Y
90882 Community intervention - 15 min Y 01/01/2002
Y
99450 Life/disability eval: Face-to-face LTCC assessment N 07/01/2001 under age 65
N
E1399 Durable medical equipment - item Y 11/01/2004
N
G0154 Skilled nurse - 15 min Y 11/01/2004
Y
G0156 Extended home health aide - 15 min N 11/01/2004
N
H0018 Crisis stabilization, residential Y 01/01/2004
N
H0019 Intensive Res. Rehab. Trtmnt (IRT)/Children's res. Y 07/01/2004 trtmnt.
N
H0035 Partial hospitalization Y 01/01/2004
Y
H0040 Assertive Community Treatment (ACT) - day N 07/01/2004
N
H0045 Respite care services, not in home - day Y 11/01/2004
Y
H2017 Psychosocial rehabilitation - 15 min Y 01/01/2004
N
H2032 Independendent living skills/Counseling - 15 min Y 10/01/2006 N
S5100 Day care services, adult - 15 min Y 11/01/2004
N
S5102 Day care services - day Y 11/01/2004
Y
S5110 Family counseling/training - 15 min N 11/01/2004
Y
S5116 Caregive training/education - session N 11/01/2004
Y
S5120 Chore services - 15 min N 11/01/2004
Y
S5125 MR, in home family support - 15 min N 11/01/2004
N
S5126 MR, in home family support - day Y 11/01/2004
Y
S5130 Homemaker services - 15 min N 11/01/2004
N
Y
S5135 Companion care, adult - 15 min N 11/01/2004
N
S5136 24 hour emergency service - day Y 11/01/2004
N
S5140 Foster care, adult - day Y 11/01/2004
N
S5141 Foster care, adult - month Y 11/01/2004
N
S5145 Foster care, child - day Y 11/01/2004
N
S5146 Foster care, child - month Y 11/01/2004
N
S5150 Respite care, in home - 15 min Y 11/01/2004
N
S5151 Respite care, in home - day Y 11/01/2004
N
S5165 Home modifications - item Y 11/01/2004
N
S5170 Home delivered meals - meal Y 11/01/2004
N
S5181 Extended respiratory therapy - visit Y 11/01/2004
N
S9125 Crisis respite - day Y 11/01/2004
N
S9128 Extended speech therapy - visit Y 11/01/2004
N
S9129 Extended occupational therapy - visit Y 11/01/2004
N
S9131 Extended physical therapy - visit Y 11/01/2004
N
S9470 Nutritional counseling - visit Y 11/01/2004
N
S9484 Crisis stabilization, non-residential Y 01/01/2004
N
T1002 RN services - 15 min Y 11/01/2004
N
T1003 LPN services - 15 min Y 11/01/2004
N
T1005 Crisis respite - 15 min Y 11/01/2004
Y
T1016 RSC/Waiver case management - 15 min N 07/01/2001
Y
Y
T1019 Personal care services - 15 min N 11/01/2004
Y
T1020 Personal care services - day N 11/01/2004
N
T1021 Home health aide visit - visit Y 11/01/2004
N
T1030 Nursing care by RN - visit Y 11/01/2004
Y
T2003 Non-emergency transportation - trip N 10/01/2006
Y
T2023 Targeted case management - month N 01/01/2004
Y
T2024 DD screening - screen N 10/01/2006
N
T2025 Consumer Support Grant Y 06/01/2006
N
T2028 Consumer Directed Community Supports - session Y 10/01/2004 Y
T2038 Transitional services - service N 11/01/2004
N
T2040 CDCS background check - 15 min Y 10/01/2004
N
T2041 CDCS mandatory case management - 15 min Y 10/01/2004
N
X4037 RN supervision of PCA - 15 min Y 11/01/2004 09/30/2006
Y
X5238 MH-TCM child contact - month N 07/01/1999 12/31/2003
Y
X5239 MH-TCM adult contact - month N 07/01/1999 12/31/2003
Y
X5243 CWTCM contact - face-to-face - month N 01/01/1999 12/31/2003
