| 7933 |
DAY HABILITATION |
15 minute |
$29.25 |
$32.80 |
$29.25 |
$32.80 |
$23.40 |
$26.24 |
| 7934 |
DAY HABILITATION GROUP OF 2 |
15 minute |
$19.01 |
$21.33 |
$19.01 |
$21.33 |
$15.21 |
$17.06 |
| 7935 |
DAY HABILITATION GROUP OF 3 |
15 minute |
$14.14 |
$15.85 |
$14.14 |
$15.85 |
$11.31 |
$12.68 |
| 8003 |
CAREGIVER/FAMILY SUPPORTS AND SERVICES |
15 minute |
$30.28 |
$33.95 |
$30.28 |
$33.95 |
$24.22 |
$27.16 |
| 8004 |
CAREGIVER FAMILY SUPPORTS AND SERVICES GROUP OF 2 |
15 minute |
$19.68 |
$22.06 |
$19.68 |
$22.06 |
$15.74 |
$17.65 |
| 8005 |
CAREGIVER FAMILY SUPPORTS AND SERVICES GROUP OF 3 |
15 minute |
$14.63 |
$16.41 |
$14.63 |
$16.41 |
$11.70 |
$13.13 |
| 8006 |
PREVOCATIONAL SERVICES |
15 minute |
$22.43 |
$25.15 |
$22.43 |
$25.15 |
$17.94 |
$20.12 |
| 8007 |
PRE-VOCATIONAL GROUP OF 2 |
15 minute |
$14.58 |
$16.35 |
$14.58 |
$16.35 |
$11.66 |
$13.08 |
| 8008 |
PRE-VOCATIONAL GROUP OF 3 |
15 minute |
$10.84 |
$12.16 |
$10.84 |
$12.16 |
$8.67 |
$9.73 |
| 8009 |
COMMUNITY ADVOCACY AND SUPPORT INDIV |
15 minute |
$42.00 |
$47.10 |
$42.00 |
$47.10 |
$33.60 |
$37.68 |
| 8010 |
COMMUNITY ADVOCACY AND SUPPORT GROUP OF 2 |
15 minute |
$27.30 |
$30.61 |
$27.30 |
$30.61 |
$21.84 |
$24.49 |
| 8011 |
COMMUNITY ADVOCACY AND SUPPORT GROUP OF 3 |
15 minute |
$20.30 |
$22.76 |
$20.30 |
$22.76 |
$16.24 |
$18.21 |
| 8012 |
COMMUNITY HCBS HAB |
15 minute |
$13.00 |
$13.04 |
$13.00 |
$13.04 |
$10.40 |
$10.43 |
| 8013 |
COMMUNITY HCBS HAB GROUP OF 2 |
15 minute |
$8.13 |
$8.14 |
$8.13 |
$8.14 |
$6.50 |
$6.51 |
| 8014 |
COMMUNITY HCBS HAB GROUP OF 3 |
15 minute |
$6.15 |
$6.50 |
$6.15 |
$6.50 |
$4.92 |
$5.20 |
| 8015 |
SUPPORTED EMPLOYMENT |
15 minute |
$26.59 |
$29.81 |
$26.59 |
$29.81 |
$21.27 |
$23.85 |
| 8016 |
PALLIATIVE CARE - PAIN AND SYMPTOM MANAGEMENT |
15 minute |
$104.34 |
$117.01 |
$104.34 |
$117.01 |
$83.47 |
$93.61 |
| 8017 |
PALLIATIVE CARE - BEREAVEMENT SERVICES |
30 minute |
$83.80 |
$93.99 |
$83.80 |
$93.99 |
$67.04 |
$75.19 |
| 8018 |
PALLIATIVE CARE - MASSAGE THERAPY |
15 minute |
$49.50 |
$55.51 |
$49.50 |
$55.51 |
$39.60 |
$44.41 |
| 8019 |
PALLIATIVE CARE - EXPRESSIVE THERAPY |
15 minute |
$34.33 |
$38.50 |
$34.33 |
$38.50 |
$27.46 |
$30.80 |
| 7952 |
BEREAVEMENT ASSESSMENT/COUNSELING |
episodic |
– |
– |
$2,718.76 |
$3,049.26 |
$2,175.01 |
$2,439.41 |
| 7946 |
BEREAVEMENT HH U LOW (Bereavement End of Life Low - Upstate) |
episodic |
– |
– |
$281.25 |
|
$225.00 |
|
| 7949 |
BEREAVEMENT HH D LOW (Bereavement End of Life Low - Downstate) |
episodic |
– |
– |
|
$300.00 |
|
$240.00 |
| 7947 |
BEREAVEMENT HH U MED (Bereavement End of Life Medium - Upstate) |
episodic |
– |
– |
$562.50 |
|
$450.00 |
|
| 7950 |
