Can this plan be signed electronically?

Yes. Electronic signatures are legally valid under the federal ESIGN Act (15 U.S.C. ch. 96) and state UETA laws in most jurisdictions, provided intent, consent, attribution, and retention requirements are met.

Are special consents required for client data?

For protected health information include HIPAA-compliant authorizations and follow 45 CFR requirements; obtain explicit consumer disclosures when required by applicable federal or state law.

Who is authorized to sign the plan?

Signers typically include the client (or authorized representative), case manager, and treating provider. Authority may vary by program rules and any power-of-attorney arrangements.

Is notarization or witness required?

Most routine case management plans do not require notarization, but particular documents attached (e.g., durable POA) may need witnesses or notarization under state law; confirm for the specific document.

How do I update an executed plan?

Create a new version or amendment that references the prior plan, capture signatures and dates for the amendment, and retain both versions with clear version control.

How should I store signed plans securely?

Store signed files with access controls, encryption at rest and in transit, and an audit trail. For health data follow HIPAA safeguards and keep records for the applicable retention period.

Case Management Plan

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

CASE MANAGEMENT PLAN

This Case Management Plan (the "Plan") is made effective as of for Case ID: .

Client Name: Service Provider Name:

WHEREAS

WHEREAS, the Client has retained the Service Provider to coordinate and manage specified services, supports, and deliverables for the subject matter of the Case identified above; and

WHEREAS, the Service Provider represents that it has the personnel, expertise, and capacity to perform case management, coordination, assessment, and reporting services in accordance with the terms of this Plan; and

WHEREAS, the Parties desire a written Plan that defines objectives, scope, timelines, responsibilities, payment terms, confidentiality obligations, and procedures for modification and termination.

SCOPE OF SERVICES

Scope of Work Primary Objectives

PARTY RESPONSIBILITIES

Client Responsibilities Service Provider Responsibilities

MILESTONES AND DELIVERABLES

Milestone 1 Description:

Due Date:

Milestone 2 Description:

Due Date:

Additional Deliverables and Notes:

PAYMENT TERMS

Total Fee Payment Schedule Late Payment Fee

All invoices are payable within the timeframe set forth in the Payment Schedule. Late payments shall accrue the Late Payment Fee described above and the Client will be responsible for reasonable collection costs and any interruption of services resulting from nonpayment.

TERM AND TERMINATION

Term Commencement Date: Term End Date:

Notice Period for Termination

Either Party may terminate this Plan for material breach that remains uncured after the Notice Period indicated above. Termination for convenience by either Party requires written notice in accordance with the Notice Period. Termination does not relieve the Client of obligation to pay for services rendered through the effective date of termination.

CONFIDENTIALITY

Each Party acknowledges that in performance of this Plan it may receive Confidential Information of the other Party. "Confidential Information" means nonpublic information that is designated as confidential or that a reasonable person would understand to be confidential under the circumstances. The receiving Party shall (i) maintain confidentiality of such information, (ii) not disclose it to third parties except as required for performance under this Plan, and (iii) use it solely to perform obligations under this Plan. Confidential Information does not include information that is or becomes generally available to the public other than through a breach of this obligation, was independently developed, or is rightfully received from a third party without restriction.

The confidentiality obligations shall survive termination of this Plan for a period of three (3) years, except for trade secrets and personally identifiable information, which shall remain protected for as long as required by applicable law.

REPORTING AND COMMUNICATION

Reporting Frequency (check all that apply):

Weekly Bi-weekly Monthly As Needed

Primary Contact for Client Primary Contact for Service Provider

RISK MANAGEMENT

Known Risks, Mitigation Strategies, and Escalation Procedures:

GOVERNING LAW

This Plan shall be governed by and construed in accordance with the laws of . Venue for any dispute arising under this Plan shall be the state or federal courts located within that jurisdiction unless the Parties agree otherwise in writing.

