The Lefkowitz Center
Master Standard Operating Procedures: A complete, expanded framework for clinical operations, compliance, billing, family integration, veterans, workforce, and governance
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Governance & Leadership
Board Oversight
CEO Sergey leads strategic vision alongside Strategic Partner Barry and clinical/compliance advisors. Quarterly governance meetings ensure accountability with annual public reporting.
Executive Team
CEO drives vision and funding, Medical Director oversees clinical operations, Compliance Officer ensures NJ DOH and Joint Commission standards, supported by Operations and Finance Directors.
Clinical Governance
Weekly QA reviews, monthly compliance audits, and quarterly DOH updates maintain comprehensive oversight structure ensuring regulatory compliance and quality care delivery.
Family-First Approach
Every Admission Includes Immediate Family Integration
From Day 1, we conduct comprehensive family assessment and planning. Our approach recognizes that recovery happens within family systems, not in isolation.
We map family dynamics including enabler, hero, and lost child patterns to create targeted interventions that heal entire family units, not just individual patients.
Admissions & Intake Process
01
Referral Sources
Multiple pathways including hospitals, VA, unions, courts, family referrals, and self-referral options ensure accessible entry points.
02
Pre-Admission Screening
Comprehensive biopsychosocial assessment plus ASAM criteria evaluation and family systems mapping to identify enabler/hero/lost child dynamics.
03
Insurance Verification
VA-first priority billing, Medicaid secondary coverage, commercial insurance acceptance, and flexible self-pay options available.
04
Orientation
Patient and family HIPAA releases, comprehensive Welcome Packet distribution, and Day 1 family integration session to begin treatment journey together.
Clinical Care Operations
Our residential treatment follows a progressive phase model from Freshman through Senior levels, guiding patients through stabilization, intensive therapy, workforce training, and independence preparation.
Freshman Phase
Stabilization and assessment
Therapy-Intensive
Deep clinical work
Workforce Training
Skills development
Senior Phase
Independence preparation
Daily Schedule Framework
1
Morning Groups
Structured therapeutic groups to start the day with focus and community support
2
Individual Therapy
One-on-one clinical sessions tailored to each patient's recovery needs
3
Family Sessions
Weekly 90846/90847 family therapy and 90853 multifamily group sessions
4
Evening Relapse Prevention
Skills-building and coping strategies to maintain long-term recovery
Family Integration Framework
Family Therapy
Weekly 90846/90847 individual family sessions combined with 90853 multifamily group therapy create comprehensive family healing.
Family Lodging Program
48-72 hour immersion weekends with per diem lodging (S9970) or bundled into episode care, allowing families to fully participate in recovery.
Structural Model
Family hierarchy and boundary approach
MDFT
Multidimensional family therapy
Strategic Model
Problem-solving and solution-focused interventions
Multifamily Therapy Benefits
Peer-to-Peer Support
Families connect with others facing similar challenges, reducing isolation and building community strength through shared experiences.
Stigma Reduction
Group settings normalize recovery conversations and break down shame barriers that prevent healing and honest communication.
Family Empowerment
Weekly group sessions teach families effective communication skills and healthy boundary-setting for sustainable recovery support.
Relapse Prevention
Families learn to recognize warning signs and develop coordinated response strategies to maintain long-term recovery success.
Veterans Pavilion & Transitional Housing
Dedicated 24/7 Bed Housing
Safe, structured environment with built-in suicide prevention measures specifically designed for veterans' unique needs.
  • Trauma-informed therapy approaches
  • VA-first billing priority
  • Veteran peer mentors
  • EMDR and CPT for PTSD treatment
Aftercare Housing
Step-down model: residential to supported apartments to independent housing ensures continuity of care.
Billing Priority: VA-first reimbursement, HUD-VASH vouchers, Medicaid secondary coverage for comprehensive support.
Vocational & Workforce Integration
Trade School Partnerships
Plumbing, electrical, IT, agriculture, and culinary programs with guaranteed apprenticeship slots for successful completion.
Union Partnerships
Direct pathways to union apprenticeships with union branding and support, creating sustainable career opportunities.
Employment Success
Target: 60-75% of patients employed within 6 months of discharge through comprehensive vocational support.
Billing Codes: H2023/H2025 supported employment codes ensure proper reimbursement for vocational services integrated throughout treatment.
Transportation Hub NEMT Fleet Services
Comprehensive Transportation Services
Full fleet including vans, taxis, and escorts with complete billing code coverage ensures no patient misses critical appointments.
  • Billing Codes: A0100, A0120, A0130, T2003, T2001, A0170
  • EHR Integration: Scheduling integrated with Electronic Health Records
  • Documentation: Driver logs, mileage tracking, signatures linked to medical necessity
Billing & Unified Recovery Benefit
Unified Benefit Structure
NJ Medicaid SPA: Bundled into one comprehensive recovery benefit
VA Community Care: Full package reimbursement pathway
Core Billing Codes
  • 90846/90847: Family therapy sessions
  • 90853: Multifamily therapy
  • H0006/T1016/T2022: Case management
  • A/T-codes: Transportation
  • S9970: Lodging services
  • H0038: Peer support services
  • H2023/H2025: Vocational services
Documentation Requirements
Medical necessity, family presence, session length, skills taught, outcomes, and next steps must be documented for all billable services.
Compliance & Accreditation
1
NJ DOH Licensing
Licensed under NJAC 8:43 special hospital standards with comprehensive safety protocols, PPE, and workplace violence prevention.
2
Joint Commission
Full accreditation goal within Year 1, ensuring highest standards of clinical care and operational excellence.
3
HIPAA Compliance
EHR role-based access with breach response policy. Monthly compliance audits with quarterly corrective action plans.
4
OSHA Standards
Full workplace safety compliance protecting staff and patients through rigorous safety protocols and training.
5
Internal Audits
Continuous quality improvement through systematic review processes and accountability measures.
Quality Assurance & Key Performance Indicators
30-50%
Lower Relapse
Sustained recovery outcomes compared to traditional treatment models
25-40%
Higher Retention
Patients complete treatment at significantly higher rates
60-75%
Employment Placement
Successful workforce integration within 6 months of discharge
20-30%
Suicide Reduction
Among veteran population through dedicated support
Reporting Schedule: Monthly QA dashboards and quarterly legislative/DOH reports ensure transparency and accountability.
Equity Dashboard: All metrics disaggregated by race, language, gender, and veteran status to ensure equitable care delivery.
Legislative Support & Alumni Ecosystem
Legislative Leadership
Prime Sponsors First: Assemblywoman Dr. Margie Donlon (Second), Assemblywoman Carol Murphy
Senate: Senator Nilsa Cruz-Perez
Leadership: Senate President Nick Scutari, Speaker Craig Coughlin
Bipartisan Support: Senator Robert Singer, Senator Vin Gopal, Lavon Lopez, Senator Hutchison, labor unions
Federal Alignment: Kenneth O. Munda Jr. Family SUD Bill, SAMHSA block grants, VA Community Care integration
Alumni & Aftercare Loop
Creating a sustainable recovery ecosystem that extends far beyond treatment.
  • Family Alumni: Booster weekends and community support groups
  • Annual Alumni Summit: Alumni families lead workshops and support groups
  • Aftercare Planning: 90-day relapse prevention, telehealth family sessions
Builds loyalty, reduces stigma, drives donations and referrals for sustainable program growth.
Learn more: info@tlc-nj.com