R510-400-10. Care Planning

  (1) The client Care Plan shall be developed based upon their current situation and needs as identified in the DAAS approved Assessment.

  (2) PROCEDURES-Care Planning:

  (a) A standardized Care Plan form designated by the Division shall be used.

  (b) The Care Plan will be developed with the client's input.

  (c) The Care Plan shall include methods, services to be provided, amount and frequency of services being authorized, together with the payment source.

  (d) The Care Plan will be signed and dated by the Client or their legal representative, the Case Manager and when applicable, the Registered Nurse.

  (e) The Care Plan shall be updated annually at the time of the reassessment or more frequently when changes occur with the service need(s).

  (f) All support systems, both formal and informal shall be included as part of the Care Plan.

  (g) A copy of the Care Plan shall be given to the client with the original maintained in the client's case file.

  (h) Service(s) shall be authorized in the care Plan at the minimum level and for the least amount of service hours that will adequately meet the client's needs.

  (i) Home and Community Based Alternatives services shall supplement, but not replace or duplicate, support systems that are in place in sufficient quantity to meet client's needs.

  (j) Case Managers should be aware of available agency and community services and should be responsible for coordination of services provided to the client.

  (3) PROCEDURES-Service Authorization:

  (a) An Agency Service Authorization Form or the Care Plan must be sent to the Serviced Provider requesting specific services for the client.