New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 73 - CASE MANAGEMENT SERVICES › Subchapter 2 - ADULT CASE MANAGEMENT PROGRAM/MENTAL HEALTH (CMP/MH) › Section 10:73-2.4 - Case management services provided under adult CMP/MH

Current through Register Vol. 56, No. 14, July 15, 2024
(a) CMP/MH services
				for adults shall include, but shall not be limited to, assessment, service
				planning, services linkage, ongoing monitoring, ongoing clinical support, and
				advocacy. These services are described below:
1. Assessment means the ongoing process of
				identifying, reviewing and updating a beneficiary's strengths, deficits, and
				needs, based upon input from the beneficiary and significant others, including
				family members and community and hospital professionals. The assessment process
				continues throughout the beneficiary's entire length of stay in the program.
				(See N.J.A.C. 10:73-2.10 for
				information about the beneficiary's risk status.)
2. Service planning means the process of
				organizing the outcomes of the assessment in collaboration with the
				beneficiary, significant others, potential service providers, and others as
				designated, to formulate a written service plan that addresses the
				beneficiary's needs, planned services to address these needs, and plans to
				motivate the beneficiary to utilize services and remain in the community. The
				service planning process continues throughout the beneficiary's entire program
				length of stay.
3. Services linkage
				means the ongoing referral to, and enrollment in, a mental health and/or
				non-mental health program. Mental health program linkage means that the
				beneficiary has completed the mental health program's intake process, that the
				beneficiary has been accepted for service, and that the beneficiary has
				effectively participated in the program.
4. Ongoing monitoring consists of both
				beneficiary monitoring and service provider monitoring by the case manager:
i. Beneficiary monitoring means the ongoing
				review of the beneficiary's status and needs, the frequency of which is
				contingent upon the beneficiary's risk status and reported changes from the
				beneficiary, significant others and/or service providers. An update of the
				service plan may result from the monitoring process to address changing
				needs.
ii. Service provider
				monitoring means the process of routine follow-up with the beneficiary's
				service providers to assess provision of services as planned in accordance with
				the beneficiary's needs, in accordance with the beneficiary's individualized
				service plan. Provider monitoring may result in the adjustment of the
				individualized service plan including provider changes. Service provider
				monitoring includes the following:
(1)
				Monitoring the plans, including the medication management plan for
				beneficiaries in need of such plans; and
(2) Coordination of services from multiple
				providers including calling and coordinating treatment team meetings of a
				beneficiary's service providers until the beneficiary exits from the CM
				program.
5.
				Ongoing support services means the provision of face-to-face individualized
				clinical support services for beneficiaries who need consistent contact to
				ensure engagement with the case manager and to help the beneficiary maintain
				stability and remain linked to needed services. Ongoing support services
				include support within the beneficiary's natural support system, including
				family, friends, and employers and typically occurs where the beneficiary
				resides or frequents. The frequency of support services is contingent upon the
				beneficiary's risk status and individual needs.
6. Advocacy means the process of assisting
				the beneficiary in receiving all benefits to which he or she is entitled by
				working toward the removal of barriers to receiving needed services.
				Beneficiary advocacy by the case manager continues throughout the beneficiary's
				entire program length of stay.