#3-6: CMs are required to show options that were provided to the individual/guardian for different services. This new VIC only has the option to show the option that was selected making the CM have to take an additional step to clearly document all presented options in a progress note. This is an additional step that now needs to be taken by CMs, but also by auditors and reviewers instead of it being in one place as it currently is. 

#7: Checkboxes are broken and only allow both to be checked, not either or.

#8: I like the current wording as it ties into the Part IV unpaid relationship discussion on the ISP and prompts the CM to inform individuals/guardians of other community options that may be available (ex: Arc, Best Buddies, insurance funded ABA or therapies, etc.)

I am against having the service selection guide attached to the VIC. This is already provided in the form of the DD Waiver Services and Support Options at the time of the ISP meeting and again when requested. Attaching it the VIC makes the form unnecessarily long and also prevents it from being kept by the individual/guardian to review at a later time.

In reference to the Support Coordination options at the top, the current wording is appropriate as individuals/guardians do have choice in CSB as well as case manager. While CSBs operate within a particular catchment area, all CSBs have agreements with surrounding CSBs to provide choice in case management services. This is an important fact for families to know and show this choice.