Person-Centered Service Plans. The CHC-MCO must develop and implement a written, holistic PSCP for each Participant who requires LTSS. The CHC-MCO must comply with the PCSP requirements specified in 42 C.F.R. § 438.208(c)(3) and § 441.301(b) and (c) in developing the PCSP. The developer of the PCSP must be trained in person- centered planning using a person-centered process. Refer to Exhibit Z Person- Centered Service Planning for additional information on PCSP requirements. The PCSP must address how the Participant’s physical, cognitive, and behavioral health needs will be managed, including how Medicare coverage (if the Participant is Dual Eligible) will be coordinated and how the Participant’s LTSS services will be coordinated. The holistic PCSP at a minimum, must include the following:
Person-Centered Service Plans. The FIDA Plan shall assemble an IDT, with a Care Manager, for each Participant; and, the IDT, in conjunction with the Participant, will develop a comprehensive, written PCSP for each Participant. Within thirty (30) days of the FIDA Plan conducting a Comprehensive Assessment, a PCSP will be completed for each Participant by the Participant’s IDT. For Comprehensive Reassessments, a PCSP will be reviewed and revised, if deemed necessary by the results of the Comprehensive Reassessment, within thirty (30) days of the Comprehensive Reassessment. Every Participant must have a PCSP, unless the Participant refuses and such refusal is documented. The PCSP must include all elements outlined in the IDT Policy.
Person-Centered Service Plans. The CHC-MCO must develop and implement a written, holistic PSCP for each Participant who requires LTSS. The CHC-MCO must comply with the requirements specified in 42 CFR §441.301(c)(1)-(3) and in this Agreement in developing the PCSP. The CHC-MCO must require that the PCSP address how the Participant’s physical, cognitive, and behavioral health needs will be managed, including how Medicare coverage (if the Participant is Dual Eligible) will be coordinated and, how the Participant’s LTSS services will be coordinated. The holistic PCSP for LTSS Participants, at a minimum, must include the following:
Person-Centered Service Plans. The CHC-MCO must develop and implement a written, holistic PSCP for each Participant who requires LTSS. The CHC-MCO must comply with the PCSP requirements specified in 42 C.F.R. § 438.208(c)(3) and § 441.301(b) and (c) in developing the PCSP. The developer of the PCSP must be trained in person- centered planning using a person-centered process. The PCSP must address how the Participant’s physical, cognitive, and behavioral health needs will be managed, including how Medicare coverage (if the Participant is Dual Eligible) will be coordinated and how the Participant’s LTSS services will be coordinated. The holistic PCSP at a minimum, must include the following:
