Transcription of Rate Changes for Selected Services Current Rates …
1 Rate Changes for Selected ServicesLine #Service DescriptionProcedure CodeBilling UnitRatioSolo RatesAgency RatesSolo RatesAgency RatesSolo RatesAgency RatesSolo RatesAgency RatesSolo RatesAgency RatesSolo RatesAgency Rates16 Life Skills Development - Level 2 (Supported Employment - Group)(New Rates Eff 7/1/ 2017 )T2021 UCSCQH1 Skills Development - Level 2 (Supported Employment - Group)(New Rates Eff 7/1/ 2017 )T2021 UCSCQH1 Skills Development - Level 2 (Supported Employment - Group)(New Rates Eff 7/1/ 2017 )T2021 UCSCQH1 Skills Development - Level 2 (Supported Employment - Group)(New Rates Eff 7/1/ 2017 )T2021 UCSCQH1 Skills Development - Level 2 (Supported Employment - Group)(New Rates Eff 7/1/ 2017 )T2021 UCSCQH1 Skills Development - Level 2 (Supported Employment - Group)(New Rates Eff 7/1/ 2017 )T2021 UCSCQH1 Skills Development - Level 2 (Supported Employment - Group)(New Rates Eff 7/1/ 2017 )T2021 UCSCQH1 Skills Development - Level 2 (Supported Employment - Group)(New Rates Eff 7/1/ 2017 )T2021 UCSCQH1 Skills Development - Level 2 (Supported Employment - Individual)(New Rates Eff 7/1/ 2017 ) Skills Development - Level 3 (ADT) - Facility Based - Hour (New Rates Eff 7/1/ 2017 ) S5102 UCHour1:1 Skills Development - Level 3 (ADT) - Facility Based - Hour (New Rates Eff 7/1/ 2017 )S5102 UCHour1:3 Skills Development - Level 3 (ADT) - Facility Based - Hour (New Rates Eff 7/1/ 2017 ) S5102 UCHour1:5 Skills Development - Level 3 (ADT) - Facility Based - Hour (New Rates Eff 7/1/ 2017 ) S5102 UCHour1.
2 6 10 Skills Development - Level 3 (ADT) - Off Site - Hour (New Rates Eff 7/1/ 2017 )T2021 UCHour1:1 Skills Development - Level 3 (ADT) - Off Site - Hour (New Rates Eff 7/1/ 2017 )T2021 UCHour1:3 Rates as of 7/1/2016 New Rate Effective 7/1/ 2017 GeographicNon-GeographicMonroe31 Life Skills Development - Level 3 (ADT) - Off Site - Hour (New Rates Eff 7/1/ 2017 )T2021 UCHour1:5 Skills Development - Level 3 (ADT) - Off Site - Hour (New Rates Eff 7/1/ 2017 ) T2021 UCHour1:6 10 Supports - Quarter Hour(New Rates Eff 7/1/ 2017 )S5130 UCQH1 Supports - Quarter Hour(New Rates Eff 7/1/ 2017 )S5130 UCQH1 Supports - Quarter Hour(New Rates Eff 7/1/ 2017 )S5130 UCQH1 Supports - Day(New Rates Eff 7/1/ 2017 )S5130 UCSCDay1 Supports - Day(New Rates Eff 7/1/ 2017 )S5130 UCSCDay1 Supports - Day(New Rates Eff 7/1/ 2017 )S5130 UCSCDay1 Supports - Quarter Hour S5130 UCHAQHNone Negotiated Negotiated Negotiated Negotiated Negotiated Negotiated Negotiated Negotiated Negotiated Negotiated Negotiated Negotiated44 Personal Supports - DayS5130 UCHODayNone Negotiated Negotiated Negotiated Negotiated Negotiated Negotiated Negotiated Negotiated Negotiated Negotiated Negotiated Negotiated50 Residential Habilitation - Basic - Day (New Rates Eff 7/1/ 2017 ) Habilitation - Basic - Month (New Rates Eff 7/1/ 2017 )
