New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 326 - CASE MANAGEMENT SERVICES
Part 2 - CASE MANAGEMENT SERVICES FOR ADULTS WITH DEVELOPMENTAL DISABILITIES
Section 8.326.2.15 - PLAN OF CARE
Universal Citation: 8 NM Admin Code 8.326.2.15
Current through Register Vol. 35, No. 18, September 24, 2024
A. Case managers develop and implement plans of care (POC) based on standards developed by the developmental disabilities division of the HCA. For purposes of compliance with medicaid regulations, the following must be contained in the plan of care or documents used to develop the plan of care. The plan of care and supporting documents must be available for review in the recipient's file:
(1) statement of the nature of the specific
problem and needs of the recipient;
(2) description of the functional level of
the recipient, including an assessment and evaluation of the following:
(a) mental status assessment;
(b) intellectual function
assessment;
(c) psychological
assessment;
(d) educational
assessment;
(e) vocational
assessment;
(f) social
assessment;
(g) medication
assessment; and
(h) physical
assessment.
(3)
description of the intermediate and long-range goals and placement options with
the projected timetable for their attainment, including information on the
duration and scope of services; and
(4) statement and rationale of the plan of
treatment for achieving these intermediate and long-range goals, including
review and modification of the plan.
B. The plan of care must be retained by agency providers and available for utilization review purposes. Plans of care must be updated and revised, as indicated, at least every six months or more often, as indicated by the recipient's condition.
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