[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-168932-en":3,"doc-seo-168932-105":30,"detail-sidebar-cat-1-en-105":91},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":11,"category_id":12,"category_name":13,"doc_title":14,"doc_description":15,"doc_content":16,"file_id":17,"file_url":18,"file_type":19,"file_size":20,"view_count":4,"is_deleted":4,"is_public":11,"is_downloadable":11,"audit_status":11,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":15,"update_tm":28,"read_time":29},168932,1374391974564,"Clementine","https://ap-avatar.wpscdn.com/avatar/14000253aa45c000a9e?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779874745381141002",1,17,"Forms","Individualized Day Supports - Initial Community Integration Plan Template","Template for developing and documenting an Individualized Day Supports (IDS) Initial Community Integration Plan. The plan captures service start details, authorized service hours and schedule, triggers for authorization, emergency contacts, agency key contacts, direct service professionals, and required training confirmations. It also defines the first 30 days’ goals and calendar schedule, including transportation responsibility, locations, activity timeframes, and back-up activities for cancellations or changing circumstances. It includes fields for the staff member creating the plan and the person’s involvement.","Individualized Day Supports – Initial Community Integration Plan Template\nThe IDS provider must upload this plan into MCIS within five (5) business days of the start date for the service.\nCOVER PAGE\nName of the person receiving the service:  \t\t\t\t\tPerson’s Address:\nPerson’s Phone Number and Email:\t\t\t\t\t\tEmergency Contact:\nName of IDS Provider:\nProvider Contact Person:\t\t\t\t\t\t\tPhone:\nEmail:\nService Start Date:\nDate first Ongoing Community Integration Plan (OCIP) for this person must be uploaded into MCIS:\nList goal(s) in ISP that triggered authorization for the IDS service:\n1.\n2.\n3.\n4.\nAuthorized IDS service hours per week:\nAuthorized schedule of service (list timeframe for service delivery on each day):\nCheck here if above schedule is expected to flex to accommodate the person’s changing work schedule or other circumstances.\nNote:  Individualized Day Supports limited to up to six (6) hours per day, and up to five (5) days in any calendar week.\nName of Agency’s Key Contact and Back-Up Key Contact for IDS (for use by DDA and MTM):\nDirect Service Professionals who will provide the service:\nProvide the emergency back-up plan for when the primary DSP and the back-up DSP(s) are both unavailable:\nCheck this box to confirm all of the DSPs listed above have complete Phase 2 training.\nGoals for First Thirty (30) Days of Service:\nSchedule of Service for First Thirty (30) Calendar Days:\n30 Day Calendar Covers:\t[Insert Start Date]\t\tto \t\t[Insert End Date]\nWho will transport person to/from IDS service:\nIf MTM, note who is responsible for arranging MTM rides to and from the IDS service:\nInclude the following information for each date of service on the calendar:\nHours the IDS service will be provided on each date (e.g. 9am-3pm)\nActivities that will occur on each date (including at least one back-up activity option for every planned activity)\nLocations where activities will take place on each date. [Include location for meal if it will occur during IDS service time]\nTimeframe for each activity listed (e.g. 9-10:30am)\nNote:  IDS Providers may delete the calendar template included below and replace with their own calendar template.\nBack-Up Activities for First Thirty (30) Calendar Days:\nList appropriate back-up activities (type of activity, place, address) that support each IDS goal and that will be available to the person if an activity listed on the Calendar is not available to the person for some reason (e.g. unexpected cancellation, building closure, inclement weather) or if the person expresses a strong desire not to do an activity listed on the Calendar.\nIDS Provider Staff Person Creating this Initial Community Integration Plan:\nName:\t\t\t\t\t\t\t\t\tTitle:\nContact Phone Number and Email:\nList DSP(s) involved in creating this ICIP (if staff person creating this ICIP is not a DSP):\nBriefly describe how person was involved in developing this ICIP:\nON DATE THIS DOCUMENT IS UPLOADED INTO MCIS, PLEASE ALSO UPLOAD A COPY OF THE POSITIVE PERSONAL PROFILE.","cbCaisbyJvBqQptQ","https://ap.wps.com/l/cbCaisbyJvBqQptQ","docx",32430,8,"English","en",105,"# Cover Page\n## Goals and Authorized Service\n## First Thirty Days Planning\n### Calendar of Service\n### Back-Up Activities\n# Plan Creation and Additional Uploads","[{\"question\":\"What information must be completed on the cover page of the plan?\",\"answer\":\"The cover page includes the person receiving the service, contact details, IDS provider and contact person information, service start date, and the emergency contact.\"},{\"question\":\"What schedule and hour limits must the IDS provider follow?\",\"answer\":\"The template requires authorized IDS service hours per week and an authorized delivery schedule. It also notes limits of up to six (6) hours per day and up to five (5) days in any calendar week.\"},{\"question\":\"What must be included for the first thirty days?\",\"answer\":\"The plan must list goals for the first 30 days, provide a 30-day service schedule/calendar with hours, activities, timeframes, and locations, and include at least one back-up activity option for every planned activity.\"}]","Individualized Day Supports - Initial Community Integration Plan Template | DOCX",1788239550,3,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":14,"keywords":34,"description":15,"schema_data":35,"social_meta":86,"head_meta":88,"extra_data":90,"updated_unix":28},"individualized-day-supports-initial-community-integration-plan-template","",{"@graph":36,"@context":85},[37,53,68],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,48,50],{"item":41,"name":42,"@type":43,"position":11},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":47},"https://docshare.wps.com/template/","Template",2,{"item":49,"name":13,"@type":43,"position":29},"https://docshare.wps.com/template/forms/",{"item":51,"name":14,"@type":43,"position":52},"https://docshare.wps.com/template/individualized-day-supports-initial-community-integration-plan-template/168932/",4,{"url":51,"name":14,"@type":54,"author":55,"headline":14,"publisher":57,"fileFormat":60,"inLanguage":23,"description":15,"dateModified":61,"datePublished":62,"encodingFormat":60,"isAccessibleForFree":63,"interactionStatistic":64},"DigitalDocument",{"name":9,"@type":56},"Person",{"url":41,"name":58,"@type":59},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-09-04","2026-09-01",true,{"@type":65,"interactionType":66,"userInteractionCount":52},"InteractionCounter",{"@type":67},"ViewAction",{"@type":69,"mainEntity":70},"FAQPage",[71,77,81],{"name":72,"@type":73,"acceptedAnswer":74},"What information must be completed on the cover page of the plan?","Question",{"text":75,"@type":76},"The cover page includes the person receiving the service, contact details, IDS provider and contact person information, service start date, and the emergency contact.","Answer",{"name":78,"@type":73,"acceptedAnswer":79},"What schedule and hour limits must the IDS provider follow?",{"text":80,"@type":76},"The template requires authorized IDS service hours per week and an authorized delivery schedule. 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