| Program | Service Title | Service Unit | DODD Service Code | PAWS Roll-Up Code | Required Fields | |||
| Staff Size | Group Size | Service County | ||||||
| IO | Adaptive & Assistive Equipment | Item | AAE | ---- | No | No | No | |
| IO | Adult Day Support | Daily Unit | ADS | A25 | No | No | Yes | |
| IO | Adult Day Support | 15 minute | ADF | A25 | No | No | Yes | |
| IO | Adult Day Support - Community Integration | 15 minute | ADE | A25 | No | No | Yes | |
| IO | Assistive Technology - Consultation | Item | ATC | ATC | No | No | No | |
| IO | Assistive Technology - Education/Supports | 15 minute | ATS | ATS | No | No | No | |
| IO | Assistive Technology - Equipment | Item | ATQ | ATQ | No | Yes | No | |
| IO | Community Transition Services | Item | ACT | ACT | No | No | No | |
| IO | Career Planning - Employment Launch | 15 minute | ASL | A77 | No | No | No | |
| IO | Career Planning - Employment Launch - Overtime | 15 minute | ASV | A77 | No | No | No | |
| IO | Career Planning - Benefits Education and Analysis | Item | ABF | ---- | No | No | No | |
| IO | Career Planning - Career Discovery | Item | ADI | ---- | No | No | No | |
| IO | Career Planning - Career Exploration | 15 minute | ACX | A77 | No | No | No | |
| IO | Career Planning - Career Exploration - Overtime | 15 minute | ACV | A77 | No | No | No | |
| IO | Career Planning - Job Development | 15 minute | AJD | A77 | No | No | No | |
| IO | Career Planning - Job Development - Overtime | 15 minute | AJV | A77 | No | No | No | |
| IO | Career Planning - Self Employment Plan | Item | ACP | ---- | No | No | No | |
| IO | Career Planning - Situational Observation and Assessment | Item | ASO | ---- | No | No | No | |
| IO | Career Planning - Worksite Accessibility | 15 minute | AWA | A77 | No | No | No | |
| IO | Career Planning - Worksite Accessibility - Overtime | 15 minute | AWV | A77 | No | No | No | |
| IO | Community Respite | Full Day | ARN | A66 | No | No | Yes | |
| IO | Community Respite | Part Day | ARD | A66 | No | No | Yes | |
| IO | Community Respite | 15 minute | ARF | A66 | No | No | Yes | |
| IO | Contracted Adult Day Support | Daily Unit | AGD | A25 | No | No | Yes | |
| IO | Contracted Adult Day Support | 15 minute | AGF | A25 | No | No | Yes | |
| IO | Contracted Adult Day Support - Community Integration | 15 minute | AGE | A25 | No | No | Yes | |
| IO | Environmental Accessibility Adaptations | Item | AVN | ---- | No | No | No | |
| IO | Group Employment Support | Daily Unit | AGG | A25 | No | No | Yes | |
| IO | Group Employment Support | 15 minute | AGR | A25 | No | No | Yes | |
| IO | Home Delivered Meals | Meal | AMN | ---- | No | No | Yes | |
| IO | Homemaker/Personal Care - 1 Staff | 15 minute | APC | A22 | Yes | Yes | Yes | |
| IO | Homemaker/Personal Care - 1 Staff - Overtime | 15 minute | APV | A22 | Yes | Yes | Yes | |
| IO | Homemaker/Personal Care - 2 Staff | 15 minute | AMW | A22 | Agency Only | Yes | Yes | Yes |
| IO | Homemaker/Personal Care - 3 Staff | 15 minute | AMX | A22 | Yes | Yes | Yes | |
| IO | Homemaker/Personal Care - 4 Staff | 15 minute | AMY | A22 | Yes | Yes | Yes | |
| IO | Homemaker/Personal Care - 5 Staff | 15 minute | AMZ | A22 | Yes | Yes | Yes | |
| IO | Homemaker/Personal Care - DBU - Agency | Daily Unit | ADL | ADL | No | No | No | |
| IO | Homemaker/Personal Care - On-Site/On-Call - 1 Staff | 15 minute | AOC | A44 | Yes | Yes | Yes | |
| IO | Homemaker/Personal Care - On-Site/On-Call - 1 Staff - Overtime | 15 minute | AOV | A44 | Yes | Yes | Yes | |
