Description |
Code |
Service Unit |
Current Rate |
New Rate |
Adult Day Services |
S5100 |
15 Minutes |
$2.08 |
$2.60 |
Agency Companion – Close |
S5126 U1 |
Day |
$100.36 |
$125.45 |
Agency Companion - Close Therapeutic Leave |
S5126 U1 TV |
Day |
$100.36 |
$125.45 |
Agency Companion – Enhanced |
S5126 |
Day |
$130.52 |
$163.15 |
Agency Companion - Enhanced - Therapeutic Leave |
S5126 TV |
Day |
$130.52 |
$163.15 |
Agency Companion – Pervasive |
S5126 TF |
Day |
$142.74 |
$178.43 |
Agency Companion - Pervasive - Therapeutic Leave |
S5126 TF TV |
Day |
$142.74 |
$178.43 |
Center-Based Pre-Vocational Svc - waiver funded |
T2015 U1 |
Hour |
$5.20 |
$6.50 |
Center-Based Pre-Vocational Svc - waiver funded – Telehealth |
T2015 U1 GT |
Hour |
$5.20 |
$6.50 |
Center-Based Pre-Vocational Svc & TL - state funded |
T2015 U1 SE |
Hour |
$5.20 |
$6.50 |
Community-Based Pre-Voc Svc - waiver funded |
T2015 TF |
Hour |
$10.40 |
$13.00 |
Community-Based Pre-Voc Svc & TL - state funded |
T2015 TF SE |
Hour |
$10.40 |
$13.00 |
Daily Living Supports |
T2033 |
Day |
$160.16 |
$200.20 |
Daily Living Supports-Telehealth |
T2033 GT |
Day |
$160.16 |
$200.20 |
DLS - Therapeutic Leave |
T2033 TV |
Day |
$160.16 |
$200.20 |
Employment Specialist |
T2019 |
15 Minutes |
$6.28 |
$7.85 |
Employment Specialist – Telehealth |
T2019 GT |
15 Minutes |
$6.28 |
$7.85 |
Enhanced Community-Based Pre-Voc Svc - waiver funded |
T2015 |
Hour |
$13.85 |
$17.31 |
Enhanced Community-Based Pre-Voc Svc & TL - state funded |
T2015 SE |
Hour |
$13.85 |
$17.31 |
Enhanced Job Coaching GROUPS of 2-3 |
T2019 TG HQ |
15 Minutes |
$4.32 |
$5.40 |
Enhanced Job Coaching Service (Groups of 4-5) |
T2019 TG |
15 Minutes |
$4.04 |
$5.05 |
Extended Duty Nursing |
T1000 |
15 Minutes |
$6.76 |
$10.00 |
Family Counseling - Group - Psychotherapy |
90853 U1 |
15 Minutes |
$5.75 |
$7.19 |
Family Counseling - Group - Psychotherapy-Telehealth |
90853 U1 GT |
15 Minutes |
$5.75 |
$7.19 |
Family Counseling - Individual (without Client) |
90846 |
15 Minutes |
$17.24 |
$21.55 |
Family Counseling - Individual (without Client)-Telehealth |
90846 GT |
15 Minutes |
$17.24 |
$21.55 |
Family Counseling - Individual with Consumer present |
90847 |
15 Minutes |
$17.24 |
$21.55 |
Family Counseling - Individual with Consumer present-Telehealth |
90847 GT |
15 Minutes |
$17.24 |
$21.55 |
Group Home 10 Bed |
T1020 |
Day |
$47.58 |
$59.48 |
Group Home 11 Bed |
T1020 |
Day |
$44.46 |
$55.58 |
Group Home 12 Bed |
T1020 |
Day |
$41.86 |
$52.33 |
Group Home 6 Bed |
T1020 |
Day |
$75.40 |
$94.25 |
Group Home 7 Bed |
T1020 |
Day |
$64.48 |
$80.60 |
Group Home 8 Bed |
T1020 |
Day |
$56.42 |
$70.53 |
Group Home 9 Bed |
T1020 |
Day |
$51.48 |
$64.35 |
Group Home Alternative Living Home 4 Bed |
T1020 |
Day |
$303.68 |
$379.60 |
Group Home Community Living 10 bed |
T1020 |
Day |
$125.58 |
$156.98 |
Group Home Community Living 11 bed |
T1020 |
Day |
$114.14 |
$142.68 |
Group Home Community Living 12 bed |
T1020 |
Day |
$112.84 |
$141.05 |
Group Home Community Living 6 Bed |
T1020 |
Day |
$173.42 |
$216.78 |
Group Home Community Living 7 bed |
