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(4) identify
(A) the services and supports, paid and unpaid, that will assist the recipient to achieve the recipient’s goals and desired outcomes;
(B) the providers of those services and supports, including natural supports; and
(C) for each service
(i) the number of units, the frequency, and the projected duration of that service; and
(ii) an analysis of whether the service and amount of that service is consistent with the assessment or interim-level-of-care-review conducted under 7 AAC 130.213, the level-of-care-determination made in accordance with 7 AAC 130.215, and the treatment plans, if any, developed for the recipient;
(5) document the options for services and supports that were offered to the recipient under (b)(5) of this section;
(6) reflect that the setting in which the recipient resides is chosen by the recipient;
(7) document any modification of the requirements for provider-owned or operated residential settings in accordance with 7 AAC 130.220(p);
(8) reflect the risk factors and measures in place to minimize risks, including an individualized backup plan;
(9) identify the individuals responsible for monitoring the plan;
(10) use plain language, and be written in a manner that is both accessible to a recipient with disabilities or limited English proficiency and makes the support plan understandable by the recipient and the individuals important in supporting the recipient;
(11) be finalized and agreed to in accordance with 7 AAC 130.217(a)(4); any disagreement among planning team members about outcomes or service levels, or any suggestion by a team member that an outcome or service level should be different than the one established in the support plan, must be documented and attached to the support plan submitted to the department for consideration and approval; and
(12) be distributed to the recipient and all others involved in developing the support plan. (d) The providers, recipient, and individuals chosen by the recipient to participate in the planning process must ensure that
(1) unnecessary or inappropriate services and supports are not included in the support plan developed in accordance with (c) of this section; and
(2) the settings in which home and community-based services are rendered are integrated in and support access to the greater community, including distance delivery when requested and