Current through Register Vol. 54, No. 7, April 4, 2022
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
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
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
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.
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.
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
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.
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:
Appropriate therapeutic interventions to address the presenting problem and
stabilize the situation; and
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
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
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
N.J. Admin. Code §
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.