Y
X5244 CWTCM contact - telephone - month N 01/01/1999 12/31/2003
Y
X5261 Companion services - 30 min N 01/01/1999 10/31/2004
Y
X5263 Caregiver training/education - course N 01/01/1999 10/31/2004
N
X5264 Home delivered meal - each meal Y 01/01/1999 10/31/2004
Y
X5265 Transportation - 1 trip N 01/01/1999 09/30/2006
N
min
N
X5267 Extended private duty nursing - LPN- home health - 30 Y 01/01/1999 10/31/2004 min
Y
X5268 Chore services - 30 min N 01/01/1999 10/31/2004
N
X5272 Assisted living, pilot project - month Y 01/01/1999 06/30/2001
N
X5285 Home health aid - visit Y 03/01/2002 10/31/2004
N
X5289 RN Supervision of PCA - 15 min Y 01/01/1999 10/31/2004
N
X5291 Assisted living-residential care services - month Y 01/01/1999 09/30/2006 N
X5292 Assisted living - month Y 01/01/1999 09/30/2006
N
X5293 Bath - 15 min Y 01/01/1999 10/31/2004
N
X5294 Extended transportation - mileage Y 01/01/1999 09/30/2006
N
X5296 DT&H-pilot, Rate A waiver/non-waiver (includes trans) Y 01/01/1999 09/30/2006 - 60 min
N
X5297 DT&H-pilot, Rate B waiver/non-waiver (includes trans) Y 01/01/1999 09/30/2006 - 60 min
N
X5298 DT&H-pilot, Rate C waiver/non-waiver (includes trans) Y 01/01/1999 09/30/2006 - 60 min
N
X5299 DT&H pilot, Rate D waiver/non-waiver (includes trans) Y 01/01/1999 09/30/2006 - 60 min
N
X5304 Assisted living - day Y 01/01/1999
N
X5359 Extended shared personal care 1:2 ratio - 15 min Y 01/01/1999 10/31/2004 N
X5360 Extended shared personal care 1:3 ratio Y 01/01/1999 10/31/2004
N
X5362 Assisted Living Plus - month Y 01/01/2000 09/30/2006
N
X5363 Foster Care, corporate - month Y 01/01/2000 09/30/2006
N
MR adult supported living services - month
N
X5399 MR child supported living services - month Y 02/24/2003 09/30/2006
Y
X5400 DD Screenings - screen N 01/01/1999 09/30/2006
N
X5410 Supported employment - 30 min Y 01/01/1999 09/30/2006
N
X5411 Supported employment - partial day Y 01/01/1999 09/30/2006
N
X5412 Supported employment - day Y 01/01/1999 09/30/2006
N
X5413 Supported living-child - 30 min Y 01/01/1999 09/30/2006
N
X5414 Supported living-child - day Y 01/01/1999 09/30/2006
N
X5415 Supported living-adult - 30 min Y 01/01/1999 09/30/2006
N
X5416 Supported living-adult - day Y 01/01/1999 09/30/2006
Y
X5417 In-home family support - 30 min N 01/01/1999 10/31/2004
N
X5418 In-home family support - day Y 01/01/1999 10/31/2004
N
X5419 Modifications and adaptations - item Y 01/01/1999 10/31/2004
Y
X5424 Case management - open/close - each time N 01/01/1999 11/01/2001
N
X5426 Extended physical therapy - 15 min Y 01/01/1999 10/31/2004
N
X5427 Extended speech therapy - 15 min Y 01/01/1999 10/31/2004
N
X5428 Nutritional services - 15 min Y 01/01/1999 10/31/2004
N
X5429 Extended occupational therapy - 15 min Y 01/01/1999 10/31/2004
N
X5430 Extended respiratory therapy - 15 min Y 01/01/1999 10/31/2004
N
X5431 Extended pharmacy - item Y 01/01/1999
N
X5433 Extended private duty nursing-RN-home health, ICU - Y 01/01/1999 07/01/2001 30 min
N
30 min
N
X5436 Extended private duty nursing-LPN-home health, ICU - Y 01/01/1999 07/01/2001 30 min
N
