DMAS team,

Thank you for this public comment forum. In reviewing the 2021 DRAFT of the 2017 updated manual, two questions came to mind.  ISPs are completed at initiation of OBOT services and then IPOCS are completed every 90 days. Please maintain the frequency of required IPOC review as every 90 days to help decrease this time intensive process completed by clinicians.

To preserve clinician time for patient care,  please eliminate the need for patients to sign the IPOC. Please consider that patients consent to the plan of care as confirmed by their ongoing attendance at appointments.

The draft manual states that the ISP must be rewritten annually.  If a patient has remained in care, and IPOCS are consistently completed, patient plan of care, diagnoses are updated routinely. Is a separate new ISP needed?

Looking forward to feedback.

Sincerely,

Marjie

VCU Health System

Perinatal Addiction Program Coordinator