Service | Rule | Code | Rate | Comments |
Adult Family Living | 5123:2-9-32 | AFL | Based on group size 1-4. Requires ODDP. | Billing unit is 1. Service code and rates are stored in 'aflrates' table. |
Community Inclusion | 5123:2-9-42 | SAA | Based on group size (1-4). | 15 min units. Service code is set in the software. |
Community Inclusion Transportation | 5123:2-9-42 | STA | Usual and customary charge. | Per service. |
Community Transition | 5123-9-48 | ACT | Usual and customary charge. | Not supported at this time. |
Congregate Setting | n/a | n/a | Used for documenting HPC activitities only. No billing data. | |
Equipment Lease | ?TQ | The Scheduler event description contains the rate. | Billing unit is 1. This is entered on the Scheduler as an Event. Service code is set in the software and is based on waiver. | |
Foster Care | 5123:2-9-33 | AFA | Based on group size 1-4. Requires ODDP. | Billing unit is 1. Rates are stored in 'fosterrates' table. |
HPC | 5123-9-30 | ?PC | Based on staff count and group size (1-20). | 15 min units. Service code is stored in 'hpcservicecodes' and based on staff size, waiver, OSOC. |
HPC (Self-Pay) | 5123-9-24 | HPCSP | $5.25 | 15 min units. Service code and rates are set in the software. |
HPC Emergency | 5123-9-27 | E?? | Standard HPC rates. | 15 min units. Service code is based on group size and set in the software. |
HPC Transportation | 5123-9-24 | ?TN | Per person by group size (1-4) and vehicle type. | Unit per mile. Rates are stored in 'hpctransportrates' table. Service code is based on waiver. |
ICF | n/a | n/a | Used for documenting HPC activitities only. No billing data. | |
Informal Respite | 5123-9-21 | FIN | $2.75 | 15 min units. Service code and rates are set in the software. |
Limited Program Specialist | LPS | Based on group size (1-4). | 1 min units. Service code and rates stored in 'lpsrates' table. | |
Parent Direct Program | PDP | Based on group size (1-4). | 15 min units. Service code and rates are stored in 'pdprates' table. | |
Participant-Directed HPC | 5123-9-32 | ??C | Based on group size (1-4) and OSOC. | 15 min units. Service code and rates are set in the software. I/O and Level 1 uses standard HPC rates, but self waiver has its own rates and set in the software. |
Participant-Directed HPC | SDC | Based on group size (1-4) and OSOC. | Self waiver. | |
Recreation Liesure | RAL | Based on group size (1-4). | 15 min units. Service code and rates are stored in 'ralrates' table. | |
Recreation Liesure Trans | Not supported at this time. | |||
Respite | ?L? | Based on type of facility (Residence, ICF, Residential). | Billing unit is 1. Service code is based on the type of facility and waiver. Service code and rates are set in the software. | |
RM- | ?MR | Based on a contract. | Billing unit is 1. Service code is based on waiver. Service code and rates are stored in 'rmrates' table. The rates are added manually to the table when requested. The RM services are entered in the Scheduler with the RM service as the Event category. | |
Shared Living | AS? | Based on group size 1-4. Requires ODDP. | Billing unit is 1. Service code is based on Agency (ASA) or Independent (ASP). Rates are stored in 'sharedliving' table and are based on group size and ODDP. | |
Weekly Overtime | ??V | Based on group size, staff size, and OSOC. | The Overtime report #193 is used to calculate the OT hours per staff. Those are then entered manually using this service. |