SECTION 260.65. Development of an Enrollment IPP

(a) To develop an enrollment IPP, a case manager must convene an in-person meeting with the service planning team in which the service planning team completes the individual's enrollment IPP for each DBMD Program service and CFC service, other than CFC support management, identified on the individual's proposed enrollment IPC.

(b) A case manager must ensure an enrollment IPP:

(1) identifies whether an individual will reside in the individual's own home or family home or in a DBMD residential setting described in §260.351 of this chapter (relating to Residential Services);

(2) includes justification for each service and the total units indicated for each service;

(3) describes:

(A) the outcomes to be achieved through each service; and

(B) the action and methods to be used to achieve the outcomes for each service;

(4) describes individualized goals for each service that:

(A) are outcome-based;

(B) are measurable; and

(C) have a start date and projected completion date; and

(5) includes:

(A) a description of the individual's strengths, preferences, and needs as identified by the individual, LAR, or both;

(B) a description of the services and supports the individual needs to continue living in a community-based setting, as identified through the HHSC CLASS/DBMD Nursing Assessment form, ID/RC Assessment, HHSC Related Conditions Eligibility Screening Instrument form, and adaptive behavior screening assessment;

(C) a description of the individual's current natural supports and non-waiver and non-CFC services that will be or are available;

(D) documentation that the frequency and amount of each service included in the IPP and IPC do not replace existing natural supports or non-waiver and non-CFC resources for which the individual may be eligible;

(E) if the IPC includes CFC PAS/HAB, whether the individual would like to receive CFC support management;

(F) that the individual needs a service backup plan for nursing, intervener services, or CFC PAS/HAB, if the service planning team determined the service is critical to the individual's health and safety; and

(G) that the case manager is responsible for monitoring the individual's service plan.

(c) A case manager must:

(1) ensure that an enrollment IPP is signed and dated by each member of the service planning team; and

(2) maintain the enrollment IPP in the individual's record.

Source Note: The provisions of this §260.65 adopted to be effective February 26, 2023, 48 TexReg 896