32 Miss. Code. R. 1-12.0
The Plan of Care, DOM-HCBS 301, is the fundamental tool by which the health and welfare of the individual served under the waiver is assured. It is the link between the assessment and the delivery of services.
The OSDP Counselor/Registered Nurse must, together with the potential consumer, develop a Plan of Care based upon assessment results.
The Plan of Care is developed at an in-person meeting with the individual/consumer by the OSDP Counselor and Registered Nurse. (See Resource Guide for the Plan of Care Form).
The individual's deficits identified on the PAS Application are addressed by the OSDP Counselor and Registered Nurse to develop a written plan of care. The Plan of Care is used to address those services and activities to overcome or ameliorate the effect of the deficits in accomplishing the activities of daily living and maintaining an independent lifestyle in the community.
The medical and physical limitations are considered simultaneously with the independent living potential of the individual to avoid institutionalization.
Applicable non- waivered services, services provided by other funding sources, are included in the Plan of Care and subsequently monitored as non-waivered services.
The need for any services on the Plan of Care must be addressed in one or more of the assessment areas. (Ex. Home Modification and Specialized Medical Supplies).
Note: There are no pre-determined or fixed limits on the number of services or the number of units of any particular service. (For example personal care services).
The Plan of Care is subject to periodic reviews and updates. The purpose of these reviews is to determine the appropriateness and adequacy of the services provided and to ensure that the services furnished are consistent with the nature and severity of the individual's disability.
Plans of care must be submitted for the initial certification and annually for each re-certification. The Plan of Care must accompany the PAS Application with the Physician Summary Form. Added services must be approved by DOM. Sufficient documentation must be submitted to justify the added service request. See Resource Guide for detailed instructions on completing the 105 and added services request.
32 Miss. Code. R. 1-12.0