HCPCS_ HCPCS_ start_date 09 CDCS - Treatment and training 10/01/ CDCS - Self direction support activities 10/01/2004
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1 V.17.2 Code Table Listing -- SSIS.MOD Sort = MOD_ID MOD_ID CD UTC Desc 11 T2028 U2 09 CDCS - Treatment and training 10/01/ T2028 U3 09 CDCS - Environmental modifications and provisions 10/01/ T2028 U4 09 CDCS - Self direction support activities 10/01/ T1019 TT UC 16 Extended shared personal care services 1:2 11/01/ T1019 HQ UC 16 Extended shared personal care services 1:3 11/01/ S5135 U9 16 Behavioral programming by aide 11/01/ /30/ S5135 UA 16 BI night supervision 11/01/ S5135 UB hour emergency assistance (15 minutes) 11/01/ /31/ S5136 UB hour emergency assistance (day) 11/01/ /31/ S5100 TF 16 Adult day care bath 11/01/ T1002 TT UC 16 RN, regular, extended 1:2 11/01/ T1003 TT UC 16 LPN, regular, extended 1:2 11/01/ S9131 TF UC 29 Extended physical therapy assistant 11/01/ S9129 TF UC 29 Extended occupational therapy assistant 11/01/ T1002 TG UC 16 RN, complex, extended 11/01/ T1003 TG UC 16 LPN, complex, extended 11/01/ T1002 TT 16 RN, regular 1:2 11/01/ T1002 UC 16 RN, regular, extended 1:1 11/01/ T1002 TG 16 RN, complex 11/01/2004 V SSIS.MOD Page 1 of 14
2 MOD_ID CD UTC Desc 119 T1003 UC 16 LPN, regular, extended 1:1 11/01/ T1003 TT 16 LPN, regular 1:2 11/01/ T1003 TG 16 LPN, complex 11/01/ T1019 TT 16 Personal care services (PCA) 1:2 11/01/ T Personal care services (PCA) 1:1 11/01/ T1019 HQ 16 Personal care services (PCA) 1:3 11/01/ T2023 HA HE 18 MH-TCM, child, face-to-face 126 T2023 HE U4 18 MH-TCM, adult, telephone 127 T2023 HE HW 18 MH-TCM, adult, face-to-face by state staff 12/31/ T2023 HE HW U4 18 MH-TCM, adult, telephone by state staff 12/31/ T2023 U3 18 CW-TCM, face-to-face 130 T2023 U3 U4 18 CW-TCM, telephone 131 T2023 U1 18 VA/DD-TCM, face-to-face 132 T2023 U1 U4 18 VA/DD-TCM, telephone 135 T1005 TG 16 Crisis respite, specialized 11/01/ S5126 TG 08 DD, in home family support (day) 11/01/ /31/ H0040 HW 08 Assertive Community Treatment (ACT) by state staff 07/01/ /31/ H Children's residential treatment 07/01/ H0019 HW 08 Intensive Residential Rehab. Treatment (IRT) by state staff 07/01/ /31/ S9484 HM 11 Crisis assessment, intervention and stabilization, non-residential, ind. by rehab. worker V SSIS.MOD Page 2 of 14
3 MOD_ID CD UTC Desc 146 S9484 HQ 11 Crisis assessment, intervention and stabilization, non-residential, group X Transportation 01/01/ /30/ X Residential care services 01/01/ /30/ X Extended transportation 01/01/ /30/ X Foster care, corporate 01/01/ /30/ X DD county screening, MA elig 01/01/ /30/ X Day program, supported employment 01/01/ /30/ X Day program, supported employment 01/01/ /30/ X Day program, supported employment 01/01/ /30/ X MR, adult supported living services 01/01/ /30/ X MR, adult supported living services 01/01/ /30/ X Extended home health medical supplies/equipment 01/01/ /30/ X Case management 01/01/ /30/ X Respite care, out of home 01/01/ /30/ X Case management, paraprofessional 01/01/ /30/ X Consumer education and training 01/01/ /30/ X Consumer directed community support 01/01/ /30/ X Consumer directed community support 01/01/ /30/ X Independent Living Skills counseling 01/01/ /30/ X Independent Living Skills group therapy 01/01/ /30/2006 V SSIS.MOD Page 3 of 14
4 MOD_ID CD UTC Desc X Extended transportation 01/01/ /30/ X Extended transportation 01/01/ /30/ X Extended transportation - extra attendant 01/01/ /30/ X MR Preadmission screening - 15 min 01/01/ /30/ X MH preadmission screening 01/01/ X PASARR MH diag asses Masters 01/01/ X PASARR MH diag asses PhD 01/01/ X Assistive technology 01/01/ /30/ X Specialist service 01/01/ /30/ X DT&H, waiver, non-pilot 01/01/ /30/ Life/disability evaluation: Face-to-face LTCC assessment under age 65 07/01/ /31/ X MR, adult supported living services 02/01/ /30/ T Relocation Service Coordination (RSC-TCM) 07/01/ /31/ H Crisis stabilization, residential T2023 HE 18 MH-TCM, adult, face-to-face S Crisis assessment, intervention and stabilization, non-residential, ind. by professional H Partial hospitalization S Environmental accessibility adaptations, home modifications/install and expenses 11/01/ T2028 U1 09 CDCS - Personal assistance 10/01/ T CDCS - Background check 10/01/2004 V SSIS.MOD Page 4 of 14
