1. THURSDAY TARGETED TRAINING SC Supervisor Role in ISP Development
Stacy L. Nonnemacher, PhD.
Senior Clinical Consultant

2. SC Supervisor role along the way…
Agenda
Assessments
ISP Component Expectations
General ISP Expectations
SC Supervisor role along the way…

3. Timelines
* SC must convene planning team within 20 days of selection of SC agency
* ISP must be completed within 30 days of selection of SC agency (BAS will review within 30days)

4. ASSESSMENTS
SC Supervisor: ensure that the assessments are conducted in a timely fashion and in the manner in which required

5. Assessments for Adult Autism Waiver
Type
When
For What
Scale of Independent Behavior-Revised (SIB- R)
(Bruininks, Woodcock, Weatherman, & Hill, 1996)
Intake
Annually
Inform Service Delivery
Outcome Measure
Quality of Life Questionnaire
(Schalock & Keith, 1993)
Parental Stress Scale
(Berry & Jones, 1995)
Baseline Outcomes 5 5

6. ASSESSMENTS Complete before ISP meeting is held
Incorporate results (strengths and needs) in the ISP
Results entered in HCSIS
Individual > Evaluation > Assessment Switchboard
Check entries in HCSIS for accuracy before finalizing
DO NOT finalize SIBR scores until ISP is reviewed by BAS

7. ISP COMPONENTS
SC Supervisor: ensure that all expectations are met BEFORE sending to BAS for review

8. INDIVIDUAL PREFERENCES
Like & Admire
Multiple perspectives
Know & Do
Behaviors listed within the SIBR summary report should be consistently captured and detailed within the Know and Do, Psychosocial, Social/Emotional and Understanding Communication screens.
If BSS is not selected as a needed service, but there are some minor behaviors, strategies for how others support the participant should be clearly stated in this section 8

9. MEDICAL INFORMATION Medications
Check for spelling and correct dosages, frequency
Diagnosis for a medication should be the symptom for why the medication is prescribed (e.g. anxiety), not Autism. 9

10. MEDICAL INFORMATION
Health Evaluations: Evaluations in the past 12 months (e.g., physicals, psychiatric, dental, gynecological, vision, other specialists)
Medical Contacts: If medical professional is mentioned anywhere in plan, include in Medical Contacts
Developmental Information: Include when participant was diagnosed with autism 10

11. MEDICAL INFORMATION
Psychosocial Information: Align behavioral information with Know & Do, Social/Emotional, Understanding Communication
Physical Assessment: Align with other medical sections (e.g., if participant is diagnosed with cardiac problems, prescribed cardiac meds and sees specialist, include in this section)
Immunizations: No need to include every childhood immunization. If not known or records are unavailable, include statement in Current Health Status 11

12. HEALTH AND SAFETY
Throughout this section identify supervision needs in addition to skill strengths and needs
Verbal prompting
Physical assistance
General Health and Safety Risks
911 skills
Self-medication skills 12

13. HEALTH AND SAFETY Supervision Care Needs
Indicate what level of supervision is currently required to ensure the health and safety for the participant.
Day, Home, and Community Screens should be completed.
If no supervision in required, indicate a “0” in the “hours” column
In most circumstances Intensive Supervision can be skipped altogether, as most services are in 1:1 and the level of supervision is captured in other areas of the ISP. 13

14. HEALTH AND SAFETY Staffing Ratio Health Care
Complete only if participant is already receiving services beyond the scope of the waiver.
For example, if a participant is being served in a group home through private pay, indicate that staffing ratio and information in this section within the HOME option.
Health Care
Complete even if participant makes own health care decisions 14

15. FUNCTIONAL INFORMATION
Throughout this section, capture the needs expressed by the team and the needs identified in the SIBR assessment.
It is expected that if there is an obvious need highlighted in the SIBR, that need will be captured in one of the Functional Information screens. 15

16. FUNCTIONAL INFORMATION
Social/Emotional Information
Align with behaviors captured in SIB-R, Know & Do, Psychosocial Information and Understanding Communication
Educational/Vocational Information
Include any educational or vocational goals
Employment/Volunteer Information
Complete this section even if participant is not currently employed or volunteering (linked to our outcomes)
Specific goals related to work experiences (volunteer and competitive) should be captured 16

17. FUNCTIONAL INFORMATION
Understanding Communication
The intent of this screen is to capture idiosyncrasies that could be misinterpreted. 
Align with behaviors noted in SIBR, Know & Do, Social/Emotional
Complete this screen even if the participant is verbal. 17

18. Understanding Communication Screen

19. Functional Information
Non-medical Evaluation
Job Assessment provider should submit summary to SC
Enter Job Assessment Summary in this section
Job Assessment Report Guide available on VTC

