441—177.7(249A) Service worker duties.
	177.7(1) Service plan.
	a. 	In consultation with the client’s case manager and any supervising health practitioner, the service worker shall create a complete service plan for the client. The plan must avoid duplication of services and include all of the following:
	(1)	All of the services certified by a physician under rule 441—177.6(249).
	(2)	Payer sources. In-home health-related care shall be provided only when other programs cannot meet the client’s need.
	(3)	Level of service needs.
	(4)	Service history. If the client is being transferred from a medical hospital or long-term care facility, the service worker shall also obtain a transfer document describing the client’s current care plan.
	b. 	In consultation with the client’s case manager and any supervising health practitioner, the service worker shall review and update the service plan on or before the ninetieth day following the creation of or previous review of the service plan. The updated service plan must comply with paragraph 177.7(1)“a.”
	177.7(2) Change in condition. If the service worker becomes aware of any changes in the individual’s condition, including discharge from a facility, that could require a change in the services provided, the service worker shall ensure that a physician reviews the existing certification and that the existing certification is either withdrawn, renewed, or amended.
	177.7(3) Service documentation.
	a. 	A service worker shall review the service documentation submitted by the client or provider, including any requests for supplementation of services.
	b. 	If there are concerns as a result of such a review, there will be a change in the service plan.
[ARC 6720C, IAB 11/30/22, effective 2/1/23; Editorial change: IAC Supplement 2/22/23]