Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0037 - Medicaid › Chapter 45 - DD WAIVER PROVIDER STANDARDS, CERTIFICATION, AND SANCTIONS › Section 45-10 - Individualized Plan of Care

Current through July 13, 2024
(a) A case manager shall convene the plan of
				care team to develop an individualized plan of care for each participant on his
				or her caseload, and base the plan on the results of the comprehensive
				assessment(s) and the person-centered planning process. The team shall be
				comprised of persons who are knowledgeable about the participant and are
				qualified to assist in developing an individualized plan of care for that
				person, including: the participant; any legally authorized representative(s);
				the case manager; providers chosen by the participant; and any other advocate,
				family member, or entity chosen by the participant or the participant's legally
				authorized representative(s).
(b)
				The plan of care meeting shall be timely and occur at times and locations that
				are convenient for the participant.
(c) The case manager shall provide written
				notice of the plan of care meeting to all team members at least twenty (20)
				calendar days prior to the meeting.
(d) The individualized plan of care shall not
				exceed twelve (12) months and shall be developed in accordance with state and
				federal rules, which include the submission of the complete individualized plan
				of care to the Division at least thirty (30) days prior to the plan start date.
				Corrections to the individualized plan of care required by the Division shall
				be submitted by the case manager within seven (7) business days of being
				issued.
(e) The individualized plan
				of care shall include:
(i) Necessary
				information and support to the participant to ensure that the participant
				directs the process to the maximum extent possible;
(ii) Services in a setting chosen by the
				participant from all service options available, including non-disability
				specific settings and alternate settings that were considered;
(iii) Opportunities for the participant to
				seek employment and work in competitive integrated settings;
(iv) Opportunities for the participant to
				engage in community life, control personal resources, and receive services in
				the community to the same degree of access as individuals not receiving
				Medicaid home and community-based services;
(v) Cultural and religious
				considerations;
(vi) Services based
				on the choices made by the participant regarding supports the participant
				receives and from whom;
(vii) What
				is important to the participant and for the participant;
(viii) Services provided in a manner
				reflecting personal preferences and ensuring health and welfare;
(ix) Services based on the participant's
				strengths and preferences;
(x) Any
				rights restrictions, including why the restriction is imposed, how the
				restriction is imposed, and the plan to restore the right to the fullest extent
				possible;
(xi) Clinical and support
				needs;
(xii) Participant's desired
				outcomes;
(xiii) Risk factors and
				plans to minimize them;
(xiv)
				Individualized backup plans and strategies, when needed;
(xv) Individuals important in supporting the
				participant, such as friends, family, professionals, specific staff or
				providers;
(xvi) Learning
				objectives for habilitation services that address the training activities,
				training methods, and the measurement used to gauge learning;
(xvii) Relevant protocols that have been
				updated within the past year;
(xviii) Informed consent of the participant
				or legally authorized representative in writing; and
(xix) Signatures of all providers listed in
				the individualized plan of care after the draft plan, as written, is completed
				by the team including participant's signature for informed consent.