In the first 90 days after you join One Care, you will get a comprehensive assessment so that you and your care team can talk about your needs. After the assessment, you will work with your Care Team to make your individualized care plan (ICP). Every year, your Care Team will work with you to update your ICP in case there is a change in the health services you need and want.  Your ICP can also be updated as your goals or needs change throughout the year.

An ICP identifies the health-related goals that you want to address, such as getting services for your physical and mental health care and getting long term services and supports. They can also help coordinate: the providers you see, the medications you take, and can help you with  any health-related social needs like getting housing and food supports. You will be able to record your health, independent living, and recovery goals. You will be at the center of this process to create your ICP. 

Your Care Team will work with you to update your ICP any time your needs change or you want to add new needs or goals. Your Care Partner, Care Manager, or Care Coordinator will review and update your ICP with you at least once every year. Reach out to them if your goals or needs have changed, or if you have any questions about your ICP. Feel free to contact My Ombudsman if you need more help.