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Step Four: Create Your Person-Centered Individual Service Plan (ISP)

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Developing Your ISP

The Individual Service Plan (ISP) is an individualized and person-centered plan based on your dreams, aspirations, and desired outcomes that includes services and supports necessary to achieve those goals The ISP contains the following:

  • A current written picture of the individual that includes life experiences, strengths, gifts, preferences, relationships, work/volunteer history, and challenges;
  • Depiction of the individual’s life at present time;
  • The individual's dreams and aspirations, long-term visions and desired outcomes;
  • Supports and action plans sufficient to assist the individual to achieve desired outcomes;
  • Medical, therapy and crisis plans needed to support not only desired outcomes, but also existing health, behavioral health, and therapy needs identified by the team to promote health, safety and quality of life, and
  • Individual specific training requirements for team members to ensure the individual receives services from qualified staff.

Selecting Your Providers

Your Case Manager will assist you to make sure you get services to meet your needs, as well as achieve your goals outlined in your service plan. For additional support in selecting a provider to assist you in meeting your goals, use the Provider Selection Guide.

Read the New Mexico Administrative Code on Individual Service Plans

Outside Review (OR) before Services Are Authorized

You and your guardian (when applicable) work together with your case manager and interdisciplinary team to identify the DDW services and support needs that can be clinically justified. Your case manager is required to submit your annual ISP, proposed budget and supporting clinical documentation for service requests to the OR. Your case manager submits this information prior to your beginning services in the adult DD waiver category or prior to your ISP expiring from a previous year.

An independent third party the OR provides clinical review of all requested services. The OR makes a written clinical determination on whether the requested services are needed and will recommend whether your requested annual budget should be approved. You, and your guardian (if applicable) as well as your case manager will be provided with this written determination and notice of opportunity to request a fair hearing.

Fore more information and resources about the OR Process, please see the links below:

Note: documents in Portable Document Format (PDF) require Adobe Acrobat Reader 5.0 or higher to view, download Adobe Acrobat Reader.

Note: documents in Word format (DOC) require Microsoft Viewer, download word.

Note: documents in Excel format (XLS) require Microsoft Viewer, download excel.