Section He-M 401.10 - Adult Service Planning Process(a) A CMHP shall complete a written individual service plan within 90 calendar days after the determination that the person is eligible for services.(b) Development of the ISP shall be a collaborative effort between the consumer and the CMHP. If the consumer has a guardian, the guardian shall play an active role in the process.(c) The case manager or primary clinician shall fully explain to the consumer or guardian, verbally and in writing: (1) The purpose of the Individual Service Planning process as specified in 401.10(h), and(2) The components of the ISP, including goals, measurable objectives, services, timelines, referrals, quarterly reviews, a crisis plan and employment or education plan, as appropriate.(d) The case manager or primary clinician shall fully explain to the consumer or guardian, verbally and in writing that the consumer or guardian has the power to choose either of the following methods by which his or her ISP is developed: (1) Through a formal client centered conference that is a meeting at a mutually convenient time and place with the psychiatrist and other involved persons as approved by the consumer, such as family members, CMHP staff, representatives of other agencies providing services to the consumer such as vocational rehabilitation, friends, an attorney, legal representative, a peer advocate and/or others with relevant knowledge or expertise; or(2) Through a less formal method that shall include one or more one-on-one or small group meetings with the psychiatrist and/or others listed in 401.10 (d) (1) by phone, in person and/or through other effective means of communication such as electronic mail.(e) The consumer or guardian shall be advised that he or she may consult with family, friends, therapists, advocates and others before making the decision regarding the method to develop the ISP.(f) The consumer or guardian shall have 10 days to make a decision after receiving the written explanation regarding the methods to develop the ISP, which the consumer or guardian shall indicate by his or her signature.(g) The decision of the consumer or guardian, indicating that the choices were explained, shall be documented in the clinical record.(h) The outcome of the process described in (b) -(g) above shall be the development of an ISP that: (2) Focuses on strengths;(3) Promotes community integration and participation;(4) Enhances natural community supports and relationships, with particular emphasis on maintaining and improving family relationships;(5) Fosters employment, self sufficiency, and other similar, socially valued roles;(6) Identifies functional impairments which are a result of mental illness;(7) Identifies treatment interventions;(8) Promotes access to generic services and resources; (9) Establishes time specific, sequentially stated objectives for improved personal functioning;(10) Establishes a crisis plan as defined in He-M 401.02; and(11) Establishes an employment or educational plan, as appropriate.(i) Consumers determined eligible in a low utilizer category pursuant to He-M 401.07 shall have a service planning process which shall at a minimum: (1) On a biennial basis: a. Redetermine eligibility pursuant to He-M 401.07;b. Assess the level of need for continued mental health services;c. Assess the need for referral to other services; d. Result in the development or continuation of goals and objectives; and e. If the consumer is receiving only medication-related services, result in medication related objectives, as appropriate, developed by the psychiatrist and the consumer to serve as the individual service plan; and(2) Follow the comprehensive service planning process pursuant to He-M 401.10 if there is any increased need for more extensive utilization of mental health services.(j) A case manager, if needed, or primary clinician, shall be assigned to each consumer who has been determined to have a severe and persistent mental illness.(k) A case manager, if needed, or primary clinician, shall be assigned to each consumer who has been determined to have a severe mental illness.(l) A CMHP shall not deny available, appropriate services to any eligible consumer who lives within the CMHP's region. Upon inquiry, a CMHP shall provide information about available services.(m) The individual service plan shall include the signature of the consumer/guardian as indication of approval of the plan. If it is necessary to notify the consumer/guardian by mail, the consumer/guardian shall have 15 days from the date notice was sent to respond in writing, indicating approval or disapproval of the ISP. Failure to respond within the time allowed shall constitute approval of the ISP.(n) If the consumer or guardian refuses to sign the individual service plan, the dispute shall be resolved: (1) Through informal discussions with the CMHP;(2) By convening or reconvening a service planning meeting; or(3) By the individual or guardian filing an appeal with the bureau pursuant to He-M 204.(o) The individual service plan shall be signed by a psychiatrist as indication of CMHP approval of the plan and as indication that the services to be provided that are covered by medicaid are medically necessary.(p) The consumer shall receive a copy of the final version of the individual service plan.(q) If necessary services are not available, such service shall be documented through individual service plans.(r) When services have been documented to be necessary but unavailable, each agency responsible for provision of such services shall notify the department of the need for these services by submitting an annual report due July 1 and submitted no later than July 15 of each year.(s) The department shall utilize such information as is provided pursuant to (q) -(r) above for budgetary planning purposes.N.H. Admin. Code § He-M 401.10
(See Revision Note at part heading for He-M 401) #4194, eff 1-1-87; ss by #4197 Emergency, eff 12-31-86; ss by #4237, eff 2-27-87, EXPIRED: 2-27-93
New. #6644, eff 12-2-97; ss and moved by #8155, eff 9-2-04 (from He-M 401.12) , EXPIRED: 9-2-12
New. #10256, INTERIM, eff 1-24-13, EXPIRES: 7-23-13; ss by #10383, eff 7-23-13