[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-194535-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-194535-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","isp-service-authorization-and-objectives-template","ISP Service Authorization and Objectives Template","","ISP section entry by the DDPM provides authorization for payment of DD authorized services. It lists all services the person receives across funding sources and records disposition, provider, funding source, service start/end dates, termination date, location and setting, plus amount and unit/frequency. The ISP is updated whenever DD authorized services change. Supporting sections cover DDPM-completed service details and virtual service planning, and include overall goals with learning and support objectives for tracking progress.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/isp-service-authorization-and-objectives-template/194535/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/isp-service-authorization-and-objectives-template/194535.png","ImageObject",442,249,{"name":42,"@type":43},"Patrick","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-07","2026-09-03",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",8,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Who enters the ISP section and what is its purpose?","Question",{"text":63,"@type":64},"The DDPM enters the ISP section. It serves as the authorization for payment of DD authorized services.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What information must the ISP include about services?",{"text":68,"@type":64},"The ISP must list all received services regardless of funding source and include disposition, provider, funding source, start/end dates, termination date, location/setting, and amount/unit/frequency.",{"name":70,"@type":61,"acceptedAnswer":71},"When and how should the ISP be updated?",{"text":72,"@type":64},"The ISP must be updated anytime the DD authorized service changes.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},194535,1788440048,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":136,"language":137,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":12,"update_tm":80,"read_time":141},549758146520,"https://ap-avatar.wpscdn.com/avatar/80002397d8c0411e94?_k=1775819394049821470","| Medicaid Redetermination Date: | |\n| --- | --- |\n\n| Service, Provider & Location Service PROGRAM MANAGEMENT\u003Cbr>Provider Regional Human Service Center\u003Cbr>Location Regional Human Service Center Start Date 01/01/2025 End Date 1 2/31/2025 Disposition AUTHORIZED Funding O ther Amount Termination Date Service, Provider & Location Service INDIVIDUAL EMPLOYMENT SUPPORTS Provider   Location   Start Date 01/01/2025 End Date 1 2/31/2025 Disposition AUTHORIZED Funding T TLXIX-HCBS Amount 20 Hours / Week Termination Date Service, Provider & Location Service INDEPENDENT HABILITATION Provider   Location   Start Date 01/01/2025 End Date 1 2/31/2025 Disposition AUTHORIZED Funding T TLXIX-HCBS Amount 60 Hours / Month Termination Date\u003Cbr>ISP |  |  |  |  |\n| --- | --- | --- | --- | --- |\n|  |  |  |  |  |\n|  | •\u003Cbr>••\u003Cbr>• | The ISP section is entered by the DDPM and is the authorization for payment of DD authorized services.\u003Cbr>The ISP must list all services the person is receiving regardless of funding source.\u003Cbr>The ISP also contains information regarding the disposition of services, provider of services, funding source, start date and end date of services, termination date of services, location, setting, and amount/unit/frequency.\u003Cbr>The ISP must be updated anytime the DD authorized service changes. |  |  |\n\n\n| Service |  |\n| --- | --- |\n| Start Date |  |\n| End Date |  |\n| Termination Date |  |\n| Comments | • This section is completed by the DDPM.\u003Cbr>• If the person receives this, the Virtual Supports Checklist (SFN 1522) will be completed with the team and attached by the DDPM. This determines if the person meets criteria.\u003Cbr>• Services that can be provided virtually include:\u003Cbr>• Behavior Consultation\u003Cbr>• Independent Habilitation\u003Cbr>• Individual Employment Services\u003Cbr>• Parenting Supports\u003Cbr>• This area will cover the following:\u003Cbr>• Tasks, supports, objectives that can be delivered remotely.\u003Cbr>• Technology platform used.\u003Cbr>• Estimated number of hours.\u003Cbr>• Any other team discussions, decisions. |\n\n\n|  | Overall Goals | Learning and Support Objectives |\n| --- | --- | --- |\n| 1 | I will save money for my dream vacation to the beach. | Learning Objective:\u003Cbr>Once a month, I will independently make a deposit into my savings account completing 3 out of 4 steps for 6\u003Cbr>consecutive deposits.\u003Cbr>Support Objectives:\u003Cbr>1. Staff will assist me in exploring the beach destination and developing a budget for the costs (travel, hotel, food) .\u003Cbr>2. Once a month, review with me the amount of money I have saved and home much more I need to save. |\n| 2 | I will get better at using the cash register so I can be a cashier at work. | Learning Objective:\u003Cbr>After scanning all the items to complete a customer’s transaction, I will select the correct register keys on the first try for 30 consecutive days.\u003Cbr>Support Objectives:\u003Cbr>1. Assist me in assuring that I give the correct amount of change back if the customer is paying cash. |","cbCaiu8IUmQivoZc","https://ap.wps.com/l/cbCaiu8IUmQivoZc","pdf",403044,19,"English","# ISP Section Overview\n## Service Authorization Details\n## Virtual Supports Checklist Linkage\n# Service Planning and Objectives\n## Overall Goals, Learning Objectives, Support Objectives","[{\"question\":\"Who enters the ISP section and what is its purpose?\",\"answer\":\"The DDPM enters the ISP section. It serves as the authorization for payment of DD authorized services.\"},{\"question\":\"What information must the ISP include about services?\",\"answer\":\"The ISP must list all received services regardless of funding source and include disposition, provider, funding source, start/end dates, termination date, location/setting, and amount/unit/frequency.\"},{\"question\":\"When and how should the ISP be updated?\",\"answer\":\"The ISP must be updated anytime the DD authorized service changes.\"}]","ISP Service Authorization and Objectives Template | PDF",7]