410 IAC 17-13-3
410 IAC 17-13-3 Service plan
Cite as Ind. Admin. Code tit. 410, r. 17-13-3
Sec. 3. (a) This section shall apply to services that are performed by a personal services agency under IC 16-27-4 that is operated
under a home health agency license, which include, but are not limited to, any of the following:
(1) Homemaker services, including the following:
(A) Shopping.
(B) Laundry.
(C) Cleaning.
(D) Seasonal chores.
(2) Companion type services, including the following:
(A) Transportation.
(B) Letter writing.
(C) Mail reading.
(D) Escort services.
(3) Assistance with cognitive tasks, including the following:
(A) Managing finances.
(B) Planning activities.
(C) Making decisions.
(4) Attendant care services.
(5) Any other services for which an individual:
(A) license;
(B) certification;
(C) registration; or
(D) permit;
is not required under state law.
(b) The personal services agency's manager or the manager's designee shall prepare a service plan for a client before providing personal
services for the client. A permanent change to the service plan requires a written change to the service plan. The service plan must:
(1) be in writing, dated, and signed by the individual who prepared it;
(2) list the types and schedule of services to be provided; and
(3) state that the services to be provided to the client are subject to the client's right to:
(A) temporarily suspend;
(B) permanently terminate;
(C) temporarily add; or
(D) permanently add;
the provision of any service.
(c) All permanent changes require a change in the written service plan. The service plan must be signed and dated by the client not later
than fourteen (14) days after:
(1) services begin for the client; and
(2) any permanent change to the service plan.
(d) Personal care services provided by a personal services agency operated under a home health agency license must meet the requirements
of IC 16-27-4.