55 Pa. Code § 52.25 - Service plan

What this rule requires your agency to do

• 1Physical therapy, occupational therapy, speech and language therapy, nursing services, telecare health status and monitoring services, and durable medical equipment require a physician's prescription prior to being added to a service plan.(55 Pa. Code § 52.25 - Service plan)
• 2An SCE or the Department's designee shall review the participant need, goal and outcome at least annually with the participant, and review and modify them each time the participant has a significant change in medical or social condition.(55 Pa. Code § 52.25 - Service plan)
• 3An SCE or the Department's designee shall use a person-centered approach and the Department's person-centered assessment and risk assessment to develop the service plan, complete it on the Department's prescribed format, and enter it into the Department's designated information system.(55 Pa. Code § 52.25 - Service plan)
• 4A service plan must be developed for each participant containing: the participant need on a standardized needs assessment; participant goal; participant outcome; the service/TPR/informal community support meeting the need; the type, scope, amount, duration and frequency of services; the provider of each service; the participant's signature; risk mitigation strategies; and the participant's back-up plan.(55 Pa. Code § 52.25 - Service plan)
• 5Each participant need must be addressed by an informal community support, TPR or service unless the participant chooses for a need to not be addressed; if the participant refuses, the SCE shall document when and why.(55 Pa. Code § 52.25 - Service plan)
• 6The participant's back-up plan must contain both an individualized back-up plan and an emergency back-up plan.(55 Pa. Code § 52.25 - Service plan)