ENTIRE AGREEMENT

This Plan, together with any attachments or schedules executed by the Parties, constitutes the entire agreement between the Parties with respect to the subject matter herein and supersedes all prior and contemporaneous agreements, understandings, negotiations and discussions, whether oral or written. No amendments to this Plan are effective unless made in writing and signed by authorized representatives of both Parties.

MODIFICATION

Modifications to this Plan must be documented in writing, signed by both Parties, and appended as an addendum. Minor administrative changes may be documented by mutual written agreement via email or other written communication and filed with this Plan.

Client:

By:

Date:

Service Provider:

By:

Date:

What a Case Management Plan Covers

A Case Management Plan is a written roadmap that records a client’s needs, goals, recommended services, roles, timelines, and monitoring steps. It centralizes assessment findings, consent, and service authorizations to guide coordinated care or support. The plan is used by case managers, clinicians, legal representatives, and administrators to document decisions, measure progress, and justify resource allocation.

Why a Clear Case Management Plan Matters

A well-prepared plan improves continuity of care, reduces duplication, and documents informed consent and accountability. It provides a defensible record for audits, billing, and regulatory compliance while clarifying responsibilities and expected outcomes for all parties.

Who Typically Creates and Uses This Plan

Multiple stakeholders rely on the plan for decision-making, continuity, and regulatory documentation.

Case managers and social workers who coordinate services, track progress, and liaise with providers and payers.
Clinicians and licensed providers who document assessments, medical or behavioral care goals, and treatment responsibilities.
Program administrators and legal staff who monitor compliance, funding eligibility, and documentation for audits.

Stepwise Process to Complete a Case Management Plan

Follow these steps sequentially to prepare, verify, and finalize the plan for use and storage.

01

Gather Information: Compile intake forms, assessments, and prior records before drafting.
02

Document Assessment: Summarize needs, risks, and capacity in the Assessment Summary field.
03

Define Plan: Set measurable goals, interventions, timelines, and responsible parties.
04

Review and Sign: Confirm accuracy with stakeholders, obtain signatures, and record the date.

Essential Components of a Professional Case Management Plan

A complete plan is structured, measurable, and auditable. Include these sections to ensure clarity and compliance.

Client Details

Demographic and contact information including legal name, DOB, address, emergency contact, insurer, and client identifiers required for billing and service coordination.

Assessment Summary

A concise clinical or social assessment that documents presenting problems, functional limitations, risk factors, and standardized scores where applicable.

Goals and Outcomes

Measurable short- and long-term goals with target dates and objective success criteria used to evaluate progress and effectiveness.

Interventions and Services

List the services to be provided, frequency, provider names, authorization references, and any assistive resources or payments involved.

Roles and Responsibilities

Assign tasks to named individuals or agencies, specify escalation paths, and record who will monitor and report outcomes.

Review Schedule

Set review dates, reassessment triggers, documentation updates, and conditions for closure or transition of services.

Key Data Elements Required on the Plan

Client Identifiers: Name, DOB, ID

Contact Information: Address, phone, email

Consent Status: Signed consent

Confidential Notes: Protected health data

Risk Assessments: Safety flags

Signatures and Dates: Signatory attribution

How to Configure an Online Case Management Workflow

Common settings help automate routing, authentication, and retention when you complete the plan electronically.

Field	Configuration
Authentication	Email link or SMS code for signer verification
Routing Order	Sequential or parallel signer flow
Conditional Fields	Show fields when trigger values are selected
Retention Policy	Auto-archive after review period

Sharing, eSigning, and Integration Considerations

Ensure the solution supports audit trails, optional advanced signer authentication, and any industry-specific compliance controls.