| IO | Homemaker/Personal Care - On-Site/On-Call - 2 Staff | 15 minute | AOW | A44 | Agency Only | Yes | Yes | Yes |
| IO | Homemaker/Personal Care - On-Site/On-Call - 3 Staff | 15 minute | AOX | A44 | Yes | Yes | Yes | |
| IO | Homemaker/Personal Care - On-Site/On-Call - 4 Staff | 15 minute | AOY | A44 | Yes | Yes | Yes | |
| IO | Homemaker/Personal Care - On-Site/On-Call - 5 Staff | 15 minute | AOZ | A44 | Yes | Yes | Yes | |
| IO | Homemaker/Personal Care, Compentency Based - DBU - Agency | Daily Unit | AQL | ADL | No | No | No | |
| IO | Homemaker/Personal Care, Competency Based - 1 Staff | 15 minute | AQC | A22 | Yes | Yes | Yes | |
| IO | Homemaker/Personal Care, Competency Based - 1 Staff - Overtime | 15 minute | AQV | A22 | Yes | Yes | Yes | |
| IO | Homemaker/Personal Care, Competency Based - 2 Staff | 15 minute | AQW | A22 | Agency Only | Yes | Yes | Yes |
| IO | Homemaker/Personal Care, Competency Based - 3 Staff | 15 minute | AQX | A22 | Yes | Yes | Yes | |
| IO | Homemaker/Personal Care, Competency Based - 4 Staff | 15 minute | AQY | A22 | Yes | Yes | Yes | |
| IO | Homemaker/Personal Care, Competency Based - 5 Staff | 15 minute | AQZ | A22 | Yes | Yes | Yes | |
| IO | Individual Employment Supports; | 15 minute | AEE | A78 | No | Yes | No | |
| IO | Individual Employment Supports - Overtime | 15 minute | AEV | A78 | No | Yes | No | |
| IO | Interpreter Services | 15 minute | AIN | ---- | No | Yes | Yes | |
| IO | Money Management | 15 minute | AMM | A79 | No | No | Yes | |
| IO | Money Management - Overtime | 15 minute | AMV | A79 | No | No | Yes | |
| IO | Non-Medical Tranportation | Mile | ATW | A35 | No | Yes | Yes | |
| IO | Non-Medical Tranportation - Modified vehicle | Mile | ATX | A35 | No | Yes | Yes | |
| IO | Non-Medical Tranportation - One-way trip - Eligible vehicle | 1 Way Trip | ATB | A35 | No | No | Yes | |
| IO | Non-Medical Tranportation- Taxi/Livery/Bus | Trip, Token, or Voucher | ATT | A35 | No | No | Yes | |
| IO | Nutritional Services | 15 minute | ANN | ---- | No | No | No | |
| IO | Participant Directed Homemaker/Personal Care - 1 Staff | 15 minute | ADC | A23 | Yes | No | Yes | |
| IO | Participant DirectedHomemaker/Personal Care - 1 Staff - Overtime | 15 minute | ADV | A23 | Yes | No | Yes | |
| IO | Participant Directed Homemaker/Personal Care - On-Site/On-Call - 1 Staff | 15 minute | AZC | A43 | Yes | No | Yes | |
| IO | Participant Directed Homemaker/Personal Care - On-Site/On-Call - 1 Staff - Overtime | 15 minute | AZV | A43 | Yes | No | Yes | |
| IO | Remote Support Service - Unpaid | Hour | AMS | ---- | Yes | No | No | |
| IO | Remote Support Service - Paid | Hour | AMR | ---- | Yes | No | No | |
| IO | Residential Respite - ICF/DD | Daily Unit | ALI | ---- | No | No | Yes | |
| IO | Residential Respite - Licensed Facility | Daily Unit | ALN | ---- | No | No | Yes | |
| IO | Residential Respite - Residence | Daily Unit | ALR | ---- | No | No | Yes | |
| IO | Shared Living - Agency | Daily Unit | ASA | ---- | Agency Only | No | Yes | Yes |
| IO | Shared Living - Independent | Daily Unit | ASP | ---- | No | Yes | Yes | |
| IO | Social Work/Counseling Services | 15 minute | ASN | ---- | No | Yes | Yes | |
| IO | Transportation | Mile | ATN | ATN | No | Yes | No | |
| IO | Transportation - Modified vehicle | Mile | ATO | ATN | No | Yes | No | |
| IO | Vocational Habilitation | Daily Unit | AVH | A25 | No | No | Yes | |
