New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIV - Office for People With Developmental Disabilities › Part 671 - HCBS Waiver Community Residential Habilitation Services for Persons with Developmental Disabilities › Section 671.6 - Service planning and service delivery

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
Principles of compliance.
(1)
				Community residential habilitation service planning shall be initiated based on
				documentation that services are necessary to meet the person's needs, and a
				determination that the person meets the requirements for eligibility at section
				671.4(a)(2) 
				of this Part.
(2) The parties to be
				involved in the development of a plan of services to provide services shall
				include the person, an advocate (see glossary), the assigned qualified
				intellectual disabilities professional (QIDP; see glossary), the person's case
				manager, the staff member(s) principally responsible for the delivery of the
				person's plan of services, with an invitation to the person's parent or
				guardian as long as the person does not object to said parties'
				participation.
(3) There shall be a
				designated qualified intellectual disabilities professional (QIDP; see
				glossary) responsible for approving the plan of services of every person
				receiving services. The QMPR shall be identified by name in each person's plan
				of services.
(4) The QIDP shall be
				responsible for:
(i) participating in the
				development of the person's plan of services;
(ii) signing the plan of services;
(iii) participating in the semi-annual review
				of each person's plan of services;
(iv) completing the annual summary assessment
				of the person's status relative to his/her receipt of community residential
				habilitation services over the previous 11 months; and
(v) periodically ensuring that the plan of
				services is being appropriately documented in accordance with the requirements
				of this Part.
(5) Each
				provider authorized to deliver community residential habilitation services
				shall conduct a program planning process in accordance with the requirements
				set forth in this Part and in accordance with its own policies and/or
				procedures (see glossary). The program planning process shall, at least,
				include:
(i) a meeting of, and/or sharing of
				appropriate information from, the appropriate parties;
(ii) consideration of appropriate clinical
				and developmental assessments;
(iii) consideration of the person's input
				relative to choices about how his/her needs and interests are to be met;
				and
(iv) development of a written
				plan of services that includes components set forth at paragraph (6) of this
				subdivision.
(6) A
				community residential habilitation plan of services shall be written, developed
				within 30 days of initiation of such services and shall set forth a mutually
				agreed upon course of action which shall include at least the following
				components:
(i) Identification of the
				specific community residential habilitation services to be delivered, any
				associated activities, interventions and/or therapies, and the use of
				therapeutic leave to further enhance service outcomes.
(ii) The outcomes to be achieved through the
				provision of each of the community residential habilitation services to be
				delivered. Such outcomes shall include consideration of promoting achievement
				of the following goals consistent with the services being provided:
(a) Independencethe person has opportunities
				to develop capacities that lessen his/her dependence.
(b) Integrationthe person has opportunities
				to engage in experiences and activities with those who are not
				disabled.
(c) Individualizationthe
				person is given meaningful choices, respected, addressed and provided services
				in terms of his/her unique and valued individuality.
(d) Productivitythe person is provided
				opportunities to make an increasingly meaningful contribution to his/her living
				and community environment.
(iii) Specification of generally when the
				specified outcomes will be achieved.
(iv) Efforts to coordinate the provision of
				services with other providers of such services and/or other supports being
				received.
(7) The plan
				of services shall be delivered by appropriately trained and supervised staff of
				the facility.
(8) Progress notes
				shall be recorded, at least monthly, by the staff member(s) having a
				substantive responsibility for delivering or monitoring delivery of the plan of
				services. Such notes shall:
(i) indicate the
				activities and interventions provided;
(ii) indicate "when appropriate and as
				indicated" in the individual's plan of services, review and assessment by the
				QIDP;
(iii) identify any
				significant events or noteworthy observations relevant to the person's receipt
				of the service(s); and
(iv) set
				forth any recommendations for changes in any aspect of the plan of services and
				actions to be taken to effect such change.
(9) The plan of services shall be reviewed as
				needed, but at least semi-annually, with the initial review occurring within a
				semi-annually period from the date of service initiation. The review shall
				include participation of the person, his/her advocate, his/her case manager,
				the designated QIDP, the staff member(s) primarily responsible for actual
				service delivery, and an invitation to the person's parent or guardian (unless
				the person objects) to participate. The semi-annual review of the plan of
				services shall include:
(i) an evaluation of
				the person's progress in achieving the specified outcomes;
(ii) an evaluation of the person's
				satisfaction with the activities, interventions and/or therapies being
				provided; and
(iii) recommendations
				for revision of outcomes, or selection of different outcomes and/or activities,
				interventions or therapies and specification of the appropriate timeframes for
				achievement of the revised/changed outcomes.
(10) The plan of services shall be maintained
				with a concern for confidentiality and the protection of each person's right to
				privacy. The preceding notwithstanding, the person's plan of services shall be
				accessible, at the service delivery setting, or readily available to staff
				members responsible for its implementation.
(11) In settings where services are
				authorized, it is expected that service(s) will be available daily, but
				delivered in accordance with the individualized plan of services, throughout a
				month. Persons receiving services are permitted and encouraged to participate
				in periodic away-from-service-setting visits with family and friends and
				overnight recreational opportunities.
(12) Services shall be delivered by
				appropriately trained and supervised staff members who, in accordance with
				their assigned responsibilities, are familiar with each person's needs and the
				activities, interventions, and/or therapies associated with the rehabilitative
				service(s) being provided.