1. Exceptional Lives
  2. Louisiana Guides
  3. Medicaid Waivers
  4. Setting up a Plan of Care (POC)

Reviewing the POC every month

Every month, your family and the Support Coordinator must review the POC.

This is to make sure the goals are being met and that you're happy with the Waiver services. You and the Support Coordinator can do this review in person or over the phone.

If you want to make changes to the POC: 

  • The Support Coordinator must submit any changes to OCDD within 5 calendar days from the time you asked for the change.

  • If the change is an emergency, they must submit it within 24 hours.

  • If it's a big change, like asking for a new Support Coordinator or adding a service, they will have to do a new assessment of your child.

You can also ask for anew Support Coordinator or Waiver Service Provider if you are unhappy with them.

Click on the boxes below to learn more about this:

You can ask for a new Support Coordinator after the first 12 months.

But if you have "good cause", you can ask sooner.

What is good cause?

  • This means you have a good reason to ask for a new Support Coordinator.
  • These are some examples:

    • You move to a new state

    • You and the Support Coordinator can't seem to get along and both agree to get a new person

    • You are not happy with the work the Support Coordinator has done

    • Your child or family member's health and well-being are at risk

What happens next:

  • Ask your current Support Coordinator for a new one.

  • They will start the paperwork and get a new person to work with your family.

  • The new person will do a new intake with your child and create a new POC.

  • If there is a problem, ask to talk to their supervisor. 

You can ask for a change in any of your waiver providers once every 12 months.

But if you have "good cause", you can ask for the change sooner.

What is good cause?

  • This means you have a good reason to change your waiver provider.
  • Here are some examples:

    • You move to a new state where the provider doesn't offer services

    • You and the provider can't seem to get along and you both agree to change providers

    • You are not happy with the work the provider has done

    • Your child or family member's health and well-being are at risk

What happens next:

  • Ask your Support Coordinator for a new provider

  • The Coordinator will give you the current Freedom of Choice provider list. You will choose a new provider and they will transfer your child's records and paperwork. 

Getting a Reassessment

The Support Coordinator will sometimes reassess your child or family member.

Why?

  • To make sure the POC is up-to-date, and they are getting the services they need.

When?

  • Every year, within 90 days before the POC ends.

  • Whenever something changes in your family member's life, such as goals, abilities, or resources.(They must reassess within14 days of the change.)

Here's what you can do:

  • Tell the Support Coordinator when something changes in your family member's life.

 

Source: LDH