Community Support Plan
Proposal for Waivered-service Funding

Brief portion of an 18-page proposal detailing a variety of consumer information and a proposed funding plan for an individual with a disability. Pseudo names are used in this proposal.

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Excerpts from the proposal:

Proposal
for Jane Doe

Introduction

As a person who is experienced in living with a disability, as well as being a long-time waivered-service consumer, Jane has a clear understanding of her personal needs, and the supports and services that will diminish those needs. With Jane's specific needs in mind, this plan has been outlined, on her behalf, following the Community Support Plan (CSP). The plan was designed using the guidelines detailed in the Consumer Directed Community Support Consumer Handbook, DHS-4317 5-05. In this plan, Jane is referred to as "Jane."

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Table of Content 

Section 1: Personal and Plan Information (see attachment)

Section 2: Consumer's Choices and Outcomes

Section 3: Consumer's Strengths and Needs

Section 4: Consumer's Health and Safety Issues

Section 5: Supports and Services

Section 6: Summary of Services (see attachment)

Section 7: Summary of the Support Plan

Section 8: Caregiver Planning Interview

Section 9: Choosing Community Long Term Care (see attachment)

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Section 1: Personal and Plan Information

DHS Community Support Plan, page 1: "Personal and plan information" (see attachment 1)

The following information including name, address, birth date, case mix, waiver type, time period for the plan, budget amounts, case manager information was sent to Jane by her case manager.

Section 2: Consumer's Choices and Outcomes

DHS Community Support Plan, page 2: "Consumer's desired outcomes and choices: (What the person wants to achieve or accomplish, how they want their life to be)" 

Jane is a well-educated, independent-minded individual who wants to live as independently as possible. As a waivered-service consumer, Jane has modified her home to make it more wheelchair-friendly. She has also been able to stay in her home, in part, because of the help of personal and homemaker assistance make possible by waivered-service funds.

During the years that Jane has been a waivered-service consumer, she has helped maintain her family's home, parented the family's children, and complete a Bachelor's degree. She has also ….

© Alice Oden, 2007

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