N.J. Admin. Code § 10:37A-5.2

Current through Register Vol. 56, No. 11, June 3, 2024

Section 10:37A-5.2 - Progress notes

(a) The PA shall document and maintain progress notes for each consumer on a weekly basis or more frequently in times of crisis or transition.

(b) Progress notes shall indicate the level of goal attainment, services provided, significant events, and contacts with other service providers. PA staff shall use the information contained in progress notes to set levels of care and to develop and revise the individualized rehabilitation plan and ongoing assessments related to a consumer's WRAP (R), where one exists.

(c) PA staff shall sign, date, and indicate the time of entry for every progress note they write and shall include their staff titles.

(d) Progress notes shall document ongoing communication with other service providers.

N.J. Admin. Code § 10:37A-5.2

Adopted by 48 N.J.R. 1636(a), effective 8/15/2016