N.J. Admin. Code § 10:164A-3.3 - Responsibilities of participating agencies
(a) The agency shall determine the eligibility of all applicants for service under the Adult Day Services Program for Persons with Alzheimer's Disease or Related Disorders as defined by N.J.A.C. 10:164A-6.
(b) Once eligibility is determined, the agency shall submit completed Waiting List Application, Financial Profile, Client Funding Utilization and Demographic Data forms to the Department for authorization.
(c) The agency shall verify the income of each applicant applying for services under the Adult Day Services Program for Persons with Alzheimer's Disease or Related Disorders and determine the applicant's ability to contribute to the cost of the adult day services. This income verification shall be reviewed on an annual basis, or more frequently if circumstances change to ensure continued eligibility for services.
(d) The agency shall determine sources of payment for adult day services for each applicant and assess and collect all co-payments through retrospective billing.
(e) The agency shall submit monthly statistical and financial reports on adult day services provided and other information as requested by the Department.
(f) The agency shall maintain a minimum staff-client ratio of 1:5 for programming for clients with a form of dementia.
(g) New staff shall receive an orientation within 30 days of employment which, in addition to job responsibilities, includes:
1. Methods of dealing with the specific problems encountered in the care of people with Alzheimer's disease, such as communicating with clients, necessary safety measures and common behavior concerns; and
2. An overview of the progression of dementia and the different types of dementia.
(h) Staff shall regularly attend specialized training through, for instance, associations or universities, in order to have the most current information about people affected with Alzheimer's disease or related disorders. Documentation of training shall be maintained and made available for review by the Department.
(i) A registered professional nurse shall monitor the health status of clients, participate in the development and quarterly review of the care plan, and dispense medications in accordance with established procedures. Nursing hours shall be scheduled in accordance with medication needs of clients.
(j) A home visit shall be conducted as part of the application process. Interviewing an applicant and caregiver in their home environment provides important information about the applicant's living conditions, his or her functional status and relationship with other family members. Further, this home visit helps to identify home safety issues, home medication use and the use of, or need for, adaptive equipment.
(k) The agency shall develop written procedures for clients/caregivers to express concerns or dissatisfaction about service(s) being provided.
(l) The agency shall agree to comply with the program rules contained in this chapter.
(m) Any breach of contract provisions by the agency may constitute grounds for contract cancellation upon 30 days notice by the Department of Human Services.
Notes
See: 38 N.J.R. 2365(a), 38 N.J.R. 4694(a).
In (h), substituted "Department" for "Division of Senior Affairs".
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