Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 45 - Division of Developmental Disabilities › Chapter 3 - Services and Supports › Section 9 CSR 45-3.010 - Individual Support Plans

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment changes the name of the
				  division to comply with HB 555 and HB 648 passed by the 95th Missouri General
				  Assembly, which remove the term "mental retardation" from Missouri statutes,
				  updates the rule with more current terminology in the field of developmental
				  disabilities, and modifies the rule to be in compliance with the final federal
				  rule for home and community-based services at 42 CFR Part
				  441.301.
PURPOSE: This rule prescribes procedures for
				  development and implementation of individual support plans for all individuals
				  receiving services from the Division of Developmental
				  Disabilities.
(1)
				Definitions.
(A) Assessment-the process of
				gathering information about an individual for use by the individual support
				plan team as a basis for the individual support plan. Assessment, as used in
				this rule, does not include determination of eligibility by the Department of
				Mental Health (DMH) as set forth in
				9 CSR
				45-2.010.
(B) Division-the Division of Developmental
				Disabilities.
(C) Home and
				Community-based Waivers-also referred to as home and community-based services
				(HCBS) in this rule; a set of long-term community-based supports and services
				authorized by the Centers for Medicare and Medicaid Services which are provided
				as an alternative to care in institutions such as nursing facilities and
				intermediate care facilities for individuals with intellectual
				disabilities.
(D) Individual
				Support plan (ISP)-a document developed by the individual, with assistance as
				needed from a representative, in collaboration with the individual support plan
				team. The ISP identifies strengths, capacities, preferences, needs, and desired
				outcomes of the individual. The ISP encompasses a personalized mix of paid and
				non-paid services and supports that will assist him/her to achieve personally
				defined outcomes. Training, supports, therapies, treatments and/or other
				services to be provided for the individual become part of the ISP. ISP is also
				referred to as a person-centered service plan.
(E) Individual support plan team-the
				individual, the individual's guardian or designated representative(s), and the
				support coordinator. Providers of waiver-funded services may also participate
				in the support plan team if such participation is requested by the individual,
				guardian, or designated representative.
(F) MO HealthNet-Missouri's name for the
				state's Medicaid program, authorized under Title XIX of the Social Security
				Act.
(G) MO HealthNet
				participant-an individual enrolled with MO HealthNet.
(H) Natural supports-any unpaid support
				including but not limited to immediate and extended family members, friends,
				co-workers, neighbors, and community services available to any individual
				regardless of disability.
(I)
				Reassessment-data obtained from training programs, results of screenings, and
				formal or informal assessments completed since the previous ISP team
				meeting.
(J) Waiver
				participant-individual receiving HCBS services.