As a counselor, you have considerable latitude in determining which services are reasonable and necessary to help the consumer reach his or her chosen rehabilitation goals. Therefore, there are circumstances in which you are required to make changes and amend the previously agreed-upon IWRP.

It is important to amend the IWRP every time you and the consumer agree on a substantial change in services. If an amendment is necessary, document the reasons in ReHabWorks. Explain the nature and scope of the changes being made to the objectives, services, or other parts of the plan and why they are necessary.

Before adding or changing the services called for in an IWRP, you must discuss with the consumer the specific policies related to the implementation of services and the approvals required.