| (a) A CMA must ensure that when a case manager provides
case management, the case manager:
(1) documents:
(A) the date of contact;
(B) a description of the case management activity performed;
(C) the progress or lack of progress in achieving goals
or objectives in the individual's IPP in observable, measurable terms
that directly relate to the specific goal or objective addressed;
(D) the person with whom the contact occurred; and
(E) the signature and title of the case manager who
provided the contact; and
(2) completes an HHSC Documentation of Services Delivered
form to document the provision of case management that is supported
by the documentation required in paragraph (1)(A)-(E) of this subsection.
(b) A CMA must ensure that, after a case manager makes
the last entry on an HHSC Documentation of Services Delivered form,
a staff person other than the case manager who completed the form
signs and dates the form as a timekeeper as verification of the accuracy
of the information on the form.
(c) A CMA must maintain a separate record for each
individual receiving case management from the CMA. An individual's
record must include:
(1) the individual's current IPC and any other IPC
authorized for the current IPC period;
(2) the individual's current IPP and any other IPP
developed for the current IPC period;
(3) the individual's current ID/RC Assessment;
(4) the individual's current Waiver Program Verification
of Freedom of Choice form documenting the individual's or LAR's choice
of the CLASS Program over the ICF/IID Program;
(5) the individual's current Selection Determination
form documenting the individual's or LAR's choice of a CMA and DSA;
(6) the documentation required by subsection (a)(1)
of this section;
(7) the completed HHSC Documentation of Services Delivered
forms signed and dated by a timekeeper as required by subsection (b)
of this section; and
(8) any other relevant documentation concerning the
individual.
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