New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 76 - PROGRAMS OF ASSERTIVE COMMUNITY TREATMENT (PACT) SERVICES
Subchapter 1 - GENERAL PROVISIONS
Section 10:76-1.2 - Definitions

Universal Citation: NJ Admin Code 10:76-1.2
Current through Register Vol. 56, No. 6, March 18, 2024

The following words and terms, as used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise:

"Adult" means an individual age 18 and older.

"Centers for Medicare and Medicaid Services (CMS)" means the agency of the Federal Department of Health and Human Services that is responsible for the administration of the Medicaid program and the State Children's Health Insurance Program (SCHIP) in the United States. In New Jersey, the SCHIP is known as NJ FamilyCare.

"Department (DHS)" means the New Jersey Department of Human Services.

"Division of Mental Health and Addiction Services (DMHAS)" means the organizational component of the New Jersey Department of Human Services that is responsible for the administration of the State's mental health and addiction programs.

"Division of Mental Health Services (DMHS)" means the organizational component of the New Jersey Department of Human Services that is responsible for the administration of the State's mental health programs.

"Division of Medical Assistance and Health Services (DMAHS)" means the organizational component of the New Jersey Department of Human Services that is responsible for the administration of the State's medical assistance programs.

"National Plan and Provider Enumerations System (NPPES)" means the system that assigns a provider a National Provider Identifier (NPI) number, maintains and updates information about health care providers with NPIs, and disseminates the NPI Registry and NPPES downloadable file. The NPI Registry is an online query system that allows users to search for a health care provider's information.

"National Provider Identifier (NPI)" means a unique 10-digit identification number issued to health care providers by the Centers for Medicare and Medicaid Services (CMS).

"Prior authorization" means approval by DMHAS before services are rendered.

"Programs of Assertive Community Treatment (PACT)" means mental health rehabilitative services which are delivered in a self-contained treatment program, provided by a service delivery team and managed by a qualified program director, that merge clinical and rehabilitative expertise to provide mental health treatment, rehabilitation, and support services which are individualized and tailored to the unique needs and choices of the individual receiving the services.

"Provider" means an organization that has a contract with, and is licensed by, the DHS to provide PACT services.

"Taxonomy code" means a code that describes the provider or organization's type, classification, and the area of specialization.

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