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Hear from COFAR
Voice your opinion
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NOTE: Strategies and services in the support agreement may include instruction in skills related to health and safety, self-care, communication, home living, work, leisure, social interactions, community use, self-direction and functional academics, provision of medical, dental and specialty services such as physical or occupational therapy, psychiatric or psychological services, and legal or advocacy services, and the party responsible for their provision or implementation.
Timing of the ISP Meeting
The regulations state that your service coordinator must convene the Meeting (see above) to develop the ISP for your ward or family member within 60 days after he or she begins receiving services under the DMR system. Every two years, a meeting must be held to develop a new ISP [115 6.23 (3)]. Each ISP is also reviewed annually (see below).
NOTE: Bring your wish list and the ISP checklists above with you to the ISP meeting. Take notes, if possible, on what has been discussed. Make sure that all the major items on your wish list and the checklists are discussed to your satisfaction. If you believe anything has been left out, mention it to your service coordinator.
Approval of the ISP
Within 30 days following the ISP Meeting, the ISP must be reviewed by the DMR area or facility director or designee. The area or facility director must either approve the document or disapprove it in part or in whole, and mail it to the individual, family, guardian, designated representative and providers [115 CMR 6.23(5)]. The service coordinator must notify the individual and family or guardian of their right to have a meeting with the service coordinator to explain the ISP within 10 days of receipt, and of their appeal rights under 115 CMR 6.30 through 6.34.
NOTE: It is critically important when you receive the written ISP document to carefully and compare it with your wish list, your ISP checklists, and your notes from the ISP Meeting. The ISP should contain all of the assessments, goals, services, settings, and strategies that were agreed upon in the ISP Meeting. Once again, if anything is missing from the document, bring it up with your service coordinator.
Should the area or facility director suggest changes to the ISP that significantly alter it, he or she must discuss the reasons for those changes with your service coordinator [115 CMR 6.23 (5)(b)]. Your service coordinator can also reconvene the ISP Meeting if the area or facility director has recommended changes that significantly alter the ISP.
Under 115 CMR 6.23 (5)(c), the ward or family member, his or her guardian, and any family members who participated in the development of the ISP will be asked to sign the ISP or indicate their intent to appeal it (see Appealing the ISP below). You will be deemed to have agreed to the plan unless an appeal is filed within 35 days of mailing of the ISP or of the explanatory meeting with the service coordinator [see above].
Annual review of ISPs
DMR's ISP regulations [115 CMR 6.24] require the ISP to be reviewed and updated on an annual basis. Family members, guardians, or other team members may request more frequent reviews depending on the person's desires, goals, needs, and circumstances.
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