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What is a Life Plan? - Guide & Connect

What is it?

The Life Plan is a written “plan of care” that describes the individual’s personal goals and what they need for safety.  It will replace the current plan called an Individualized Service Plan (ISP).

The Life Plan includes details that will help meet the needs of the “whole person”.  It will include additional information such as:


  • Services related to:

    • preventative & wellness care

    • medical & behavioral healthcare which includes a person’s mental well-being and their ability to function in every-day life

  • progress with personal goals

  • safety needs

It will be stored and updated electronically which will support increased communication to the providers identified in the plan and accessible to the individual and their family member electronically or in paper format.

Who does it affect?

Anyone who is receiving Care Coordination (Health Home Care Management).

Why is this important?

The Life Plan will be a very detailed person-centered care plan which will address all service needs.  It will be reviewed frequently (a minimum of twice a year) and updated as needed based on the person’s life goals and changing needs.  

When will this happen?

All existing Individualized Service Plans must be transitioned to Life Plans by June 30, 2019. There will be a one year transition period from July 1, 2018 thru June 30, 2019.

ISPs created prior to July 1, 2018 remain in effect until that person’s life plan is developed and implemented.

How will families be affected?

Families can expect a more active plan that includes the appropriate level of care and support that will meet their family member’s needs.

This more robust plan of care promotes:

  • wellness

  • improved outcomes

  • a better quality of life

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