N.J. Admin. Code § 5A:8-3.2

Current through Register Vol. 56, No. 24, December 18, 2024

Section 5A:8-3.2 - Preapproval screening

(a) Upon receipt of a referral from a USDVAMC pursuant to N.J.A.C. 5A:8-3.1(a)5, the Treatment Team shall schedule an approval screening interview with the referred applicant.

(b) During the approval screening interview, the Treatment Team shall make inquiry of the applicant as to the matters contained in the Pre-Admission Screening and Intake Upon Admission form set forth in Appendix B incorporated herein by reference and shall complete that form during the interview. At the conclusion of the interview, the applicant shall sign and date the form, which shall then constitute the applicant's application for admission to Veterans' Haven, as supported by the information required to be obtained by the Treatment Team in (c) below.

(c) During the preacceptance screening interview, the Treatment Team shall obtain from the applicant either the following information and documents, or the applicant's executed authorizations for the release of the following information and documents:

1. Copy of DD form 214 or Certificate of Honorable Service;

2. The applicant's social history, consisting of:

i. A copy of the applicant's birth certificate;

ii. Marital status verification; and

iii. Verification of residency;

3. Medical status, consisting of:

i. A completed screening report from the referring USDVAMC; and

ii. A medical history release request;

4. The applicant's financial status, consisting of:

i. Copies of award letters from either the USDVA or the Social Security Administration; and

ii. The applicant's statement of his or her income supported by copies of the applicant's most recent Federal and State Income Tax returns and such other documents as may be required;

5. Verification of funeral arrangements, if any are in place;

6. A copy of the applicant's advance directive for health care, if any, (the Treatment Team shall provide the applicant with information on how to execute an advance directive for health care, if requested to do so by the applicant), such as:

i. An advance directive;

ii. A proxy directive;

iii. An instruction directive; and/or

iv. A combined directive;

7. An application to New Jersey Veterans' Memorial Homes, if applicable;

8. An application to BG William C. Doyle Veterans Memorial Cemetery, if applicable; and

9. Verification of Veterans' Preference.

(d) Upon completion of the preapproval screening interview, the Treatment Team shall time-stamp, date, and prioritize the application for admission.

1. Application priority shall be based upon the applicant's availability to begin the program.

N.J. Admin. Code § 5A:8-3.2

Amended by R.2013 d.137, effective 12/2/2013.
See: 45 N.J.R. 1469(a), 45 N.J.R. 2471(c).
In (c)5, deleted "and" from the end; rewrote the introductory paragraph of (c)6; in (c)6iv, substituted a semicolon for a period at the end; deleted (c)6v; and added (c)7 through (c)9.