New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 314 - LONG TERM CARE SERVICES - WAIVERS
Part 5 - DEVELOPMENTAL DISABILITIES HOME AND COMMUNITY-BASED SERVICES WAIVER
Section 8.314.5.17 - INDIVIDUALIZED SERVICE PLAN (ISP)
Current through Register Vol. 35, No. 18, September 24, 2024
A. CMS requires a person-centered service plan for every individual receiving HCBS. The ISP must be developed annually through an ongoing person-centered planning process. The ISP development must:
B. The IDT must review the eligible recipient's person-centered plan every 12 months or more often if indicated.
C. The IDT is responsible for compiling clinical documentation to justify the requested services and budget to the OR for adult recipients excluding class members of Walter Stephen Jackson, et al vs. Fort Stanton Hospital and Training School et. al, (757 F. Supp. 1243 DNM 1990).
D. The person-centered service plan must consist of the following:
E. Upon completion of the ISP by the IDT, the case manager shall develop a budget to be evaluated in accordance with the TPA process; see Subsection D of 8.314.5.18 NMAC.
F. All services must be provided as specified in the ISP.
G. The case manager must conduct a pre ISP meeting annually with the recipient to evaluate and plan for upcoming ISP term. The CM is required to meet with the DD Waiver participant and guardian prior to the ISP meeting. The CM reviews current assessment information, prepares for the meeting, creates a plan with the person to facilitate or co-facilitate the meeting if desired, discusses the budget, reviews the current secondary freedom of choice forms, and facilitates greater informed participation in ISP development by the person.