Providers are required to submit a criminal background check report for their clinical supervising staff. The report must comply with regulations put forth by CSOC.
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MOU Process & Documents
Thank you for supporting the Middlesex County Care Management Organization (CMO) in providing quality care and services to children and families.
To establish a partnership with Coordinated Family Care, your organization must complete a Memorandum of Understanding (MOU) and submit the required supporting documents. This process ensures mutual understanding of the partnership terms and alignment with the expectations set by Coordinated Family Care and the local Children's System of Care.
Outlined below are the steps to complete the agreement. All documents must be submitted electronically for review. Upon approval, you will receive a finalized copy of the MOU for your records. Please ensure all forms are completed accurately, as incomplete submissions may delay processing. MOUs are valid for three years and must be renewed upon expiration.
We look forward to a successful partnership. If you have any questions, please contact Salma Harris at sharris@coordinatedfamilycare.org or Lisa Murray-Williams at lmurray-williams@coordinatedfamilycare.org.
Criminal background check reports of clinical supervisors should be dated within 1 year of submission. Clinical Supervisor's name on background check should match the licensure submitted.
Note: BA/IIC agencies may no longer complete background checks independently using private companies. All background checks will be processed by the Employment Controls and Compliance Unit (ECCU) within the Office of Program Integrity & Accountability (OPIA) at the Department of Human Services. Find more information here.
Licenses of clinical supervisory staff should match the names on the submitted background check report. Licensed professionals (psychiatrist, nurse practitioners, etc) performing specific professional services (psychiatric evaluation) credentials should also be submitted in addition to supervising staff's credentials.
Ensure that credentials are not expired. Submitted credentials should have a minimum of 2 months left before expiration.
General Liability and Professional Liability Insurance are required. Your required insurance coverage minimum is $1,000,000 for each claim & $3,000,000 for the general aggregate. Coordinated Family Care MUST be listed as a certificate holder on both insurances.
If you are providing CSOC services, a Medicaid approval letter must detail the specific services for which you have been approved. If your organization provides both IIC and IIH services, approval letters for each service line must be submitted.
This Memorandum of Understanding (MOU) outlines the roles and responsibilities of each agency as we work in partnership to provide services to children and families served through the New Jersey Children’s System of Care (NJCSOC). Please list the specific services you provide that will be listed on your Services & Rates Sheet.
Complete this form with your company’s current contact information. If there are any future updates to your contact details, please notify us promptly.
Create an account on Middlesex ResourceNet with your organization's email.
Create a page for the agency by submitting a resource.
CSOC service providers are classified as a ‘Health Provider’ and your creation of this page will make you the administrator for the agency’s RN page. This can be reassigned if needed.
Once your business page is created, got to your dashboard (top right) and upload your staff.
This is how CMs explore what agencies have staff available for referrals.
The Services and Rates sheet should outline the services you currently offer and their corresponding fees, formatted on your company’s official letterhead. Please only include services that can be currently provided.
NOTE: For services requiring a licensed professional (e.g evaluations), ensure that the professional is listed on your Staff Listing AND include a copy of their license when submitting to complete the MOU.
Clinical Supervisors must be identified on the staff listing. For services that require a licensed professional, ensure the individual is included in your Staff Listing, and provide a copy of their valid license as part of the MOU submission.
Example: If your company offers psychiatric evaluations, a licensed psychiatrist must be listed on your Staff Listing, and their psychiatric license must be submitted to complete the MOU process.
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