New Hampshire Revised Statutes 171-A:12 – Individual Service Agreement
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I. There shall be an individual service agreement for every client in the service delivery system who receives services. A service coordinator chosen by the client shall develop a preliminary written individual service agreement based upon a comprehensive screening evaluation established under N.H. Rev. Stat. § 171-A:6 for such client within 14 days after the initial service planning meeting. The individual service agreement shall be continually reviewed by the area agency and shall be modified if necessary. The commissioner shall adopt rules pursuant to N.H. Rev. Stat. Chapter 541-A relative to the development of such individual service agreements.
II. Each individual service agreement shall include but not be limited to:
(a) A statement of the nature of the specific strengths, interests, capacities, disabilities, and specific needs of the client;
(b) A description of intermediate and long-range habilitation and treatment goals chosen by the individual and his or her guardian with a projected timetable for their attainment;
(c) A statement of specific services to be provided and the amount, frequency, and duration of each service;
(d) Specification of the providers to furnish each service identified in the agreement; and
(e) Criteria for transfer to less restrictive settings for habilitation, including criteria for termination of service and a projected date for termination of service from the service.
II. Each individual service agreement shall include but not be limited to:
Terms Used In New Hampshire Revised Statutes 171-A:12
- Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
(a) A statement of the nature of the specific strengths, interests, capacities, disabilities, and specific needs of the client;
(b) A description of intermediate and long-range habilitation and treatment goals chosen by the individual and his or her guardian with a projected timetable for their attainment;
(c) A statement of specific services to be provided and the amount, frequency, and duration of each service;
(d) Specification of the providers to furnish each service identified in the agreement; and
(e) Criteria for transfer to less restrictive settings for habilitation, including criteria for termination of service and a projected date for termination of service from the service.