New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 77 - REHABILITATIVE SERVICES FOR CHILDREN
Subchapter 3 - RESIDENTIAL MENTAL HEALTH REHABILITATION SERVICES
Section 10:77-3.10 - Collaboration with mobile response agencies

(a) As part of an individual crisis stabilization plan (see N.J.A.C. 10:77-6) a mobile response agency may contact a non-Joint Commission accredited psychiatric community residence for youth, group home, or residential childcare facility to place a child, youth, or young adult receiving mobile response and/or stabilization management services for a period of up to seven days.

(b) The psychiatric community residence for youth, group home or residential childcare facility providing the crisis bed for the child may request reimbursement of a per diem fee, for up to seven days, to cover additional costs incurred by the facility during this period as included in a plan of care prepared by the mobile response agency and authorized by the Contracted Systems Administrator (CSA). This per diem fee shall be reimbursed in addition to their usual reimbursement using the HCPCS procedure code, H0018 TJ. (See N.J.A.C. 10:77-7.2(b)).

(c) Effective for date of service on or after January 1, 2004 the Contracted Systems Administrator (CSA) will issue an authorization number for the facility providing the crisis bed to use when requesting reimbursement. The provider must enter this authorization number on the CMS-1500 claim form to ensure proper reimbursement is received.