N.J. Admin. Code § 5A:6-2.6

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

Section 5A:6-2.6 - Responsibilities

(a) The responsibilities of a VSO are as follows:

1. The VSO will be the PTSD/R contact person conducting initial screening interviews and giving authorization for services.

2. The VSO will coordinate with the clinician when the veteran is accepted into the program. DMAVA Form 50, Contract Services Authorization (Appendix A), shall be utilized to refer a client to a clinician by the VSO.

3. In the event that the veteran is placed on a waiting list, the VSO will maintain personal contact with the veteran at a minimum of once every 30 days advising him or her of his or her status on the waiting list.

(b) The responsibilities of the DVS are as follows:

1. To oversee the funding of the program and the services provided by the clinician to eligible veterans;

2. To contract only with licensed mental health professionals in the State of New Jersey and Mental Health Agencies approved by the State of New Jersey under the certificate of need process and staffed in accordance with 30:9A-1 to 30:9A-11 and who have or are willing to gain experience with combat/military related Post Traumatic Stress Disorder (providers); and

3. To make all efforts to seek out funding sources.

(c) The responsibilities of providers are as follows:

1. After the initial evaluation, the provider shall make recommendations as to the course of therapy for the client through the VSO to the DVS Program Manager.

2. Providers shall submit quarterly evaluations of the client outlining the continued level of service required through the VSO to the DVS Program Manager, utilizing DMAVA Form 51, Quarterly Review (see Appendix B, incorporated herein by reference).

3. At the completion of each counseling session, verification of the service provided shall be prepared by the clinician and presented to the client for signature.

4. Monthly expenditure reports will be submitted to the DVS, Department of Military and Veterans' Affairs by clinicians on the 10th of each month following the close of the reporting period.

5. A client who temporarily leaves the State program for at least 90 days shall be readmitted at the rate of reimbursement that was in effect when he or she left the program. The provider shall notify the Department of Military and Veterans' Affairs DVS within 90 days of inactivity in order to receive time credit for the client from the date of his or her last treatment session. Within 30 days of the client's reinstatement into the PTSD program, the provider shall send a letter explaining the reinstatement to the Department of Military and Veterans' Affairs. From the date of admittance, reimbursement shall be as indicated below:

i. For individuals who have been enrolled in the program from 0 to 24 months (two years), the Department shall reimburse the provider for services at 100 percent of the negotiated contract rate for each session.

ii. For individuals enrolled in the program from 25 to 36 months (three years), the Department shall reimburse the provider 50 percent of the negotiated contract rate for each session.

iii. For individuals enrolled in the program from 37 to 48 months (four years), the Department shall reimburse the provider 30 percent of the negotiated contract rate for each session.

iv. For individuals enrolled in the program from 49 to 60 months (five years), the Department shall reimburse the provider 20 percent of the negotiated contract rate for each session.

v. For individuals enrolled in the program from 61 to 72 months (six years), the Department shall reimburse the provider 10 percent of the negotiated contract rate for each session.

vi. For individuals enrolled in the program from 73 to 84 months (seven years), the Department shall reimburse the provider five percent of the negotiated contract rate for each session.

vii. The Department shall not reimburse counseling sessions for individuals in the program after 84 months (seven years cumulative).

(d) The responsibilities of veterans/veterans' family member(s) (client)s are as follows:

1. The client will make the contact with the clinician within five business days of being contacted by the VSO that he or she has been accepted into the program.

2. Any client who has been terminated or ceased attending sessions, will have the right to appeal within 30 days to the DVP through the VSO.

N.J. Admin. Code § 5A:6-2.6

Amended by R.2010 d.252, effective 11/1/2010.
See: 42 N.J.R. 1648(a), 42 N.J.R. 2609(a).
In the introductory paragraph of (b) and in (c)1, (c)2, (c)4 and in the introductory paragraph of (c)5, substituted "DVS" for "DVP"; in (c)2, substituted "submit" for "provide"; and in (c)4, substituted "10th" for "tenth".