New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 73 - CASE MANAGEMENT SERVICES
Subchapter 3 - CARE MANAGEMENT ORGANIZATION SERVICES
Section 10:73-3.19 - Financial management
Universal Citation: NJ Admin Code 10:73-3.19
Current through Register Vol. 56, No. 18, September 16, 2024
(a) Under the CSOC children's system of care, the care provided and the payment for care is individualized and child centered rather than program and service centered. The CMO has responsibilities, as a systems partner, to assist in the implementation of this principle as outlined in this subchapter and their individual DHS contract.
(b) Financial management and monitoring responsibilities of the CMOs shall include:
1. The design and implementation of
Individual Service Plans (ISPs) that shall include a range of services and
social supports, some of which will be eligible for reimbursement under
Medicaid/NJ FamilyCare or other DHS/DCF contracts;
2. The administration of a flexible funding
pool for purchasing services and social supports that contribute to the goals
of an ISP, but are not reimbursable under Medicaid/NJ FamilyCare program or
other DHS/DCF contracts;
3. The use
of DCF funds to develop a local network of innovative community resources
available to ISP through the flexible funding pool, and the community resource
fund, organized specifically to contribute to ISP goals and outcomes;
4. The monitoring and tracking of the costs
of the ISP in conjunction with DHS/DCF and CSA eligibility and other system
partners, including, but not limited to, other State agencies;
5. The reporting of financial outcomes,
correlating the clinical outcomes with the financial resources consumed to
produce the clinical outcomes; and
6. The tracking and managing of funds
consistent with DHS/DCF child monthly cost benchmarks.
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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
