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Service Planning, Consumer Involvement, and Changes to Services

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.

Preview: full text with a package
About this policy
Policy number
PA-HC-SP-01
Version
1.0
Main rule
28 Pa. Code §611.57(a)(1)
Library
Pennsylvania home care · 49 policies
Category
Service delivery
Sections
18

In short

  • 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.

What's inside

18 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • 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

An inspector may ask

  • 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?

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