Annual Review of Individual Support Plans

(1) Frequency of Review. The ISP shall be reviewed and updated on an annual basis. The individual or other team members may request more frequent reviews depending on the individual's desires, goals, needs, and circumstances. (2) Conduct of the Annual Update. (a) Within one year of the date on which an ISP was developed in accordance with 115 CMR 6.23, the service coordinator shall convene a meeting of the team to review and update the individual's ISP. At the discretion of the service coordinator, a new ISP may be developed in accordance with the provisions of 115 CMR 6.23 rather than updated in accordance with the provisions of 115 CMR 6.24. (b) The service coordinator shall obtain and distribute any new or updated assessments, review monitoring reports generated by the Department and the provider(s), and, in consultation with the individual and other team members, make appropriate revisions to the ISP based on a review of the following: 1. the satisfaction of the individual and others, including the individual's family and guardian, if any; 2. progress toward achieving the goals identified in the ISP; and 3. any significant changes in the individual's circumstances or abilities, including: a. changes in the individual's eligibility; b. changes in the individual's physical or mental health, including a review of the appropriateness and effectiveness of current medications and behavior modification procedures; c. changes in the individual's financial resources; d. changes which may affect the individual's priority for a particular support; e. changes in the individual's ability to make informed decisions regarding his or her personal or financial affairs; and f. changes in the availability of needed supports; 4. whether the goals identified in the ISP are consistent with the current desires and needs of the individual and whether the strategies and supports identified in the ISP continue to be the least restrictive, appropriate and available strategies and supports to promote achievement of those goals; and 5. the continued effectiveness and appropriateness of any authorizations given by the individual, his or her guardian, if any, a court, or other authority. (3) Distribution, Approval and Implementation. The updated ISP shall be distributed, approved and implemented in accordance with the procedures set forth at 115 CMR 6.23(5).