048-1 Wyo. Code R. § 1-12

Current through April 27, 2019
Section 1-12 - ISC Responsibilities and the Plan of Care

(a) Each person served receiving ISC services shall have a written plan of care based upon the findings of the comprehensive assessment and input from the team. The development and implementation of this plan will be coordinated and monitored by the ISC, with assistance as necessary from internal provider service coordinators/case managers and other team members.

(b) The duration of the plan will not exceed twelve (12) months. The team may alter the plan at any time as circumstances, needs, and preferences of the person served dictate.

(c) The plan shall encourage the highest level of independence and participation of the person served in keeping with the persons preferences.

(d) The plan shall:

  • (i) Address the strengths and needs identified in the assessment,
  • (ii) Identify the goals and objectives to be achieved,
  • (iii) Specify the timing, type and amount of supports and services that will be mobilized to meet the objectives,
  • (iv) Include the sources of funding for the supports and services,
  • (v) Delineate the responsibilities of the ISC and other team members, and (vi) Include a schedule for periodic reviews of the relevance of the plan.

(e) The plan will be discussed with the team members in a manner that enables them to understand it and their respective roles in its implementation.

(f) If the person served is funded through a Medicaid DD Home and Community Based Waiver, the plan must meet applicable waiver standards, but may include additional items that reflect the persons need for supports. It is the responsibility of the ISC, working in coordination with service providers, to assure that plans are properly completed and submitted in a timely manner so as to prevent interruption of service or service reimbursement.

(g) Appeal of a decision of the team shall be made by utilizing appeal processes identified in the Medicaid DD HCB waiver, the Division Contested Case Procedure, or provider agreements, as applicable. It is the responsibility of the ISC to assure that the person served, and guardian if applicable, are made aware of these processes.

048-1 Wyo. Code R. § 1-12