BEREAVEMENT HH D MED (Bereavement End of Life Medium - Downstate) |
episodic |
– |
– |
|
$598.75 |
|
$479.00 |
| 7948 |
BEREAVEMENT HH U HIGH (Bereavement End of Life High - Upstate) |
episodic |
– |
– |
$937.50 |
|
$750.00 |
|
| 7951 |
BEREAVEMENT HH D HIGH (Bereavement End of Life High - Downstate) |
episodic |
– |
– |
|
$998.75 |
|
$799.00 |
| 8023 |
PLANNED RESPITE - INDIVIDUAL (UP TO 6 HOURS) |
15 minute |
$15.35 |
$17.21 |
$15.35 |
$17.21 |
$12.28 |
$13.77 |
| 8024 |
PLANNED RESPITE - INDIVIDUAL (6-12 HOURS) |
per diem |
$366.51 |
$411.08 |
$366.51 |
$411.08 |
$293.21 |
$328.86 |
| 8025 |
PLANNED RESPITE - INDIVIDUAL (12-24 HOURS) |
per diem |
$628.30 |
$704.69 |
$628.30 |
$704.69 |
$502.64 |
$563.75 |
| 8027 |
PLANNED RESPITE - GROUP (UP TO 6 HOURS) |
15 minute |
$7.43 |
$8.33 |
$7.43 |
$8.33 |
$5.94 |
$6.66 |
| 8026 |
PLANNED RESPITE - GROUP (6-12 HOURS) |
per diem |
$177.15 |
$198.69 |
$177.15 |
$198.69 |
$141.72 |
$158.95 |
| 8028 |
CRISIS RESPITE (UP TO 6 HOURS) |
15 minute |
$17.83 |
$19.99 |
$17.83 |
$19.99 |
$14.26 |
$15.99 |
| 8029 |
CRISIS RESPITE (6-12 HOURS) |
per diem |
$425.53 |
$477.26 |
$425.53 |
$477.26 |
$340.42 |
$381.81 |
| 8030 |
CRISIS RESPITE (12-24 HOURS) |
per diem |
$729.43 |
$818.06 |
$729.43 |
$818.06 |
$583.54 |
$654.45 |
| 8032 |
ENVIR MODS - $1.00 UNIT |
per unit |
$1.00 |
$1.00 |
$1.00 |
$1.00 |
$1.00 |
$1.00 |
| 8034 |
ENVIR MODS - $10.00 UNIT |
per unit |
$10.00 |
$10.00 |
$10.00 |
$10.00 |
$10.00 |
$10.00 |
| 8035 |
ENVIR MODS - $100.00 UNIT |
per unit |
$100.00 |
$100.00 |
$100.00 |
$100.00 |
$100.00 |
$100.00 |
| 8036 |
ENVIR MODS - $1000.00 UNIT |
per unit |
$1,000.00 |
$1,000.00 |
$1,000.00 |
$1,000.00 |
$1,000.00 |
$1,000.00 |
| 8037 |
ADAPTIVE AND ASSISTIVE EQUIPMENT - $1.00 UNIT |
per unit |
$1.00 |
$1.00 |
$1.00 |
$1.00 |
$1.00 |
$1.00 |
| 8038 |
ADAPTIVE AND ASSISTIVE EQUIPMENT - $10.00 UNIT |
per unit |
$10.00 |
$10.00 |
$10.00 |
$10.00 |
$10.00 |
$10.00 |
| 8039 |
ADAPTIVE AND ASSISTIVE EQUIPMENT - $100.00 UNIT |
per unit |
$100.00 |
$100.00 |
$100.00 |
$100.00 |
$100.00 |
$100.00 |
| 8040 |
ADAPTIVE AND ASSISTIVE EQUIPMENT - $1000.00 UNIT |
per unit |
$1,000.00 |
$1,000.00 |
$1,000.00 |
$1,000.00 |
$1,000.00 |
$1,000.00 |
| 8041 |
VEHICLE MODIFICATIONS - $1.00 UNIT |
per unit |
$1.00 |
$1.00 |
$1.00 |
$1.00 |
$1.00 |
$1.00 |
| 8042 |
VEHICLE MODIFICATIONS - $10.00 UNIT |
per unit |
$10.00 |
$10.00 |
$10.00 |
$10.00 |
$10.00 |
$10.00 |
| 8043 |
VEHICLE MODIFICATIONS - $100.00 UNIT |
per unit |
$100.00 |
$100.00 |
$100.00 |
$100.00 |
$100.00 |
$100.00 |
| 8044 |
VEHICLE MODIFICATIONS - $1000.00 UNIT |
per unit |
$1,000.00 |
$1,000.00 |
$1,000.00 |
$1,000.00 |
$1,000.00 |
$1,000.00 |
