1904 INDIVIDUAL HABILITATION PLAN (IHP) OR INDIVIDUAL SERVICE PLAN (ISP)

1904.1 The IHP or ISP shall be developed by the Interdisciplinary Team (IDT) for each client.1904.2 At a minimum, the composition of the IDT team shall include the client, the client's parent, guardian or other individual directly involved in the client's life and the case manager.1904.3 The IHP or ISP shall be reviewed and updated annually by the IDT team. The IHP or ISP may be updated more frequently if there is a significant change in the client's status or any other significant event in the client's life which affects the type or amount of services and supports needed by the client or if requested by the client.1904.4 A written plan of care shall be developed for each client by staff within the MRDDA Waiver Unit. The plan of care shall describe medical and other services to be furnished to the client, the frequency of the services and the type of provider to furnish the services. The plan of care shall be consistent with the IHP or ISP.1904.5 MAA shall not reimburse a provider for services that are not authorized in the IHP or ISP, not included in the written plan of care, furnished prior to the development of the IHP or ISP, not prior-authorized by MRDDA or furnished pursuant to an expired IHP or ISP.1904.6 After notification by MRDDA that a service has been authorized, each provider shall develop a written plan which shall address how the service will be delivered to each client.1904.7 Each provider shall submit to the client's case manager a quarterly review which summarizes the client's condition, progress made toward achieving the desired goals and outcomes and identification and response to any issue relative to the provision of the service.

SOURCE: Final Rulemaking published at 51 DCR 10207 (November 5, 2004).