3 T2023 UCMonthNone1, , , , , , , , , , , , Habilitation - Minimal - Day (New Rates Eff 7/1/ 2017 ) Habilitation - Minimal - Month (New Rates Eff 7/1/ 2017 )T2023 UCSCM onthNone2, , , , , , , , , , , , Habilitation - Moderate - Day (New Rates Eff 7/1/ 2017 ) Habilitation - Moderate - Month (New Rates Eff 7/1/ 2017 )T2023 UCU4 MonthNone3, , , , , , , , , , , , Habilitation - Behavioral Focus - Extensive 1 - Day(New Rates Eff 7/1/ 2017 ) Habilitation - Behavioral Focus - Extensive 1 - Month (New Rates Eff 7/1/ 2017 )T2023 UCHO MonthNone5, , , , , , , , , , , , Habilitation - Behavioral Focus - Extensive 2 - Day (New Rates Eff 7/1/ 2017 ) Habilitation - Behavioral Focus - Extensive 2 - Month (New Rates Eff 7/1/ 2017 )T2023 UCHPM onthNone6, , , , , , , , , , , , Habilitation - Behavioral Focus - Minimal - Day (New Rates Eff 7/1/ 2017 ) Habilitation - Behavioral Focus - Minimal - Month (New Rates Eff 7/1/ 2017 )T2023 UCHM MonthNone2, , , , , , , , , , , , Habilitation - Behavioral Focus - Moderate - Day (New Rates Eff 7/1/ 2017 ) Habilitation - Behavioral Focus - Moderate - Month (New Rates Eff 7/1/ 2017 )T2023 UCHNM onthNone3, , , , , , , , , , , , Habilitation - Extensive 1 - Day (New Rates Eff 7/1/ 2017 ) Habilitation - Extensive 1 - Month (New Rates Eff 7/1/ 2017 )T2023 UCU6 MonthNone4, , , , , , , , , , , , Habilitation - Extensive 2 - Day (New Rates Eff 7/1/ 2017 ) Habilitation - Extensive 2 - Month (New Rates Eff 7/1/ 2017 )T2023 UCU9 MonthNone6, , , , , , , , , , , , Habilitation - Intensive Behavioral - DayLevel 1 (New Rates Eff 7/1/ 2017 ) Habilitation - Intensive Behavioral - DayLevel 2 (New Rates Eff 7/1/ 2017 ) Habilitation - Intensive Behavioral - DayLevel 3 (New Rates Eff 7/1/ 2017 )
4 Habilitation - Intensive Behavioral - DayLevel 4 (New Rates Eff 7/1/ 2017 ) Habilitation - Intensive Behavioral - DayLevel 5 (New Rates Eff 7/1/ 2017 ) Habilitation - Intensive Behavioral - DayLevel 6 (New Rates Eff 7/1/ 2017 ) Habilitation - Intensive Behavioral - Comprehensive Transitional Education Program - DayLevel 3 (New Rates Eff 7/1/ 2017 ) Habilitation - Intensive Behavioral - Comprehensive Transitional Education Program - Day Level 4 (New Rates Eff 7/1/ 2017 ) Habilitation - Intensive Behavioral - Comprehensive Transitional Education Program - Day Level 5 (New Rates Eff 7/1/ 2017 ) Habilitation - Intensive Behavioral - Comprehensive Transitional Education Program - Day Level 6 (New Rates Eff 7/1/ 2017 ) Habilitation - Intensive Behavioral - Behavioral/Medical - Comprehensive Transitional Education Program - DayChild (New Rates Eff 7/1/ 2017 ) Habilitation - Intensive Behavioral - Behavioral/Medical - Comprehensive Transitional Education Program - DayAdult (New Rates Eff 7/1/ 2017 ) Habilitation - Live-In (New Rates Eff 7/1/ 2017 )H0043 UCSCDay1 Habilitation - Live-In (New Rates Eff 7/1/ 2017 )H0043 UCSCDay1 Habilitation - Live-In (New Rates Eff 7/1/ 2017 )H0043 UCSCDay1 Habilitation - Assisted Living Facility/Optional State Supplementation - DayT2020 UCHBDayNoneN/ANon-standardN/ANon-standar dN/ANon-standardN/ANon-standardN/ANon-st andardN/ANon-standard84 Residential Habilitation - Assisted Living Facility/Optional State Supplementation - MonthT2032 UCHBM onthNoneN/ANon-standardN/ANon-standardN/ ANon-standardN/ANon-standardN/ANon-stand ardN/ANon-standard47 Private Duty Nursing - LPN (New Rates Eff 7/1/ 2017 ) Nursing - LPN (New Rates Eff 7/1/ 2017 ) Nursing - LPN (New Rates Eff 7/1/ 2017 )
5 Respite - LPN - Day (New Rates Eff 7/1/ 2017 )S9125 UCTEDay1 Respite - LPN - Day (New Rates Eff 7/1/ 2017 )S9125 UCTEDay1 Respite - LPN - Quarter Hour (New Rates Eff 7/1/ 2017 )T1005 UCTEQH1 Respite - LPN - Quarter Hour (New Rates Eff 7/1/ 2017 )T1005 UCTEQH1
