This bingo card has a free space and 24 words: Plan Type, Initial ISP Dvlpmnt Date, Current ISP Completion Date, Medicaid Cost Share, Parental Payment, Total Waiver Cost/Day, Current Living Arrangmnt, Service Code Number, Service Name, Care Level, Outcome Number, Service Provider Contact Info, Start/End Dates, Unit Cost, Authorized Units of Service & Frequency, Daily Cost, Funding Source, Outlier Rate, Participant Informed Rights & Choice, Plan Review/ Update Verific., Functional Screen Date, Name Parent(s) or Guardian, Participant Signature and Date Signed.
HealthLogic | Billing Bingo | Personal Information Bingo | Health Insurance Bingo | Definitions
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