New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 94 - PREVENTION SERVICES PROGRAM OF THE COMMISSION FOR THE BLIND AND VISUALLY IMPAIRED
Subchapter 3 - VISION AND EYE SCREENING PROGRAMS
Section 10:94-3.4 - On-Site Eye Screening Program

Universal Citation: NJ Admin Code 10:94-3.4

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

(a) The Commission's On-Site Eye Screening Program shall provide free on-site eye screenings to elderly, special needs, minority, and disadvantaged groups at, for example, public housing developments, senior citizen residences, institutionalized care facilities, Federally Qualified Health Centers, special needs schools, and community-based organizations.

(b) Eye screenings shall be given to individuals not under the care of an eye specialist and who have not been examined in more than a year.

(c) The Commission shall be responsible for:

1. Testing equipment and an eye doctor to perform screenings;

2. Provision of a Commission field representative to organize programs and to direct referrals to the Commission;

3. Testing for visual acuity and eye pathology including refraction, ophthalmoscopy, external exam, and tonometry as appropriate; and

4. Screening of approximately 30 to 35 participants at each session, on average.

(d) Referral criteria shall be as follows:

1. Individuals with visual acuity of 20/70 or less in the better eye with best correction or disabling hemianopsias, scotomas, or restricted fields where the diameter of the visual field subtends an angle no greater than 40 degrees;

2. Individuals with a potential to benefit from vocational rehabilitation services (see N.J.A.C. 10:95); or

3. Individuals with potentially sight-threatening conditions, regardless of visual acuity, who may need assistance in securing treatment.

(e) Follow-up procedures shall be as follows:

1. For those individuals falling into the categories under (d)1, 2, and 3 above, follow-up shall be initiated by the Project BEST's follow-up specialist, particularly if there is an urgent medical need. Once eligibility has been determined and additional follow-up is required, the individual's case shall be transferred to the appropriate service unit in a service center for continued service delivery.

(f) An agreement shall be signed by CBVI and the screening site.

Agreement between
_________________________________________
Name of the agency requesting eye health services
And
NEW JERSEY DEPARTMENT OF HUMAN SERVICES'
COMMISSION FOR THE BLIND AND VISUALLY IMPAIRED
By accepting this agreement NEW JERSEY DEPARTMENT OF HUMAN SERVICES' COMMISSION FOR THE BLIND AND VISUALLY IMPAIRED agrees to:
-- Provide services in the areas of eye health and eye safety by offering vision screenings for adults and children at no cost with a concerted effort to provide these services to historically underserved sectors of the population (low income, elderly, minorities, people with diabetes and individuals with special needs).
-- Perform health education and subsequent off-site case management for ongoing applicable vision services.
-- Provide a contact person for the purposes of confirming successful client referrals and ensuring collaborative planning and communication between agencies.
-- Comply with all the requirements of the Department of Human Services of the State of New Jersey and all other federal, state, and local laws, rules, and regulations, including, but not limited to: confidentiality, federal and state anti-kickback and self referral prohibitions, regulatory and accreditation organizations, relating to the services provided pursuant to this Agreement.
By accepting this agreement
___________________________________________________________
Name of the agency requesting eye health services agrees to:
-- Contract with an eye specialist when mutually agreed for the physical examination portion of the vision/eye screenings for on-site eye screening and diabetic eye disease detection programs.
-- Provide a non-smoking physical site to include light controlled quiet room, at least 15 feet long with surge.
-- Protected electric outlets, two tables, adequate number of chairs, a sink, a waste basket and convenient parking.
-- Perform on-site patient registration for minimum of 30 consumers and provide staff throughout the screening.
-- Comply with all the requirements of the Department of Human Services of the State of New Jersey and all other federal, state, and local laws, rules, and regulations, including, but not limited to: confidentiality, federal and state anti-kickback and self referral prohibitions, regulatory and accreditation organizations, relating to the services provided pursuant to this Agreement.
-- Comply with the DHS indemnity language: The provider shall be solely responsible for and shall keep, save and hold the State of New Jersey harmless from all claims, loss, liability, expenses or damage resulting from all mental or physical injuries or disabilities, including death to employees of the provider or recipients of the provider's, or to any other person, or from any damage to any property sustained in connection with the delivery of the provider's services which results from any acts or omissions, including servants or independent contractors, or from the provider's failure to provide for the safety and protection of its employees, whether or not due to negligence, fault or default of the provider. The provider's liability under this Agreement shall continue after the termination of the Agreement with respect to any liability, loss, expense or damage resulting from acts occurring prior to termination.
-- Provide a contact person for the purposes of confirming successful client referrals and for ensuring planning and communication between agencies.
-- Cancellation must be confirmed at least 2 weeks prior to the scheduled date.
This agreement shall be in effect upon signature by both parties until _________________ , unless terminated by either program/institution in accordance with the terms below.
This agreement may be modified or amended, at anytime, by mutual written agreement of authorized persons of both programs/institutions. This agreement may be terminated by either program/institution upon written notice given no later than thirty (30) days prior to the termination date.
___________________________________________________________
Name of the agency requesting eye health services
New Jersey Department of Human
Services' Commission for the Blind
and Visually Impaired
___________________________________________________________
Authorized Signature Authorized Signature
___________________________________________________________
Title Title
___________________________________________________________
Date Date

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