Given the many difficulties in convening participants in a timely manner, what is the expectation for obtaining contiguous and timely signatures on treatment plans?
The expectation is that the comprehensive treatment plan and subsequent treatment plan reviews are a collaborative product of the clinician and recipient completed within required regulatory time frames. The recipient denotes his agreement with the plan by signing and dating the document. If the recipient is unwilling or unable to sign the treatment plan, a written notation with specific reference to the reason should be included in the record. If the recipient is available at a later date and is willing and able to sign the documents denoting their agreement they should do so.