HAR §17-1738-9. Documentation requirements

The provider shall be responsible for maintaining an accurate and current written documentation in the recipient's case record of services and activities, including but not limited to the following: (1) Copies of ISP developed through case management; (2) Copies of any change or revisions to the ISP as developed through a client and team meeting, or otherwise with the consent of the recipient or guardian; (3) Progress notes on objectives for which the case manager has primary responsibility at the frequency called for in the ISP; (4) Documentation of case management activities designed to locate, refer, obtain, and coordinate services outside and inside the agency, as needed by the individual whether for placement in residential alternatives, day program, respite, recreational, and social activities and other programs and services as appropriate and needed; (5) Copies of significant correspondence concerning contacts within the past year with the recipient or guardian, service providers, physicians, attorneys, state and federal agencies, family members, and significant others in the recipient's life; (6) Correspondence or memoranda concerning any significant events in the recipient's life which required case management assistance; and (7) Service logs to summarize monthly case management activities on behalf of the recipient. [Eff 08/01/94 ] (Auth: HRS §346-14; 42 C.F.R. §431.10) (Imp: 42 U.S.C. §1396n)