N.J. Admin. Code § 10:77-6.2 - Definitions

Current through Register Vol. 54, No. 7, April 4, 2022

The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise.

"Authorization" means the authorization and the a uthorization number provided by the Contracted Systems Administrator or other agency authorized by the Department, in accordance with 10:77-6.8, allowing for reimbursement for services to be provided. This number is obtained before a provider requests reimbursement for a service.

"Collateral contact" means activities the provider engages in on behalf of the child, youth or young adult to advocate for, link to, coordinate and monitor the services included in the individualized crisis plan.

"Crisis bed" means an available bed in a psychiatric community residence for youth, group home or residential childcare facility (see N.J.A.C. 10:77-3 ) for the temporary placement (not to exceed seven days) of a child/youth or young adult who is in crisis.

"Individualized crisis plan (ICP)" means a crisis stabilization management plan that identifies target behaviors to be addressed, defines desired outcomes and develops and implements necessary mental/behavioral health services, for the initial mobile response period, and, if indicated, a period of up to eight weeks, to stabilize the presenting crisis situation. The ICP includes linking the child, youth or young adult with ongoing formal and informal mental/behavioral health services and other services in the community after the presenting situation has been stabilized.

"Mobile response services" means the time-limited, intensive, therapeutic and rehabilitative crisis intervention and stabilization management services provided for the initial 72 hours after the referral is received from the contract systems administrator.

"Prior authorization" means an authorization, and an authorization number, provided by the Division of Medical Assistance and Health Services, the Contracted Systems Administrator or other agency authorized by the Department, in accordance with 10:77-6.8, allowing for services to be rendered. This number is obtained before a provider renders a service to ensure appropriate reimbursement is received.

"Stabilization management services" means the development, monitoring, coordinating and implementing of an individualized crisis plan (ICP), for up to eight weeks subsequent to the initial 72 hours, to ensure the stabilization of the situation. The development and implementation of the ICP includes advocacy and networking to provide linkages and referrals to appropriate community-based services to aid the child, youth or young adult and his or her family in accessing other benefits or assistance programs for which they may be eligible.

Notes

N.J. Admin. Code § 10:77-6.2
Amended by R.2008 d.251, effective 8/18/2008.
See: 40 N.J.R. 1040(a), 40 N.J.R. 4807(a).
Deleted definitions "Children's mobile response services", "Initial crisis plan" and "Young adult,"; added definitions "Collateral contact" and "Mobile response services"; in definition "Individualized crisis plan (ICP)", inserted "identifies target behaviors to be addressed, defines desired outcomes and", "the initial mobile response period, and, if indicated,", and "and other services"; and in definition "Stabilization management services", substituted a comma for "and" following "monitoring", inserted "and implementing", substituted "individualized" for "individual" and inserted the last sentence.

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