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IRIS Service Definition Manual - Wisconsin Department of …

Department of Health Services Division of Medicaid Services P-00708B (07/2022) State of Wisconsin Page 1 of 59 IRIS Service Definition Manual The IRIS program is a Medicaid Home and Community-Based Services (HCBS) waiver program authorized under 1915(c) of the Social Security Act and approved by the Centers for Medicare and Medicaid Services (CMS). The IRIS Service Definition Manual details the long-term care services and supports covered by the IRIS program and qualifications providers must meet to provide such services and/or supports. Service codes are also included in the appendix.

15 minutes, hourly.) The code is the claim billing code that the service must be billed under and must be submitted on the claim. The modifier is additional claim billing code information that must be attached. This code is submitted with the encounter claim and is a state-defined code used for service categorization and grouping.

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