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DEPARTMENT OF HEALTH SERVICES Division of Medicaid Services F20445 (03/2017)STATE OF WISCONSININDIVIDUAL SERVICE PLAN MEDICAID WAIVERS 1 Waiver Program CIP II CRY.MFP CIP 1ACIP 1BCIP IIDIV1a Plan
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How to fill out individual service plan

01
Begin by clearly defining the purpose and goals of the individual service plan.
02
Gather relevant information about the individual, including their background, needs, and preferences.
03
Assess the individual's strengths and challenges to identify areas that require support.
04
Collaborate with the individual and any involved parties to develop specific objectives and strategies.
05
Break down the objectives into actionable steps and assign responsibilities to appropriate individuals or service providers.
06
Document the plan thoroughly, including all the agreed-upon details and timelines.
07
Regularly review and update the individual service plan to ensure it remains relevant and effective.
08
Involve the individual in every stage of the planning process and seek their input and feedback.
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Obtain necessary consent and authorization before implementing any services or therapies.
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Continuously monitor the individual's progress, adjusting the plan as needed, and celebrating their achievements.

Who needs individual service plan?

01
Individual service plans are beneficial for anyone requiring personalized support and services.
02
This includes individuals with disabilities, mental health conditions, chronic illnesses, or complex needs.
03
Children, adolescents, adults, and elderly individuals can all benefit from having an individual service plan.
04
Individuals transitioning from institutional care to community-based settings can greatly benefit from an individual service plan.
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Overall, anyone who requires a tailored and comprehensive approach to their support needs can benefit from an individual service plan.
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An individual service plan is a personalized plan outlining the specific services and supports needed by a person with disabilities or special needs.
Individual service plans are typically required for individuals receiving services from disability service providers, healthcare providers, or other support agencies.
Individual service plans are typically filled out by the individual receiving services, their family members or guardians, and the service providers.
The purpose of an individual service plan is to ensure that the individual's unique needs and goals are identified and met through personalized services and supports.
Information reported on an individual service plan may include the individual's medical history, support needs, goals, and preferences.
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