Support Coordination
What is Support Coordination?
- ASSESSING the needs, wishes, and desired outcomes of each individual
- DEVELOPING an Individual Support Plan (ISP) with the assistance of the individual, their family, and those identified as part of the team
- LOCATING the supports and services identified in the ISP so as to meet the needs of the individual and their family
- LINKING the consumer and family with service providers and generic community resources
- COORDINATING the identified supports and services as requested by the individual and their family
- MONITORING supports and services to assure that the ISP is implemented, that the ISP continues to meet the needs and desires of the individual, and that the health and safety of the individual is assured
- MAINTAINING eligibility information and assisting individuals to apply for assistance for which they are eligible
- ADVOCATING for needed supports and services not readily available to the individual
What To Expect from your Supports Coordinator
Regardless of an individuals's level of funding our Supports Coordinators strive to provide quality Supports Coordination and to be a partner with the individual, family and providers in assuring that individuals live a full and rich life in the community.
- You can expect that your Supports Coordinator will be well supervised and
will receive training from IDS, the State Office of Developmental Programs,
and Partnership.
- You can expect to be treated with dignity and respect
- You can expect your Supports Coordinator to return phone calls promptly. If
your call is urgent, please push “O for Operator assistance and ask for a
Supervisor if the Supports Coordinator is not available.
- If at any time despite our best efforts, you have concerns about our services,
please contact your Supports Coordination Supervisor or the Program
Director at 267-350-4518.
There are differences in Supports Coordination Services depending upon the funding sources of your or your family member’s services.
Consolidated Waiver
The Consolidated Waiver
If the individual receives funding for their services through the Consolidated Waiver, the services you can expect from your supports Coordinator are:
Individual Supports Plan
Your Supports Coordinator will convene a team meeting at least once per year to review thecurrent plan and develop a new plan of services and supports. Currently, this meeting must be held no later than 364 days after the last meeting (generally it is scheduled earlier so as not to exceed this deadline). The Supports Coordinator will review the Waiting List formcalled the PUNS at this time as well. The Supports Coordinator in conjunction with the individual’s team will locate and coordinate the services identified in the individual’s plan. The plan will need to be approved and authorized by Philadelphia Intellectual disAbility (IDS) before implementation. Individuals can choose their services from providers or vendors who are willing and qualified to provide the service.
Monitoring
Your Supports Coordinator is required to see the individual face to face for monitoring at least three times during a three month quarter. At least one of these monitoring visits must be at home, one must be at their day program (if they have one) and the third can be at a location agreed upon by the individual and Supports Coordinator. The Supports Coordinator will review the individual’s progress toward the outcomes listed in their Individual Support Plan, that the individual is receiving the appropriate services listed in their plan, review the individual’s health and well-being as well as the individual’s satisfaction with their services and supports. The Supports Coordinator will also follow up on any unusual incidents, licensing citations (if the individual lives in a licensed residential home), any barriers to service and problems or issues identified by the IM4Q and the Health Risk Profile.
SUMMARY:
In general the Supports Coordinator listens to what the individual needs, helps them plan for meeting those needs, assists the individual in choosing services and supports and ensures that the services identified in the individual’s plan are received, continue to be appropriate and that the individual is satisfied with the service.
Person and Family Directed Supports Waiver
If the individual receives funding for their services through the Person/Family Directed Supports Waiver, the services you can expect from your Supports Coordinator are:
Individual Supports Plan
Your Supports Coordinator will convene a team meeting at least once per year to review thecurrent plan and develop a new plan of services and supports. Currently, this meeting must beheld no later than 364 days after the last meeting (generally it is scheduled earlier so as not to exceed this deadline). The Supports Coordinator will also review the Waiting List form called the PUNS at this time as well. The Supports Coordinator in conjunction with theindividual’s team will locate and coordinate the services identified in the individual’s plan.The plan will need to be approved and authorized by Philadelphia Intellectual disAbility Services (IDS) before implementation. Individuals can choose their services from providers or vendors who are willing and qualified to provide the service.
Monitoring
For individuals living with their family, the Supports Coordinator will meet face to face with the individual at least once every six months to monitor the individual’s progress toward meeting the outcomes listed in their plan, to review that the individual is receiving the appropriate services listed in their plan, to review the individual’s health and well-being as well as the individual’s satisfaction with their services and supports. The Supports Coordinator will also follow up on any unusual incidents, any barriers to service and problems or issues identified by the IM4Q. At least one of these visits must be at home and the other must be in the day program (if the individual has one). A telephone contact will be made at least once every three months. For individuals living outside their family households (i.e. independently, boarding home or Dom Care), the Supports Coordinator will monitor the individual face to face at least once every three months and contact the individual at least once per month.
SUMMARY:
In general the Supports Coordinator listens to what the individual needs, helps them plan for meeting those needs, assists the individual in choosing services and supports and ensures that the services identified in the individual’s plan are received, continue to be appropriate and that the individual is satisfied with the service.
Base Funding or no funding
Our Supports Coordinators strive to provide quality Supports Coordination and to be a partner with the individual, family and providers in assuring that individuals live a full and rich life in the community.
- You can expect that your Supports Coordinator will be well supervised and
will receive training from IDS, the State Office of Developmental Programs, and Partnership
- You can expect to be treated with dignity and respect
- You can expect your Supports Coordinator to return phone calls promptly. If your call is urgent, please push “O for Operator assistance and ask for a Supervisor if the Supports Coordinator is not available.
- If at any time despite our best efforts, you have concerns about our services, please contact your Supports Coordination Supervisor or the Program Director at 267-350-4518.
There are differences in Supports Coordination Services depending upon the funding sources of your or your family member’s services.
State only (Base) Funding
Unfortunately due to State Waiting Lists, and lack of funding, many individuals have not been able to enroll in either the Consolidated or Person-Family Directed Supports Waiver. At a minimum you can expect that the Supports Coordinator will meet with the individual and their family or team once per year face to face to review and develop an “Abbreviated Individual Support Plan. The Supports Coordinator also reviews the waiting list form (called a PUNS) so as to keep your status of need current whether it be emergency, critical or planning. While there may not be any Mental Retardation funding available, the Supports Coordinator will help you identify needs and generic community supports which may help meet your needs. In addition, you can expect that each year you will be offered a Family-Driven Support Services (FDSS) Needs Assessment. If there are funds available, the individual may then be eligible for an FDSS grant. Since there is no dedicated funding for services for individuals who are not enrolled in a waiver, it is important to complete a Waiver Application through the Service Preference process.
Examples of Things a Supports Coordinator May be Able to Do:
- If needed, attend an IEP meeting with you at your child’s school
- Locate and provide information on utility assistance and supports, refer to energy assistance programs,
- food banks, and food resources in the community
- Provide information on entitlement programs such as Medicaid, Food Stamps, Social Security, Medicare, WIC
- Referral and information about programs for the elderly
- Make referrals for Vocational or Employment Programs through the Office of Vocational Rehabilitation
- Assist an individual in locating Behavioral Health Services
- Provide information on social, recreational and summer camp options
- Refer to MRS funded services where Base funding is available
- Provide information on home modification programs for individuals with physical disabilities
- Problem-solving and assisting individuals and families in locating available resources for which they are eligible
- Advocate for an individual to move into the waiver program as there are openings or initiatives to meet needs
SUMMARY
In general the Supports Coordinator listens to what the individual needs, helps them plan for those needs, assists the individual in choosing available services and supports and ensures that the services identified in the individual’s plan are received. The Supports Coordinator also assures that the individual has at least completed the PUNS (waiting list form) and applied for the waiver, even if the result is a waiting list.