Authorizes Assistant Commissioner of Division of Developmental Disabilities to establish exception rates, and programmatic and staffing requirements, for individuals with highly acute needs.

This bill (A3640) authorizes New Jersey's Assistant Commissioner of the Division of Developmental Disabilities to establish special funding rates and service requirements for individuals with highly acute needs - specifically those exhibiting extreme self-injurious or aggressive behaviors that require significantly higher staffing ratios and clinical support than standard services. It mandates specific programmatic requirements for these cases, including required staffing ratios, staff qualifications, transition plans, clinical assessments (like applied behavior analysis), and medical oversight. The bill directly affects service providers and individuals with severe behavioral needs who cannot be safely supported under current funding structures. It aims to ensure funding aligns with actual costs for these high-risk cases, which the existing fee-for-service system does not adequately cover.