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-4.14 - Off-site services

Universal Citation: NJ Admin Code 10:52A-4.14

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

(a) Off-site interventions may be provided, as long as the beneficiary is accompanied or supervised by staff.

1. The off-site interventions shall be:
i. Individualized for each beneficiary and non-stigmatizing;

ii. Integrated as a subordinate component of the beneficiary's Individualized Recovery Plan, which clearly describes each specific off-site intervention and how the intervention relates to the overall achievement of the beneficiary's specific goals and objectives in the Individualized Recovery Plan, particularly in assisting beneficiaries to apply skills learned to community settings.

iii. Properly documented in the beneficiary's record to include when the off-site activity commenced and terminated; and

iv. Limited to a defined and measurable period of time.

v. Services which are solely recreational or diversional in nature shall not be considered an APH or PH activity.

(b) Off-site services provided shall average less than 10 percent of each APH and PH program beneficiary's average active programming time in APH and PH during the previous month. If off-site activities are greater than 10 percent additional justification is required in the beneficiary's record and shall be subject to program audit by the Division. In no case may the time be more than 20 percent.

1. The beneficiary must sign in at the site of the APH or PH program prior to participating in any off-site activity and sign out of the program after completion of the off-site activity.

2. Transportation to and from an off-site activity shall not be counted as billable time for a beneficiary unless:
i. A qualified clinical staff member is in the vehicle functioning as a counselor;

ii. There are no more than four clients in the vehicle or, if there are more than four clients in the vehicle, a second staff person accompanies the clinical staff member and functions as the driver; and

iii. The clinical staff conducts activities for the beneficiary during the period of transportation which meet all of the requirements for reimbursable activities of the program.

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