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First Choice services under this chapter or home and community-based waiver services under 7 AAC 130. (c) The department will provide notice to the recipient, the recipient’s representative, and the recipient’s care coordinator that includes the department’s approval or disapproval of specific services not later than 30 business days after the department receives the recipient’s complete support plan. (d) At the request of the recipient for a change in the recipient’s Community First Choice services, the recipient’s care coordinator shall

(1) prepare an amendment to the recipient’s support plan if

(A) a modification is required to meet the recipient’s needs because of a change of circumstances related to the health, safety, and welfare of the recipient; or

(B) the recipient needs an increase or decrease in the number of service units approved under (a) — (c) of this section or in a prior amendment to the support plan;

(2) secure the signature, either in person or electronically, of

(A) the recipient or the recipient’s representative to indicate that the recipient or the recipient’s representative agrees to the support plan amendment; and

(B) a representative of each provider of services that are modified by the amendment indicating the provider agrees to render the services as specified in the support plan amendment; and

(3) submit the support plan amendment to the department not later than 10 business days after the date of a change in circumstances or a change in the number of service units needed, unless the care coordinator has submitted to the department written documentation of unusual circumstances that prevent timely completion of a support plan amendment, and the department has approved a later submission date. (e) The department will provide notification to the recipient, the recipient’s representative, and the recipient’s care coordinator that includes the department’s approval or disapproval of specific services not later than 30 business days after the department receives a complete support plan amendment. (f) In this section,

(1) “close business relationship” means

(A) a five percent or greater ownership, partnership, or equity interest in another provider described in (a)(1)(A) of this section or its owner; or

(B) a five percent or greater ownership, partnership, or equity interest in any other business or commercial activity in which another provider described in (a)(1)(A) of this section or its owner or administrator also has a five percent or greater ownership, partnership, or equity