The OSDP Counselor leads the Case Management Team. Those included in the Case Management Team are the Counselor, client or his designated representative and the Registered Nurse.
The Case Management Team is involved and is responsible for planning through the assessment of the individual's needs during the development of the Plan of Care. The Case management Team is responsible for:
* Considering all available assessment information;
* Estimating the costs for the types and amounts of services identified as necessary to meet the consumer's needs;
* Determining that the consumer can be served safely in the community;
* Identifying the waiver and non-waiver services to be used to meet the consumers needs;
* Documenting the plan of care and other supporting documentation;
* Determining that the services identified on the POC developed are necessary as an alternative to institutional care and appropriate to meet the needs of the consumer
The Case Management Team must make all the determinations listed above for the initial and each subsequent POC.
If the OSDP Counselor/RN has doubts about the adequacy or appropriateness of the POC to meet the needs of the applicant in the community, these concerns should be expressed and documented during the assessment/re-assessment process.
The OSDP Counselor may involve other individuals such as the District Manager or other OSDP Administrative staff in the process.
Refusal of a consumer to sign the POC should be documented in the case file notes for the assessment meeting.
32 Miss. Code. R. 1-12.1