20. GOALS
SC responsibility to develop goal phrase, goal statement and concerns related to goals
Goals should be developed even if service providers were not selected yet or no providers available
Document in the “Concerns Related to Goals” section
Clear statements
Will the service provider understand the intention of the goal? 20

21. GOALS Goal Phrase is a few words that identify the particular goal
Example: Social Skills
Goal Statement is a complete, long term statement of what the participant will be working on in the plan year
Example: James will work on appropriate, reciprocal interactions with others when out in the community).
Concerns related to the goal should be relative
Example: James has not had a lot of opportunities to interact with unfamiliar people and usually shuts down or refuses to interact if someone is unknown 21

22. Objectives Developed by service providers
Submitted to the SC for input in HCSIS
Follow-up with providers if not submitted
Reviewed by SC using Objectives Cheat Sheet 22

23. SERVICE DETAILS Plan Dates Units of Service
Plan Effective Date = Eligibility Date
Goal and Service Start Dates = date of notification letter that person is enrolled with provider (will be the same for initial plans)
Units of Service
SC Initial Plan Development = 1 unit
BSS, Plan Development = 1 unit
Job Assessment = 1 unit
Job Finding = 1 unit 23

24. SERVICE DETAILS Authorization of Service Limitations
Behavioral Specialist, Direct and Consultative will not be authorized until Plan Development has been completed and the BSP/CIP is entered in HCSIS.
Job Assessment will not be authorized until the Assessment Report is submitted to the SC and entered in HCSIS
Job Finding will not be authorized until the participant has been in the job for 30 days. 24

25. SERVICE DETAILS Contingency plans
For initial ISP’s, be sure to enter the contingency plan for the SC- ongoing service. This spells out how and by whom SC services will be provided in your absence. By the time the annual ISP is due the SC should have contingency plans entered for every service on the ISP. The SC is to obtain this information from each provider and enter it into HCSIS.
Day habilitation, Community Inclusion, Transitional Work Services, and Supported Employment should not exceed 50 hours per week combined.

26. BEHAVIORAL SUPPORT PLAN/ CRISIS INTERVENTION PLAN
Behavioral Specialist is responsible for entering BSP/CIP in HCSIS (need to have role in HCSIS)
BSS has 60 days from being assigned to complete FBA, develop BSP/CIP and enter in HCSIS
SC responsible for follow-up with BSS if plans are not entered 26

27. SC Agency
* SC will complete and submit ISP for review (Pending Review)
* SC Supervisor will review and either ask for revisions or send to BAS for approval (Pending Approval)
BAS
* Regional Office and Clinical will review the plan and send re: decision
1. Approved
2. Approved w Revisions
3. Rejected
* Make requested revisions within 30 days
Please Note: Communication between the SC supervisor and SC re: revisions needs to occur offline

28. General ISP Expectations and Comments

29. General Comments Check for spelling and grammatical errors
For narrative comments, suggest typing in Word, spell check, copy and paste in ISP
HCSIS Mandatory vs BAS required
Complete all ISP screens
Using “Add” buttons
Some ISP components allow the user to list information by using “add” buttons.
Example: Individual Preferences – Important To, What Makes Sense, Objectives

30. General Comments ISP informs service providers Provider Access to Plan
ISP components should include comments regarding what works/doesn’t work, strengths and needs
Avoid using language such as “No concerns in this area”
Provider Access to Plan
Read-only access
Must have ISP Reviewer role
SC may need to send electronic or paper copies to providers

31. General Comments Annual Review Plans
Requested revisions from initial plan should have been made
Incorporates input from service providers
Incorporates progress made on goals/objectives (UPDATES!)
SC must submit MA 51 to BAS before plan can be approved
Be mindful of Annual review date to allow for ample time for submission and review of plan

32. General Comments ISP (Initial & Annual) Feedback from BAS
BAS will correspond with SC regarding ISP approval or rejection
Will receive two documents from BAS
Clinical ISP Review Checklist
Regional Office ISP Review Checklist
Consult checklists for expectations

33. General Comments For critical revisions: For every ISP
Create a service note indicating what has been changed
For every ISP
Attendance sheet
Agreement form
Service Provider Choice form
List of providers (statewide)

34. Resources Virtual Training Center
Supports Coordination>Supports Coordinator Documents
ISP Common Errors and Questions
ISP Review Checklist
Printable Blank ISP Tool Template
ISP Agreement Form
ISP attendance sheet
Service Provider Choice form

35. SAVE THE DATE!!!
Oct 13: Supporting Participants in Their Own Homes: Creative Supports
Oct 27: What is a quality Quarterly Report?