New Jersey Administrative Code

Notes N.J. Admin. Code § 10:162-6.8 Repealed by 50 N.J.R. 1489(a), effective 7/2/2018

The progress of the client shall be monitored and recorded by the treatment program staff on a weekly basis. A client who may be in need of additional treatment, such as detoxification, intensive outpatient, or inpatient treatment, may be assigned to such treatment, with approval…

(a) If a client appears to be under the influence of alcohol or drugs upon arrival or during the Intoxicated Driver Resource Center session, the Intoxicated Driver Resource Center may implement the following procedure: 1. Evaluate the client to see if he or she is incapacitated o…

Improper conduct, such as being threatening or disruptive or purposely not completing forms or providing relevant information, shall be considered non-compliance. Notes N.J. Admin. Code § 10:162-7.2 Recodified from N.J.A.C N.J.A.C. 8:66A-7.2 by R.2005 d.351, effective 10/17/2005.…

(a) Failure to attend the Intoxicated Driver Resource Center/Intoxicated Driving Program or to pay the required fees shall be considered noncompliance. In such cases, the Intoxicated Driver Resource Center/Intoxicated Driving Program shall take the following steps: 1. A notice of…

(a) When the Intoxicated Driver Resource Center/Intoxicated Driving Program has been notified that a client has not contacted the treatment facility by the contact date, the Intoxicated Driver Resource Center/Intoxicated Driving Program shall follow the procedures of N.J.A.C. 10:…

(a) Upon receipt of a Client Treatment Release form indicating that the client did not comply with the treatment program requirements, the Intoxicated Driver Resource Center/Intoxicated Driving Program shall follow the procedures in N.J.A.C. 10:162-8.1(a)1 through 3 and shall, fo…

If the client is found to be in noncompliance for any reason, the Intoxicated Driver Resource Center/Intoxicated Driving Program will follow the procedures in N.J.A.C. 10:162-8.1(a)1 through 3, and shall, for new law clients, mail any necessary documents to the court of convictio…

The failure of Intoxicated Driver Resource Center/Intoxicated Driving Program to follow the noncompliance procedures shall not relieve a client of noncompliance. Notes N.J. Admin. Code § 10:162-8.5 Recodified from N.J.A.C N.J.A.C. 8:66A-8.5 by R.2005 d.351, effective 10/17/2005. …

The Intoxicated Driver Resource Center shall receive written notice from the affiliated treatment agency of satisfactory performance of treatment before notifying the Intoxicated Driving Program to request that the Division of Motor Vehicles restore the client's driving privilege…

(a) The treatment program shall notify the Intoxicated Driver Resource Center/Intoxicated Driving Program of any noncompliance in writing within seven working days. The Intoxicated Driver Resource Center shall notify the courts and the Intoxicated Driving Program utilizing the no…

The Intoxicated Driving Program provides a certified mailing list with every roster sent to the Intoxicated Driver Resource Centers. The Intoxicated Driver Resource Centers shall use this as proof of mailing in cases of noncompliance to the original scheduling notice. Intoxicated…

(a) Prior to restoration of a multiple offender's driver's license, the offender shall be evaluated by the Intoxicated Driver Resource Center/Intoxicated Driving Program, and if treatment is complete, a recommendation for license restoration will be made to the Motor Vehicles Com…

(a) Out-of-State residents who live within reasonable driving distance (one hour's travel time) of an Intoxicated Driver Resource Center shall be scheduled in New Jersey. Other out-of-State residents may satisfy program requirements in their home states or in New Jersey. If an ou…

New Jersey resident/licensees convicted abroad (in non-compact nations, provinces or territories) of alcohol or drug-related driving violations shall be required to participate in the Intoxicated Driving Program/Intoxicated Driver Resource Center Program as a requirement of conti…

If a New Jersey resident attends an Intoxicated Driver Resource Center, and pays the fee and is referred to treatment, but then moves out-of-State, the Intoxicated Driver Resource Center shall be responsible for continued monitoring. All treatment entry, program and completion re…

Intoxicated boaters are not required to complete the mandatory two day jail sentence for noncompliance with Intoxicated Driver Resource Center/Intoxicated Driving Program requirements; however, they are required to comply with all other Intoxicated Driver Resource Center/Intoxica…

(a) This chapter is adopted by the Division of Mental Health and Addiction Services (Division), in consultation with the Department of Health, to comply with the requirements of P.L. 2017, c. 28. (b) Consistent with P.L. 2017, c. 28, the purpose of this chapter is to identify an …

This chapter applies to State-regulated health insurance carriers, the State Health Benefits Program, and the School Employees' Health Benefits Program. In accordance with P.L. 2017, c. 28, this chapter does not apply to benefit plans established by the Department of Human Servic…

The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise. "American Society of Addiction Medicine criteria" or "ASAM criteria" means the clinical guidelines for purposes of the assessment, treatmen…

(a) The evidenced-based and peer-reviewed clinical practice guidelines appropriate to review the medical necessity for treatment of substance use disorders is the ASAM criteria. (b) The evidence-based and peer-reviewed clinical review tool for purposes of reviewing medical necess…

(a) The Adult Day Health Services Program is concerned with the fulfillment of the health needs of eligible individuals who could benefit from a health services alternative to total institutionalization. Adult Day Health Services is a program that provides medically necessary ser…

