N.J. Admin. Code § 10:141-1.3

Current through Register Vol. 56, No. 21, November 4, 2024

Section 10:141-1.3 - Administration of the Fund

(a) The following procedures and methods will be used for the administration of the Fund:

1. The Division of Disability Services shall administer the Fund for the Department.

2. A committee known as the TBI Fund Review Committee shall be established within the Division of Disability Services, Department of Human Services, to implement the provisions of the Fund. Responsibilities of the Committee shall be:

i. Reviewing requests for services and supports under the Fund;

ii. Rendering decisions on support plans;

iii. Hearing initial reconsiderations for services and supports, which were previously denied by the Review Committee;

iv. Developing policies and procedures; and

v. Identifying problems associated with the administration of the Fund.

3. The Committee shall periodically report to the New Jersey Advisory Council on Traumatic Brain Injury on the status of applications, problems, and other issues related to the Fund.

4. The Committee shall be comprised of seven members, to be nominated by their respective bodies or interest groups and appointed by the Commissioner of Human Services or designee, as follows:

i. Two TBI Advisory Council members;

ii. A family member of an individual with a traumatic brain injury;

iii. A survivor of traumatic brain injury;

iv. A representative of the Brain Injury Alliance of New Jersey;

v. A professional clinician in the field of traumatic brain injury; and

vi. The Director of the Division or designee.

5. The Committee shall elect a chair from its members. The chair shall direct the activity of a Committee meeting.

6. Committee members may serve for two-year terms, and may be eligible for reappointment.

7. Committee members may be replaced as necessary in the event that they are no longer able to serve.

8. Committee members must recuse themselves from any decisions related to a conflict of interest with any applicant, beneficiary or provider.

9. Committee members will not be compensated for service to the Committee, but will be reimbursed for travel and other reasonable expenses connected with performing the work of the Committee.

10. The Committee shall meet at least quarterly to review applications, and to conduct business.

11. The Division shall contract with case management companies/agencies to initially assess the applicant's appropriateness for the Fund, and to prepare a support plan in conjunction with the applicant and their family. The Division will make payments to contracted agencies/organizations based on individually negotiated rates.

12. The cost of case management will be considered as an administrative expense of the Fund, and will not to be applied against the benefits provided to a beneficiary.

N.J. Admin. Code § 10:141-1.3

Adopted by 49 N.J.R. 1683(a), effective 6/19/2017