N.J. Admin. Code § 10:95-6.2

Current through Register Vol. 57, No. 1, January 6, 2025

Section 10:95-6.2 - Physical restoration services

(a) Physical restoration services are designed to correct or substantially modify, within a reasonable period of time, a physical condition which is stable or slowly progressive that constitutes a substantial impediment to employment.

(b) Physical restoration services may be provided to a client who has been accepted for rehabilitation services, has an individualized plan for employment and a vocational goal. Physical restoration services shall be provided based upon a physician's recommendation using generally accepted medical standards. The client's vocational rehabilitation counselor shall assure, on the individualized plan for employment, that the provision of specific physical restoration services are related to the vocational goal. Physical restoration services, even if they are the primary service provided, shall never be the only service. At a minimum, counseling, guidance and placement must be part of the individualized plan for employment.

(c) An individual who is undergoing an extended vocational rehabilitation evaluation pursuant to N.J.A.C. 10:95-3.3 may be provided with physical restoration services in order to assess the individual's vocational potential.

(d) A financial needs test shall be applied to the provision of physical restoration services to clients who have been accepted for vocational rehabilitation services. The Commission's financial need standards for the provision of vocational rehabilitation services are set forth at N.J.A.C. 10:91-3.

(e) If a client has an acute or physical illness during the time the individual is already receiving other planned rehabilitation services, services shall be provided if the acute condition or illness is such that it would complicate or delay the extended evaluation or the client's achievement of the vocational goal. If the acute condition or illness leads to changes in the client's condition, it may be necessary to re-evaluate the client, amend the program, close the case or transfer the client to another more appropriate agency.

(f) The client may choose his or her health professionals and health facilities as long as the professional or facility meets the agency's standards for providing the required services and is willing to accept the Commission's reimbursement fee schedule (see N.J.A.C. 10:91-7.1). If the fee requested by the provider is higher than the fee schedule, the Commission consultant may authorize fee approval in writing.

(g) The Commission shall exclude from reimbursement those physical restoration services which:

1. Do not directly relate to the client's visual disability; or

2. Do not directly relate to the client's vocational goal.

N.J. Admin. Code § 10:95-6.2

Amended by R.1999 d.375, effective 11/1/1999.
See: 31 New Jersey Register 2152(a), 31 New Jersey Register 3328(a).
Rewrote (a) through (c); and in (f), deleted a former second sentence, and substituted a reference to the Commission consultant for a reference to the Commission medical consultant in the new second sentence.