Current through Register No. 40, October 3, 2024
(a) The service
coordinator shall convene a meeting to prepare a service agreement in
accordance with (b) -(f) below within 20 business days of the determination
that funding for services for an individual.
(b) If people who provide services to the
individual are not selected by the individual to participate in a service
planning meeting, the service coordinator shall contact such persons prior to
the meeting so that their input can be considered.
(c) Copies of relevant evaluations and
reports shall be sent to the individual and guardian at least 5 business days
before service planning meetings.
(d) Within 10 business days following a
service planning meeting pursuant to (a) above, the service coordinator shall:
(1) Prepare a written service agreement that:
a. Includes the following:
1. A personal profile; and
2. A list of those who participated in the
service planning agreement meeting; and
b. Describes the following:
1. The specific support services to be
provided under each service category;
2. The goals to be addressed, and timelines
and methods for achieving them;
3.
The persons responsible for implementing the service agreement;
4. Services needed but not currently
available;
5. Any training needed
to carry out the service agreement, beyond the staff training required by
He-M
506.05 and other applicable rules, with the type and
amount of such training to be determined by the service agreement
participants;
6. Service
documentation requirements sufficient to describe progress on goals and the
services received;
7. If
applicable, reporting mechanisms under self-directed services regarding budget
updates and individual and guardian satisfaction with services; and
8. The individual's need for guardianship, if
any;
(2)
Contact all persons who have been identified to provide a service to the
individual and confirm arrangements for providing such services; and
(3) Explain the service arrangements to the
individual and guardian and confirm that they are to the individual's and
guardian's satisfaction.
(e) Within 5 business days of completion of
the service agreement, the area agency shall send the individual or guardian
the following:
(1) A copy of the service
agreement signed by the area agency executive director or designee;
(2) The name, address, and phone number of
the service coordinator or service provider(s) who may be contacted to respond
to questions or concerns; and
(3) A
description of the procedures for challenging the proposed service agreement
pursuant to He-M 522.19 for those situations
where the individual or guardian disapproves of the service
agreement.
(f) The
individual or guardian shall have 10 business days from the date of receipt of
the service agreement to respond in writing, indicating approval or disapproval
of the service agreement. Unless otherwise arranged between the individual or
guardian and the area agency, failure to respond within the time allowed shall
constitute approval of the service agreement.
(g) When a service agreement has been
approved by the individual or guardian and area agency director, the services
shall be implemented and monitored as follows:
(1) A person responsible for implementing any
part of a service agreement, including goals and support services, shall
collect and record information about services provided and summarize progress
as required by the service agreement or, at a minimum, monthly;
(2) On at least a monthly basis, the service
coordinator shall visit or have verbal contact with the individual or persons
responsible for implementing a service agreement and document these
contacts;
(3) The service
coordinator shall visit the individual and contact the guardian, if any, at
least quarterly, or more frequently if so specified in the individual's service
agreement, to determine and document:
a.
Whether services match the interests and needs of the individual;
b. Individual and guardian satisfaction with
services; and
c. Progress on the
goals in the service agreement; and
(4) If the individual receives services under
He-M 1001, He-M 521, or other residential licenses under
RSA
151:2, I (e), at least 2 of the service
coordinator's quarterly visits with the individual shall be in the home where
the individual resides.
(h) The service coordinator and a licensed
nurse shall visit the individual within 5 days of relocation to a new residence
or change in a residential provider to:
(1)
Determine if the transition has resulted in adverse changes in the health or
behavioral status of the individual; and
(2) Develop and document a plan to remediate
any issues, if negative changes are noted.
(i) Service agreements shall be renewed at
least annually.
#7120, eff 10-20-99; ss by #8974, INTERIM, eff 10-6-07,
EXPIRED: 4-3-08
New. #9734, eff
6-25-10
The
amended version of this section by
New
Hampshire Register Volume 38, Number 50, eff.
11/30/2018 is not
yet available.
