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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