New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 73 - CASE MANAGEMENT SERVICES
Subchapter 2 - ADULT CASE MANAGEMENT PROGRAM/MENTAL HEALTH (CMP/MH)
Section 10:73-2.7 - Service responsibilities of staff members of the adult CMP/MH provider

Universal Citation: NJ Admin Code 10:73-2.7

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

(a) The case manager (CM) providing clinical case management services to adults shall:

1. Identify mentally ill beneficiaries in need of CMP/MH services regardless of residence (for example: homeless, shelter, family, boarding home);

2. Provide clinical assessment of the beneficiary's strengths, needs, resources, motivation, level of functioning, mental status, and risk category;

3. Provide functional assessment of the beneficiary's skills (daily living, self-care, social, vocational, and other skills);

4. Provide intensive community based engagement services to maximize the beneficiary's access to services and ability to function adequately and integrate into the community;

5. Provide or arrange for direct clinical intervention;

6. Provide assessment of the need for crisis intervention, and assistance to providers of psychiatric emergency services in resolving crises;

7. Provide assessment of the beneficiary's substance abuse symptoms;

8. Provide assessment of available social services, health and mental health resources and the ability of these services to meet each beneficiary's needs;

9. Develop beneficiary individualized service plans with the primary goal to motivate the beneficiary to access, appropriately use, and remain in community programs;

10. Develop and monitor a plan for medication management for the beneficiary in need of such a plan, in consultation with the county mental health system's psychiatric services components;

11. Provide ongoing service planning and periodic reviews and revisions of such plans;

12. Provide access to appropriate services, and ensure the beneficiary receives needed transportation in order to attend services;

13. Ensure that the beneficiary engages in the community mental health and non-mental health systems through provision of ongoing individualized clinical support and monitoring;

14. Provide clinical consultation with other providers in a beneficiary's network;

15. Coordinate and integrate services from multiple providers until the beneficiary exits from the CMP/MH, which shall include coordination of treatment team meetings of the service providers of a beneficiary in the community.

16. Monitor service delivery to meet a beneficiary's changing needs;

17. Identify resource gaps and problems of service delivery, and advocate for the resolution of these issues;

18. Provide direct service support to the beneficiary's natural support system, including family, friends, employers, self-help and other natural support groups; and

19. Develop discharge plans, in conjunction with other State or county psychiatric hospital or short-term care facility treatment team members, for beneficiaries assessed as able or willing to access or engage in necessary community mental health services after hospital discharge.

(b) Services rendered while the beneficiary is an inpatient in a State or county psychiatric hospital or psychiatric unit of a general acute care hospital shall not be billable activities.

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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