Member Centered Planning Clause Samples
The Member-Centered Planning clause establishes that the planning and decision-making process within an organization or service is focused on the individual needs, preferences, and goals of its members. In practice, this means that members are actively involved in setting objectives, choosing services, and determining the supports they receive, often through collaborative meetings or personalized planning sessions. This approach ensures that services are tailored to each member, promoting autonomy and satisfaction while addressing the unique circumstances of every individual.
Member Centered Planning. Purpose
i. Member-centered planning is a process through which the IDT identifies appropriate and adequate services and supports to be authorized, provided and/or coordinated by the PO sufficient to assure the member’s health, safety, and well-being including being free from abuse, neglect, and exploitation.
ii. Member-centered planning results in a member-centered plan (MCP) which identifies the long-term care and personal experience outcomes. The plan identifies all services and supports whether authorized and paid for by the PO, or provided by natural and/or community supports that are consistent with the information collected in the comprehensive assessment and are:
a) Sufficient to assure the member’s health, safety and well-being;
b) Consistent with the nature and severity of the member’s disability or frailty; and
c) Satisfactory to the member in supporting the member’s long-term care outcomes. … … Amend Article V. G. to read:
Member Centered Planning c. Documentation …
Member Centered Planning a. Purpose
i. Member-centered planning is a process through which the IDT identifies appropriate and adequate services and supports to be authorized, provided and/or coordinated by the MCO.
ii. Member-centered planning results in a member-centered plan (MCP) which identifies all services and supports whether paid, provided or coordinated, formal or informal, that are consistent with the information collected in the comprehensive assessment and are:
a) Sufficient to assure the member’s health, safety and well- being;
b) Consistent with the nature and severity of the member’s disability or frailty; and
c) Satisfactory to the member in supporting the member’s outcomes.
b. Procedures
i. Member-centered planning shall be based on the comprehensive assessment. IDT staff shall involve the member and other parties in accordance with the member’s preference and the parties’ ability to contribute to the development of the MCP.
ii. As requested by the member, the IDT staff shall encourage the active involvement of the member’s informal supports in the member-centered planning process and in development of the MCP. For members with communicative or cognitive deficits, the IDT staff shall encourage family members, friends and others who know the member and how the member communicates to assist in conveying the member’s preferences in the member-centered planning process and in development of the MCP.
iii. IDT staff shall provide assistance as requested or needed to members in exercising their choices about where to live, with whom to live, work, daily routine, and services, which may include involving experts in member outcomes planning for non-verbal people and people with cognitive deficits.
iv. The IDT staff shall identify potential conflict of interest situations that affect the member’s care and, either eliminate the conflict of interest or, when necessary, monitor and manage it to protect the interests of the member.
Member Centered Planning