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 8.371.5.11 - THE INTERDISCIPLINARY TEAM

Current through Register Vol. 35, No. 13, July 16, 2024
A. The interdisciplinary team (IDT) is
				responsible for the development of the individual service plan (ISP) and for
				identifying the agencies and individuals responsible for providing the services
				and supports identified in the ISP.
B. The IDT shall consist of the following
				core members:
(1) individual: the individual
				shall be actively encouraged to participate in all IDT meetings and the ISP
				development process; this participation shall include, but not be limited to,
				expressing a personal vision statement for the future, indicating desired
				outcomes that help to realize that vision, identifying action plans that will
				achieve those outcomes, and personally chairing the IDT meeting, if desired and
				when able to do so;
(2) case
				manager: the duties of the case manager in relation to the individual with
				developmental disabilities and the IDT shall include:
(a) coordinating the development,
				modification and implementation of the ISP in consultation with the IDT and the
				individual;
(b) monitoring the
				integration and coordination of the individual's services;
(c) serving as the IDT chairperson, or
				assisting the individual in chairing the IDT meeting if he or she is capable of
				doing so and wishes to do so;
(d)
				scheduling IDT meetings annually, or more often as needed, to review or modify
				the ISP, and encouraging optimum participation by all IDT members;
(e) monitoring supports and services being
				delivered as specified in the ISP as determined by the IDT;
(f) reviewing progress on chosen outcomes,
				and action plans and through consultation with the IDT, amending the ISP, if
				needed;
(g) through timely
				consultation with the IDT, modifying unsuccessful service programs and
				developing service programs for previously unaddressed but significant
				individual needs that may arise prior to the next scheduled ISP
				meeting;
(h) advocating on behalf
				of the individual by making recommendations and requests on behalf of the
				individual;
(i) ensuring objective,
				quantifiable data has been systematically recorded, analyzed and used to
				determine effectiveness of service provided in order to justify needed changes
				in services;
(j) coordinating and
				monitoring any follow-up needed as a result of reviews;
(k) serving as liaison between the IDT and
				the public school system, the special education division, or any other
				community service teams relevant to the individual served; and
(l) assisting the community service providers
				in community placement or other services as needed and as specified by the
				IDT;
(3) the case
				manager ensures that the IDT identified services and supports for the
				individual without regard to their current availability; at the conclusion of
				the IDT meeting the case manager shall document unavailable services on the
				appropriate page of the ISP form, which is provided for this purpose, and
				submits this list to the DDSD, regional office;
(4) guardian: the guardian shall convey to
				the IDT information about the individual, historical or otherwise, which shall
				be useful in the development of the ISP;
(5) helper: the helper is someone who knows
				the individual's capabilities, interests, likes, and dislikes and who can
				assist the individual in communicating these with the IDT; in turn, the helper
				may assist the individual in understanding the ISP development process and the
				individual service plan that is developed;
(6) "key" community service provider staff:
				"key" community service providers are providers of residential, employment day
				program and behavioral services specifically designed for persons with
				developmental disabilities; "key" provider staff participating in the IDT shall
				include, at a minimum:
(a) direct service
				staff: the participation of direct service staff in the development of the
				individual service plan is crucial, as they are the persons who work directly
				with the individual within their respective domains; at least one provider
				staff member from each of the "key" service areas (residential,
				day/work-related and behavioral), who is directly involved in the provision of
				services to the individual in those areas, must be in attendance at all IDT
				meetings;
(b) service coordinator:
				the service coordinators of the community provider agencies shall assure that
				appropriate staff develop strategies specific to their responsibilities in the
				ISP; the service coordinators shall assure the action plans and strategies are
				implemented consistent with the provisions of the ISP, and shall report to the
				case manager on ISP implementation and the individual's progress on action
				plans within their agencies; for persons funded solely by state general funds,
				the service coordinator shall assume all the duties of the independent case
				manager described within these regulations; if there are two or more "key"
				community service provider agencies with two or more service coordinator staff,
				the IDT shall designate which service coordinator shall assume the duties of
				the case manager; the criteria to guide the IDTs selection are set forth as
				follows:
(i) the designated service
				coordinator shall have the skills necessary to carry out the duties and
				responsibilities of the case manager as defined in these regulations;
(ii) the designated service coordinator shall
				have the time and interest to fulfill the functions of the case manager as
				defined in these regulations;
(iii)
				the designated service coordinator shall be familiar with and understand
				community service delivery and supports;
(iv) the designated service coordinator shall
				know the individual or be willing to become familiar and develop a relationship
				with the individual being served;
(7) ancillary service providers: ancillary
				service providers shall participate in the IDT meeting and the ISP development
				process through written assessments, evaluations or reports to the IDT, or in
				person; the case manager, in consultation with the individual and the IDT,
				shall determine the need for personal participation at IDT meetings on the part
				of any ancillary service provider;
(8) designated healthcare coordinator: the
				team member designated to coordinate medical supports and services which the
				individual requires to manage any chronic health conditions and to access
				preventative healthcare services;
(9) others: unless the individual objects,
				other participants may include family members not already mentioned, if invited
				by the individual or the ISP development process on the individual's behalf;
				representatives of general services, who may participate in the IDT with the
				individual's or guardians' consent; representatives of the public school
				system, if the individual is of school age and attends public school; and, any
				others that the individual wishes to have attend the IDT meeting.