Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 21 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM (AHCCCS) BEHAVIORAL HEALTH SERVICES FOR PERSONS WITH SERIOUS MENTAL ILLNESS
Article 3 - INDIVIDUAL SERVICE PLANNING FOR BEHAVIORAL HEALTH SERVICES FOR PERSONS WITH SERIOUS MENTAL ILLNESS
Section R9-21-313 - Periodic Review of Individual Service Plans
Universal Citation: AZ Admin Code R 9-21-313
Current through Register Vol. 30, No. 38, September 20, 2024
A. General provisions.
1. Where an ISP includes residential,
vocational, or other primary service providers that do not currently serve the
client, the first ISP review shall be held within 30 days from the date on
which all such providers have initiated services to client. Each service
provider shall bring to the review a detailed description of the objectives and
services currently in effect for the client.
2. Where the ISP includes only primary
service providers that currently serve the client, the first ISP review shall
be held within six months of the date the ISP is accepted by the client or the
date on which any appeal is concluded.
3. Thereafter, ISP reviews shall be conducted
at least every six months and more frequently as needed. The ISP review shall
be chaired by the case manager.
4.
The purpose of the ISP review is to ensure that services continue to be, to the
maximum extent possible, appropriate to the client's needs and least
restrictive of the client's freedom.
5. The review shall be conducted with the
fullest possible participation of the client and any designated representative
and/or guardian.
B. The ISP review.
1. At least 10 days prior to the
ISP review meeting, the case manager shall invite, in writing, the following
persons to attend the meeting:
a. The client
and any designated representative and/or guardian;
b. Family members, with the permission of the
client;
c. Members of the client's
clinical team;
d. Representatives
of each of the client's service providers;
e. Any other person familiar with the client
whose participation is requested by the client; and
f. Any other person whose participation is
not refused by the client and who, in the judgment of the case manager, will
contribute to the ISP review.
2. The ISP review shall, to the extent
possible given the circumstances of the client and the availability of
information, consider:
a. Whether there has
been any change in the clinical, social, training, medical, vocational,
educational and personal needs of the client;
b. Whether the client needs any further
assessment or evaluations;
c.
Whether the services being provided to the client continue to be appropriate to
meet the client's needs, least restrictive of the client's freedom, consistent
with the client's preferences, and as integrated as possible in the client's
home community;
d. Whether there
has been progress towards attainment of the long-term view, and each of the
goals and objectives stated in the ISP;
e. Whether to reaffirm, modify or delete each
goal and objective, together with the reasons for these actions;
f. Whether there has been any change in the
legal status of the client, in the necessity or advisability of having a
guardian or conservator appointed or removed, or in the client's need for
special assistance;
g. Whether any
change in the client's circumstances should result in a modification of the
client's priority of need for services not currently provided; and
h. Whether there has been any change in the
availability of services formerly determined to be needed but not then
available.
3. The
client, any designated representative and/or guardian, and clinical team will
review each service provider's detailed description of current objectives and
services to determine whether it is consistent with client's needs, least
restrictive of the client's freedom, and designed to maximize the client's
independence and integration into the community.
a. If the detailed description is approved
and accepted by the client, any designated representative and/or guardian, and
the clinical team, it shall be incorporated into the updated ISP.
b. If the description of services is
rejected, it shall be revised with the assistance of the service provider and,
as revised, incorporated into the updated ISP.
C. The updated ISP.
1. Within seven days of the ISP review
meeting, the case manager shall prepare an updated ISP which includes all of
the elements set forth in R9-21-307(C).
2. The case manager shall personally meet
with the client or guardian to explain the updated ISP. The updated ISP shall
be mailed or otherwise distributed to the other participants of the review
meeting.
3. The updated ISP is
subject to the client acceptance, rejection, and requests for other service
provisions of R9-21-308 and the appeal provisions of
R9-21-401.
4. The updated ISP shall be implemented
consistent with the provisions of R9-21-310.
Disclaimer: These regulations may not be the most recent version. Arizona may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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