Current through Register 2024 Notice Reg. No. 12, March 22, 2024
(a) Targeted case management services shall
include at least one of the following service components:
(1) A documented assessment identifying the
beneficiary's needs. The assessment shall support the selection of services and
assistance necessary to meet the assessed needs and shall include the
following, as relevant to each beneficiary:
(A) Medical/mental condition.
(B) Physical needs, such as food and
clothing.
(C) Social/emotional
status.
(D) Housing/physical
environment.
(E) Familial/social
support system.
(F) Training needs
for community living.
(G)
Educational/vocational needs.
(2) Development of a comprehensive, written,
individual service plan, based upon the assessment specified in subsection
(a)(1) above. The plan shall be developed in consultation with the beneficiary
and/or developed in consultation with the beneficiary's family or other social
support system. The plan shall be in writing and, as relevant to each
beneficiary, document the following:
(A) The
nature, frequency, and duration of the services and assistance required to meet
identified needs.
(B) The programs,
persons and/or agencies to which the beneficiary will be referred.
(C) Specific strategies to achieve specific
beneficiary outcomes.
(D) Case
manager's supervisor's signature.
(3) Implementation of the service plan
includes linkage and consultation with and referral to providers of service.
The case manager shall follow-up with the beneficiary and/or provider of
service to determine whether services were received and whether the services
met the needs of the beneficiary. The follow-up shall occur as quickly as
indicated by the assessed need, but shall not exceed thirty (30) days from the
scheduled service.
(4) Assistance
with accessing the services identified in the service plan includes the
following:
(A) Arranging appointments and/or
transportation to medical, social, educational and other services.
(B) Arranging translation services to
facilitate communication between the beneficiary and the case manager, or the
beneficiary and other agencies or providers of service.
(5) Crisis assistance planning to coordinate
and arrange immediate service or treatment needed in those situations that
appear to be emergent in nature or which require immediate attention or
resolution in order to avoid, eliminate or reduce a crisis situation for a
specific beneficiary.
(A) For the target
populations defined in Section
50262.7(a)(2),
crisis assistance planning shall be restricted to non-medical
situations.
(6) Periodic
review of the beneficiary's progress toward achieving the service outcomes
identified in the service plan to determine whether current services should be
continued, modified or discontinued. The review or reinvestigation shall be:
(A) Completed at least every six
months,
(B) Conducted by the case
manager in consultation with the beneficiary and/or in consultation with the
beneficiary's family or social support system, and
(C) Approved by the case manager's
supervisor.
(7) Any
modifications to the plan of service shall be made in writing and become an
addendum to the plan of service.
1. New
section filed 7-1-96; operative 7-1-96. Submitted to OAL for printing only
pursuant to Section
6, Chapter 305, Statutes of 1995
(Register 96, No. 27).
2. New section refiled 10-29-96 as an
emergency; operative 10-29-96 (Register 96, No. 44). Submitted to OAL for
printing only pursuant to Section
6, Chapter 305, Statutes of 1995.
A Certificate of Compliance must be transmitted to OAL by 2-26-97 or emergency
language will be repealed by operation of law on the following
day.
3. Editorial correction of HISTORY 2 (Register 97, No.
15).
4. Repealed by operation of Government Code section
11346.1(g)
(Register 97, No. 15).
5. New section filed 4-10-97; operative
4-10-97 pursuant to Government Code section
11343.4(d)
(Register 97, No. 15).
Note: Authority cited: Sections
10725,
14105,
14124.5
and
14132.44,
Welfare and Institutions Code. Reference: Section
14132.44,
Welfare and Institutions Code.