Integrations: Salesforce, NetSuite, Google Workspace
Formats: PDF, DOCX, HTML
Security: TLS in transit, AES-256 at rest

Typical eSignature Pricing and Core Capabilities

Basic vendor differences often influence cost, scalability, and compliance choices. Compare starting prices and common enterprise capabilities below.

	signNow	DocuSign	Adobe Sign	PandaDoc	HelloSign
Starting Price	$8/user/mo	$15/user/mo	$14/user/mo	$19/user/mo	$15/user/mo
Free Trial	7-day free trial	Varies	Varies	Varies	Varies
Bulk Send	Yes (Business Premium)	Yes	Yes	Yes	No
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes	Yes	Yes	No	No

Where to Send and How Submission Works

Use a clear routing path and standardized file format when submitting the plan to payers, providers, or legal teams.

Upload Document: Save master plan as PDF or DOCX and upload to the signing platform.
Assign Signers: Add signer emails and set signing order or roles.
Collect Signatures: Signers authenticate and sign; audit trail is recorded.
Distribute Copies: Send final signed PDF to all stakeholders and archive centrally.

Typical Timing and Review Expectations

Establish timelines for initial completion, reviews, and reassessments to meet program rules and clinical needs.

Initial Completion:

Complete intake and initial plan within 48 hours of enrollment when feasible.

30-Day Reassessment:

Reassess goals and adjust interventions within 30 days of the start date.

Quarterly Reviews:

Schedule formal plan reviews at least every 90 days or per program rules.

Service Authorizations:

Verify prior authorizations before service delivery to avoid reimbursement denial.

Closure Documentation:

Document closure reasons and outcome measures within 14 days of case closure.

Common Mistakes to Avoid

Using ambiguous goals without measurable criteria, which makes outcome tracking and funding justification difficult.
Failing to obtain or document informed consent clearly, risking legal or regulatory challenges and service interruptions.
Not capturing exact signatory names and dates, which can invalidate authorizations and create audit findings.
Storing plans in disparate systems without a single authoritative copy, increasing the risk of outdated instructions being followed.

Consequences of Incomplete or Incorrect Plans

Privacy Breach: Civil penalties and corrective action

Missed Deadlines: Service interruptions or funding loss

Invalid Authorization: Claims denial or legal disputes

Inaccurate Records: Poor care decisions and liability

Noncompliance: Regulatory fines and remediation

Unauthorized Changes: Reputational and legal exposure

Supporting Documents and Export Options

Attach or export companion documents to create a complete, auditable case file. Use standard formats for portability.

Supporting Documents

Include assessments, consent forms, authorization letters, progress notes, and service contracts as PDF exhibits attached to the plan.

Export Formats

Save the signed plan as PDF/A for long-term archiving; also keep editable DOCX for internal updates when required.

Version Control

Record version number, author, and date on each revision to maintain a single source of truth.

Audit Documentation

Retain an audit trail showing who viewed, edited, signed, and exported the plan for compliance reviews.

Frequently Asked Questions About Case Management Plans

Answers to common legal, technical, and procedural questions when creating, signing, storing, and updating case management plans.

Need help? Contact support

Can this plan be signed electronically?
Yes. Electronic signatures are legally valid under the federal ESIGN Act (15 U.S.C. ch. 96) and state UETA laws in most jurisdictions, provided intent, consent, attribution, and retention requirements are met.
Are special consents required for client data?
For protected health information include HIPAA-compliant authorizations and follow 45 CFR requirements; obtain explicit consumer disclosures when required by applicable federal or state law.
Who is authorized to sign the plan?
Signers typically include the client (or authorized representative), case manager, and treating provider. Authority may vary by program rules and any power-of-attorney arrangements.
Is notarization or witness required?
Most routine case management plans do not require notarization, but particular documents attached (e.g., durable POA) may need witnesses or notarization under state law; confirm for the specific document.
How do I update an executed plan?
Create a new version or amendment that references the prior plan, capture signatures and dates for the amendment, and retain both versions with clear version control.
How should I store signed plans securely?
Store signed files with access controls, encryption at rest and in transit, and an audit trail. For health data follow HIPAA safeguards and keep records for the applicable retention period.

be ready to get more

Join over 28 million airSlate SignNow users

Sign Now