§ 5240.86. Individual treatment plan.
(a) A written ITP shall be completed by an individual qualified to provide behavior analytic services or behavior consultation—ABA services within 45 days after the initiation of ABA services and be based on the assessment completed in accordance with § 5240.85 (relating to assessment).
(b) The ITP must include the recommendations from the licensed professional who completed the written order for ABA services in accordance with § 1155.33(a)(1) (relating to payment conditions for ABA services).
(c) The ITP must be strength-based with individualized goals and objectives to address the identified skill deficits, targeted behaviors or both for the child, youth or young adult to function at home, school or in the community.
(d) The ITP must include the following:
(1) Service type and number of hours of each service.
(2) Specific measurable long, intermediate and short-term goals and objectives to address socially significant behaviors, skill deficits or both.
(3) Delineation of the frequency of baseline behaviors, the treatment planned to address behaviors, skill deficits or both, and the frequency at which the child’s, youth’s or young adult’s progress in achieving each goal is measured.
(4) Time frames to complete each goal.
(5) Whether and how parent, legal guardian or caregiver training, support and participation is needed to achieve the identified goals and objectives.
(6) ABA interventions that are tailored to achieving the child’s, youth’s or young adult’s goals and objectives.
(7) Settings where services may be provided.
(8) Number of hours of service at each setting.
(9) Safety plan to prevent a crisis, a crisis intervention plan and a transition plan.
(e) The ITP shall be developed in collaboration with the child, youth, young adult or parent, legal guardian or caregiver of the child or youth, as appropriate.
(f) The ITP shall be reviewed and updated at least every 6 months or if one of the following occurs:
(1) The child, youth or young adult has made sufficient progress to require that the ITP be updated.
(2) The child, youth or young adult has not made significant progress towards the goals identified in the ITP within 90 days from the initiation of ABA services.
(3) The youth or young adult requests an update.
(4) A parent, legal guardian or caregiver of the child or youth requests an update.
(5) The child, youth or young adult experiences a crisis event.
(6) The ITP is no longer clinically appropriate for the child, youth or young adult.
(7) A staff person, primary care physician, other treating clinician, case manager or other professional involved in the child’s, youth’s or young adult’s services provides a reason an update is needed.
(8) The child, youth or young adult experiences a change in living situation that results in a change of the child’s, youth’s or young adult’s primary caregivers.
(g) An ITP update must include the elements in subsection (d) and the following:
(1) A description of progress or lack of progress toward previously identified goals and objectives.
(2) A description of any new goals, objectives and interventions.
(3) A description of any changes made to previously identified goals, objectives or interventions.
(4) A description of any new interventions to be used to reach previously identified goals and objectives.
(h) The ITP and all updates shall be reviewed, signed and dated by the youth, young adult or parent or legal guardian of a child or youth, and the staff person who completed the ITP.
(i) The ITP and all updates shall be reviewed, signed and dated by an individual who meets the qualifications of a clinical director in § 5240.81 (relating to staff qualifications for ABA services).
Cross References This section cited in 55 Pa. Code § 1155.33 (relating to payment conditions for ABA services); 55 Pa. Code § 5240.41 (relating to individual records); 55 Pa. Code § 5240.97 (relating to group services provision); 55 Pa. Code § 5240.98 (relating to requirements for group services in school settings); and 55 Pa. Code § 5240.102 (relating to assessment and individual treatment plan).
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