The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise: "ACCAP" means the AIDS Community Care Alternative Program created pursuant to the Omnibus Budget Reconciliation Act of 1981. "ADHS" means a…

(a) An adult day health services facility shall meet the following requirements in order to participate in the New Jersey Medicaid, HCEP or JACC programs: 1. Licensure and approval by the Department in accordance with the Standards for Licensure of Adult Day Health Services Facil…

(a) As a condition of per diem reimbursement in accordance with N.J.A.C. 10:164-1.6, ADHS facilities shall provide the following to adult beneficiaries: 1. The services required as a condition of licensure at N.J.A.C. 8:43F; 2. The service(s) each adult beneficiary requires to be…

(a) Clinical eligibility for adult day health services shall be contingent upon receipt of prior authorization from the Department on the basis of: 1. The results of an assessment of the individual using an instrument prescribed by the Department and the eligibility criteria spec…

(a) The facility providing adult day health services shall agree to accept the reimbursement rates established by the Department as the total reimbursement for services provided to eligible Medicaid beneficiaries and to eligible beneficiaries enrolled in the HCEP or in the JACC. …

(a) An adult beneficiary who chooses to request to transfer from one ADHS facility to another ADHS facility shall submit a transfer request, in accordance with (b) below, to: 1. The facility to which the beneficiary chooses to request to transfer; or 2. The beneficiary's case or …

Notes N.J. Admin. Code § 10:164-1.8 Recodified to N.J.A.C. 8:86-1.6 by R.2005 d.390, effective December 19, 2005 (operative February 1, 2006). See: 36 N.J.R. 5262(a), 37 N.J.R. 385(b), 4968(a). Section was "Basis of payment."

Notes N.J. Admin. Code § 10:164-1.9 Repealed by R.2005 d.390, effective December 19, 2005 (operative February 1, 2006). See: 36 N.J.R. 5262(a), 37 N.J.R. 385(b), 4968(a). Section was "Disaster plan."

(a) The New Jersey Medicaid Program adopted the Centers for Medicare and Medicaid Services (CMS) Healthcare Common Procedure Coding System (HCPCS). The HCPCS codes as listed in this subchapter are relevant to certain Medicaid and HCEP adult day health services. A separate billing…

(a) HCPCS codes for adult day health services are as follows: HCPCS Code Description Z0300 Initial visit, speech-language pathology services Z0310 Initial comprehensive speech-language pathology evaluation Z0270 Initial visit, physical therapy 92507 Speech-language pathology serv…

Pursuant to N.J.S.A. 26:2M-9 et seq., the Department of Human Services intends the Adult Day Services Program for Persons with Alzheimer's Disease or Related Disorders to provide relief and support to family caregivers of a person with Alzheimer's disease or a related disorder th…

The rules in this chapter are applicable to social adult day agencies and adult day health services facilities licensed by the Department that are operating under a Letter of Agreement with this Department. Adult day health services facilities must also abide by standards outline…

(a) The target population is limited to those individuals who have a diagnosis of Alzheimer's disease or a related dementia. (b) Priority shall be given to those individuals in moderate to severe ranges of disability. Notes N.J. Admin. Code § 10:164A-1.3

The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise. "Administrative costs" means expenses an agency incurs in support of the day-to-day functioning of the agency's participating adult day ser…

The Department of Human Services is the administrative unit of State government which has control over the administration of the Adult Day Services Program for Persons with Alzheimer's Disease or Related Disorders. Under the terms of N.J.S.A. 26:2M-9 et seq., the Department is re…

An agency interested in participating in the program shall provide supportive documentation describing its existing program and services to persons with a form of dementia and their families. The application must include the agency's cost proposal, statement of need, goals and ob…

(a) The agency shall submit a cost proposal, which shall itemize all costs incurred in the operation of the agency, with supportive documentation. No more than 15 percent of the total program operating budget shall be allowed for administrative costs and no more than one percent …

(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 Wait…

(a) A structured, supervised program shall be provided for clients based on a care plan developed through an assessment of individual strengths and deficits related to physical, social, emotional and cognitive functioning. The care plan shall be reviewed on a quarterly basis, mod…

(a) The application process includes all activity related to a request for eligibility determination under the Adult Day Services Program for Persons with Alzheimer's Disease or Related Disorders. The process begins with the receipt of an application by an agency and continues in…

(a) Since most clients served shall be in moderate to severe stages of dementia and the applicant is most likely incompetent or incapable of filing an application on his or her own behalf, the agency shall recognize any of the following persons, listed in order of priority, as an…

(a) The agency has the responsibility in the application process to: 1. Explain the purposes and eligibility requirements of the program and indicate the applicant's rights and responsibilities under its provisions; 2. Accept and process applications; and 3. Maintain files, inclu…

(a) To be eligible for adult day services under the Adult Day Services Program for Persons with Alzheimer's Disease or Related Disorders, an applicant shall meet the following criteria at the time of application: 1. Have a diagnosis by a physician of Alzheimer's disease, or a rel…

(a) All personally identifiable information regarding applicants, clients or caregivers obtained or maintained under the Adult Day Services Program for Persons with Alzheimer's Disease or Related Disorders shall be confidential and shall not be released without the written consen…

If a client's adult day service costs are covered in whole or in part by another State or Federal government program or insurance contract, the government program or insurance carrier shall be the primary payer and the Adult Day Services Program for Persons with Alzheimer's Disea…