New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 141 - TRAUMATIC BRAIN INJURY FUND › Subchapter 1 - GENERAL PROVISIONS; REQUIREMENTS › Section 10:141-1.2 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following words and terms, as used in this chapter, shall
				  have the following meanings, unless the context clearly indicates
				  otherwise.
"Applicant" means a person who is seeking service(s) from the
				  Fund.
"Beneficiary" means a person receiving service(s) from the
				  Fund.
"Case management" means the administrative responsibility for
				  oversight of the Fund beneficiary's service plan. Case management is a
				  mandatory service component for initial applicants and recipients of Fund
				  service(s).
"Council" means the New Jersey Advisory Council on Traumatic
				  Brain Injury.
"Department" means the New Jersey Department of Human
				  Services.
"Division" means the New Jersey Division of Disability
				  Services.
"Eligible supports and services" means those goods and
				  services that are reimbursable under the Fund. Eligible supports and services
				  shall be directly related to the functional limitations and symptoms associated
				  with the brain injury, or medical treatment related to the brain injury. A
				  beneficiary may, within the financial limits of the program, receive multiple
				  supports simultaneously.
"Excluded assets" are assets that are excluded from
				  consideration for Fund service(s). Excluded assets include the home occupied by
				  the individual as his or her principal residence, one automobile necessary for
				  the transportation of the applicant/beneficiary, personal effects, and
				  household goods. Financial instruments recognized by the United States Internal
				  Revenue Service for the purpose of retirement shall be considered excluded
				  assets. These include 401k Plans, IRAs, and similar such instruments.
"Fund" means the Traumatic Brain Injury Fund.
"Funding year" is defined as the continuous 12-month period
				  that begins the day after the Committee renders a decision on an
				  applicant's/beneficiary's support plan.
"Immediate family" is defined as:
1. Biological or adoptive parent(s) or other persons who have
				  been legally determined to be financially responsible for an
				  applicant/beneficiary who is under the age of 18; or
2. Persons who have been legally determined to be financially
				  responsible for an applicant/beneficiary who is over the age of 18, including a
				  legally recognized partner.
"Liquid assets" are assets that are convertible to cash
				  within 30 days. Liquid assets include checking and savings accounts, stocks,
				  bonds, treasury notes and similar instruments.
"Order of selection" is defined as the criteria utilized by
				  the Traumatic Brain Injury Fund Review Committee to establish priority for
				  applicants to receive services in the event that the financial resources of the
				  Fund are limited.
"Practitioner" is an individual who is trained and or
				  credentialed to render a service for payment. The person must also hold a
				  credential by a recognized regulatory body or hold membership in good standing
				  in a professional organization related to the service for which the
				  professional is to be paid.
"Review cycle" means the schedule for the consideration and
				  review of a batch of eligible applications by the TBI Fund Review
				  Committee.
"Service coordination" means clinical responsibility for
				  identifying, developing, and organizing services for a beneficiary. Service
				  coordination is a service option available to Fund beneficiaries, the cost of
				  which shall be applied to the beneficiary's annual and lifetime expenditure
				  caps.
"Support plan" means a document that describes the nature,
				  frequency and cost of services, supports, equipment or items that have been
				  considered for payment.
"TBI Fund Review Committee (Committee)" means the group
				  appointed by the Director of the Division of Disability Services to review
				  service plans, render decisions, hear appeals, and review policies associated
				  with the operation of the Fund.
"Time limited" means a period of up to 12 months, after which
				  services and supports of the Fund may end. In circumstances where continued
				  clinical need can be demonstrated, an individual may request a waiver to extend
				  services for up to an additional 12 months.
"Traumatic brain injury" means an injury to the brain caused
				  by a blow or jolt to the head or a penetrating head injury/neuro-trauma that
				  disrupts the normal brain function, where continued impairment can be
				  demonstrated. This term does not include brain dysfunction caused by congenital
				  or degenerative disorders, birth trauma or injuries caused by other
				  circumstances.