DODD Billing Codes

Program

I.O. Waiver I.O. Waiver 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 with Longevity Add-on*** HPC Transportation HPC On site/On call Shared Living HPC Overtime ^Limits! HPC On site/On call Overtime HPC Overtime Emergency

Billing Service Code

APC AQC ATN AOC ASP APV AOV EPV

Service Units

15 Minute 15 Minute Mile 15 Minute Day 15 Minute 15 Minute 15 Minute

Max Pay

$4.32 $4.71 $0.45 $2.20 Per DDP $5.71 $3.30 $5.71

L1 Waiver L1 Waiver L1 Waiver L1 Waiver L1 Waiver L1 Waiver L1 Waiver L1 Waiver L1 Waiver

HPC HPC with Longevity Add-on*** HPC Emergency Care HPC Transportation HPC On site/On call HPC Overtime ^Limits! HPC Overtime Emergency HPC On site/On call Overtime HPC On site/On call Emergency

FPC 15 Minute FQC 15 Minute EPC 15 Minute FTN Mile FOC 15 Minute FPV 15 Minute EPC 15 Minute FOV 15 Minute EOC 15 Minute

$4.32 $4.71 $4.32 $0.45 $2.20 $5.71 $5.71 $3.30 $2.20

SELF Waiver SELF Waiver SELF Waiver

Community Inclusion Personal Assistance

Community Inclusion Transportation

Community Inclusion Personal Assistance Overtime

SAN 15 Minute STI Item (Mile) SPV 15 Minute

$3.08 $0.45 $4.62

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

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