T1020 |
Day |
$148.72 |
$185.90 |
Group Home Community Living 8 bed |
T1020 |
Day |
$143.78 |
$179.73 |
Group Home Community Living 9 bed |
T1020 |
Day |
$127.66 |
$159.58 |
Homemaker |
S5130 |
15 Minutes |
$4.00 |
$5.00 |
Homemaker-Respite |
S5150 |
15 Minutes |
$4.00 |
$5.00 |
Homemaker-Respite-EVV |
S5150 32 |
15 Minutes |
$4.00 |
$5.00 |
Homemaker-State Fund |
S5130 SE |
15 Minutes |
$4.00 |
$5.00 |
HTS - Habilitation Training Specialist |
T2017 |
15 Minutes |
$4.21 |
$5.26 |
HTS - Habilitation Training Specialist - EVV |
T2017 32 |
15 Minutes |
$4.21 |
$5.26 |
HTS - Habilitation Training Specialist - state funded |
T2017 SE |
15 Minutes |
$4.21 |
$5.26 |
HTS - Habilitation Training Specialist-Telehealth |
T2017 GT |
15 Minutes |
$4.21 |
$5.26 |
HTS - No Supervising Agency - Independent |
T2017 U1 |
15 Minutes |
$1.90 |
$2.38 |
Individual Placement in Community-Based, Pre-Vocational |
T2015 U4 |
Hour |
$16.84 |
$21.05 |
Individual Placement in Community-Based, Pre-Vocational - Telehealth |
T2015 U4 GT |
Hour |
$16.84 |
$21.05 |
Individual Placement in Community-Based, Pre-Vocational, state funded |
T2015 U4 SE |
Hour |
$16.84 |
$21.05 |
Individual Placement in Job Coaching, Supported Employment |
T2019 U4 |
15 Minutes |
$6.25 |
$7.81 |
Individual Placement in Job Coaching, Supported Employment - Telehealth |
T2019 U4 GT |
15 Minutes |
$6.25 |
$7.81 |
Individual Placement in Job Coaching, Supported Employment, state funded |
T2019 U4 SE |
15 Minutes |
$6.25 |
$7.81 |
Intensive Personal Supports |
T2017 TF |
15 Minutes |
$4.21 |
$5.26 |
Intensive Personal Supports - state funded |
T2017 TF SE |
15 Minutes |
$4.21 |
$5.26 |
Job Coaching (Groups of 4-5) |
T2019 TF |
15 Minutes |
$3.47 |
$4.34 |
Job Coaching GROUPS of 2-3 |
T2019 HQ |
15 Minutes |
$3.75 |
$4.69 |
Job Stabilization/Extended Svc |
T2019 U1 |
15 Minutes |
$1.44 |
$1.80 |
Job Stabilization/Extended Svc - Telehealth |
T2019 U1 GT |
15 Minutes |
$1.44 |
$1.80 |
Nursing - Intermittent Skilled Care |
T1001 |
Visit |
$52.52 |
$65.65 |
Occupational Therapy |
G0152 |
15 Minutes |
$20.80 |
$26.00 |
Occupational Therapy-Telehealth |
G0152 GT |
15 Minutes |
$20.80 |
$26.00 |
Physical Therapy |
G0151 |
15 Minutes |
$20.80 |
$26.00 |
Physical Therapy-Telehealth |
G0151 GT |
15 Minutes |
$20.80 |
$26.00 |
Pre-Voc HTS - Supplemental Supports & TL - state funded |
T2015 TG SE |
Hour |
$13.10 |
$16.38 |
Pre-Voc HTS - Supplemental Supports - waiver funded |
T2015 TG |
Hour |
$13.10 |
$16.38 |
Psychological - Cognitive/Behavior Treatment - Group |
90853 |
15 Minutes |
$10.78 |
$13.48 |
Psychological - Cognitive/Behavior Treatment - Group - Telehealth |
90853 GT |
15 Minutes |
$10.78 |
$13.48 |
Psychological Services - Therapy |
H0004 |
15 Minutes |
$21.56 |
$26.95 |
Psychological Services - Therapy - Telehealth |
H0004 GT |
15 Minutes |
$21.56 |
$26.95 |
PSYCHOTHERAPY, 30 MINUTES WITH PATIENT AND/OR FAMILY MEMBER |
90832 |
30 Minutes |
$52.00 |
$65.00 |
Remote Supports With Unpaid Staff |
T2017 U4 |
15 Minutes |
$1.45 |
$1.81 |
Remotes Supports With Paid Staff |
T2017 U4 |
15 Minutes |
$2.62 |
$3.28 |
