455 IAC 3-1-9 - Negotiated risk plan appropriate to level of service
Authority: IC 12-9.1-2-3
Affected: IC 12-15
Sec. 9.
(a) If
deemed appropriate and determined to be necessary by a recipient's
interdisciplinary team, the provider shall establish a negotiated risk plan
with a recipient.
(b) The
negotiated risk plan shall address unusual situations in which a recipient's
assertion of a right, preference, or behavior exposes the recipient or someone
else to a real and substantial risk of injury.
(c) The negotiated risk plan shall identify
and accommodate a recipient's need in a way that is acceptable to both the
provider and the recipient.
(d) A
negotiated risk plan shall include:
(1) an
explanation of the cause(s) of concern;
(2) the possible negative consequences to the
recipient and/or others;
(3) a
description of the recipient's preferences;
(4) possible alternatives or interventions to
minimize the potential risks associated with the recipient's
preference/action;
(5) a
description of the assisted living Medicaid waiver services the provider will
provide to accommodate the recipient's choice or minimize the potential risk
and services others [sic., other] entities will provide to
accommodate the recipient's choice or minimize the potential risk;
and
(6) the final agreement, if
any, reached by all involved parties.
(e) The provider shall involve the recipient
and the recipient's interdisciplinary team in developing, implementing, and
reviewing a negotiated risk plan.
(f) The provider shall review a negotiated
risk plan with a recipient and a recipient's team at least quarterly.
Notes
Transferred from the Division of Disability and
Rehabilitative Services (460 IAC 8-1-9) to the Division of Aging (455 IAC 3-1-9) by P.L.
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