5 MOD_ID CD UTC Desc T CDCS - Mandatory case management 10/01/ S Day care services, adult (15 minutes) 11/01/ S Day care services, adult (day) 11/01/ S Family training 11/01/ S Caregiver training/education 11/01/ /30/ S Chore services 11/01/ S DD, in home family support (15 minutes) 11/01/ S Caregiver living expenses 11/01/ S Homemaker service - cleaning only (15 minutes) 11/01/ S Homemaker services (day) 11/01/ S Foster care, adult (day) 11/01/ S Foster care, adult (month) 11/01/ /31/ S Foster care, child (day) 11/01/ S Foster care, child (month) 11/01/ /31/ S Respite care, in home (15 minutes) 11/01/ /31/ S Respite care, in home (day) 11/01/ S Home delivered meals 11/01/ S Crisis respite (day) 11/01/ S9128 UC 29 Extended speech therapy 11/01/ S9129 UC 29 Extended occupational therapy 11/01/2004 V SSIS.MOD Page 5 of 14
6 MOD_ID CD UTC Desc S9131 UC 29 Extended physical therapy 11/01/ S Nutritional counseling, diet 11/01/ E Durable medical equipment 11/01/ /31/ H Respite care services, not in home 11/01/ G Direct skilled nursing services - LPN or RN - home 11/01/ /31/ G Home health aide/extended home health aide 11/01/ /30/ T Crisis respite (15 minutes) 11/01/ T RN, regular 11/01/ T LPN, regular 11/01/ T1019 UC 16 Extended personal care 1:1 11/01/ T Home health aide visit 11/01/ T Personal care services 11/01/ /30/ T Trans Serv Deposits/Moving Exp 11/01/ S Companion care, adult/personal support 11/01/ S Personal support 11/01/ /31/ H Assertive Community Treatment (ACT) 07/01/ H2017 HM UD 16 Transition to Community Living by a mental health rehabilitation worker 08/31/ H2017 HM HW UD 16 Psychosocial rehab., indiv., transitional by rehab worker/state employee 12/31/ H2017 HM HW 16 Psychosocial rehab., indiv. by rehab worker/state employee 12/31/ H2017 HW UD 16 Psychosocial rehab., indiv., transitional by state employee 12/31/2007 V SSIS.MOD Page 6 of 14
7 MOD_ID CD UTC Desc H2017 HQ HW 16 Psychosocial rehab., group by state employee 12/31/ T2028 U8 09 CDCS - Flexible case management 10/01/ H Basic Living and Social Skills - individual; mental health professional or practitioner H2017 HM 16 Basic Living and Social Skills - individual; mental health rehabilitation worker H2017 HW 16 Psychosocial rehab., indiv. by state employee 12/31/ H2017 HQ 16 Basic Living and Social Skills - group; mental health professional or practitioner, or rehab. worker H2017 UD 16 Transition to Community Living 08/31/ T2016 U9 08 Supported living services, adult, corporate AFC (day) 10/01/ H2017 HQ UD 16 Psychosocial rehab., group, transitional H2017 HM HQ UD 16 Psychosocial rehab., group, transitional by rehab worker H2017 HQ HW UD 16 Psychosocial rehab., group, transitional by state employee 12/31/ H2017 HM HQ HW UD 16 Psychosocial rehab., group, transitional by rehab worker/state employee 12/31/ H2017 HM HQ 16 Psychosocial rehab., group by rehab worker H2017 HM HQ HW 16 Psychosocial rehab., group by rehab worker/state employee 12/31/ Environmental or community intervention, mental health professional or practitioner 01/01/ UD 27 Transition to Community Intervention 01/01/ /31/ HM UD 27 Transition to Community Intervention by a mental health rehabilitation worker 01/01/ /31/ HW UD 16 Community intervention, indiv., transitional by state employee 01/01/ /31/ HM HW UD 16 Community intervention, indiv., transitional by rehab worker/state employee 01/01/ /31/ HM 27 Environmental or community intervention, mental health rehabilitation worker 01/01/2002 V SSIS.MOD Page 7 of 14
