ISP Manual - Lesson 1: Introduction to the ISP Manual …documents.odpconsulting.net/alfresco/d/d/workspace/SpacesStore/6b5...ISP Manual - Lesson 1: Introduction to the ... presentation

Welcome to the Introduction to the ISP Manual 2012 Update course.

1Course #: 005-03-01

ISP Manual - Lesson 1: Introduction to the ISP Manual Course

This webcast includes spoken narration.

To adjust the volume, use the controls at the bottom of the screen. While viewing this webcast, there is a pause and reverse button that can be used throughout the presentation.

The written version of the narration appears to the right of the screen.

2Course #: 005-03-01


Hello. My name is Jennifer Fraker. I will be the presenter for this Introduction to the Individual Support Plan (ISP) Manual training course.

I am a Human Service Program Specialist Supervisor for the Office of Developmental Programs. I supervise the Individual Support Planning Unit in the Bureau of Supports for People with Intellectual Disabilities. A few of the responsibilities of the Individual Support Planning Unit are to oversee and manage the supports coordination organization qualification and monitoring process, Individual Support Plan, and the Supports Intensity Scale® and PA Plus.

3Course #: 005-03-01


Certificates of Achievement will be available to Administrative Entities and provider staff as well as Supports Coordinators and SC Supervisors after completing all course requirements.

For SCs and SC Supervisors, course requirements include successful completion of a pre‐test and a post‐test. Please view and then save or print your certificate in order to receive credit for this course.

4Course #: 005-03-01


As we begin this training on the ISP Manual, it is important to note that the manual is one attachment to the ISP Bulletin. In order to have a thorough understanding of the requirements for the development and implementation of Individual Support Plans, your review of the bulletin and listed attachments is necessary in addition to completing this training. This training supports but does not replace the actual content and information contained in the ISP Manual.

In July 2012, Informational Memo # 056‐12 was distributed to identify the upcoming changes to the ISP Manual. This Memo explained that the ISP Manual was updated based on the approved waivers and 55 PA Code Chapter 51. Also included in this Memo was the fact that a separate bulletin would no longer be issued for Service Definitions. Service definitions are now found in the ISP Manual and the approved waivers.

All documents and resources identified throughout this 5 lesson webcast, can be found on the DPW website with the other ODP bulletins. There are also links to these documents available where you launched this webcast.

5Course #: 005-03-01


This course consists of five lessons.

‐ This first lesson is an introduction to the ISP Manual and this online course.

‐ The next lesson is about ISP development. This lesson addresses identifying, gathering, and using available information in the ISP, roles and responsibilities, outcome development and actions, identifying services and supports, choosing qualified providers, and how to effectively and correctly complete the ISP Signature Form.

‐ The third lesson focuses on service selection, service definitions, ISP approval and authorization and the ISP Review Checklist that now includes Residential Habilitation Criteria, One‐Person Home Guidelines, Supplemental Habilitation/Additional Individualized Staffing, and the six‐month review process for Residential Habilitation, Pre‐Vocational, and Job Finding.

‐ The fourth lesson concentrates on service implementation, service utilization and monitoring of services.

‐ The fifth lesson provides information on specific waiver policies and resources for your continued use.

All five lessons must be viewed for the entire course to be considered completed. If you are participating in this course for credit towards the 2012 required Supports Coordination training hours, be sure to also take the post‐test after viewing all lessons in order to receive credit for completing the course. You must print a certificate of achievement in order to receive credit for this course in the SCC Reporter.

6Course #: 005-03-01


The overall objectives for the entire course about the ISP Manual are listed on this slide and the next slide. Take a moment to review them.

7Course #: 005-03-01


This lesson, the Introduction to the Individual Support Plan Manual course, will focus on the background and structure of the ISP Manual as well as how you can use the ISP Manual to support ISP development and implementation.

8Course #: 005-03-01


As you know, Pennsylvania implemented the ISP to have a consistent statewide plan format. This does two things.

First, the ISP allows for the service system in Pennsylvania to be seamless for individuals receiving services. Individuals should have the same experience across the state in regards to ISP development.

Second, in order to meet federal waiver requirements, an ISP that is developed and implemented consistently across the state helps to meet many of the CMS assurances specific to service plans.

The Pennsylvania ISP documents the safeguards that will be taken to:‐ protect the health and welfare of persons receiving waiver services‐ develop plans in accordance with ODP’s policies and procedures‐ update and revise the plans annually or when warranted by changes in need‐ assure that services are delivered in accordance with the plan including type, amount, duration and frequency ‐ afford choice to participants between waiver between/among waiver services and providers

Course #: 005-03-01


In developing the manual, the values and vision expressed in Everyday Lives provided a framework. The Everyday Lives Principles were developed by people with an intellectual disability, family members and their allies in 1991. When asked ‐ what is important to you, what do you want in your life – people answered, I want relationships, choice, control, quality, stability, safety, individuality, freedom, success, the opportunity to contribute to their community, accountability, mentoring, community inclusion and collaboration.

Everyday Lives continues to be the guiding philosophy of Intellectual Disabilities Services within the Office of Developmental Programs.

