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Care Plan

An individualized document specifying a client's care needs, approved service tasks, frequency, duration, and caregiver assignments. It is the operational blueprint for every shift and the legal basis for billing Medicaid and insurance payers.

Also known as: care plan · plan of care · POC · service plan · individualized service plan · care agreement

A care plan (also called a Plan of Care or POC) defines the complete scope of services a client will receive. It includes the client's demographic information, functional and cognitive assessment results, specific ADL and IADL task lists, service frequency and duration, assigned caregivers, stated goals, emergency contacts, and care restrictions. Care plans are required for Medicaid and most insurance-funded clients and serve as the legal compliance document. For private-pay clients, care plans set expectations and protect both parties. Care plans should be reviewed at regular intervals — typically quarterly — and updated whenever a client's condition changes, new services are added, or caregiver assignments shift. An outdated care plan is a common audit finding.

In home care, this means…

Created during intake after assessment. Drives caregiver task lists for every scheduled shift. Required for payer authorization and billing compliance.