PH program shall provide weekly documentation for each beneficiary in the program. Documentation shall include, but not be limited to:

1. A summary of the beneficiary's participation in therapies or activities and clinical progress;

2. A description of any significant events which may have an effect on the beneficiary's achievement of his or her stated goals and objectives; and

3. Treatment plan revisions, which shall be based on the beneficiary's response to treatment plan interventions.

(c) Each progress note entry into the beneficiary's record shall be legible, signed, dated and shall include staff title and credentials.

(d) A record of participation by the beneficiary shall be maintained by an assigned group facilitator.

(e) Each provider shall make all records available for review by the Department.

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