| IO | Vocational Habilitation | 15 minute | AVF | A25 | No | No | Yes | |
| IO | Vocational Habilitation - Community Integration | 15 minute | AVE | A25 | No | No | Yes | |
| IO | Waiver Nursing Delegation/Assessment by a RN and/or Consultation by a RN | 15 minute | MITS Code: G0493 | |||||
| IO | Waiver Nursing Delegation/Consultation by a LPN | 15 minute | MITS Code: G0494 | |||||
| Program | Service Title | Service Unit | DODD Service Code | PAWS Roll-Up Code | Required Fields | |||
| Staff Size | Group Size | Service County | ||||||
| LV1 | Adult Day Support | Daily Unit | FDS | F25 | No | No | Yes | |
| LV1 | Adult Day Support | 15 minute | FDF | F25 | No | No | Yes | |
| LV1 | Adult Day Support - Community Integration | 15 minute | FDE | F25 | No | No | Yes | |
| LV1 | Assistive Technology - Consultation | Item | FTC | FTC | No | No | No | |
| LV1 | Assistive Technology - Education/Supports | 15 minute | FTS | FTS | No | No | No | |
| LV1 | Assistive Technology - Equipment | Item | FTQ | FTQ | No | Yes | No | |
| LV1 | Career Planning - Employment Launch | 15 minute | FSL | F77 | No | No | No | |
| LV1 | Career Planning - Employment Launch - Overtime | 15 minute | FSV | F77 | No | No | No | |
| LV1 | Career Planning - Benefits Education and Analysis | Item | FBF | ---- | No | No | No | |
| LV1 | Career Planning - Career Discovery | Item | FDI | ---- | No | No | No | |
| LV1 | Career Planning - Career Exploration | 15 minute | FCX | F77 | No | No | No | |
| LV1 | Career Planning - Career Exploration - Overtime | 15 minute | FCV | F77 | No | No | No | |
| LV1 | Career Planning - Job Development | 15 minute | FJD | F77 | No | No | No | |
| LV1 | Career Planning - Job Development - Overtime | 15 minute | FJV | F77 | No | No | No | |
| LV1 | Career Planning - Self Employment Plan | Item | FCP | ---- | No | No | No | |
| LV1 | Career Planning - Situational Observation and Assessment | Item | FSO | ---- | No | No | No | |
| LV1 | Career Planning - Worksite Accessibility | 15 minute | FWA | F77 | No | No | No | |
| LV1 | Career Planning - Worksite Accessibility - Overtime | 15 minute | FWV | F77 | No | No | No | |
| LV1 | Community Respite | Full Day | FRN | F66 | No | No | Yes | |
| LV1 | Community Respite | Part Day | FRD | F66 | No | No | Yes | |
| LV1 | Community Respite | 15 minute | FRF | F66 | No | No | Yes | |
| LV1 | Contracted Adult Day Support | Daily Unit | FGD | F25 | No | No | Yes | |
| LV1 | Contracted Adult Day Support | 15 minute | FGF | F25 | No | No | Yes | |
| LV1 | Contracted Adult Day Support - Community Integration | 15 minute | FGE | F25 | No | No | Yes | |
| LV1 | Environmental Accessibility Adaptations | Item | FVN | ---- | No | No | No | |
| LV1 | Group Employment Support | Daily Unit | FGG | F25 | No | No | Yes | |
| LV1 | Group Employment Support | 15 minute | FGR | F25 | No | No | Yes | |
| LV1 | Home Delivered Meals | Meal | FMN | ---- | No | No | No | |
| LV1 | Homemaker/Personal Care - 1 Staff | 15 minute | FPC | A22 | Yes | Yes | Yes | |
| LV1 | Homemaker/Personal Care - 1 Staff - Overtime | 15 minute | FPV | A22 | Yes | Yes | Yes | |
| LV1 | Homemaker/Personal Care - 2 Staff | 15 minute | FMW | F22 | Agency Only | Yes | Yes | Yes |
| LV1 | Homemaker/Personal Care - 3 Staff | 15 minute | FMX | F22 | Yes | Yes | Yes | |
| LV1 | Homemaker/Personal Care - 4 Staff | 15 minute | FMY | F22 | Yes | Yes | Yes | |
| LV1 | Homemaker/Personal Care - 5 Staff | 15 minute | FMZ | F22 | Yes | Yes | Yes | |
