{"ref":"PA-HC-SP-01","title":"Service Planning, Consumer Involvement, and Changes to Services","category":"Service delivery","summary":"Gives every consumer a written Home Care Service Plan, developed with the consumer before services start, that lists the tasks, hours, preferences and safety measures; keeps it current through reviews at least every six months and whenever needs change, as the Agency’s own standard; and, for waiver participants, makes sure the Agency delivers exactly what the Department-approved service plan authorizes.","inShort":["Every consumer has a written service plan, made with them and signed before the first visit.","Do the tasks in the plan, the way the consumer prefers. Do not add or skip tasks without your supervisor’s approval.","Tell your supervisor the same day about any change in the consumer, and call 911 first in an emergency.","Plans are reviewed at least every six months and whenever needs change.","For waiver participants, never provide more than the approved service plan allows. Ask the service coordinator for a change."],"primaryCitation":"28 Pa. Code §611.57(a)(1)","citations":["28 Pa. Code §611.57(a)(1)","35 P.S. §448.806c(a)(1)","28 Pa. Code §611.57(c)(1)","28 Pa. Code §611.57(c)(2)","28 Pa. Code §611.55(b)(4)","55 Pa. Code §52.25","55 Pa. Code §52.14(q)","55 Pa. Code §52.14(r)","55 Pa. Code §52.21(b)","55 Pa. Code §52.42(d)"],"federalCitations":[],"surveyorAsks":["Show me this consumer’s service plan. How was the consumer involved in writing it?","When was it last reviewed, and what triggers a review?"],"forms":[{"ref":"PA-HC-SP-01-A","title":"Home Care Service Plan"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (28 Pa. Code §611.57(a)(1))","5. Developing the Plan","6. Telling the Worker","7. Reviewing the Plan","8. Recognizing and Reporting Changes","9. Changing Services","10. Waiver Participants: The Approved Service Plan","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"pa-hca","state":"Pennsylvania","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}