N.J.A.C. 13:75-1.27
Counseling Fees next
  1. For all incidents occurring after October 1, 2003, the maximum amount the Board shall award for counseling expenses shall be $12,500 notwithstanding the number of counseling sessions attended.  For all incidents occurring after July 1, 1991 and for services performed after July 19, 1991, on claims filed prior to July 1, 1991, the Board will pay out-of-pocket unreimbursable counseling and therapy expenses for each of the listed categories of providers not to exceed the amounts in (a)1 through 8 below.  The providers in (a) 1 through 8 below who accept payment from the Board for a service shall accept the Board's rates as payment in full and shall not accept any payment on account of the services from an other source if the total payments accepted would exceed the maximum rate set by the Board for that service.
      Psychiatrist----------------------------------------------------$150 per hourly session
    1. Unlicensed Mental Health Practitioner practicing in compliance with N.J.S.A. 45:14B-6 (Psy.D., Ph.D., Ed.D.)-------------------------------------$110 per hourly session
    2. State Licensed Psychologist--------------- -------------------$110 per hourly session
    3. A.C.S.W--------------------------------- -------------------$ 90 per hourly session
    4. Licensed Marriage and Family Therapist----------------------$ 90 per hourly session
    5. M.S.W.------------------------------------------------------$ 80 per hourly session
    6. M.A. (Jurisdictions other than New Jersey or in New Jersey practicing in compliance with N.J.S.A. 45:14B-6------------------------$80 per hourly session
    7. Group counseling sessions, involving three or more individuals conducted by any of  the above credentialed providers-----$50.00 per eligible claimant per session.
  2. For counseling disciplines not covered by the fee schedule adopted herein, and covered by N.J.S.A. 45:14B-8 and N.J.A.C. 13:42-5.1, the Board may, within its discretion pursuant to N.J.S.A. 52:4B-9, set an amount which shall not exceed $90 per hourly session.
  3. Except as provided by N.J.A.C. 13:75-1.32 for cases to be determined to be catastrophic in nature, and notwithstanding (a) and (b) above, in the case of residential counseling services, the Board shall approve no more than one such period of counseling not exceeding 30 days in length and shall limit reimbursement to no more than 50 percent of the total cost of the service. Subsequent residential treatments shall not be compensated by the Board.
  4. )This subsection shall apply solely to incidents occurring prior to October 1, 2003.

    Except as provided by N.J.A.C. 13:75-1.32 for cases to be determined to be catastrophic in nature, the Board shall award no compensation for out-of-pocket, unreimbursed or unreimbursable psychological counseling expenses related to the incident for an amount greater than $10,000 for any eligible direct crime victim. However, the Board may authorize up to 100 counseling sessions for any direct victim on a case by case basis as determined by all the relevant evidence submitted for its consideration, notwithstanding the fact that the total cost of said 100 sessions exceed $10,000. Secondary victim and group family therapy may be compensated in addition as provided by N.J.A.C. 13:75-1.28.

    1. In a case of criminal homicide, for incidents occurring after March 6, 2000 and for purposes of compensation for related psychological injury solely, direct victim shall include spouse, parent, legal guardian, grandparent, child or sibling of the decedent. Psychological counseling for which the Board may reimburse any group of direct victims in an individual claim, shall not exceed the statutory maximum permitted pursuant to N.J.A.C. 13:75-1.7(g).
      1. In assessing the eligibility of direct victims, the Board will be guided by N.J.S.A. 52:4B-10 and 18 and N.J.A.C. 13:75-1.6(d).
    2. Where the incident occurred prior to September 1, 1997, and where the Board has approved and awarded compensation for more than 100 sessions pursuant to provisions of these rules which existed and were applicable prior to September 1, 1997, the Board may authorize additional counseling sessions. Unless the maximum statutory award permitted, as set forth in N.J.S.A. 52:4B-18(g) and N.J.A.C. 13:75-1.7(g), has been reached, compensation for the sessions so authorized on or after July 1, 1999 shall not exceed $5000 in the aggregate. The Board may authorize up to 50 additional counseling sessions notwithstanding the fact that the total cost of said additional sessions exceeds $5000.
    3. Where a victim may be eligible for more than 100 sessions pursuant to provisions of these rules which existed and were applicable prior to September 1, 1997, but less that 100 sessions had been authorized prior to July 1, 1999, the Board may authorize additional counseling sessions beyond 100 sessions pursuant to the guidelines set forth in paragraph (d)(i) of this section.
  5. This subsection shall apply solely to claims prior to October 1, 2003. The term "sessions," as used herein, means a session greater than 30 minutes, but no more than one hour, and includes individual, group or family therapy and the presence of a counselor in a legal proceeding as determined by the Board to be necessary for the emotional support of the direct victim, claimant or secondary victim. Sessions of  30 minutes or less shall be considered and compensated as one-half of a session. No award of compensation shall be made for an appearance or presence required to assist in prosecution of the offender or in a proceeding to prosecute a collateral legal right.