• Consumer CSS Eligibilty Criteria Checklist
  This checklist outlines the CSS consumer eligibility criteria, more specifically, the criteria for establishing a severe mental health need, as that term is defined at N.J.A.C. 10:37B. 

• Community Support Services Enrollment Form
  The enrollment form must be submitted to the Interim Management Entity (IME) for all new CSS consumers. The enrollment form must include the consumer’s discharge date into the community. 

• Community Support Services Fax to IME Sheet
  The fax cover sheet must be used when providing a submission to the Interim Management Entity (IME). Each submission to the IME must be separate and accompanied by a separate fax coversheet.

• PRNA and CRNA Template
  The rehabilitation needs assessment is a template that provider agencies may use to gather all information required to determine a consumer’s individual strengths, preferences, needs, abilities, psychiatric symptoms, medical history, and functional limitations. 

• CSS Blank IRP Form
  The individualized rehabilitation plan template, whether for PIRP or IRP, is a DMHAS form that all CSS providers must use to outline a consumer’s goal (s).
  

This form must be submitted to the IME when modifications are made to the IRP.

• CSS IRP Modification Form Guidelines
• CSS IRP Modification for New Goal
• CSS IRP Modification for a New Band
• CSS IRP Modification for Changing Funding Source
• CSS IRP Modification for Additional Units
• Administrative Authorization Modification (60 Day) for Changing Funding Source