Care Management

The Life Plan

Your Care Manager/Care Coordinator will seek information from you regarding who you are, your likes and dislikes, preferences, strengths, goals, and desired outcomes. They work with you and your Circle of Support to identify the community resources and services that will help you meet your goals. Then, they will develop a plan from all information gathered, including the outcome of assessments like the CAS, CANS, DDP-2, and PATHS.

Based on your input, they will share knowledge of available resources to help you make informed choices. They will make referrals, find service providers, offer housing options, coordinate how you receive supports, and generally help you do what you want to do in your life. This is all described and agreed upon in a document called “The Life Plan.”

The Life Plan

• Is required for anyone receiving OPWDD services to guide the supports and services provided to you and should reflect your goals, dreams and preferences.
• Is created and updated with you, your Care Manager/Care Coordinator, anyone you wish from your Circle of Support, and usually, your service provider agencies.
• Identifies health and behavioral health services, community and social supports, and any other supports needed, along with any modifications, plans, or strategies to enable you to live your desired lifestyle in the most independent and fulfilling way possible.
• Reflects your goals, dreams, and preferences, so your input is important.
• Provides a clear direction for you and your Circle of Support.
• Process assists in accessing services and occurs at least every six months but can be adjusted as your goals or needs change.

In order to create a great Life Plan, be sure to share your interests and plans for your future. Share the services you already receive and support you have from family and the community. Be open and honest so your Care Manager/Care Coordinator understands your needs and wishes.