Illinois Administrative Code
Title 59 - MENTAL HEALTH
Part 120 - MEDICAID HOME AND COMMUNITY-BASED SERVICES WAIVER PROGRAM FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES
Subpart D - OPERATIONAL PROCEDURES
Section 120.160 - Individual service/support plan
Current through Register Vol. 48, No. 12, March 22, 2024
a) Subsequent to eligibility determination, a preliminary individual service plan shall be prepared by the PASARR agent or service provider that includes individual strengths, needs and recommended services/supports. Within 30 days after service initiation, an individual service/support plan shall be prepared describing service and support needs of the individual and specifying how those needs will be met. The preparation of the plan shall be part of a planning team process which includes the individual, the guardian, if one has been appointed and is willing or able to participate, other persons chosen by the individual and a qualified mental retardation professional. The planning team process shall also include provider agency staff, service coordinator, staff of the facility of discharge, if applicable, and other professionals as needed. Depending on the individual's needs, planning team participation may include health professionals (physicians, nurses, dentists), psychologists, social workers, dietitians and physical, speech and occupational therapists.
b) The individual service/support plan shall include the following written elements and be incorporated into the individual's record:
c) The written individual service/support plan shall also identify the team consensus concerning the balance between the individual's rights and abilities to make informed decisions and have privacy and access to the community, and the responsibility of those persons providing services and supports to ensure the individual's health, safety and well-being.
d) The written individual service/support plan or individual record shall identify activities to ensure continuity of care during planned therapeutic absences, such as home visits or vacations, if residential services are part of the plan.
e) The individual service/support plan shall be reviewed at least annually by a planning team process as described in Section 120.130(a) of this Part. The plan shall be amended in writing as necessary. The qualified mental retardation professional who is working with the individual shall review the plan and the individual's progress, health, safety, and well-being at least once every three months.