| LV1 | Homemaker/Personal Care - On-Site/On-Call - 1 Staff | 15 minute | FOC | F44 | Yes | Yes | Yes | |
| LV1 | Homemaker/Personal Care - On-Site/On-Call - 1 Staff - Overtime | 15 minute | FOV | F44 | Yes | Yes | Yes | |
| LV1 | Homemaker/Personal Care - On-Site/On-Call - 2 Staff | 15 minute | FOW | F44 | Agency Only | Yes | Yes | Yes |
| LV1 | Homemaker/Personal Care - On-Site/On-Call - 3 Staff | 15 minute | FOX | F44 | Yes | Yes | Yes | |
| LV1 | Homemaker/Personal Care - On-Site/On-Call - 4 Staff | 15 minute | FOY | F44 | Yes | Yes | Yes | |
| LV1 | Homemaker/Personal Care - On-Site/On-Call - 5 Staff | 15 minute | FOZ | F44 | Yes | Yes | Yes | |
| LV1 | Homemaker/Personal Care, Competency Based - 1 Staff | 15 minute | FQC | F22 | Yes | Yes | Yes | |
| LV1 | Homemaker/Personal Care, Competency Based - 1 Staff - Overtime | 15 minute | FQV | F22 | Yes | Yes | Yes | |
| LV1 | Homemaker/Personal Care, Competency Based - 2 Staff | 15 minute | FQW | F22 | Agency Only | Yes | Yes | Yes |
| LV1 | Homemaker/Personal Care, Competency Based - 3 Staff | 15 minute | FQX | F22 | Yes | Yes | Yes | |
| LV1 | Homemaker/Personal Care, Competency Based - 4 Staff | 15 minute | FQY | F22 | Yes | Yes | Yes | |
| LV1 | Homemaker/Personal Care, Competency Based - 5 Staff | 15 minute | FQZ | F22 | Yes | Yes | Yes | |
| LV1 | Individual Employment Supports; | 15 minute | FEE | F78 | No | Yes | No | |
| LV1 | Individual Employment Supports - Overtime | 15 minute | FEV | F78 | No | Yes | No | |
| LV1 | Informal Respite | 15 minute | FIN | ---- | No | No | No | |
| LV1 | Money Management | 15 minute | FMM | F79 | No | No | Yes | |
| LV1 | Money Management - Overtime | 15 minute | FMV | F79 | No | No | Yes | |
| LV1 | Non-Medical Tranportation | Mile | FTW | F35 | No | Yes | Yes | |
| LV1 | Non-Medical Tranportation - Modified vehicle | Mile | FTX | F35 | No | Yes | Yes | |
| LV1 | Non-Medical Tranportation - One-way trip - Eligible vehicle | 1 Way Trip | FTB | F35 | No | No | Yes | |
| LV1 | Non-Medical Tranportation- Taxi/Livery/Bus | Trip, Token, or Voucher | FTT | F35 | No | No | Yes | |
| LV1 | Participant Directed Homemaker/Personal Care - 1 Staff | 15 minute | FDC | F23 | Yes | No | No | |
| LV1 | Participant DirectedHomemaker/Personal Care - 1 Staff - Overtime | 15 minute | FDV | F23 | Yes | No | No | |
| LV1 | Participant Directed Homemaker/Personal Care - On-Site/On-Call - 1 Staff | 15 minute | FZC | F43 | Yes | No | No | |
| LV1 | Participant Directed Homemaker/Personal Care - On-Site/On-Call - 1 Staff - Overtime | 15 minute | FZV | F43 | Yes | No | No | |
| LV1 | Remote Support Service - Unpaid | Hour | FMS | ---- | Yes | No | No | |
| LV1 | Remote Support Service - Paid | Hour | FMR | ---- | Yes | No | No | |
| LV1 | Residential Respite - ICF/DD | Daily Unit | FLI | ---- | No | No | Yes | |
| LV1 | Residential Respite - Licensed Facility | Daily Unit | FLN | ---- | No | No | Yes | |
| LV1 | Residential Respite - Residence | Daily Unit | FLR | ---- | No | No | Yes | |
| LV1 | Specialized Medical Equipment & Supplies | Item | FAE | No | No | No | ||
| LV1 | Transportation | Mile | FTN | FTN | No | Yes | No | |
| LV1 | Transportation - Modified vehicle | Mile | FTO | FTN | No | Yes | No | |
| LV1 | Vocational Habilitation | Daily Unit | FVH | F25 | No | Yes | Yes | |
| LV1 | Vocational Habilitation | 15 minute | FVF | F25 | No | Yes | Yes | |
| LV1 | Vocational Habilitation - Community Integration | 15 minute | FVE | F25 | No | Yes | Yes | |
