• • The requirement of semi-annual notes in the DSP supervision note regarding "satisfaction of the individual" or "observation of satisfaction of the individual" is not consistent with the already required individualized documentation

  • Might the support coordinator document "individual’s satisfaction with service provision" or "observation of satisfaction" –  during their regular visits. Someone other than the provider should be evaluating whether an individual is satisfied with the service they are receiving from the provider. The support coordinator/case manager may be an equally appropriate person and, if required, it should be required for all waiver services and not just some services.

  • ? The requirement of proscribed supervisory notes on a regular semi-annual basis is another added administrative burden layered on top of the annual DSP staff competency requirement which was added after the waiver rates were set. Both cumbersome documentation requirements are not adequately included nor covered in the rate.

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