New Jersey Administrative Code

(a) If a family receives assistance from the Fund for a child, in accordance with this chapter, and subsequently recovers damages or a financial award for the child's medical expenses, pursuant to a settlement or judgment in a legal action, the family shall reimburse the Fund for…

(a) Pursuant to the Act, the Fund will provide assistance to families having a child with a catastrophic illness. To be eligible for the Fund's assistance, a child's verified medical expenses, incurred in any prior consecutive 12-month period in the seven years (84 months) prior …

Applications may be submitted on a year-round basis to the local agency. The name, address, and phone number for the local agencies shall be available from the State Office. The local agency shall forward written applications on forms provided by the State Office. Applications al…

(a) Upon receipt of the paper application from the local agency, or the web application from the family, the State Office shall consider the providers' and vendors' charges submitted. (b) Providers shall demonstrate licensure or certification by appropriate State or Federal agenc…

Incurred, out-of-pocket medical expenses greater than 10 percent of the first $ 100,000 of annual income for a family plus 15 percent of the excess income over $ 100,000 threshold shall be required for eligibility consideration. Those expenses above the family responsibility and …

(a) The amount of Fund's disbursements on behalf of a child shall be capped at $ 100,000 per year. (b) A one-time vehicle allowance will be capped at $ 7,500 for the purchase or lease of a specialized vehicle. The allowance does not include modifications, which can be considered …

If adequate funds do not exist in the Fund at the point in time when a particular batch is being considered by the Commission to pay all applicants the amount of their expenses below the annual cap, a sliding payment schedule shall be used in an effort to distribute the available…

Because the Fund's actual level of assistance to families, as determined by the Commission, shall in most, if not all, cases be less than the child's medical expenses, the Commission shall determine how the Fund's available monies shall be distributed among eligible providers and…

(a) This chapter applies to all substance (alcohol and drug) use disorder treatment facilities that provide outpatient substance use disorder treatment services to adults and juveniles, including: outpatient, intensive outpatient, partial care, outpatient detoxification, and opio…

The facility shall hire at least one dietician registered by the Commission on Dietetic Registration, 120 South Riverside Plaza, Suite 2000, Chicago, IL 60606-6995, http://www.cdrnet.org, if the facility serves any meals other than snacks to clients in the treatment program. Note…

The purpose of this chapter is to protect the health and safety of clients by establishing minimum rules and standards of care with which an outpatient substance use disorder treatment facility must adhere to be licensed to operate in New Jersey. Notes N.J. Admin. Code § 10:161B-…

The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise: "Accrediting agencies" means those organizations recognized nationally that set standards and review providers based on these standards. Th…

(a) Opioid treatment and detoxification facilities are required under N.J.A.C. 10:161B-7 to hire a physician as medical director who is currently licensed in accordance with the laws of this State to perform the scope of services set forth in this chapter. This physician must be …

(a) In addition to the requirement of medical director, opioid treatment programs and facilities providing detoxification services are also required to hire a director of nursing services pursuant to N.J.A.C. 10:161B-8. The program shall hire a registered professional nurse (RN) …

Each opioid treatment program and each outpatient detoxification program dispensing medications on-site shall engage or contract with a pharmacist currently registered with the New Jersey State Board of Pharmacy. Notes N.J. Admin. Code § 10:161B-1.6

(a) The facility shall hire an administrator who has, at a minimum, a Master's degree and two years of full-time, or full-time equivalent, administrative or supervisory experience in a substance use disorder treatment facility. (b) Individuals who do not meet the qualifications i…

(a) Every program shall employ at least one individual who meets at least the minimum following qualifications as the director of substance abuse counseling: 1. A New Jersey licensed psychologist who possesses a Certification of Proficiency in the Treatment of Alcohol and other P…

(a) Every facility shall ensure that the ratios of substance abuse counseling staff are maintained so that 50 percent of the staff are LCADC or CADC or other licensed health professionals doing work of an alcohol or drug counseling nature within their scope of practice by June 1,…

(a) Every outpatient substance use disorder treatment facility shall provide substance abuse counseling on-site, and shall assign every client to a primary substance abuse counselor at admission. (b) Programs shall maintain an average ratio of substance abuse counselors to client…

Every program shall employ a director of substance abuse counseling services with the qualification and responsibilities specified in N.J.A.C. 10:161B-1.8. Notes N.J. Admin. Code § 10:161B-10.2

(a) Every program shall provide or coordinate the following services for each client as appropriate to the client's treatment plan: 1. Vocational and educational counseling and training; 2. Job placement for clients whose plans of care indicate a need for such services; and 3. Re…

(a) Programs providing treatment to clients diagnosed with co-occurring disorders shall have clearly written policies and procedures governing the integrated treatment (assessment, diagnosing and service provision) of individuals diagnosed with co-occurring disorders.1. Policies …

(a) A program applying for licensure to operate an opioid treatment program pursuant to these standards shall: 1. Provide written documentation that the applicant for licensure of the opioid treatment program has notified the governing authority of the municipality of the full sc…

(a) The multidisciplinary team shall utilize the criteria outlined in the Federal standards set by accrediting agencies at 42 CFR Part 8.12, in determining whether or not a client is eligible to receive take home medication and meets all the eligibility criteria. 1. Any client in…

