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