Mississippi Administrative Code
Title 24 - Mental Health
Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers
Chapter 44 - ID/DD Waiver Support Coordination and IDD Targeted Case Management Services
Rule 24-2-44.3 - Support Coordination/Targeted Case Management Activities

Universal Citation: MS Code of Rules 24-2-44.3

Current through September 24, 2024

A. Coordinating and facilitating the development of the Plan of Services and Supports through the person-centered planning process.

B. Revising/updating each person's Plan of Services and Supports at least annually or when changes in the person's circumstances occur or when requests are made by the person/legal representative(s).

C. Informing and assisting people/legal representative(s) with access of services, both Home and Community-Based Services and non-Home and Community-Based Services, from which the person could benefit.

D. Informing people /legal representative(s) about certified providers for the services on his/her approved Plan of Services and Supports initially, annually, if he/she becomes dissatisfied with the current agency provider, when a new agency provider/service location is certified, or if an agency provider's certification status changes.

E. Assisting the person/legal representative(s) with meeting/interviewing agency provider representatives and/or arranging tours of service locations until the person chooses an agency provider.

F. Support Coordinators/Targeted Case Managers are responsible for entering required information in The Division of Medicaid's LTSS System.

G. Notifying each individual of:

1. Initial enrollment;

2. Approval/denial of requests for additional services;

3. Approval/denial of requests for increases in services;

4. Approval for requests for recertification for services;

5. Approval for requests for readmission;

6. Reduction in service(s); and,

7. Termination of service(s).

H. Informing and providing the person/legal representative(s) with the procedures for appealing the denial, reduction, or termination of ID/DD Waiver or IDD Community Support Program Services.

I. Educating people, legal representative(s) and families on people's rights and the procedures for reporting instances of abuse, neglect and exploitation.

J. Performing all necessary functions for the person's annual recertification and continued eligibility.

K. At least monthly monitoring and assessment of the person's Plan of Services and Supports that must include:

1. Information about the person's health and welfare, including any changes in health status, needs for support, preferences, progress and accomplishments, and or changes in desired outcomes.

2. Information about the person's satisfaction with current service(s) and provider(s) (IDD Services and others).

3. Information addressing the need for any new services (IDD Services and others) based upon expressed needs or concerns or changing circumstances and actions taken to address the need(s).

4. Information addressing whether the amount/frequency of service(s) listed on the approved Plan of Services and Supports remains appropriate.

5. Review of Activity Support Plans developed by agency providers which provide IDD Services to the person.

6. Ensuring all services a person receives, regardless of funding source, are coordinated to maximize the benefit and outcome for the person.

7. Follow-up activities regarding issues/needs identified during monthly or quarterly contacts or those reported by providers.

8. Determination of the need to update the Plan of Services and Supports.

9. Information about new agency providers/service locations in the person's area.

10. Review of services utilization via a report generated by the Division of Medicaid.

L. Addressing issues related to a person's Plan of Services and Supports with his/her agency provider(s). If an agency provider is not responsive, the Support Coordinator/Targeted Case Manager is responsible for reporting the issue as a grievance through DMH's established grievance reporting procedures through the Office of Consumer Support.

M. The following items must be addressed during quarterly visits:

1. Determine if needed supports and services in the Plan of Services and Supports have been provided;

2. Review implementation of Activity Support Plans to ensure specified outcomes are being met;

3. Review the person's progress and accomplishments;

4. Review the person's satisfaction with services and agency providers;

5. Identify any changes to the person's needs, preferences, desired outcomes, or health status;

6. Identify the need to change the amount or type of supports and services or to access new waiver or non-waiver services;

7. Identify the need to update the Plan of Services and Supports; and,

8. Determine the general wellbeing of the person and if there are any areas in his/her life in which his/her needs assistance. Assisting the person/legal representative(s) with access or referral of needed assistance.

Section 41-4-7 of the Mississippi Code, 1972, as Amended

Disclaimer: These regulations may not be the most recent version. Mississippi 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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