Youth and Family Guide - PerformCare - NJ …

1 Youth and Family Parent/Legal Guardian:Thank you for contacting PerformCare . We want to take this opportunity to welcome your Family to the New Jersey Children s System of Care (CSOC). The CSOC serves Youth with emotional and behavioral health care needs, Youth with intellectual and developmental disabilities, Youth with substance use challenges, and their families. CSOC is committed to providing services based on the needs of the Youth and Family in a Family -centered, community-based environment. PerformCare works with CSOC to help you get the care your child needs, and we are committed to providing you exceptional customer service.

2 Enclosed you will find a copy of the Youth and Family Guide . Please refer to the Guide for information about how the Children s System of Care works, along with information about your rights, privacy, and useful community resources. The Youth and Family Guide is also available on our website, , along with the latest information on the will receive more information from PerformCare soon, depending on what services your child will be accessing. PerformCare is happy to discuss service options with you at any time. You can call PerformCare 24 hours a day, seven days a week, 365 days a year, at 1-877-652-7624. We look forward to serving ,PerformCareYouth and Family GuideDiscrimination is against the lawPerformCare complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

3 PerformCare does not exclude people or treat them differently because of race, color, national origin, age, disability, or reduces language barriers to accessing services through the New Jersey Children s System of Care by: Providing free aids and services to people with disabilities to communicate effectively with us, such as: -Written information in other formats (large print, audio, accessible electronic formats, and other formats). -Telecommunication devices such as Device for the Deaf (TDD) and Text Telephone (TTY) systems to enable individuals who are deaf, hard of hearing, or speech-impaired to use the phone to communicate.

4 Providing language services at no cost to people whose primary language is not English, such as: -Qualified interpreter services. -Information written in other you need these services, contact PerformCare at 1-877-652-7624 or [TTY (for the hearing impaired) 1-866-896-6975]. We are available 24 hours a day, 7 days a week. If you believe that PerformCare has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can submit a complaint by mail or phone, by either calling PerformCare s Quality department at 1-877-652-7624 or by writing to: PerformCare Attn: Quality Department 300 Horizon Center Drive, Suite 306, Robbinsville, NJ 08691If you need help filing a complaint, PerformCare s Quality department is available to help you.

5 You can also file a civil rights complaint with the Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at , or by mail or phone Department of Health and Human Services 200 Independence Avenue, SW, Room 509F, HHH Building Washington, DC 20201 1-800-368-1019, 1-800-537-7697 (TDD)Complaint forms are available at Multi-language interpreter servicesAttention: If you do not speak English, language assistance services are available to you at no cost. Call 1-877-652-7624 (TTY: 1-866-896-6975).Spanish: Atenci n: Si habla espa ol, tiene a su disposici n servicios gratuitos de asistencia ling stica.

6 Llame al 1-877-652-7624 (TTY: 1-866-896-6975). Portuguese: Aten o: Se fala portugu s, encontra-se dispon vel servi o gratuito de int rprete pelo telefone 1-877-652-7624 (TTY: 1-866-896-6975).Arabic: : ..)TTY: 1-866-896-6975 ( : 1-877-652-7624 Haitian Creole: Atansyon: Si w pale Krey l Ayisyen, gen s vis d pou lang ki disponib gratis pou ou. Rele 1-877-652-7624 (TTY: 1-866-896-6975).Chinese Mandarin: / 1-877-652-7624 (TTY: 1-866-896-6975) Korean.

7 1-877-652-7624 (TTY: 1-866-896-6975) .Bengali: , , 1-877-652-7624 (TTY: 1-866-896-6975) French: Attention : si vous parlez fran ais, des services d'aide linguistique vous sont propos s gratuitement. Appelez le 1-877-652-7624 (TTY: 1-866-896-6975).Vietnamese: Ch : N u b n n i Ti ng Vi t, c c c d ch v h tr ng n ng mi n ph d nh cho b n. G i s 1-877-652-7624 (TTY: 1-866-896-6975).Hindi: : 1-877-652-7624 (TTY: 1-866-896-6975) Chinese Cantonese: 1-877-652-7624 (TTY: 1-866-896-6975) Polish: Uwaga: Je eli m wisz po polsku, mo esz skorzysta z bezp atnej pomocy j zykowej.

8 Zadzwo pod numer 1-877-652-7624 (TTY: 1-866-896-6975).Urdu:Turkish: D kkat: T rk e konu uyorsan z dil yard m hizmetlerinden cretsiz olarak yararlanabilirsiniz. 1-877-652-7624 (TTY: 1-866-896-6975) numaral telefonu aray : Внимaние: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-877-652-7624 (TTY: 1-866-896-6975).Section I: Welcome to the New Jersey Children s System of us ..3 Our mission ..3 How we can help you ..3 How you can help us ..4 Getting information ..4 Getting started in the Children s System of Care ..5 The System of Care approach ..6 Section II: Benefits and Services.

9 8 Who can access Children s System of Care services? ..9Do I pay for services? ..9 What kinds of services are there? ..10 Mobile Response and Stabilization Services: urgent care for Youth in crisis ..11 BioPsychoSocial Assessment ..12 Care Management Services ..13 Intensive In-Community (IIC) and Intensive In-Home (IIH) ..13 Substance use treatment services ..14 Out-of-home treatment (OOH) ..15 Support for families and caregivers ..16 Family Leaders for PerformCare ..18 Youth involvement and peer supports ..18 Services not provided through the System of Care ..20 Transition to adult supports ..21 Section III: Youth and Family Rights, Quality and Reporting Concerns.

10 22 Rights and Responsibilities of Youth and their families ..23 Our commitment to IV: Privacy ..28 Health Insurance Portability and Accountability Act (HIPAA) ..29 Individual control of health information ..30 Information regarding the Notice of Privacy Practices ..30 Making amendments ..31 Routine use of information ..31 Non-routine disclosure of information ..32 Confidentiality laws and regulations ..32 Substance use and HIV/AIDS information ..32 Authorizing the release of health information ..33 Consent to release information for Youth ages 14 and older ..33 Privacy notice ..33 Section V: Special Circumstances.