Person-Centered Individualized Support Team (IST)

by | Oct 5, 2026

An individual’s Individualized Support Team (IST) is a team of persons, including but not limited to;

  • The individual
  • The individual’s legal representative, if applicable
  • The individual’s Provider(s)
  • The individual’s Case Manager
  • A Bureau of Disability Services, (BDS) representative; and
  • Other persons identified by the individual or the individual’s legal representative, if applicable, who assist the individual in a significant manner, or in the development and implementation of the individual’s Person-Centered Individualized Support Plan (PCISP)

An individual’s Individualized Support Team (IST) meeting that is requested by a member of the Individualized Support Team (IST) to address one or more of the following areas;

  • Health needs of the individual
  • Safety needs of the individual
  • Welfare needs of the individual
  • Behavioral needs of the individual
  • Training needs of the individual; or
  • Other needs of the individual as determined by the individual or the individual’s legal representative.

All Individualized Support Team (IST) meetings must at least include;

  • The individual or the individual’s legal representative if applicable, and
  • The individual’s case manager, if applicable.

An individual’s legal representative may choose not to attend an Individualized Support Team (IST) meeting. An individual may not attend an Individualized Support Team (IST) meeting if:

  • The individual chooses not to attend, or,
  • The Person-Centered Individualized Support Plan (PCISP) includes documentation of agreement by the Individualized Support Team (IST) that participation is contraindicated for the individual and is approved by the Bureau of Disability Servies (BDS) Service Coordinator.

Documentation of an Individualized Support Team (IST) meeting shall be performed by;

  • The Case Manager for individuals receiving supports funded by the Medicaid waiver, or
  • By the Bureau of Disability Servies (BDS) Service Coordinator for individuals funded by State Line Item.

Including, but not limited to;

  • The date, location and time of the Individualized Support Team (IST) meeting
  • The purpose for which the Individualized Support Team (IST) meeting was requested
  • The decisions reached during the Individualized Support Team (IST) meeting, including identification of any dissenting (nonconforming) parties to the final team decisions; and
  • The signatures of the people participating in the Individualized Support Team (IST) meeting.

The individual’s case manager, or the person identified earlier, shall ensure an electronic copy or hard copy of the Individualized Support Team (IST) meeting documentation, containing the details listed earlier, is provided to each member of the Individualized Support Team (IST) within forty-eight (48) weekday hours of the Individualized Support Team (IST) meeting. Any meeting, to which any Individualized Support Team (IST) member was not invited, with the exception(s) of terms listed above, is not an Individualized Support Team (IST) meeting. Most hours of care provided must be represented at the Individualized Support Team (IST) meeting. Seventy-two (72) hours’ notice must be given for an Individualized Support Team (IST) meeting, except in emergency situations.