DODD Billing Codes - LCOUNTYDD

[Pages:1]Program

I.O. Waiver I.O. Waiver I.O. Waiver I.O. Waiver I.O. Waiver I.O. Waiver

DODD Billing Codes

Service Title

HPC HPC Transportation HPC On site/On call Shared Living HPC Overtime HPC On site/On call Overtime

Billing Service Code

APC ATN AOC ASP APV APC

Service Units

15 Minute Mile 15 Minute Day 15 Minute 15 Minute

Rule

5123:2-9-30 5123:2-9-24 5123:2-9-30 5123:2-9-33 5123:2-9-30 5123:2-9-30

L1 Waiver L1 Waiver L1 Waiver L1 Waiver

L1 Waiver

HPC HPC Transportation HPC On site/On call HPC Overtime HPC On site/On call Overtime

FPC 15 Minute FTN Mile FOC 15 Minute FPV 15 Minute

FOV 15 Minute

5123:2-9-30 5123:2-9-24 5123:2-9-30 5123:2-9-30

5123:2-9-30

SELF Waiver SELF Waiver

Community Inclusion Personal Assistance (Independent) Community Inclusion Transportation (Independent)

SAN 15 Minute STI Item (Mile)

5123:2-9-42 5123:2-9-42

* All codes require authorization on the ISP ** Overtime billing has specific instructions, must be billed from the day that you hit 40 hours

Max Pay

$4.32 $0.45 $2.09 Per DDP $5.71 $3.14

$4.32 $0.45 $2.09 $5.71

$3.14

$3.08

$0.45

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