441—83.107 (249A) Individual service plan. An individualized service plan shall be prepared and used for each HCBS physical disability waiver consumer. The service plan shall be developed and approved by the consumer and the DHS service worker prior to services beginning and payment being made to the provider. The plan shall be reviewed by the consumer and the service worker annually, and the current version approved by the service worker.
	 83.107(1) Information in plan. The plan shall be in accordance with 441—subrule 24.4(3) and shall additionally include the following information to assist in evaluating the program:
	  a.   	 A listing of all services received by a consumer at the time of waiver program enrollment.
	  b.   	 The name of all providers responsible for providing all services.
	  c.   	 All service funding sources.
	  d.   	 The amount of the service to be received by the consumer.
	  e.   	 Whether the consumer has elected the consumer choices option and, if so:
	 (1) 	 The independent support broker selected by the consumer; and
	 (2) 	 The financial management service selected by the consumer.
	  f.   	 A plan for emergencies and identification of the supports available to the consumer in an emergency.
	 83.107(2) Annual assessment. The IME medical services unit shall review the consumer’s need for continued care annually and recertify the consumer’s need for long-term care services, pursuant to the standards and subject to the reconsideration and appeal processes at paragraph 83.102(1)“h” and rule 441—83.109(249A), based on the completed Form 470-3502, Physical Disability Waiver Assessment Tool, and supporting documentation as needed. Form 470-3502 is completed by the service worker at the time of recertification.
	 83.107(3) Case file. Rescinded IAB 8/7/02, effective 10/1/02.