ISP Review - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.

1. Initial ISP Dvlpmnt Date
2. Daily Cost
3. Date Signed
4. Name Parent(s) or Guardian
5. Funding Source
6. Service Name
7. Current Living Arrangmnt
8. Participant Informed Rights & Choice
9. Start/End Dates
10. Service Provider Contact Info
11. Parental Payment
12. Outcome Number
13. Functional Screen Date
14. Participant Signature
15. Service Code Number
16. Unit Cost
17. Total Waiver Cost/Day
18. Plan Type
19. Current ISP Completion Date
20. Medicaid Cost Share
21. Outlier Rate
22. Care Level
23. Authorized Units of Service & Frequency
24. Plan Review/ Update Verific.