460 IAC 18-19-1 Coordination of services and plan of care

[NOTE: IC 12-9.1 is repealed by P.L. 122-2026, SECTION 38, effective July 1, 2026.] [NOTE: IC 12-10.5 is repealed by P.L. 122-2026, SECTION 51, effective July 1, 2026.] Sec. 1. (a) As follows, the case manager shall create a plan of care for the individual that shall: (1) Consist of a formal description of goals, objectives, and strategies, including the following: (A) Desired outcomes. (B) Persons responsible for implementation. (2) Be designed to enhance independence. (b) The provider shall assess the appropriateness of an individual's goals at least once every ninety (90) days as described in 455 IAC 2-17-6 [460 IAC 18-17-6]. (c) All entities responsible for providing service to an individual shall do the following: (1) Coordinate the services provided to an individual. (2) Share documentation regarding the individual's well-being, as required by the individual's care plan.