8 MOD_ID CD UTC Desc HW 16 Community intervention, indiv. by state employee 01/01/ /31/ HM HW 16 Community intervention, indiv. by rehab worker/state employee 01/01/ /31/ T Consumer Support Grant (CSG) 06/01/ H Behaviorial Support, by analyst 10/01/ H0025 TF 16 Behaviorial Support, by specialist 10/01/ H0025 TG 16 Behaviorial Support, by professional 10/01/ H Independent living skills, maintenance 10/01/ /31/ H2032 TG 16 Independent living skills, individual therapy 10/01/ H2032 HQ 16 Independent living skills, group therapy 10/01/ T DT&H, non-pilot/structured day program 10/01/ T2020 U5 22 DT&H, non-pilot 10/01/ /31/ T DT&H, non-pilot, transportation 10/01/ /31/ T2021 TG 16 DT&H pilot, Rate A 10/01/ /31/ T2021 TF 16 DT&H pilot, Rate B 10/01/ /31/ T2021 UB 16 DT&H pilot, Rate C 10/01/ /31/ T DT&H pilot, Rate D/Structured day program 10/01/ T DD screening (screen) 10/01/ /31/ T Residential care services (month) 10/01/ /31/ T2032 U9 18 Supported living services, adult, corporate AFC (month) 10/01/ /31/ T2032 HA 18 Supported living services, child (month) 10/01/ /31/2013 V SSIS.MOD Page 8 of 14
9 MOD_ID CD UTC Desc T2018 U5 22 Supported employment (partial day) 10/01/ /31/ S0215 UC 14 Transportation, mileage (commercial vehicle) 10/01/ /31/ T2038 TF 32 Housing access coordination 10/01/ /31/ T Assistive technology/supplies and equip., extended 10/01/ T Specialist service 10/01/ T2017 HA 16 Supported living services, child (15 minutes) 10/01/ T2016 HA 08 Supported living services, child (day) 10/01/ T Supported living services, adult (15 minutes) 10/01/ T2017 U9 16 Supported living services, adult, corporate AFC (15 minutes) 10/01/ T Supported living services, adult (day) 10/01/ S Consumer training and education 10/01/ T1016 UC 16 Waiver case management 10/01/ S5141 HQ 18 Foster care, adult (month) 10/01/ T2003 UC 28 Non-emergency transportation; encounter/trip (one way) 10/01/ T1019 UA 16 Supervision of PCA 10/01/ T Non-emergency transportation; encounter/trip (one way) 10/01/ S5110 TF 16 CAC Family training 10/01/ /30/ T Customized living services (monthly) 10/01/ /31/ T2030 TG hour customized living (monthly) 10/01/ /31/ T2030 TG U hour customized living (corporate) 10/01/ /31/2013 V SSIS.MOD Page 9 of 14
10 MOD_ID CD UTC Desc T Supported employment (15 minutes) 10/01/ T Supported employment (day) 10/01/ /31/ T1016 TF UC 16 Waiver case management by paraprofessional 10/01/ S5150 UB 16 Respite care, out of home 10/01/ T Prevocational services (hour) 10/01/ T Prevocational services (day) 10/01/ H2032 TF 16 Independent living skills, counseling 10/01/ T2001 UC 03 Transportation, extra attendant 10/01/ T Customized living services (daily) 10/01/ T Residential care services (day) 10/01/ T AC Conversion 07/01/ T2003 UC 25 Non-emergency transportation; round trip 10/01/ /30/ T Supported living services, adult (semi-monthly) 10/01/ /31/ S0215 UC 14 Transportation, mileage 10/01/ T2032 U9 34 Supported living services, adult, corporate AFC (semi-monthly) 10/01/ /31/ T2032 HA 34 Supported living services, child (semi-monthly) 10/01/ /31/ T Supported living services, adult (month) 10/01/ /31/ X AC Discretionary service 07/01/ H Intensive Residential Rehab. Treatment (IRT) 07/01/ T2025 UD 09 Family Support Grant (FSG) with CSG 06/01/ /31/2012 V SSIS.MOD Page 10 of 14
