N.J. Admin. Code § 10:77-6.7 - Mobile crisis response services; program description and agency responsibilities

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

(a) Mobile crisis response services shall be provided in the first 72 hours, spanning up to four days after the initial referral/dispatch, and shall include, but shall not be limited to:
1. Mobile outreach services;
2. Assessment and evaluation of the presenting crisis that shall include an assessment of child and community safety, caregiver capability, and clinical risk;
3. Clinical interventions to stabilize the presenting crisis;
4. Temporary placement (not to exceed seven days) in a community residence for youth, group home or residential childcare facility;
5. The development of an individualized crisis plan (ICP); and
6. Providing information to the family support organization (FSO), as appropriate.
(b) Mobile response services shall be targeted toward the stabilization of the presenting behaviors and situation, with the goal of preventing a disruption of current living arrangement, inappropriate psychiatric hospitalization or residential placement.
(c) Mobile response services shall be available 24 hours a day, seven days a week, and shall be rendered by a mobile response team wherever the need presents, including, but not limited to, the child's home, other living arrangement or other location in the community.
1. Mobile response services shall not be eligible for reimbursement if provided in an acute care hospital, a JCAHO accredited inpatient psychiatric hospital, or other JCAHO accredited residential facility, although an initial referral to a mobile response agency may be made prior to the child's discharge from the facility.
i. If the mobile response agency receives a referral for a child in an acute care hospital, a JCAHO accredited inpatient psychiatric hospital, or other JCAHO accredited residential facility, the 72-hour timetable shall begin upon referral. The first date of service on the claim shall be the date the child is discharged from the facility, with the last date indicating the end of the 72-hour period of service. Providers will receive reimbursement for one unit of service, which may cover less than 72 hours of service provided to the child outside the residential facility.
2. Initial face-to-face contact with the beneficiary and/or his or her family/caregiver by the mobile response team member(s) shall occur within 24 hours of the initial referral. However, for those situations determined to require an immediate response by the team, face-to-face contact shall be made within one hour unless a delay is requested by the family to meet the family's needs, for example, the family requests that the team member(s) be at the residence when the child returns from school that afternoon.
(d) The mobile response agency shall develop an individualized crisis plan (ICP) for the child/youth or young adult and his or her family/caregiver with the goal of stabilizing the presenting crisis situation. The mobile response agency shall develop the ICP after the initial contact with the child/youth or young adult and his or her family/caregiver and shall register the ICP with the contracted system administrator within 24 hours. At a minimum, the ICP shall include:
1. Appropriate therapeutic interventions to address the presenting problem and stabilize the situation; and
2. A transition plan, which shall include a plan to manage and coordinate the ICP subsequent to the initial 72 hours, including referrals for appropriate services, based on the individual situation, to be provided during the crisis stabilization period.
i. The transition plan for children, youth or young adults receiving CMO or YCM services shall reflect a discharge back to the CMO or YCM agency at the end of the mobile crisis response episode.
ii. The transition plan for children, youth or young adults who are not receiving CMO or YCM services and who do not require stabilization management services subsequent to the mobile response services shall include a discharge summary.

Notes

N.J. Admin. Code § 10:77-6.7
Recodified from N.J.A.C. 10:77-6.6 and amended by R.2008 d.251, effective 8/18/2008.
See: 40 N.J.R. 1040(a), 40 N.J.R. 4807(a).
Section was "Program description; mobile crisis response services". In (a), substituted "shall not be" for "are not"; in the introductory paragraph of (d), substituted "develop an individualized crisis plan (ICP)" for "be responsible for developing an initial crisis plan", substituted "ICP" for "initial plan" twice, and substituted "contracted system administrator" for "Contracted Systems Administrator (CSA)"; and rewrote (d)2. Former N.J.A.C. 10:77-6.7, Stabilization management services--general, recodified to N.J.A.C. 10:77-6.8.

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