Section 388-107-0130. Ongoing comprehensive person-centered service plan.

(1) The enhanced services facility must ensure the person-centered service planning team reviews and updates each resident's comprehensive person-centered service plan as follows:

(a) Within a reasonable time consistent with the resident's needs following any significant change in the resident's physical, mental, emotional, or behavioral functioning;

(b) Upon request by the resident;

(c) Whenever the comprehensive person-centered service plan no longer adequately addresses the resident's current assessed needs and preferences;

(d) Following every full comprehensive assessment and medicaid client's full comprehensive assessment reporting evaluation (CARE) assessment; and

(e) At least once every one hundred eighty days.

(2) The enhanced services facility must ensure that when developing the resident's comprehensive person-centered services plan the person-centered service planning team will:

(a) Discuss the resident's assessed needs, capabilities, and preferences;

(b) Negotiate an agreed comprehensive person-centered service plan that supports the resident;

(c) Prevent the provision of unnecessary or inappropriate services and supports; and

(d) Document the agreed comprehensive person-centered service plan in the resident's record.

[Statutory Authority: RCW 70.97.230 and HCBS Final Rule 42 C.F.R. WSR 16-14-078, § 388-107-0130, filed 7/1/16, effective 8/1/16. Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-0130, filed 9/12/14, effective 10/13/14.]

RCW 70.97.230 and HCBS Final Rule 42 C.F.R. WSR 16-14-078, § 388-107-0130, filed 7/1/16, effective 8/1/16. Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-0130, filed 9/12/14, effective 10/13/14.