Person-Centered Support Planning G-03

PURPOSE:

The purpose of this policy is to outline the procedures associated with coordination and implementation of the person-centered support plan (PCSP).

POLICY:

All individuals receiving intellectual and/or developmental disability (IDD) services and their support network must work together to prepare a single PCSP that will be kept current and updated at least annually.

PROCEDURES:

1. The targeted case manager (TCM), if applicable, is responsible for assuring the PCSP process occurs. The lead coordination role in preparation of the plan must be documented; this role can be conducted by the individual/ guardian, the community service provider (CSP) or a member of the individual’s support network.
2. If an individual does not have a TCM service provider, the CSP providing the service will assure the PCSP process occurs.
3. The initial PCSP should be completed and delivered within 30 days of the referral for services. For individuals accessing new services, changing services, and/or CSP, an update to the PCSP should occur at a minimum within 30 days.
4. Reasonable notice regarding all planning, team, and coordination meetings shall be given so that all parties involved may participate fully in the planning process.
5. Each CSP is responsible for participating in PCSP development and providing to the designated lead coordinator any documents or information necessary to prepare, implement, review, and revise the PCSP.
6. The individual/guardian, a member of the individual’s support network, or a CSP shall take the lead coordination role for management of medical issues and shall be designated in the plan.
7. The lead coordinator in preparing the plan must distribute copies of the approved PCSP to all CSPs and other designated parties.
8. Each CSP is responsible for implementation of the part of the plan that pertains to the services they provide upon agreement by the individual’s support network.
9. Each CSP is responsible for regularly reviewing the plan and reporting any needed updates to the designated lead coordinator. Any member of the support network can request a meeting with the team to discuss needed changes.
10. Updates to the PCSP must be made any time a significant change occurs including, but not limited to; living arrangements, day activities, health and support needs.