New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 73 - CASE MANAGEMENT SERVICES
Subchapter 3 - CARE MANAGEMENT ORGANIZATION SERVICES
Section 10:73-3.21 - Quality assessment/evaluation

Universal Citation: NJ Admin Code 10:73-3.21

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

(a) Each CMO shall develop an annual Quality Assessment and Performance Improvement (QAPI) Plan.

(b) In addition to the CMO's annual QAPI Plan, each CMO shall be evaluated by DCF, or its designated agent, based on various performance measures, including the following:

1. Timeliness of service plan development;

2. Progress towards the financial benchmarks specified in the CMO's contract;

3. Cultural, ethnic, and linguistic competency;

4. Individual service plan appropriateness;

5. Restrictiveness of living environment;

6. Hospital or CCIS readmission rate;

7. Changes in the level of functioning of the child;

8. Placement stability;

9. Permanency including supporting the DYFS mandates and requirements in this regard;

10. Length of stay in residential treatment centers;

11. Reduction in the use of congregate care and increased use of community based treatment options;

12. Involvement of the child and family; and

13. Consumer satisfaction with the services provided.

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