New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 73 - CASE MANAGEMENT SERVICES
Subchapter 2 - ADULT CASE MANAGEMENT PROGRAM/MENTAL HEALTH (CMP/MH)
Section 10:73-2.4 - Case management services provided under adult CMP/MH
Universal Citation: NJ Admin Code 10:73-2.4
Current through Register Vol. 56, No. 18, September 16, 2024
(a) CMP/MH services for adults shall include, but shall not be limited to, assessment, service planning, services linkage, ongoing monitoring, ongoing clinical support, and advocacy. These services are described below:
1. Assessment means the ongoing process of
identifying, reviewing and updating a beneficiary's strengths, deficits, and
needs, based upon input from the beneficiary and significant others, including
family members and community and hospital professionals. The assessment process
continues throughout the beneficiary's entire length of stay in the program.
(See N.J.A.C. 10:73-2.10 for
information about the beneficiary's risk status.)
2. Service planning means the process of
organizing the outcomes of the assessment in collaboration with the
beneficiary, significant others, potential service providers, and others as
designated, to formulate a written service plan that addresses the
beneficiary's needs, planned services to address these needs, and plans to
motivate the beneficiary to utilize services and remain in the community. The
service planning process continues throughout the beneficiary's entire program
length of stay.
3. Services linkage
means the ongoing referral to, and enrollment in, a mental health and/or
non-mental health program. Mental health program linkage means that the
beneficiary has completed the mental health program's intake process, that the
beneficiary has been accepted for service, and that the beneficiary has
effectively participated in the program.
4. Ongoing monitoring consists of both
beneficiary monitoring and service provider monitoring by the case manager:
i. Beneficiary monitoring means the ongoing
review of the beneficiary's status and needs, the frequency of which is
contingent upon the beneficiary's risk status and reported changes from the
beneficiary, significant others and/or service providers. An update of the
service plan may result from the monitoring process to address changing
needs.
ii. Service provider
monitoring means the process of routine follow-up with the beneficiary's
service providers to assess provision of services as planned in accordance with
the beneficiary's needs, in accordance with the beneficiary's individualized
service plan. Provider monitoring may result in the adjustment of the
individualized service plan including provider changes. Service provider
monitoring includes the following:
(1)
Monitoring the plans, including the medication management plan for
beneficiaries in need of such plans; and
(2) Coordination of services from multiple
providers including calling and coordinating treatment team meetings of a
beneficiary's service providers until the beneficiary exits from the CM
program.
5.
Ongoing support services means the provision of face-to-face individualized
clinical support services for beneficiaries who need consistent contact to
ensure engagement with the case manager and to help the beneficiary maintain
stability and remain linked to needed services. Ongoing support services
include support within the beneficiary's natural support system, including
family, friends, and employers and typically occurs where the beneficiary
resides or frequents. The frequency of support services is contingent upon the
beneficiary's risk status and individual needs.
6. Advocacy means the process of assisting
the beneficiary in receiving all benefits to which he or she is entitled by
working toward the removal of barriers to receiving needed services.
Beneficiary advocacy by the case manager continues throughout the beneficiary's
entire program length of stay.
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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