Section He-M 408.08 - Individual Service Plan(a) The ISP shall be developed in accordance with He-M 401 and documented and maintained within the clinical record.(b) The ISP shall be a comprehensive document which identifies: (1) Individual's strengths, problems, and functional impairments due to the mental illness;(2) The treatment and rehabilitative goals and objectives; and(3) The services to be provided.(c) The ISP shall be person-centered and written in a style and language that is understandable to the individual and other non-professionals.(d) The ISP shall include:(1) The effective date of the plan;(2) The individual strengths;(3) Family strengths, as applicable;(4) The level and nature of family involvement;(5) Numbered goals and objectives;(6) Specific completion criteria for each objective;(7) The specific rehabilitative services and modalities to be used to achieve the desired goals and objectives;(8) The start and anticipated completion dates for each objective;(9) The specific services for each objective;(10) The frequency, duration, and purpose of each service;(11) The discipline of personnel that will provide each service;(12) A list of names of participants including their titles and/or relationship to the individual;(13) A crisis plan as defined in He-M 401; and(14) A projected schedule for completing reevaluations of the individual's condition and updating the ISP.(e) For those individuals whose ISPs indicate residential or supported housing services, plans shall include specific, measurable objectives to be achieved through the provision of these services.(f) For those individuals whose ISPs indicate employment, an employment goal shall be indicated.(g) For those individuals whose ISPs indicate wellness management, wellness goals and objectives shall be indicated.(h) Prior to the implementation of the plan, a psychiatrist's signature shall be required to indicate the medical necessity of the services to be provided.(i) For individuals whose ISPs indicate "medication monitoring only" services, the physician shall enter in the ISP, at least quarterly, a comprehensive statement, indicating: (1) The continued medical necessity of "medication monitoring only" services; or(2) The need for additional services, and the initiation of the ISP planning processes as outlined in He-M 401.(j) The clinical record shall include documentation indicating that the choices regarding the development of the ISP were explained to the individual or guardian pursuant to He-M 401.(k) The clinical record shall include documentation of the decision of the individual or guardian regarding the method of ISP development pursuant to He-M 401.(l) The clinical record shall include the signature of the individual or guardian indicating: (1) Involvement in the ISP development;(2) The receipt of a written copy of the ISP;(3) The explanation of the rights of the individual in accordance with He-M 309; and(4) The receipt of a written copy of the individual's rights.(m) Documentation of any amendments to the ISP shall include the signature of the individual and the physician.(n) Documentation of the addition of new services to the ISP shall include the signature of a physician prior to the services being provided or billed.N.H. Admin. Code § He-M 408.08
#7281, eff 5-23-00, EXPIRED: 5-23-08
New. #9512, eff 7-9-09
Amended by Volume XXXVII Number 45, Filed November 09, 2017, Proposed by #12409, Effective 10/24/2017, Expires 10/24/2027.