| LV1 - Emergency | Assistive Technology - Consultation | Item | ETC | ETC | No | No | No | |
| LV1 - Emergency | Assistive Technology - Education/Supports | 15 minute | ETS | ETS | No | No | No | |
| LV1 - Emergency | Assistive Technology - Equipment | Item | ETQ | ETQ | No | No | ||
| LV1 - Emergency | Environmental Accessibility Adaptations | Item | EVN | ---- | No | No | No | |
| LV1 - Emergency | Homemaker/Personal Care - 1 Staff | 15 minute | EPC | E22 | ||||
| LV1 - Emergency | Homemaker/Personal Care - 1 Staff - Overtime | 15 minute | EPV | E22 | ||||
| LV1 - Emergency | Homemaker/Personal Care - 2 Staff | 15 minute | EMW | E22 | Agency Only | |||
| LV1 - Emergency | Homemaker/Personal Care - 3 Staff | 15 minute | EMX | E22 | ||||
| LV1 - Emergency | Homemaker/Personal Care - 4 Staff | 15 minute | EMY | E22 | ||||
| LV1 - Emergency | Homemaker/Personal Care - 5 Staff | 15 minute | EMZ | E22 | ||||
| LV1 - Emergency | Homemaker/Personal Care - On-Site/On-Call - 1 Staff | 15 minute | EOC | E44 | ||||
| LV1 - Emergency | Homemaker/Personal Care - On-Site/On-Call - 1 Staff - Overtime | 15 minute | EOV | E44 | ||||
| LV1 - Emergency | Homemaker/Personal Care - On-Site/On-Call - 2 Staff | 15 minute | EOW | E44 | Agency Only | |||
| LV1 - Emergency | Homemaker/Personal Care - On-Site/On-Call - 3 Staff | 15 minute | EOX | E44 | ||||
| LV1 - Emergency | Homemaker/Personal Care - On-Site/On-Call - 4 Staff | 15 minute | EOY | E44 | ||||
| LV1 - Emergency | Homemaker/Personal Care - On-Site/On-Call - 5 Staff | 15 minute | EOZ | E44 | ||||
| LV1 - Emergency | Homemaker/Personal Care, Competency Based - 1 Staff | 15 minute | EQC | E22 | ||||
| LV1 - Emergency | Homemaker/Personal Care, Competency Based - 1 Staff - Overtime | 15 minute | EQV | E22 | ||||
| LV1 - Emergency | Homemaker/Personal Care, Competency Based - 2 Staff | 15 minute | EQW | E22 | Agency Only | |||
| LV1 - Emergency | Homemaker/Personal Care, Competency Based - 3 Staff | 15 minute | EQX | E22 | ||||
| LV1 - Emergency | Homemaker/Personal Care, Competency Based - 4 Staff | 15 minute | EQY | E22 | ||||
| LV1 - Emergency | Homemaker/Personal Care, Competency Based - 5 Staff | 15 minute | EQZ | E22 | ||||
| LV1 - Emergency | Informal Respite | 15 minute | EIN | ---- | No | |||
| LV1 - Emergency | Participant Directed Homemaker/Personal Care - 1 Staff | 15 minute | EDC | E23 | No | No | ||
| LV1 - Emergency | Participant DirectedHomemaker/Personal Care - 1 Staff - Overtime | 15 minute | EDV | E23 | No | No | ||
| LV1 - Emergency | Participant Directed Homemaker/Personal Care - On-Site/On-Call - 1 Staff | 15 minute | EZC | E43 | No | No | ||
| LV1 - Emergency | Participant Directed Homemaker/Personal Care - On-Site/On-Call - 1 Staff - Overtime | 15 minute | EZV | E43 | No | |||
| LV1 - Emergency | Remote Support Service - Unpaid | Hour | EMS | ---- | No | No | ||
| LV1 - Emergency | Remote Support Service - Paid | Hour | EMR | ---- | No | No | ||
| LV1 - Emergency | Residential Respite - ICF/DD | Daily Unit | ELI | ---- | No | |||
| LV1 - Emergency | Residential Respite - Licensed Facility | Daily Unit | ELN | ---- | No | |||
| LV1 - Emergency | Residential Respite - Residence | Daily Unit | ELR | ---- | No | |||
| LV1 - Emergency | Specialized Medical Equipment & Supplies | Item | EAE | No | No | No | ||
| LV1 - Emergency | Transportation | Mile | ETN | ETN | No | No | ||
| LV1 - Emergency | Transportation - Modified vehicle | Mile | ETO | ETN | No | No | ||
