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SFY 2003 Communitv S~rViCes Performance Contract <br />for Operating CSBs and Behavioral Health Authorities <br /> <br />development of the ISP shall be completed within time periods specified in <br />the applicable Medicaid or Departmental licensing regulations. After the <br />initial assessment, the consumer shall be referred to a qualified service <br />provider for treatment appropriate to his condition or needs. <br /> <br />5.5.1.2 Service Planning: The Board shall develop and implement a written ISP <br /> for each consumer admitted to service that is appropriate to the needs of the <br /> consumer and the scope of the services required and reflects current <br /> acceptable professional practice. This plan shall include an assessment of <br /> level of functioning, treatment goals, and all services and supports needed, <br /> whether delivered by the Board, its subcontractors, or other providers. <br /> <br />5.5.1.3 Consumer and Family Member Participation: The Board shall ensure <br /> that each Consumer and, with the consumer's consent, his family member or <br /> legally authorized representative is given the opportunity to participate to <br /> the maximum extent possible in the development and modification o f the : <br /> consumer's ISP, including the opportunity to attend service planning and <br /> treatment team meetings. The Board shall develop the consumer's <br /> individualized services plan with the full involvement and participation of <br /> the consumer or that person's legally authorized representative, signified by <br /> the consumer's or representative's signature on the plan. <br /> <br /> 5.5.1.4 Plan Implementation: The implementation of the ISP shall be <br /> documented and the ISP shall be reviewed at least every six months or more <br /> often as indicated by the consumer's level of functioning. Discharge <br /> planning and discharge from services shall be consistent with the ISP or the <br /> program's criteria for discharge. <br /> <br /> 5.5.1.5 Clinical Consultation: The Board may request the Department to <br /> provide, within the resources available for this purpose in the Department or <br /> its facilities, professional consultations for clinically complex or difficult or <br /> medically-complicated cases when consumers or their legally authorized <br /> representatives have requested second opinions and the Board is not able to <br /> provide those second opinions within its resources. <br /> <br />5.5.2 Data Access: The Department reserves the right, pursuant to provisions of <br /> § 37.1-197 of the Code of Virginia, to access all data, collected or maintained by <br /> the Board, about individual consumers whose services are supported with <br /> performance contract funds. <br /> <br />5.5.3 Quality Improvement and Risk Management: The Board shall, to the extent <br /> practicable, develop and implement quality improvement and risk management <br /> processes that utilize consumer outcome measures, provider performance <br /> measures, and other data to improve services, ensure that services are provided in <br /> accordance with current acceptable professional practice, and enable the ongoing <br /> <br />Page 17 of 41 05-06-2002 <br /> <br /> <br />