N.J. Admin. Code § 10:73-3.19

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

Section 10:73-3.19 - Financial management

(a) Under the CSOC children's system of care, the care provided and the payment for care is individualized and child centered rather than program and service centered. The CMO has responsibilities, as a systems partner, to assist in the implementation of this principle as outlined in this subchapter and their individual DHS contract.

(b) Financial management and monitoring responsibilities of the CMOs shall include:

1. The design and implementation of Individual Service Plans (ISPs) that shall include a range of services and social supports, some of which will be eligible for reimbursement under Medicaid/NJ FamilyCare or other DHS/DCF contracts;

2. The administration of a flexible funding pool for purchasing services and social supports that contribute to the goals of an ISP, but are not reimbursable under Medicaid/NJ FamilyCare program or other DHS/DCF contracts;

3. The use of DCF funds to develop a local network of innovative community resources available to ISP through the flexible funding pool, and the community resource fund, organized specifically to contribute to ISP goals and outcomes;

4. The monitoring and tracking of the costs of the ISP in conjunction with DHS/DCF and CSA eligibility and other system partners, including, but not limited to, other State agencies;

5. The reporting of financial outcomes, correlating the clinical outcomes with the financial resources consumed to produce the clinical outcomes; and

6. The tracking and managing of funds consistent with DHS/DCF child monthly cost benchmarks.

N.J. Admin. Code § 10:73-3.19

Recodified from N.J.A.C. 10:73-3.15 and amended by R.2006 d.421, effective 5/21/2007.
See: 38 N.J.R. 2585(a), 39 N.J.R. 2096(a).
In (a), substituted "DCBHS children's system of care" for "Children's System of Care Initiative"; in (b)1, (b)2, (b)4 and (b)6, substituted "DHS/DCF" for "DHS"; in (b)3, substituted "DCF" for "DHS"; and in (b)4, inserted ", including, but not limited to, other State agencies".
Former N.J.A.C. 10:73-3.19, Staff Qualifications, recodified to N.J.A.C. 10:73-3.23.

Amended by 53 N.J.R. 1492(a), effective 9/7/2021