| Program | Service Title | Service Unit | DODD Service Code | PAWS Roll-Up Code | Required Fields | |||
| Staff Size | Group Size | Service County | ||||||
| SELF | Career Planning - Benefits Education and Analysis - Agency Provider | Item | SBF | ---- | No | No | No | |
| SELF | Career Planning - Benefits Education and Analysis - Independent Provider | Item | SBG | ---- | No | No | No | |
| SELF | Career Planning - Self Employment Plan - Independent Provider | Item | SCD | ---- | No | No | No | |
| SELF | Clinical/Therapeutic Interventionist - Independent Provider | Hour | SCI | S55 | No | No | No | |
| SELF | Career Planning - Career Exploration - Independent Provider | 15 minute | SCN | S55 | No | No | No | |
| SELF | Career Planning - Self Employment Plan - Agency Provider | Item | SCP | ---- | No | No | No | |
| SELF | Clinical/Therapeutic Interventionist - Agency Provider | Hour | SCT | S55 | No | No | No | |
| SELF | Career Planning - Career Exploration - Overtime | 15 minute | SCV | S55 | No | No | No | |
| SELF | Career Planning - Career Exploration - Agency Provider | 15 minute | SCX | S55 | No | No | No | |
| SELF | Participant Directed Homemaker/Personal Care - Agency Provider | 15 minute | SDC | S45 | No | Yes | No | |
| SELF | Participant Directed Homemaker/Personal Care - Indpendent Provider | 15 minute | SDD | S45 | No | Yes | No | |
| SELF | Adult Day Support - Community Integration | 15 minute | SDE | S25 | No | No | Yes | |
| SELF | Adult Day Support | 15 minute | SDF | S25 | No | No | Yes | |
| SELF | Career Planning - Career Discovery - Agency Provider | Item | SDI | ---- | No | No | No | |
| SELF | Career Planning - Career Discovery - Independent Provider | Item | SDN | ---- | No | No | No | |
| SELF | Adult Day Support | Daily Unit | SDS | S25 | No | No | Yes | |
| SELF | Participant Directed Homemaker/Personal Care - Indpendent Provider - Overtime | 15 minute | SDV | S45 | No | Yes | No | |
| SELF | Individual Employment Supports - Agency Provider | 15 minute | SEE | S78 | No | Yes | No | |
| SELF | Individual Employment Supports - Independent Provider | 15 minute | SEG | S78 | No | No | No | |
| SELF | Individual Employment Supports - Overtime | 15 minute | SEV | S78 | No | No | No | |
| SELF | Functional Behavioral Assessment | Item | SFB | ---- | No | No | No | |
| SELF | Contracted Adult Day Support | Daily Unit | SGD | S25 | No | No | Yes | |
| SELF | Contracted Adult Day Support - Community Integration | 15 minute | SGE | S25 | No | No | Yes | |
| SELF | Contracted Adult Day Support | 15 minute | SGF | S25 | No | No | Yes | |
| SELF | Group Employment Support | Daily Unit | SGG | S25 | No | No | Yes | |
| SELF | Group Employment Support | 15 minute | SGR | S25 | No | No | Yes | |
| SELF | Participant-Directed Goods and Services | Item | SGS | S55 | No | No | No | |
| SELF | Career Planning - Job Development - Agency Provider | 15 minute | SJD | S55 | No | No | No | |
| SELF | Career Planning - Job Development - Independent Provider | 15 minute | SJN | S55 | No | No | No | |
| SELF | Career Planning - Job Development - Overtime | 15 minute | SJV | S55 | No | No | No | |
| SELF | Clinical/Therapeutic Interventionist - Agency Provider - Senior | Hour | SLA | S55 | No | No | No | |
| SELF | Clinical/Therapeutic Interventionist - Independent Provider - Senior | Hour | SLC | S55 | No | No | No | |
| SELF | Residential Respite - ICF/DD | Daily Unit | SLI | S45 | No | No | Yes | |
