Current through Register Vol. 50, No. 9, September 20, 2024
A. Case management must consist of services
to assist consumers in gaining access to the full range of needed services,
including medical, social, educational and other support services. These must
be ongoing services which must be accomplished through the following
activities.
1. Intake, which must include
determination of a consumer's eligibility for case management services as part
of a targeted group of consumers and the determination of need for case
management services. All consumers must be interviewed within 14 calendar days
of referral to the provider.
2.
Assessment/reassessment, which must include the collection and integration of
formal/professional and informal information concerning a consumer's social,
familial, medical, developmental, legal, educational, vocational, psychiatric
and economic status, as appropriate, to assist in the formulation of a
comprehensive, individualized written service plan.
a. The assessment process must include input
from the consumer/guardian, and may include input from family members, friends,
professionals, and service providers, as appropriate.
b. The assessment must focus on the
individual's strengths and needs. The case manager must make a face-to-face
contact with the consumer as part of the assessment process.
c. The consumer's status must be reassessed
on an ongoing basis.
3.
Service planning, which must include the development of a comprehensive,
individualized written plan based on the needs and strengths of the consumer
identified during the assessment process.
a.
The consumer/guardian must actively participate with the case manager in
development of the service plan with input from family members, professionals
and service providers, as needed.
b. The objective of service planning must be
to promote consistent, coordinated, timely and quality service
provision.
c. The service plan must
include, at a minimum: consumer strengths and needs; specific measurable goals
and objectives with anticipated time-frames.
d. The service plan must be completed within
45 calendar days of the intake interview for case management
services.
e. The written service
plan must be reviewed at least 90 days to assure goals and services are
appropriate to the consumer's needs identified in the assessment/reassessment
process.
D.
Linkage, which must assure that the consumer has access to and is receiving the
most appropriate services available to meet needs as outlined in the service
plan. Linkage must include, but is not limited to:
1. contacting the individual's support
network including family, neighbors and friends to mobilize assistance for the
individual; and
2. locating or
assisting the consumer in locating formal and informal service
providers;
3. advocacy, which may
occur on behalf of the consumer when needed to assure the consumer has access
to and receives appropriate services.
E. Monitoring/follow-up, which must include
ongoing interaction with the consumer/guardian, family members and
professionals (as appropriate), and service providers to ensure that the agreed
upon services are provided in a coordinated and integrated manner and are
adequate to meet the needs and stated goals of the service plan. The case
manager must make at least monthly face-to-face contacts with the
consumer/guardian as part of the linkage and monitoring/follow-up
process.
F. Transition/closure,
which must be a joint decision made by the case manager, consumer and/or family
member, when appropriate. Closure must occur upon completion of all case
management goals identified on the service plan except when case management is
a required component of a service or a required service.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
28:380-451.
