Section 16.03.10.721 - SERVICE COORDINATION: DEFINITIONSThe following definitions apply for Sections 721 through 736 of these rules.
01.Agency. An agency is a business entity that provides management, supervision, and quality assurance for service coordination and includes at least two (2) individuals, one (1) supervisor and a minimum of one (1) service coordinator.02.Brokerage Model. Referral or arrangement for services identified in an assessment. This model does not include the provision of direct services.03.Conflict of Interest. A situation in which an agency or person directly or indirectly influences. or appears to influence the direction of a participant to other services for financial gain.04.Crisis. An unanticipated event, circumstance or life situation that places a participant at risk of at least one (1) of the following: c. Loss of employment or major source of income;e. Physical harm to self or others, including family altercation or psychiatric relapse.05.Human Services Field. A particular area of academic study in health care, social services, education, behavioral science or counseling.06.Paraprofessional. An adult with a high school diploma or equivalency who has at least twelve (12) months supervised work experience with the population to whom they will be providing services.07.Person-Centered Planning. A planning process facilitated by the service coordinator that includes the participant and individuals significant to the participant, to collaborate and develop a plan based on the expressed needs and desires of the participant. For children, this planning process must involve the child's family.08.Practitioner of the Healing Arts. For purposes of this rule, a nurse practitioner, physician assistant or clinical nurse specialist.09.Service Coordination. Service coordination is a case management activity that assists individuals eligible for Medicaid in gaining and coordinating access to necessary care and services appropriate to the needs of the individual. Service coordination is a brokerage model of case management.10.Service Coordination Plan. The service coordination plan, also known in these rules as the "plan," includes two components:a. An assessment that identifies the participant's need for service coordination as described in Section 730 of these rules; andb. A plan that documents the supports and services required to meet the service coordination needs of the participant as described in Section 731 of these rules.11.Service Coordination Plan Development. An assessment and planning process performed by a service coordinator using person-centered planning principles that results in a written service coordination plan. The plan must accurately reflect the participant's need for assistance in accessing and coordinating supports and services.12.Service Coordinator. An individual, excluding a paraprofessional, who provides service coordination to a Medicaid eligible participant, is employed by or contracts with a service coordination agency, and meets the training, experience, and other requirements in Section 729 of these rules.13.Supports. Formal and informal services and activities that are not paid for by the Department and that enable an individual to reside safely in the setting of their choice.Idaho Admin. Code r. 16.03.10.721