ISP

Individual (Support) Plan (ISP)

Title 55 PA Code Chapter 6100 Services for Individuals with an Intellectual Disability or Autism 

§ 6100.221. Development of the individual plan.

(a) An individual shall have one approved and authorized individual plan that identifies the need for services and supports, the services and supports to be provided and the expected outcomes.

(b) The support coordinator, base-funding support coordinator or targeted support manager shall be responsible for the development of the individual plan, including revisions, in cooperation with the individual and the individual plan team.

(c) The initial individual plan shall be developed prior to the individual receiving a reimbursed service.

(d) The individual plan shall be revised when an individual’s needs change, the service system changes or upon the request of an individual.

(e) The initial individual plan and individual plan revisions must be based upon a current assessment.

(f) The individual and persons designated by the individual shall be involved and assisted in the initial development and revisions of the individual plan.

(g) The provider’s implementation plan, if applicable, must be consistent with the individual plan in subsection (a). The provider’s implementation plan is a detailed description of the specific activities to assist the individual to achieve the broader desired outcomes of the individual plan.

§ 6100.222. Individual plan process.

(a) The individual plan process shall be directed by the individual to the extent possible and as desired by the individual.

(b) The individual plan process shall:

   (1) Invite and include persons designated by the individual.

   (2) Facilitate and assist persons designated by the individual to attend the individual plan meeting, as desired by the individual.

   (3) Reflect what is important to the individual to ensure that services and supports are delivered in a manner reflecting individual preferences and ensuring the individual’s health, safety and wellbeing.

   (4) Provide information and assistance to ensure that the individual directs the individual plan process to the extent possible.

   (5) Enable the individual to make choices and decisions.

   (6) Occur timely at intervals, times and locations of choice and convenience to the individual and to persons designated by the individual.

   (7) Be communicated in clear and understandable language.

   (8) Reflect cultural considerations of the individual.

   (9) Include guidelines for solving disagreements among the individual plan team members.

   (10) Establish a method for the individual to request updates to the individual plan.

§ 6100.223. Content of the individual plan.

The individual plan must include the following:

(1) The individual’s strengths, functional abilities and need for services and supports.

(2) The individual’s preferences related to relationships, community living, communication, community participation, employment, income and savings, health care, wellness and education.

(3) The individual’s desired outcomes.

(4) Service and support necessary to assist the individual to achieve the desired outcomes.

(5) The provider of the service and support.

(6) The amount, duration and frequency for the service specified in a manner that reflects the needs and preferences of the individual. The schedule of service delivery shall be determined by the individual plan team and provide sufficient flexibility to provide choice by the individual.

(7) Competitive integrated employment as a first priority, for individuals of employment age in accordance with applicable Federal and State statutes and regulations, before other services are considered.

(8) Risks to the individual’s health, safety or well-being, behaviors likely to result in immediate physical harm to the individual or others and risk mitigation strategies, if applicable.

(9) Modification of individual rights as necessary to mitigate a significant health and safety risk to the individual or others, if applicable.

(10) A plan to identify a needed service or support as identified by the individual plan team if the absence of staffing would place the individual at a health or safety risk.

§ 6100.224. Implementation of the individual plan.

The provider identified in the individual plan shall implement the individual plan, including revisions.