10Course #: 005-03-01


As the intellectual disabilities system in Pennsylvania evolved with the Everyday Lives philosophy, concepts such as Person‐Centered planning, Positive Approaches and Self‐Determination were put in place as foundational principles and practices. Individual support planning is based on all of these concepts and captures the true meaning of working together to create a shared commitment to planning with a team in support of individuals. Therefore, these concepts were also part of the framework in developing the ISP Manual.

11Course #: 005-03-01


The ISP Manual is divided into 19 sections. The intent of the manual is to pull together multiple pieces of information that encompass the required ISP development and implementation process including service definitions. The ISP Manual has been revised to include all of the current processes, forms and information needed to develop and implement an ISP. Throughout the manual specific SC required documentation instructions are identified to meet waiver requirements. Some of these instructions will be highlighted throughout this training corresponding to each activity.

The first four sections of the manual cover the ISP Process, ISP Preparation, ISP Development and ISP Signature Form.

These areas of the manual will be covered in lesson two of the ISP Manual Training course titled ‐ Individual Support Plan Development and Process.

12Course #: 005-03-01


Next, let’s look at what is in Sections: 5, 6, 13, and 16 of the ISP Manual.

Section 5 provides information on ISP Approval and Authorization by the Administrative Entity (AE).

Section 6 contains information on the ISP Review Checklist (formerly called the AE ISP Checklist). Originally, the AE ISP Checklist was completed by AEs in their review of ISPs for waiver participants for whom intensive staffing was being proposed. ODP is expanding the use of the checklist to ensure that annual and critical revision ISPs are being developed and reviewed using consistent, statewide standards. ODP will use the checklist as a source to assess and verify compliance with ISP requirements.

In Section 13 you will find information on each specific service included in Appendix C of the approved Consolidated and P/FDS Waivers as well as the corresponding procedure codes. The information contained in this section replaces the separate Service Definition Bulletin previously issued.

Each service definition identified contains a service description, suggestions for determining need, documentation requirements and service limits. There are questions in this section that should be answered and documented in the ISP for each particular service. The manual identifies where in the ISP this information should be documented. This section is a resource to you when supporting the selection of a service or reviewing the need for a service.

Base‐funded service definitions and procedure codes are located in Section 16 of the ISP Manual. The information contained in this section replaces the separate service definition bulletin that included base‐funded services and descriptions.

The information in these sections is covered in the third lesson of this course titled ‐ Service Selection,Service Definitions and ISP Approval.

13Course #: 005-03-01


There are five sections of the manual that will be covered in the fourth lesson of this course titled ‐ Service Implementation, Utilization, and Monitoring.

These sections are:‐ Section 7 ‐ Implementation of Services‐ Section 8 ‐ Addressing Changes in Need throughout the Year‐ Section 9 ‐ Updating ISPs ‐ Section 10 ‐ Service Utilization‐ Section 11 ‐Monitoring of Services

14Course #: 005-03-01


Lesson #5 in the ISP Manual training covers Sections: 14, 15, and 17, and is titled ‐ Specific Waiver Policies and Resources.

Included in this lesson is information on two policies.

The service policy on Waiver Relatives, Legal Guardians and Legally Responsible Individuals is unchanged.

The Travel policy has changed to a limit of 30 total days per fiscal year. Previously this limit was 30 days per travel event. There are no restrictions on the place of travel.

In addition, we will review the Waiver Service Request form process, the Prioritization of Urgency of Need for Services (PUNS), Independent Monitoring for Quality (IM4Q) and the Positive Practices Resource Team (PPRT).

15Course #: 005-03-01


The last sections of the manual: 18 and 19 defines ISP key terms and general billing terms related to the ISP process. This information will not be covered in this ISP Manual training but is available for your use as needed at the end of the ISP Manual.

16Course #: 005-03-01


The two following slides are questions for you to answer about this introductory lesson.

17Course #: 005-03-01


Question ‐ Development of an ISP is based on the philosophies and concepts of Everyday Lives, Person‐Centered Planning, Positive Approaches and Self‐Determination.

Please select your answer, and click submit.

18Course #: 005-03-01


Question ‐ An ISP that is developed and implemented consistently across the state helps to meet many of the CMS assurances specific to service plans.

Please select your answer, and click submit.

19Course #: 005-03-01


Please be reminded that Certificates of Achievement will be available to Administrative Entity and provider staff as well as Supports Coordinators and SC Supervisors after completing all course requirements.

For SCs and SC Supervisors, course requirements include successful completion of a pre‐test and a post‐test and viewing then saving or printing your certificate. Please return to where you initiated this webcast to complete the course requirements and access the Certificate.

20Course #: 005-03-01


You have completed the Introduction to Individual Support Plan Manual lesson. The other lessons are now available for you to complete.

The next lesson to view is the ISP Development and Process which will address identifying, gathering and using available information in ISP development, outcome development and actions, and completing the ISP Signature Form.

Thank you for participating in this lesson.

21Course #: 005-03-01


Documents

ISP Manual - Lesson 1: Introduction to the ISP Manual …documents.odpconsulting.net/alfresco/d/d/workspace/SpacesStore/6b5...ISP Manual - Lesson 1: Introduction to the ... presentation