LTSS Service Plan. A LTSS Service Plan to identify and address how LTSS needs will be met and how services will be provided in accordance with the PCSP. The LTSS Service Plan must include the following: • All LTSS services necessary to support the Participant in living as independently as possible and remaining as engaged in his or her community as possible. • For the needs identified in the Assessment, the interventions to address each need or preference, reasonable long-term and short- term goals, the measurable outcomes to be achieved by the interventions, the anticipated timelines in which to achieve the desired outcomes, and the staff responsible for conducting the interventions and monitoring the outcomes. • Potential problems that can be anticipated, including the risks and how these risks can be minimized to xxxxxx the Participant’s maximum functioning level of well-being. • Participant decisions around self-directed care and whether the Participant is participating in Participant-Direction. • Communications plan. • The scope, amount, duration and frequency that specific services will be provided. • Whether and, if so, how technology and telehealth will be used. • Participant choice of Providers.
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Samples: 2023 Community Healthchoices Agreement, 2022 Community Healthchoices Agreement, Community Healthchoices Agreement
LTSS Service Plan. A LTSS Service Plan to identify and address how LTSS needs will be met and how services will be provided in accordance with the PCSP. The LTSS Service Plan must include the following: • All LTSS services necessary to support the Participant in living as independently as possible and remaining as engaged in his or her community as possible. • For the needs identified in the Assessmentcomprehensive needs assessment, the interventions to address each need or preference, reasonable long-long- term and short- short-term goals, the measurable outcomes to be achieved by the interventions, the anticipated timelines in which to achieve the desired outcomes, and the staff responsible for conducting the interventions and monitoring the outcomes. • Potential problems that can be anticipated, including the risks and how these risks can be minimized to xxxxxx the Participant’s maximum functioning level of well-being. • Participant decisions around self-directed care and whether the Participant is participating in Participant-Direction. • Communications plan. • The scope, amount, duration and frequency that specific services will be provided. • Whether and, if so, how technology and telehealth will be used. • Participant choice of Providers.
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