Person-centered Planning for Waiver Program Providers

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Not only is person-centered planning the right thing to do, it’s the law. The laws governing this process are:

Who Should Have A Person-Centered Plan?

The rules in the Texas Administrative Code requires the following programs to use person-centered planning:

  • 1915c waivers
    • Community Living Assistance and Support Services (CLASS)
    • Deaf Blind with Multiple Disabilities (DBMD)
    • Home and Community-based Services (HCS)
    • Medically Dependent Children Program (MDCP)
    • Texas Home Living (TxHmL)
    • Youth Empowerment Services (YES)
  • 1915i state plan services
    • Home and Community Based Services Adult Mental Health
  • 1915k state plan services
    • Community First Choice
  • 1115 waiver
    • STAR+PLUS Home and Community-based Services
    • STAR Kids Home and Community-based Services
  • Home and Community Based Services delivered through STAR Health

What Must Be In a Person-Centered Plan?

The final CMS Home and Community Based Services (HCBS) rule provides requirements for person-centered planning. HHS is educating people on person-centered planning and initiating changes in processes and systems to ensure that the planning process meets the HCBS settings rule.

This process will take a few years to fully implement. In the meantime, HHS is implementing policies to ensure the person-centered planning process will be:

  • Driven by the person getting services and reflective of his or her perspective.
  • Made up of people the client chooses.
  • Conducted at a time and place convenient to the person getting services.

The plan must be reviewed and revised annually with a functional needs assessment, when circumstances or needs change, or when the client asks for a review.

Certain elements have to be included in each plan.

  • It must be written using plain language.
  • It must consider the person’s cultural preferences.
  • It has to include strategies for solving disagreements during the planning process.
  • It must provide choice regarding services and providers.
  • It must have a way for clients to request an update.
  • It must include risk factors and mitigation strategies.
  • It must be signed, with copies given to the person getting services and her or his representatives.

The final service plan must reflect:

  • The client's choice of setting and how that setting is integrated in and supports access to the community.
  • Opportunities to seek competitive employment and work in integrated settings.
  • Ways to engage in community life, control personal resources and receive services in the community to the same degree of access as people not receiving HCBS.
  • The client's strengths and preferences.
  • Clinical and support needs.
  • Goals and desired outcomes, as defined by the person getting services.
  • Services that will be provided, including self-directed services.
  • Who will provide services and supports, including unpaid natural supports, such as family and friends.


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