Person-Centered Planning Requirements in Adult Day Health Care, Operationalizing and Understanding: Overview
For this blog series on Person-Centered Planning in Adult Day Health Care, I will be focusing on the regulations that are found in the “Final Rule”, Section 441.301.
Who is Required to Follow Person-Centered Planning Requirements?
States that are reimbursed for ADHC services under an 1115 waiver are required to implement the Final Rule are currently rolling out their programs to ensure that all agencies, facilities and centers receiving Home and Community Based Services (HCBS) Federal funds are meeting Person-Centered requirements (found in the link above). Although each state will develop their own Person-Centered Planning Requirements based on these regulations–and the feedback from CMS, all regulations will be based on the Final Rule linked above. For this blog series, I will be focusing on the general themes of the Final Rule, and detailing how they can be implemented and operationalized in Adult Day Services.
This Just Doesn’t Make a Lot of Sense
The Federal Person-Centered Planning regulations, or the ones your state has developed, may seem overwhelming, hard to read, impossible to figure out, or not applicable to our setting, and this blog series is here to help. It may help to understand that these regulations were developed not for those with dementia, or the frail elderly in mind, but specifically for those with developmental disabilities. Because of this, operationalizing and implementing them to meet the needs of the populations served in your center can seem quite daunting if not impossible. In this series I’ll break the Final Rule into primary themes and address each one, giving examples of how they can be operationalized and implemented in the unique environment of Adult Day Services.
Primary Themes of the Person-Centered Planning Section of the Final Rule Section 441.301
- Plain Language
- Cultural considerations
- Representative of Choice for the Plan of Care
- Participant Led/Collaborative Care Planning
- Approval and distribution of the Plan of Care
- Timing Updates and Review
- Services and Supports: Choice and Identifying Risks
- Honoring Participant Choice and Identifying Risks
In each blog in the series I will explore one of the topics, presenting the regulations and guidelines relating to each one, and the methods to operationalize and implement them. I will also explain ways to support staff compliance and provide documentary evidence for state and other surveyors during survey process.