CSS Basics
What does CSS stand for?
Community Support Services
What percentage of PACT services must occur in the community according to NJ regulations?
At least 80%.
CSS staff primarily support clients with what type of goals?
Skill-building and recovery goals.
Within how many hours must progress notes be completed?
Within 24 hours.
What documentation mistake is the #1 cause of audit failure?
Late or missing notes.
CSS is designed to support adults with what primary needs?
Serious mental illness and functional impairments,
What requirement ensures PACT teams can respond to client needs at any time of day?
PACT must provide 24/7 coverage, including nights, weekends, and holidays
True or False: Licensed CSS staff can provide psychotherapy.
False
When must crisis notes be completed?
Same Day
What is one of the most common audit findings when progress notes do not clearly connect services provided to the treatment plan?
Lack of medical necessity/services not aligned with treatment plan.
CSS Services are primarily delivered in what type of setting?
Community-based settings.
Under NJ PACT regulations, what type of service delivery model must teams follow?
A mobile, community-based, multidisciplinary model.
What is one example of a boundary violation?
Giving money, sharing personal details excessively, or dual relationships.
CSS notes should connect interventions to what document?
Individual Rehabilitation Plan (IRP)
What type of monitoring is often cited as incomplete during audits? (PACT)
Medication delivery and/or monitoring documentation.
CSS focuses on improving which two areas of a client's life?
Functional skills and community integration.
What NJ requirement helps ensure that PACT clients receive coordinated care from the full team each day?
Teams must hold a daily meeting to review client status and assign outreach.
Who sets the pace for recovery goals?
The client/consumer.
CRNA is an acronym for what document?
Comprehensive Rehabilitation Needs Assessment
What is a frequent treatment plan-related audit issue?
Missing or overdue 90-day updates.
CSS services are voluntary and based on what key principals?
Client choice/ person centered care.
What NJ mandate ensures that PACT teams operate as a fully integrated unit instead of separate providers?
Teams must function as a single, shared caseload.
Recovery oriented language avoids labels and emphasizes what?
Hope, empowerment, choise
Name FOUR required components of a NJ-compliant progress note.
Date/time, location, intervention, client response, risk, plan.
What crisis-related issue frequently results in citations?
Lack of documented follow-up after a crisis.