441—83.67 (249A) Service plan. A service plan shall be prepared for each HCBS MR waiver consumer.
	 83.67(1) Development. The service plan shall be developed by the interdisciplinary team, which includes the consumer, and, if appropriate, the legal representative, consumer’s family, case manager or service worker, service providers, and others directly involved.
	 83.67(2) Retention. The service plan shall be stored by the case manager for a minimum of three years.
	 83.67(3) Interdisciplinary team meeting. The interdisciplinary team meeting shall be conducted before the current service plan expires.
	 83.67(4) 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.   	 For supported community living:
	 (1) 	 The consumer’s living environment at the time of waiver enrollment.
	 (2) 	 The number of hours per day of on-site staff supervision needed by the consumer.
	 (3) 	 The number of other waiver consumers who will live with the consumer in the living unit.
	  c.   	 An identification and justification of any restriction of the consumer’s rights including, but not limited to:
	 (1) 	 Maintenance of personal funds.
	 (2) 	 Self-administration of medications.
	  d.   	 The name of the service provider responsible for providing each service.
	  e.   	 The service funding source.
	  f.   	 The amount of the service to be received by the consumer.
	  g.   	 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.
	  h.   	 A plan for emergencies and identification of the supports available to the consumer in an emergency.
	 83.67(5) Documentation. The Medicaid case manager shall ensure that the consumer’s case file contains the consumer’s service plan and documentation supporting the diagnosis of mental retardation.
	 83.67(6) Approval of plan. The plan shall be approved through the Individualized Services Information System (ISIS). Services shall be entered into ISIS based on the service plan.
	  a.   	 Services must be authorized and entered into ISIS before the plan implementation date.
	  b.   	 The department or county has 15 working days after receipt of the summary and service costs in which to approve the services and service cost or request modification of the service plan unless the parties mutually agree to extend that time frame.
	  c.   	 If the department or county and service worker or case manager are unable to agree on the terms of the services or service cost within 10 days, the department or county has final authority regarding the services and service cost.
	  d.   	 If a notice of decision is not received from a county within 30 days from the date of request for services, the request shall be sent to the department of human services with documentation verifying the original submission of the request to the county. The department shall send a letter to the county central point of coordination and county board of supervisors requesting a response within 10 days. If no response is received within 10 days, the department will make the decision, as stated in paragraph “b.”