• Coordinate services needed by each participant, across agency lines
  • Creates Individual Service Plans (ISP) unique to each participants needs
  • Serve as the single point of contact in helping participants and their families to obtain the support and services they need
  • Monitors the health and welfare of the participant on a regular basis
  • Facilitates referrals to additional agencies, both waiver and non-waiver, if appropriate
  • Identifies available providers
  • Monitors the delivery of services
  • Evaluates and assesses participant Individual Service Plans (ISP)
  • Advocates on behalf of the participant for additional support and services as needed
  • Assists in identifying and sustaining a participant’s natural support system including family, friends and associates
  • Protects the participant’s rights and needs
  • Maintains documentation of the participant’s eligibility for waiver services