(a)   An initial individualized support plan shall be developed for each
consumer of the program.
  (b)   The individualized support plan shall:
    (1)   Be developed with the consumer or the consumer's representative;
    (2)   Be approved by the consumer or the consumer's representative; and
    (3)   Be given to the consumer and the consumer's representative in writing
or other appropriate and understandable format.
  (c)   The individualized support plan shall specify:
    (1)   The scope of personal assistance services to be provided;
    (2)   The hours that personal assistance services are to be provided;
    (3)   The means of providing alternate sources for attendant services and
supports;
    (4)   The means of ensuring substitute and emergency attendant services and
supports;
    (5)   The method of service delivery;
    (6)   The initial assessment and frequency of reassessment of the needs of
the consumer;
    (7)   The means to adjust services and hours when changes are needed;
    (8)   A mechanism to coordinate attendant services and supports with other
health care services received by the consumer;
    (9)   The degree and frequency of supervision of the personal assistant
necessary for the effective delivery of attendant services and
supports; and
    (10)   Complaint and appeal procedures.
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