X5437 Extended private duty nursing-LPN-home health, vent Y 01/01/1999 10/31/2004 - 30 min
N
X5441 Extended private duty nursing-RN Supervision - 15 min Y 01/01/1999 N
X5449 Foster care - day Y 01/01/1999 10/31/2004
N
X5450 Foster care, family - month Y 01/01/1999 10/31/2004
Y
X5455 Case management - conversion - 1 time N 01/01/1999 11/01/2001
Y
X5460 Family counseling and training - 15 min N 01/01/1999 10/31/2004
N
X5467 Extended medical supplies/equipment - item Y 01/01/1999 09/30/2006
Y
X5476 Case management - ongoing - 15 min N 01/01/1999 09/30/2006
Y
X5477 Case management - AC conversion - 15 min N 01/01/1999 10/31/2004
N
X5479 Homemaker - day Y 01/01/1999 10/31/2004
N
X5480 Respite care-in home - 30 min Y 01/01/1999 10/31/2004
N
X5481 Respite care-in home - day Y 01/01/1999 10/31/2004
N
X5484 Respite care-out of home - 30 min Y 01/01/1999 09/30/2006
N
X5485 Respite care-out of home - day Y 01/01/1999 10/31/2004
N
X5486 Adult day care - 30 min Y 01/01/1999 10/31/2004
N
X5487 Adult day care - day Y 01/01/1999 10/31/2004
Y
X5491 Case mgmt ongoing by paraprofessional - 15 min N 01/01/1999 09/30/2006 N
X5492 Telemedicine device - item Y 01/01/1999 03/01/2002
N
N
X5503 Consumer directed community supports - hour Y 01/01/1999 N
X5504 Consumer directed community supports - day Y 01/01/1999
N
X5505 Supported living-live-in caregiver Y 01/01/1999 10/31/2004
N
X5506 Consumer directed community supports - month Y 01/01/1999 N
X5507 Prevocational services - 30 min Y 01/01/1999 09/30/2006
N
X5508 Prevocational services - full day Y 01/01/1999 09/30/2006
N
X5570 Behavioral program, behavior analyst - 30 min Y 01/01/1999 09/30/2006 N
X5572 Behavioral program, behavioral aide - 15 min Y 01/01/1999 10/31/2004 N
X5574 Cognitive therapy by BA/BS - 15 min Y 01/01/1999
Y
X5581 Extended personal care (CAC, CADI, EW, TBI, MR/RC) - N 01/01/1999 10/31/2004 15 min
N
X5582 Behavioral program, behavioral specialist - 15 min Y 01/01/1999 09/30/2006 N
X5583 Behavioral program, behavioral professional - 30 min Y 01/01/1999 09/30/2006 N
X5584 Cognitive therapy by professional - 30 min Y 01/01/1999
N
X5590 Independent Living Skills-counseling - 30 min Y 01/01/1999 09/30/2006 N
X5591 Independent Living Skills-maintenance - 30 min Y 01/01/1999 09/30/2006 N
X5592 Independent Living Skills-individual therapy - 30 min Y 01/01/1999 09/30/2006 N
X5593 Independent Living Skills-group therapy - 30 min Y 01/01/1999 09/30/2006 N
X5594 Extended mental health-testing - 30 min Y 01/01/1999 12/31/2002
N
X5595 Extended mental health-explanation of findings - 30 Y 01/01/1999 12/31/2002 min
N
X5599 Structured day program - 30 min Y 01/01/1999 09/30/2006
N
N
X5601 Extended transportation - 1 way trip Y 01/01/1999 09/30/2006
N
X5602 Extended transportation - mileage Y 01/01/1999 09/30/2006
N
X5603 Extended transportation - extra attendant Y 01/01/1999 09/30/2006
N
X5604 Assisted living - day Y 01/01/1999 09/30/2006
N
X5605 Assisted living - residential care services - day Y 01/01/1999 09/30/2006 N
X5606 Companion services - night supervision - 15 min Y 01/01/1999 10/31/2004 N
X5609 PPHP Home care services Y 06/01/1994