(a) Take-home medication provided to eligible clients shall be provided in a child-proof container in accordance with the Poison Prevention Packaging Act ( PL 91-601, 15 U.S.C. 1471,Federal Consumer Product Safety Commission, http://www.cpsc.gov//Global/PDF/Statues/pppa.pdf and s…

(a) An opioid treatment program shall develop and implement written policies and procedures consistent with this chapter and all applicable Federal regulations addressing the following issues: 1. A client meeting the standards set by accrediting agencies for consideration of take…

(a) Clients in opioid treatment programs who have 24 and 36 consecutive months of stability in treatment, and who have been determined and documented as eligible by the multidisciplinary team, may be approved for extended take-homes as follows: 1. A Phase V client who has had no …

(a) An opioid treatment program may request an exception of the take-home requirements contained in the standards set by accrediting agencies for a client deemed responsible in handling take-home medication who is unable to be medicated at the program due to illness, family emerg…

(a) An opioid treatment program may elect to provide on-site clinic based medical maintenance services to Phase VI clients under the care of a licensed opioid treatment program physician according to program policy and the provisions of this chapter. (b) Prior to initiating clini…

An opioid treatment program seeking to affiliate with an office based private physician for the provision of opioid treatment in the physician's office shall request an exemption from the CSAT in accordance with 42 CFR Part 8. The opioid treatment program shall also file for a wa…

An opioid treatment program shall provide emergency telephone coverage by a designated staff member or by other arrangements or agreement 24 hours per day, seven days a week, to respond to clients in crisis, verify client dose levels, etc. Notes N.J. Admin. Code § 10:161B-11.17…

(a) All opioid treatment programs shall have a medical director who shall be ASAM certified, or certified by its successor board, by June 1, 2012 in accordance with N.J.A.C. 10:161B-1.4. The medical director or other designated program physician shall be available on site or by t…

Clinical decisions regarding phase changes, take home privileges and other treatment issues shall be based on a multidisciplinary team review of each client. Documentation of the multidisciplinary team review with the recommended course of action shall be in the client's chart an…

(a) Opioid treatment programs shall develop and implement written policies and procedures to include the following: 1. Medication management, including: i. The responsibilities of the medical director, other physicians, and other health care professionals; ii. The role of physici…

(a) Opioid treatment programs shall give preference for admission to pregnant women, intravenous (IV) drug users, and individuals who are HIV-positive. (b) All persons admitted to an opioid treatment program shall meet the admission criteria outlined in the Federal standards set …

(a) In addition to meeting the eligibility criteria for admission, a client admitted to an opioid treatment program shall receive a biopsychosocial assessment in accordance with N.J.A.C. 10:161B-9.1(a). (b) Drug screening shall be analyzed, at a minimum, for opioids, methadone, c…

(a) In all years after the year of admission to an opioid treatment program, a client shall receive either an annual physical examination by a program physician or other licensed independent practitioner under New Jersey statutes, or an annual nursing assessment by a registered p…

(a) As part of a multidisciplinary team approach, an opioid treatment program shall provide counseling services in accordance with N.J.A.C. 10:161B-10.1. (b) All opioid treatment programs shall provide counseling services, at a minimum, in accordance with the Phase schedule set f…

(a) Random drug screening shall be conducted on varied days and weeks of the month to detect, at a minimum, the presence of opioids, methadone, cocaine, amphetamines, and benzodiazapenes. Screening for alcohol, marijuana and other drugs shall be conducted based on individual and/…

(a) The standards in this subchapter shall apply to all outpatient substance use disorder treatment programs approved by DCN&L to provide outpatient detoxification services, including opioid treatment programs providing short-term (that is, less than 30 days) opiate detoxificatio…

(a) Programs providing outpatient detoxification services shall meet the following staffing requirements: 1. Outpatient detoxification services shall be under the direction of a medical director who meets the requirements set forth in N.J.A.C. 10:161B-1.4, and who can demonstrate…

Clients admitted to outpatient detoxification shall meet the admission criteria for either ASAM Level I-D (outpatient detoxification without extended on-site monitoring) or Level II-D (outpatient detoxification with extended on-site monitoring) of the ASAM Criteria. Priority admi…

(a) All outpatient programs providing detoxification services shall, at a minimum, provide the following services: 1. Biopsychosocial assessment, including physical examination upon admission, meeting the criteria at N.J.A.C. 10:161B-9.1(a) and (b), using a recognized assessment …

(a) Outpatient substance use disorder treatment programs approved by DCN&L to provide outpatient detoxification shall establish policies and procedures which are consistent with the ASAM Criteria, the CSAT Treatment Improvement Protocol (TIP 19, 1995) publication "Detoxification …

(a) The outpatient substance use disorder treatment program shall provide laboratory services directly in the program or shall ensure the availability of services through written affiliation agreements. 1. The program shall only contract with laboratories that are licensed or app…

(a) Any outpatient substance use disorder treatment program that administers or dispenses medication to clients shall either appoint a pharmacist as the director of pharmaceutical services, or engage a consultant pharmacist, to direct, provide, and monitor the quality of pharmace…

(a) The facility's policies and procedures shall ensure that medications, in the correct strengths and dosages and at the ordered correct time intervals, are administered to each client through the prescribed route of administration. The facility's policies and procedures shall e…