N.J. Admin. Code § 8:43B-9.2

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

Section 8:43B-9.2 - Client service plan

(a) A client service plan shall be person-centered and in place on, or before, the day of placement, developed by the AFC sponsor agency with the participation of the client, the client representative, if available, and at the client's request, the AFC caregiver, and shall be signed by the client or the client representative, the AFC caregiver, and the AFC sponsor agency representative.

(b) The AFC caregiver shall be involved with the development of the client service plan and shall not be permitted to deny the needs of a client, as determined by the professional registered nurse.

(c) A client service plan shall address at least the following:

1. The client's need for assistance in ADLs, including the designation of persons who will assist;

2. The client's need for supervision of, or assistance with, the self-administration of medication or medication administration;

3. The client's needs, if any, for assistance with transportation, shopping, and errands;

4. Requirements for assistance with activities for socialization and recreation, as necessary;

5. The length of time that the client may be left alone and unsupervised, if at all; and

6. The client's own needs and preferences.

(d) A client service plan shall include a health care component for each client who is assessed to need health care services that addresses at least the following:

1. Provision of nursing and health services including the designation of persons who will provide such services;

2. Orders for treatment or services, medications, and diet, if needed;

3. The specific goals of treatment or services, if appropriate;

4. The time intervals at which the client's response to treatment will be reviewed; and

5. The measures to be used to assess the effects of treatment.

(e) Any change to the client service plan shall require the care manager to conduct a development meeting to prepare a new client service plan that is signed by the client or the client representative, the AFC caregiver, and the AFC sponsor agency.

(f) The care manager shall review the client service plan with the client at least every six months and, if necessary, revise the client service plan with the participation of the client or the client representative, and at the client's request, the AFC caregiver. The revised client service plan shall be signed by the client and/or the client representative, the AFC caregiver, and the AFC sponsor agency, and the revision shall be documented in the client's record by the AFC caregiver.

N.J. Admin. Code § 8:43B-9.2

Adopted by 55 N.J.R. 377(a), effective 3/6/2023