N X5624 DT&H-bus.supp.employ.-non-waiv.,non-pilot(excl.tran Y 01/01/1999 11/01/2002 s) - full day N X5625 DT&H-bus.supp.employ.-non-waiv.,non-pilot(excl.tran Y 01/01/1999 11/01/2002 s) - part day N
X5626 DT&H-special needs-medical nurse - open Y 01/01/1999 01/01/2003
N
X5628 DT&H-special prac. or prof. consult - open Y 01/01/1999 Y
X5630 MR Preadmission screening - 15 min N 01/01/1999 09/30/2006
Y
X5631 PAS/ARR DD - ARR - MR - 15 min N 01/01/1999 12/31/2003
N
X5632 MH Preadmission screening - 15 min Y 01/01/1999
N
X5633 PAS/ARR-MH-ARR-MH - 15 min Y 01/01/1999 07/01/1998
N
X5639 PAS/ARR-MH diag asses Masters - 30 min Y 01/01/1999
N
X5640 PAS/ARR-MH diag asses PhD - 30 min Y 01/01/1999
Y
X5650 Extended home health aide - 15 min N 01/01/1999 10/31/2004
N
X5651 Medical supplies and equipment - item Y 01/01/1999 10/31/2004
N
X5652 Personal care services-PC Assistant - day Y 01/01/1999 10/31/2004
N
Y
X5655 Homemaker - 15 min N 01/01/1999 10/31/2004
N
X5656 DT&H-busi.support.employ.waiver, non Y 01/01/1999 11/01/2002
pilot(excl.trans) - full day
N
X5657 DT&H-bus.support.employ.waiver,non Y 01/01/1999 11/01/2002
pilot(excl.trans.) - part day
Y
X5660 Home health aide - 15 min N 01/01/1999 10/31/2004
N
X5661 Home health aide - day Y 01/01/1999 12/31/2002
N
X5662 Private duty nursing-LPN-home health - 15 min Y 01/01/1999 06/18/2002 N
X5663 Private duty nursing-RN-home health - 15 min Y 01/01/1999 10/31/2004 N
X5664 Respite care-crisis - day Y 01/01/1999 10/31/2004
N
X5665 Respite care-crisis - hour Y 01/01/1999 10/31/2004
N
X5666 Supported living-housing access - 60 min Y 01/01/1999 09/30/2006
N
X5667 Supported living-housing access - each time Y 01/01/1999 09/30/2006
N
X5668 Supported living-24 hr. emergency asistance - 60 min Y 01/01/1999 10/31/2004 N
X5669 Supported living-24 hr. emergency assistance - day Y 01/01/1999 10/31/2004 N
X5671 Modifications and adaptations-assistive technology - Y 01/01/1999 09/30/2006 item
N
X5672 Companion services-personal support - day Y 01/01/1999 10/31/2004
Y
X5673 Companion services - personal support - hour N 01/01/1999 10/31/2004 N
X5674 Supported living-specialist svcs - 60 min Y 01/01/1999 09/30/2006
Y
X5676 Family counseling (CAC) - 15 min N 01/01/1999 10/31/2004
Y
X5677 Family training (CAC) - 15 min N 01/01/1999 09/30/2006
N
N
X5680 DT&H-waiver, non pilot - full day Y 01/01/1999 09/30/2006
N
X5681 DT&H-waiver, non pilot-transportation - day Y 01/01/1999 09/30/2006 N
X5682 Adult day care, DD - 30 min Y 01/01/1999 10/31/2004
N
X5683 Adult day care, DD - day Y 01/01/1999 10/31/2004
N
X5685 Respite care-crisis - 15 min specialized Y 01/01/1999 10/31/2004
N
X5695 DT&H-non-waiver, non-pilot, one-to-one - 60 min Y 01/01/1999 N
X5696 DT&H-waiver, non-pilot, one-to-one - 60 min Y 01/01/1999 N
X7000 DT&H-non-waiver,non-pilot(excl. trans.) - full day Y 01/01/1999 09/30/2006 N
X7001 DT&H-non-waiver, non-pilot(excl. trans.) - partial day Y 01/01/1999 09/30/2006 N
X7002 DT&H-non-waiver, non-pilot, transportation - day Y 01/01/1999 09/30/2006 N
X7010 DT&H-special needs-direct care - open Y 01/01/1999
N
