isp review checklist – lesson 1 (pd) - cloud object … presentation we will refer to the isp...

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1Course Number: 005-11-01

ISP Review Checklist – Lesson 1 (PD)

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Hello and welcome to the first lesson in a four‐part series that provides an overview of the purpose, use, and implementation of the Individual Support Plan (ISP) Review Checklist, DP 1050.

My name is Jennifer Fraker and I am a Human Service Program Specialist Supervisor for the Office of Developmental Programs (ODP).

I supervise the Individual Support Planning Unit in the Bureau of Supports for People with Intellectual Disabilities.

I will be your narrator for this webcast.



Certificates of Achievement will be available to Administrative Entity (AE) and Provider staff as well as Supports Coordinators (SCs) and SC Supervisors after completing all course requirements.

For SCs and SC Supervisors, course requirements include successful completion of a pre‐test and post‐test.

Please view and then save or print your certificate in order to receive credit for this course.



The overall objectives for the ISP Review Checklist course are to:

1. Understand the purpose and use of the revised ISP Review Checklist, formerly known as the AE ISP Checklist

2. Describe the implementation process for use of the ISP Review Checklist effective April 1, 2013

3. Learn the standardized documentation process for the six‐month review of specific, required waiver services



The objectives specific to Lesson 1 are to:

1. Learn about the history and regulatory requirements of the ISP Review Checklist

2. Identify the services covered by the ISP Review Checklist

3. Become familiar with the sections of the ISP Review Checklist



In 2010, on behalf of ODP, a sub‐group of the Home and Community Services Information Center County Administrators’ Advisory Committee (HCSIS CAAC) developed a consistent method for AEs to review ISPs that include the following services:

‐ Licensed day services 55 Pa. Code Chapter 2380 and 2390 provided at 1:1 or 2:1 staffing ratio

‐ Residential Habilitation provided in a setting licensed under 55 with an approved program capacity of one‐person and,

‐ Home and Community Habilitation requested at an average of 16 or more hours, or 64 units

The Checklist included a series of questions that would allow AE ISP reviewers to determine if the ISP contained sufficient information to approve the requested intensive services. The Checklist was piloted by HCSIS CAAC member counties, and revisions were made to the Checklist based on their experience.

The final AE ISP Checklist was implemented for statewide use in January 2011.



The AE ISP Checklist has been updated and renamed the ISP Review Checklist. At times in this presentation we will refer to the ISP Review Checklist as the “Checklist.”

Beginning April 1, 2013, the new ISP Review Checklist will be implemented. The new Checklist includes the previously identified services requiring review through the AE ISP Checklist. Additional services have also been added and are now reviewed using the ISP Review Checklist to support new regulatory requirements regarding the provision of waiver funded services as described in the provisions of 55 Pa. Code Chapter 51, ODP’s Home and Community Based Services regulations, as well as the Consolidated and Person/Family Directed Support Waivers. Services covered in the ISP Review Checklist will be described in detail in a few moments.

Use of the ISP Review Checklist for individuals receiving base funds is encouraged, but not required. Please consult with the county program if you have questions regarding use of the Checklist for the ISPs of base‐funded individuals.



The ISP Review Checklist DP 1050 replaces the use of the form DP 1035, the Supplemental Habilitation/Additional Individualized Staffing (SH/AIS) ISP Checklist.

The procedures, review questions and documentation for SH/AIS remain the same. This eliminates the need to decide what form applies, or completing two forms, if the SH/AIS request is also accompanied by a service request that requires the completion of the Checklist.



ODP is expanding the use of the Checklist to ensure consistent, statewide standards for ISPs for waiver participants receiving the following services:

‐ Licensed and Unlicensed Residential Habilitation

‐ Licensed 6400 One‐Person Home

‐ Licensed day services (55 Pa. Code Chapters 2380 and 2390) provided at a 1:1 or 2:1 staffing ratio

‐ Home and Community Habilitation (HCH) requested at an average of 16 or more hours daily

‐ New SH/AIS – DP 1035

‐ Six‐month review of Licensed and Unlicensed Residential Habilitation, Pre‐vocational, and Supported Employment ‐ Job‐Finding services



The Checklist is a tool that helps assure:

‐ ISPs are thorough

‐ Services are based on assessed needs

‐ Reasons for intensive staffing and support levels are documented

‐ The principles of “Everyday Lives” are supported by addressing levels of staffing and support that may compromise those principles



Previously, SCs were encouraged, but not required, to use the AE ISP Checklist as a guide. SCs will now use the ISP Review Checklist to continue to guide discussion and substantiate the need for service by indicating where information is located in the ISP.

Under certain circumstances, Providers are now expected to initiate the Checklist for new SH/AISrequests and services requiring six‐month review. This is to provide updated assessment information in order to help focus team discussion, and assist in ensuring that the required information is present. The specific circumstances that require the Provider to initiate the Checklist will be discussed in detail later in the course.

The AE continues to be responsible to use and complete the Checklist in determining ISP approval and authorization. The ISP Review Checklist will serve as a tool in the review of the completed ISP that can be used by SCO management, AEs, and ODP reviewers.

ODP intends to validate the use of the Checklist through routine monitoring as well as for prior authorization of SH/AIS.

In order to provide needed monitoring information, all stakeholders are encouraged to develop local procedures to track initiation and completion of the Checklist.



There are six sections of the Checklist, identified by letters A through F.

‐ Section A: General ISP Requirements are to be completed for:

‐ Annual review ISPs that include services covered in Sections B, C, and/or D

Note – Section A is not required for six‐month reviews.

‐ Section B: Licensed and Unlicensed Residential Habilitation

‐ Section C: Licensed 6400 One‐Person Home Guidelines

‐ Section D: Intensive Staffing:

‐ Day Program, 1:1 or higher

‐ Home and Community Habilitation (HCH), 16 hours or more

‐ SH/AIS

‐ Section E: Six‐month review of Pre‐Vocational

‐ Section F: Six‐month review of Supported Employment – Job‐Finding



Within each section of the Checklist, there are areas to be discussed and documented. The columns on the Checklist have the following headers:

‐ Item to Discuss/Document in the ISP – The team should use these items to direct their discussions related to services.

‐ Recommended ISP Section – ‘Items to Discuss/Document’ in the ISP should be included in these sections of the ISP.

‐ Item Documented? – The AE shall validate that information was documented to support the need for the service or services.

‐ Criteria Met – This section is for ODP to complete during SH/AIS reviews in order to make an authorization decision.



This chart describes when the Checklist is completed for specific services.

We will be describing the information in this chart in more detail throughout the remainder of the course. This chart is also provided as a separate supporting document for your future use.



As we end Lesson 1, let’s review two key concepts.

Review Question #1: The ISP Review Checklist replaces the AE ISP Checklist. Select your answer and then click [Submit].



Review Question #2: SCs and Providers have required roles in the use of the ISP Review Checklist.

Select your answer and then click [Submit].



You have completed Lesson 1 of the ISP Review Checklist course. Please return to where you launched this webcast to view Lessons 2, 3, and 4.

Thank you for participating in this webcast.



isp review checklist – lesson 1 (pd) - cloud object … presentation we will refer to the isp...

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