(1) Case management services must be supported by narrative documentation of all services provided.

(2) Case management services for adults with severe disabling mental illness must be provided according to a case management plan which must:

(a) be developed jointly by the case manager and the client;

(b) identify measurable objectives;

(c) specify strategies to achieve defined objectives;

(d) identify agencies and contacts which will assist in meeting the objectives;

(e) identify natural and community supports to be utilized and developed; and

(f) include an objective to serve the client in the least restrictive and most culturally appropriate therapeutic environment possible for the client which is also directed toward facilitating preservation of the client in the family unit, or preventing out-of-community placement or facilitating the client's return from acute or residential psychiatric care.

(3) Objectives in a case management plan must have an identified date of review no more than 90 days after the plan date. Plans will be revised to reflect changes in client goals and needs, and the services provided to the client.

(4) Case management services for adults with severe disabling mental illness must be delivered in accordance with the individual recipient's needs.