11 MOD_ID CD UTC Desc S5140 U9 08 Foster care, adult, corporate (day) 11/01/ S5141 U9 18 Foster care, adult, corporate (month) 11/01/ /31/ T2038 U1 09 Transitional services, furniture 11/01/ T2038 U2 09 Transitional services, supplies 11/01/ T DD Screening (15 minutes) 06/01/ T Home health skilled nurse 11/01/ T1030 GT 09 Home health telehomecare 11/01/ H2019 UA 16 Therapeutic behavioral services, Level I MHBA 07/01/ H2019 HM UA 16 Therapeutic behavioral services, Level II MHBA 07/01/ H2019 HE UA 16 Therapeutic behavioral services, direction of MHBA 07/01/ S5100 U7 16 Family adult day services (FADS) (15 minutes) 01/01/ S5102 U7 08 Family adult day services (FADS) (day) 01/01/ T Life/disability evaluation: Face-to-face LTCC assessment under age 65 04/01/ T Relocation Service Coordination (RSC-TCM) 09/01/ T Home health aide/extended home health aide 07/01/ S5165 U3 12 Environmental accessibility adaptations, square footage 08/01/ H Alcohol and/or drug assessment 07/01/ H Behavioral health eligibility screening 07/01/ S9484 HN 11 Crisis assessment, intervention and stabilization, non-residential, ind. by practitioner 01/01/ HK 27 Community intervention, crisis response 01/01/2010 V SSIS.MOD Page 11 of 14
12 MOD_ID CD UTC Desc S5116 TF 32 Caregiver assessment 04/01/ /30/ S Emergency response system-installation and testing 05/01/ S Emergency response system-service fee, per month 05/01/ S Emergency response system-purchase 05/01/ H0040 U6 08 Assertive Community Treatment, MHM 06/01/ H2015 U6 16 Comprehensive community support services, MHM 06/01/ T1016 U6 16 Case management, MHM 06/01/ T2038 U6 09 Transition plan development, MHM 06/01/ T2038 UD U6 09 Transition coordination, MHM 06/01/ /31/ A0180 U6 09 Non-emergency transportation: ancillary lodging, recipient, MHM 06/01/ A0200 U6 09 Non-emergency transportation: lodging for caseworker, escort, parent, MHM 06/01/ S5135 UA U6 16 Overnight Assistance, MHM 06/01/ S5160 U6 12 Emergency response system installation and testing, MHM 06/01/ S5161 U6 12 Emergency response system service fee per month, MHM 06/01/ S5162 U6 12 Emergency response system purchase, MHM 06/01/ S5165 U6 12 Environmental accessibility adaptations, MHM 06/01/ S9970 U6 12 Health club membership, annual, MHM 06/01/ /31/ T1028 U6 12 Adaptations - home assessment, MHM 06/01/ T1999 U6 12 Tools, clothing and equipment for employment, MHM 06/01/ T2038 U1 U6 09 Transitional services, furniture, MHM 06/01/2013 V SSIS.MOD Page 12 of 14
13 MOD_ID CD UTC Desc T2038 U2 U6 09 Transitional services, supplies, MHM 06/01/ T2038 UA U6 09 Transitional services, housing deposit, MHM 06/01/ S Caregiver training/education 07/01/ S5115 TF 16 Caregiver Coaching and Counseling/Caregiver Assessment 07/01/ T PASRR Level II Screening 09/01/ S Respite care, in home (15 minutes) 01/01/ T2029 U6 12 Assistive technology/supplies and equip., extended, MHM 12/01/ /31/ S9970 U5 U6 18 Health club membership, monthly, MHM 08/01/ H Community Living Assistance Services, in person 01/01/ H Community Living Assistance Services, remote 01/01/ S5115 TG 16 Family Caregiver Coaching and Counseling/Family Memory Care 07/01/ E1399 NU 12 Durable medical equipment, new 06/01/ E1399 RB 12 Durable medical equipment, repair 06/01/ E1399 RR 12 Durable medical equipment, rental 06/01/ T1017 U6 16 Transition coordination, MHM 01/01/ T2029 U6 NU 12 Durable medical equipment, new, MHM 01/01/ T2029 U6 RB 12 Durable medical equipment, repair, MHM 01/01/ T2029 U6 RR 12 Durable medical equipment, rental, MHM 01/01/ T2029 U6 UE 12 Durable medical equipment, used, MHM 01/01/ E1399 UE 12 Durable medical equipment, used 01/01/2016 V SSIS.MOD Page 13 of 14
14 MOD_ID CD UTC Desc T2029 NU 12 Durable medical equipment, new 01/01/ T2029 RB 12 Durable medical equipment, repair 01/01/ T2029 RR 12 Durable medical equipment, rental 01/01/ T2029 UE 12 Durable medical equipment, used 01/01/ H2017 U3 16 Basic living and social skills, transitioning to community living (TCL), mental health professional 09/01/ H2017 HM U3 16 Basic skills, transitioning to community living (TCL) by a mental health rehabilitation worker, less 09/01/ U3 27 Environmental or community intervention; transition to community living (TCL) intervention 09/01/ HM U3 27 Environmental or community intervention; transition to community living intervention, less than bach 09/01/2016 V SSIS.MOD Page 14 of 14
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