Respite - Close - |
S5151 |
Day |
$40.00 |
$50.00 |
Respite - Intermittent - |
S5151 |
Day |
$19.00 |
$23.75 |
Respite - Maximum |
S5151 |
Day |
$79.04 |
$98.80 |
Respite in Agency Companion - Contractor - Close |
S5151 |
Day |
$123.24 |
$154.05 |
Respite in Agency Companion - Contractor - Pervasive |
S5151 |
Day |
$165.62 |
$207.03 |
Respite in Agency Companion - Contractor- Enhanced |
S5151 |
Day |
$153.40 |
$191.75 |
Respite in Agency Companion - Contractor- Enhanced - STATE FUNDED |
S5151 SE |
Day |
$153.40 |
$191.75 |
Respite in Community Living Group Home - 6 bed setting |
S5151 |
Day |
$196.30 |
$245.38 |
Respite in Community Living Group Home - 7 bed setting |
S5151 |
Day |
$171.60 |
$214.50 |
Respite in Community Living Group Home - 8 bed setting |
S5151 |
Day |
$166.66 |
$208.33 |
Respite in Community Living Group Home - 9 bed setting |
S5151 |
Day |
$150.54 |
$188.18 |
Respite in Community Living Group Home 10 bed setting |
S5151 |
Day |
$148.46 |
$185.58 |
Respite in Community Living Group Home 11 bed setting |
S5151 |
Day |
$137.02 |
$171.28 |
Respite in Community Living Group Home 12 bed setting |
S5151 |
Day |
$135.72 |
$169.65 |
Respite in Group Home - 10 bed setting |
S5151 |
Day |
$70.46 |
$88.08 |
Respite in Group Home - 11 bed setting |
S5151 |
Day |
$67.34 |
$84.18 |
Respite in Group Home - 12 bed setting |
S5151 |
Day |
$64.74 |
$80.93 |
Respite in Group Home - 6 bed setting |
S5151 |
Day |
$98.70 |
$123.38 |
Respite in Group Home - 7 bed setting |
S5151 |
Day |
$87.36 |
$109.20 |
Respite in Group Home - 8 bed setting |
S5151 |
Day |
$79.30 |
$99.13 |
Respite in Group Home - 9 bed setting |
S5151 |
Day |
$74.36 |
$92.95 |
Respite, In Own Home - Close |
S9125 TF |
Day |
$28.50 |
$35.63 |
Respite, In Own Home - Intermittent |
S9125 U1 |
Day |
$19.00 |
$23.75 |
Respite, In Own Home - Maximum |
S9125 |
Day |
$57.04 |
$71.30 |
Self Directed HTS |
T2017 U1 TF |
15 Minutes |
$4.21 |
$5.26 |
Self-Directed Individual Placement in Job Coaching, Supported Employment |
T2019 U4 TF |
15 Minutes |
$6.25 |
$7.81 |
Skilled Nursing - Licensed Practical Nurse |
G0300 |
15 Minutes |
$14.56 |
$18.20 |
Skilled Nursing - Licensed Practical Nurse-Telehealth |
G0300 GT |
15 Minutes |
$14.56 |
$18.20 |
Skilled Nursing - Registered Nurse |
G0299 |
15 Minutes |
$15.60 |
$19.50 |
Skilled Nursing - Registered Nurse-Telehealth |
G0299 GT |
15 Minutes |
$15.60 |
$19.50 |
Specialized Family Care Adult - Close |
S5140 U1 |
Day |
$30.00 |
$37.50 |
Specialized Family Care Adult - Maximum |
S5140 |
Day |
$56.16 |
$70.20 |
Specialized Family Care Child - Close |
S5145 U1 |
Day |
$30.00 |
$37.50 |
Specialized Family Care Child - Maximum |
S5145 |
Day |
$56.16 |
$70.20 |
Speech/Language Services |
G0153 |
15 Minutes |
$19.54 |
$24.43 |
Speech/Language Services-Telehealth |
G0153 GT |
15 Minutes |
$19.54 |
$24.43 |
Transportation - Adapted |
A0130 |
Mile |
$1.35 |
$1.69 |
Transportation - Non-Adapted |
S0215 |
Mile |
$0.52 |
$0.625 |
Value-Based Incentive Quality Payment |
T2025 UK |
Each |
$500.00 |
$625.00 |
Vehicle Modification Assessment |
T2024 |
Each |
$20.80 |
$26.00 |