New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 371 - DEVELOPMENTAL DISABILITIES › Part 5 - SERVICE PLANS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES LIVING IN THE COMMUNITY › Section 8.371.5.12 - DEVELOPMENT OF THE INDIVIDUAL SERVICE PLAN (ISP) - PARTICIPATION IN AND SCHEDULING OF INTERDISCIPLINARY TEAM MEETINGS

Current through Register Vol. 35, No. 13, July 16, 2024
A. Prior to the initial IDT meeting the case
				manager shall provide the individual and guardian, if any, with an orientation
				to the person-centered planning process, purpose of the ISP and roles and
				responsibilities of IDT members. After completion of the ISP, the individual
				and guardian shall be offered the opportunity to meet with the case manager and
				ask questions regarding the completed ISP within 30 days of the meeting, if
				desired.
B. The IDT shall be
				convened at least annually and may be convened as frequently as conditions or
				circumstances warrant to review and modify the ISP. If an ISP includes programs
				or services which restrict an individual or a behavioral program subject to the
				DDSD behavior support policy, the IDT shall review the relevant program or
				service at least quarterly. In situations where an individual is at risk of
				significant harm, the team shall convene within one working day, in person or
				by teleconference. If necessary, the ISP shall be modified accordingly within
				72 hours.
C. The IDT meeting shall
				be scheduled and conducted by the case manager who will solicit and facilitate
				the full participation of all team members. The individual shall be present
				unless he/she chooses not to attend. If any member is unable to attend IDT
				meetings, arrangements for their involvement shall be made through
				teleconference, designated representatives, or in the case of ancillary
				services, written reports provided to the case manager prior to the
				meeting.
D. The case manager shall
				provide written notice of the annual IDT meeting at least 21 days prior to the
				meeting. Notice shall be provided to the individual, their representative,
				guardian, providers and other invited participants. The case manager shall
				consult IDT members prior to scheduling the meeting in order to determine the
				best dates and times. The case manager shall attempt to accommodate team
				member's scheduling needs shall be accomodated as long as the timing does not
				jeopardize continued eligibility for the DD Waiver. A request for a change of
				meeting date made by the individual and guardian. Written documentation of
				notice and scheduling activities will be maintained by the case manager in the
				individual's records.
E. For state
				general funded services, the initial IDT meeting shall be held within 60 days
				of the start of services, and then annually thereafter. For all other
				developmental disabilities medicaid waiver recipients, the IDT meeting shall be
				held annually based upon the previous or initial ISP approval date.
F. In the event the individual or guardian
				requests that others be invited to attend the IDT meeting, the case manager
				shall also provide them with notification of the meeting.
G. The case manager will convene the IDT on
				an "as needed" basis to modify (revise or amend) the ISP once it has been
				developed. Participants may attend through teleconference.
H. The IDT shall be convened to discuss and
				modify the ISP, as needed, to address:
(1) a
				significant life change, including a change in medical condition or medication
				that affects the individual's behavior or emotional state;
(2) situations where an individual is at risk
				of significant harm. In this case the team shall convene within one working
				day, in person or by teleconference; if necessary, the ISP shall be modified
				accordingly within 72 hours;
(3)
				changes in any desired outcomes, (e.g. desired outcome is not met, a change in
				vocational goals or the loss of a job);
(4) the loss or death of a significant person
				to the individual;
(5) a serious
				accident, illness, injury or hospitalization that disrupts implementation of
				the ISP;
(6) individual, guardian
				or provider requests for a program change or relocation, or when a termination
				of a service is proposed; the DDSD's policy no. 150 requires the IDT to meet
				and develop a transition plan whenever an individual is at risk of discharge by
				the provider agency or anticipates a change of provider agency to identify
				strategies and resources needed; if the individual or guardian is requesting a
				discharge or a change of provider agency, or there is an impending change in
				housemates the team must meet to develop a transition plan;
(7) situations where it has been determined
				the individual is a victim of abuse, neglect or exploitation;
(8) criminal justice involvement on the part
				of the individual (e.g., arrest, incarceration, release, probation,
				parole);
(9) any member of the IDT
				may also request that the team be convened by contacting the case manager; the
				case manager shall convene the team within 10 days of receipt of any reasonable
				request to convene the team, either in person or through
				teleconference;
(10) for any other
				reason that is in the best interest of the individual, or any other reason
				deemed appropriate, including development, integration or provision of services
				that are inconsistent or in conflict with the desired outcomes of the ISP and
				the long term vision of the individual;
(11) whenever the DDSD decides not to approve
				implementation of an ISP because of cost or because the DDSD believes the ISP
				fails to satisfy constitutional, regulatory or statutory
				requirements.