Section 16.03.10.317 - HOME AND COMMUNITY-BASED PERSON-CENTERED SERVICE PLAN REQUIREMENTSAll person-centered service plans must reflect the following components:
01.Services And Supports. Clinical services and supports that are important for the participant's behavioral, functional, and medical needs as identified through an assessment.02.Service Delivery Preferences. Indication of what is important to the participant about the service provider and preferences for the delivery of such services and supports.03.Setting Selection. HCBS settings selected by the participant or the participant's decision-making authority are chosen from among a variety of setting options, as required in Section 313 of these rules. The person-centered service plan must identify and document the alternative home and community setting options that were considered by the participant, or the participant's decision-making authority.04.Participant Strengths and Preferences.05.Individually Identified Goals and Desired Outcomes.06.Paid and Unpaid Services and Supports. Assist the participant to achieve identified goals, and the providers of those services and supports, including natural supports.07.Risk Factors. Risk factors to the participant as well as people around the participant and measures in place to minimize them, including individualized back-up plans and strategies when needed.08.Understandable Language. Be understandable to the participant receiving services and supports, and the individuals important in supporting them. The written plan must be understandable, and written in plain language that is accessible to participants with disabilities and who have limited English proficiency, consistent with 42 CFR 435.905(b).09.Plan Monitor. Identify the name of the individual or entity responsible for monitoring the plan.10.Plan Signatures. Be finalized and agreed to, by the participant, or the participant's decision-making authority, in writing, indicating informed consent. The plan must also be signed by the plan developer and all individuals and providers responsible for its implementation indicating they will deliver services according to the authorized plan of service and consistent with home and community-based requirements.a. Children's DD service providers responsible for implementation of the plan include the providers of those services under Section 523 of these rules.b. Adult DD service providers responsible for implementation of the plan include those required to develop a provider implementation plan under Sections 513 and 654 of these rules.c. Consumer-directed service providers responsible for implementation of the plan include the participant, Support Broker, and Fiscal Employment Agency under IDAPA 16.03.13, "Consumer-Directed Services."d. Personal Care and Aged and Disabled Waiver service providers responsible for the implementation of the plan include the providers of those services under Sections 303 and 326 of these rules. Alternate format signatures may be used; refer to Medicaid Information Release MA20-15 for guidance.11.Plan Distribution. Be distributed to the participant and the participant's decision-making authority, if applicable, and other people involved in the implementation of the plan. The following providers will receive a copy of the plan: a. Children's DD providers of services under Section 523 of these rules as identified on the plan of service developed by the family-centered planning team.b. Adult DD service providers required to develop a provider implementation plan under Sections 513 and 654 of these rules. Additionally, the participant will determine during the person-centered planning process whether the service plan, in whole or in part, will be distributed to any other developmental disability service provider.c. Consumer-Directed service providers under IDAPA 16.03.13, "Consumer-Directed Services," Section 110. Additionally, the participant, or the participant's decision-making authority will determine during the person-centered planning process whether the service plan, in whole or in part, will be distributed to any other community support worker or vendors.d. Personal Care and Aged and Disabled Waiver service providers furnishing those services under Sections 303 and 326 of these rules.12.Residential Requirements. For participants living in residential provider-owned or controlled settings under Section 314 of these rules, the following additional requirements apply: a. Options under Subsection 317.03 of this rule must include a residential setting option that allows for private units. Selection of residential settings will be based on the participant's needs, preferences, and resources available for room and board.b. Any exception to residential provider-owned or controlled setting qualities under Section 314 of these rules must be documented in the person-centered plan under Section 315 of these rules.Idaho Admin. Code r. 16.03.10.317