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DEPARTMENT OF HEALTH SERVICES Division of Long Term Care F20445 (07/2014) STATE OF WISCONSIN INDIVIDUAL SERVICE PLAN MEDICAID WAIVERS 1 Waiver Program CIP II CRY.MFP CIP 1A CIP 1B CIP II DIV 1a Plan

How to fill out individual service plan

How to fill out an individual service plan:

1. Start by gathering all necessary information: Before filling out the individual service plan, it is important to gather all relevant information about the individual receiving services. This may include their personal details, medical history, current support needs, goals, preferences, and any other relevant information.
2. Prioritize and set goals: Once you have gathered the necessary information, prioritize the individual's goals and needs. Identify what areas require attention and assistance. This could include areas such as daily living skills, employment, education, social relationships, healthcare, and more.
3. Collaborate with the individual and support team: It is crucial to involve the individual and their support team in the development of the individual service plan. This includes the individual themselves, their caregivers or family members, service providers, therapists, doctors, and any other relevant stakeholders. Collaboratively determine the services and supports required to meet the individual's goals and needs.
4. Determine measurable objectives: Break down each goal into smaller, measurable objectives. These objectives should be specific, realistic, and time-bound. Measurable objectives help track progress and evaluate the effectiveness of the services being provided.
5. Identify and document the services and supports: Based on the goals and objectives, identify the specific services and supports that will be provided to the individual. This could include therapies, educational programs, vocational training, counseling, medical interventions, social activities, and more. Document these services in the individual service plan.
6. Establish a timeline: Set a timeline or schedule for when various services and supports will be provided. This helps ensure that the individual's needs are consistently addressed over time. It also allows for regular reviews and updates as needed.
7. Include contingency plans: Consider potential challenges or changes that may arise during the implementation of the individual service plan. Include contingency plans to address these situations and provide alternative methods or supports if needed.
8. Review and revise regularly: The individual service plan should not be static. It is important to schedule regular reviews and revisions to ensure that it is still meeting the individual's evolving needs and goals. This helps to maintain its effectiveness and relevance over time.

Who needs an individual service plan:

1. Individuals with disabilities: An individual service plan is commonly used for individuals with disabilities who require support and services to enhance their quality of life, independence, and overall well-being. This can include individuals with intellectual disabilities, physical disabilities, sensory impairments, mental health conditions, and more.
2. Individuals transitioning from institutional care: Individuals who are transitioning from institutional settings, such as hospitals, group homes, or residential facilities, back into the community may require an individual service plan. This helps ensure a smooth transition and the provision of necessary supports in the community.
3. Individuals requiring coordinated services: Some individuals may have complex needs that require coordination and collaboration across multiple service providers and agencies. An individual service plan helps ensure that all necessary supports and services are aligned and provided in a coordinated manner.

Overall, an individual service plan is a valuable tool that helps outline and guide the provision of supports and services for individuals with specific needs. It promotes person-centered planning and ensures that the individual's goals, preferences, and aspirations are at the forefront of their care and support.

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What is individual service plan?

An individual service plan is a document that outlines the specific goals and services needed for an individual receiving support or services.

Who is required to file individual service plan?

Individuals receiving support or services, along with their support team or service providers, are required to file an individual service plan.

How to fill out individual service plan?

Individual service plans are typically filled out collaboratively by the individual receiving services, their support team, and service providers. It includes identifying goals, services needed, and timelines for achieving those goals.

What is the purpose of individual service plan?

The purpose of an individual service plan is to tailor services to meet the specific needs and goals of an individual receiving support, ensuring they receive appropriate care and assistance.

What information must be reported on individual service plan?

Information reported on an individual service plan typically includes the individual's goals, needs, services required, timelines, and progress tracking.