(1) Plan management includes planning for, arranging for, implementation of, and monitoring of the delivery of services available through the program to an enrolled youth.

(2) Plan management is the responsibility of the wraparound facilitator.

(3) Upon the youth's initial enrollment in the program, the plan of care is developed by the wraparound facilitator, in collaboration with the plan manager, who is an employee of the department, the youth, and the youth's parent(s) or responsible caregiver having physical custody, appropriate health care professionals, and others who treat or have knowledge of the youth's mental health and related needs.

(4) The plan of care must be reviewed and approved by the department. Revisions, if necessary, are made at intervals of at least every three months beginning with the date of the initial plan of care.

(5) The services that a youth may receive through the program and the amount, scope, and duration of those services must be specifically authorized in writing through the plan of care for the youth.

(6) Each plan of care must record the following:

(a) diagnosis, symptoms, complaints, and complications indicating the youth's need for services;

(b) a description of the youth's functional level;

(c) a statement of treatment for objectives for the youth;

(d) a description of any orders for the youth, including:

(i) medication;

(ii) therapeutic interventions and other treatments;

(iii) restorative and rehabilitative services;

(iv) activities;

(v) therapies;

(vi) social services;

(vii) dietary limitations;

(viii) crisis plan; and

(ix) other special procedures recommended for the health and safety of the youth to meet the objectives of the plan of care;

(e) the specific program and other services to be provided to the youth, along with the frequency of the services, and the type of providers to provide them;

(f) the projected annualized total cost of the program services to be provided to the youth including the annualized costs of each service; and

(g) the names and signatures of all persons who have participated in developing the youth's plan of care, including the youth, if able to participate, and parent(s) or the responsible caregiver having physical custody. The signatures verify participation, agreement with the plan of care, and acknowledgement of the confidential nature of the information presented and discussed.

(7) Inclusion of the need for and the identification of nonprogram services in the youth's plan of care does not financially obligate the department to fund those services or to assure their delivery and quality.

(8) The wraparound facilitator and/or department must provide a copy of the plan to the youth and the youth's family.

(9) The youth and parent(s) or responsible caregiver having physical custody must sign the document. If the youth is unable to participate in developing the plan, that must be documented.