Individual Service Plan
Sets how the Agency develops a person-centered individual service plan (ISP) for every client upon admission and before services begin, based on the comprehensive assessment, with the client taking part; what the ISP must contain under LAC 48:I.5041.F; how a Medicaid plan of care (LT-PCS or waiver) is used; how every worker is informed of and trained on the plan; and how the plan is reviewed no less than annually and whenever the client's needs change.
About this policy
- Policy number
- LA-HC-SP-01
- Version
- 1.0
- Main rule
- LAC 48:I.5041
- Library
- Louisiana home care · 50 policies
- Category
- Service delivery
- Sections
- 22
In short
- Every client has a written individual service plan, made with the client before services begin.
- Read the plan before your first visit and sign the staff briefing. Ask your supervisor about anything you do not understand.
- Do the tasks in the plan, the way the client wants them done, at the time and place assigned.
- For LT-PCS clients, never add tasks or hours beyond the plan of care. Write each task in the service log as you do it.
- Tell your supervisor when the plan no longer fits the client; plans are reviewed at least once a year and whenever needs change.
What's inside
22 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (LAC 48:I.5041)
- 5. When the ISP Is Developed
- 6. The Planning Process
- 7. What the ISP Contains (LAC 48:I.5041.F)
- 8. Medicaid Plans of Care (LAC 48:I.5041.H)
- 8.1 LT-PCS beneficiaries
- 8.2 Waiver participants
- 9. Informing and Training Staff on the ISP
- 10. Carrying Out the ISP
- 11. Review and Revision
- 12. Coordinating the ISP With Others
- 13. Responsibilities
- 14. Records and Compliance Monitoring
- 15. Staff Training
- 16. References
- 17. Related Policies and Forms
- 18. Approval
- 19. Revision History
An inspector may ask
- Show me this client's individual service plan. Was it in place before the first visit, and what assessment is it based on?
- Who took part in developing the plan? Where did you document that you consulted the client about who should be involved, and who attended?
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