Acceptance or Rejection of the Individual Service Plan

(1) Once the written individual service plan is complete, it shall be given to the client and, if applicable, the client’s legally authorized representative for acceptance or rejection. (a) Upon acceptance by the client or the client’s legally authorized representative, the individual service plan shall be implemented. (b) If the client or the client’s legally authorized representative does not reject the individual service plan within 20 days of receipt, the plan shall be deemed to be accepted. (c) If the client, or the client’s legally authorized representative rejects some or all of the services identified in the individual service plan, the case manager shall record this rejection in the client's record and shall inform the client’s of the right to meet with the case manager within five business days of the rejection to discuss the individual service plan and possible modifications. If agreement regarding any such modifications is not reached and the client or the client’s legally authorized representative continues to reject the proposed plan, the client, or the client’s legally authorized representative may appeal the individual service plan pursuant to 104 CMR 29.16. (2) The parts of the individual service plan that are accepted by the client or the client's legally authorized representative may be implemented immediately, if appropriate.