– Distribute the finalized ISP to the client (or legal representative), family members, primary care coordinator, and all clinical staff involved. – Ensure that each party signs a receipt acknowledgment confirming that they have reviewed and understood the plan. 2. Service Activation: – Initiate the services as outlined in the ISP, ensuring that the daily schedules and intervention plans are followed. – Employ electronic scheduling and communication systems to coordinate service delivery and document service occurrences.
Step 6: Ongoing Monitoring, Review, and Revision 1. Regular Follow-Up Meetings:
– Schedule periodic review meetings (typically every six months or sooner if indicated by changes in the client's condition). – Evaluate progress against stated goals and update strategies based on new assessment data and feedback. 2. Plan Revision: – Amend the ISP as required to address changes in the client’s needs, progress or setbacks, new regulatory requirements, or feedback from service providers. – Document every modification with clear annotations indicating the date, reason for amendment, and the approving authority. 3. Quality Assurance Integration: – The Quality Assurance Team conducts regular audits of the ISP process to ensure that each plan is followed meticulously and that service outcomes align with the documented objectives. – Feedback from these audits is integrated into staff training and process improvement initiatives. h. Regulatory References and Compliance Integration Every aspect of the ISP development process is designed to comply with and be guided by regulatory references, ensuring that all services are medically necessary and tailored to the individual’s needs. Key regulatory documents referenced include:
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Tennessee CAC Waiver (TN.0357.R05.00): The ISP must explicitly demonstrate alignment with all components of the waiver by outlining customer-specific interventions, funding allocations, and service limitations.
• TennCare Guidelines and Provider Manuals:
The ISP incorporates guidelines on service volume, documentation standards, and the criteria necessary for medical necessity as specified by TennCare.
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