| SELF | Residential Respite - Licensed Facility | Daily Unit | SLN | S45 | No | No | Yes | |
| SELF | Residential Respite - Residence | Daily Unit | SLR | S45 | No | No | Yes | |
| SELF | Remote Support Service - Paid | Hour | SMR | S45 | No | Yes | No | |
| SELF | Remote Support Service - Unpaid | Hour | SMS | S45 | No | Yes | No | |
| SELF | Participant/Family Stability Assistance - Agency | Item | SPF | S55 | No | No | No | |
| SELF | Clinical/Therapeutic Interventionist - Independent - Specialized | Hour | SPI | S55 | No | No | No | |
| SELF | Participant/Family Stability Assistance - Independent | Item | SPS | S55 | No | No | No | |
| SELF | Clinical/Therapeutic Interventionist - Agency Provider - Specialized | Hour | SPT | S55 | No | No | No | |
| SELF | Community Respite | Part Day | SRD | S45 | No | No | Yes | |
| SELF | Community Respite | 15 minute | SRF | S45 | No | No | Yes | |
| SELF | Community Respite | Full Day | SRN | S45 | No | No | Yes | |
| SELF | Support Brokerage - Agency Provider | Hour | SSB | SSB | No | No | No | |
| SELF | Career Planning - Situational Observation and Assessment - Independent Provider | Item | SSG | ---- | No | No | No | |
| SELF | Career Planning - Employment Launch - Agency Provider | 15 minute | SSL | S55 | No | No | No | |
| SELF | Career Planning - Situational Observation and Assessment - Agency Provider | Item | SSO | ---- | No | No | No | |
| SELF | Support Brokerage - Independent Provider | Hour | SSU | SSU | No | No | No | |
| SELF | Career Planning - Employment Launch - Overtime | 15 minute | SSV | S55 | No | No | No | |
| SELF | Career Planning - Employment Launch - Independent Provider | 15 minute | SSY | S55 | No | No | No | |
| SELF | Non-Medical Tranportation - One-way trip - Eligible vehicle | 1 Way Trip | STB | S35 | No | No | Yes | |
| SELF | Assistive Technology - Consultation | Item | STC | STC | No | No | No | |
| SELF | Transportation | Mile | STN | S45 | No | Yes | No | |
| SELF | Transportation - Modified vehicle | Mile | STO | S45 | No | Yes | No | |
| SELF | Assistive Technology - Equipment | Item | STQ | STQ | No | Yes | No | |
| SELF | Assistive Technology - Education/Supports | 15 minute | STS | STS | No | No | No | |
| SELF | Non-Medical Tranportation- Taxi/Livery/Bus | Trip, Token, or Voucher | STT | S35 | No | No | Yes | |
| SELF | Non-Medical Tranportation | Mile | STW | S35 | No | Yes | Yes | |
| SELF | Non-Medical Tranportation - Modified vehicle | Mile | STX | S35 | No | Yes | Yes | |
| SELF | Vocational Habilitation | Daily Unit | SVD | S25 | No | No | Yes | |
| SELF | Vocational Habilitation - Community Integration | 15 minute | SVE | S25 | No | No | Yes | |
| SELF | Vocational Habilitation | 15 minute | SVF | S25 | No | No | Yes | |
| SELF | Career Planning - Worksite Accessibility - Agency Provider | 15 minute | SWA | S55 | No | No | No | |
| SELF | Career Planning - Worksite Accessibility - Independent Provider | 15 minute | SWG | S55 | No | No | No | |
| SELF | Career Planning - Worksite Accessibility - Overtime | 15 minute | SWV | S55 | No | No | No | |
| SELF | Participant Directed Homemaker/Personal Care - On-Site/On-Call - Agency Provider | 15 minute | SZC | S45 | No | No | ||
| SELF | Participant Directed Homemaker/Personal Care - On-Site/On-Call - Independent Provider | 15 minute | SZD | S45 | No | No | ||
| SELF | Participant Directed Homemaker/Personal Care - On-Site/On-Call - Independent Provider - Overtime | 15 minute | SZV | S45 | No | No | ||