23 Miss. Code. R. 208-7.4 - Level of Care Evaluation/Reevaluation and Plan of Care Development
A. Level of care (LOC) evaluations and
reevaluations for eligibility must be conducted by one (1) of the five (5)
Diagnostic and Evaluation (D&E) Teams housed at the DMH's five (5)
comprehensive regional programs.
1.
Re-evaluations are only required if the beneficiary has a significant change in
condition.
2. Evaluations and
reevaluations must be conducted in an interdisciplinary team format which must
include a psychologist and social worker.
a)
Additional team members, including, but not limited to, physical therapists and
dieticians, may be utilized dependent upon the needs of the individual being
evaluated or reevaluated.
b) All
members of the D&E Teams must be licensed and/or certified through the
appropriate State licensing/certification body for their respective
disciplines.
B. An initial Person-Centered Plan of Care
must be facilitated by the Case Manager and be reviewed at least every twelve
(12) months and when there is a significant change in the beneficiary's
circumstances that may affect his/her level of functioning and needs. The Case
Manager must:
1. Have a minimum of a
Bachelor's degree in a mental health/IDD related field and be credentialed by
the MS Department of Mental Health or be a Qualified Mental Retardation
Professional (QMRP)/Qualified Developmental Disabilities Professional
(QDDP).
2. Complete training in
Person-Centered planning and demonstrate competencies associated with that
process.
3. Seek active involvement
from beneficiaries and their families and/or legal guardians to develop and
implement a plan of care that is person-centered and addresses the outcomes
desired by the beneficiaries.
4.
Educate beneficiaries and their families and/or legal guardians about the
person-centered planning process.
5. Assist beneficiaries participating in
1915(i) and/or their family members and legal representatives to determine who
is included in their planning process.
6. Encourage the inclusion of formal and
informal providers of support to the beneficiaries in the development of a
person-centered plan.
Notes
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