DD Pgm. Code |
Program Description |
Client Type |
C |
D |
G |
H |
O |
R |
S |
B |
|
17D |
Child Group Home (CGH) |
Y |
|
|
|
|
|
R |
|
|
|
19D |
Child Care Institution (CCI) |
N |
|
|
|
|
O |
|
|
|
|
41D {C*} |
Special Home Placement (SHP) |
N |
|
|
|
|
O |
|
|
|
|
42D {C*} |
Supported Living Arrangement (SLA) |
N |
|
|
|
|
O |
|
|
|
|
60D |
CILA - 24 Hour |
Y |
C |
|
|
|
|
|
|
|
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60D |
CILA - Host Family |
Y |
C |
|
|
|
|
|
|
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61H |
CILA - Hourly Intermittent (1:1) |
Y |
C |
|
|
|
|
|
|
|
|
62H |
CILA - Hourly Intermittent (1:2) |
Y |
C |
|
|
|
|
|
|
|
|
63H |
CILA - Hourly Intermittent (1:3) |
Y |
C |
|
|
|
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|
67D |
Community Living Facility (CLF)16 or fewer |
Y |
|
|
|
|
O |
|
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|
67E |
CLF - 17 or more |
N |
|
|
|
|
O |
|
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67O |
CLF - Out-of-State |
N |
|
|
|
|
O |
|
|
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|
73D {C*} |
Related Support |
N |
|
|
|
|
O |
|
|
|
|
31C |
Community Day Services - OFF Site (CDS) |
Y |
C |
D |
|
H |
O |
|
|
|
|
31U |
Community Day Services - ON Site (CDS) |
Y |
C |
D |
|
H |
O |
|
|
|
|
31V |
Community Day Services - Virtual (CDS) |
Y |
C |
D |
|
H |
O |
|
|
|
|
32G |
SODC Supported Employment - Small Group (1:3) |
N |
|
|
|
|
|
|
S |
|
|
33G |
Supported Employment (Small Group 1:3) |
Y |
C |
D |
|
H |
O |
|
|
|
|
34G |
SODC Supported Employment - Large Group (1:6) |
N |
|
|
|
|
|
|
S |
|
|
34U |
SODC Supported Employment - Individual |
N |
|
|
|
|
|
|
S |
|
|
35U |
Adult Day Care |
Y |
C |
D |
|
H |
O |
|
|
|
|
36U |
Supported Employment (SEP) - Individual |
Y |
C |
D |
|
H |
O |
|
|
|
|
36G |
Supported Employment (Large Group 1:6) |
Y |
C |
D |
|
H |
O |
|
|
|
|
37U |
Enhanced Residential Supports (fka At Home Day) |
Y |
C |
|
|
|
|
|
|
|
|
38C |
SODC Community Day Training (CDS) - OFF Site |
N |
|
|
|
|
|
|
S |
|
Started 4/1/22 |
38U |
SODC Community Day Training (CDS) - ON Site |
N |
|
|
|
|
|
|
S |
|
Started 4/1/22 |
39U |
Supported Employment (SEP) - Individual Extra hours |
Y |
C |
D |
|
H |
O |
|
|
|
|
51A |
ISSA - Geographic Area A |
Y |
C |
D |
G |
H |
O |
R |
|
|
|
51B |
ISSA - Geographic Area B |
Y |
C |
D |
G |
H |
O |
R |
|
|
|
51C |
ISSA - Geographic Area C |
Y |
C |
D |
G |
H |
O |
R |
|
|
|
51D |
ISSA - Geographic Area D |
Y |
C |
D |
G |
H |
O |
R |
|
|
|
51E |
ISSA - Geographic Area E |
Y |
C |
D |
G |
H |
O |
R |
|
|
|
51F |
ISSA - Geographic Area F |
Y |
C |
D |
G |
H |
O |
R |
|
|
|
51G |
ISSA - Geographic Area G |
Y |
C |
D |
G |
H |
O |
R |
|
|
|
51H |
ISSA - Geographic Area H |
Y |
C |
D |
G |
H |
O |
R |
|
|
|
51I |
ISSA - Geographic Area I |
Y |
C |
D |
G |
H |
O |
R |
|
|
|
51J |
ISSA - Geographic Area J |
Y |
C |
D |
G |
H |
O |
R |
|
|
|
51K |
ISSA - Geographic Area K |
Y |
C |
D |
G |
H |
O |
R |
|
|
|
51L |
ISSA - Geographic Area L |
Y |
C |
D |
G |
H |
O |
R |
|
|
|
51O |
ISSA - Out-Of-State (No Reimbursement) |
N |
|
|
|
|
O |
|
|
|
|
52O |
Occupational Therapy |
Y |
C |
D |
|
H |
O |
|
|
|
|
52P |
Physical Therapy |
Y |
C |
D |
|
H |
O |
|
|
|
|
52S |
Speech Therapy |
Y |
C |
D |
|
H |
O |
|
|
|
|
52T |
S.T.A.T Telehealth Membership Fee (Estimated start 04/01/2025) |
Y |
C |
|
|
|
|
|
|
|
|
53B |
Start Up - CILA 60D 24Hr. Only |
N |
C |
|
|
|
|
|
|
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|
53C |
Crisis Services |
Y |
|
|
G |
H |
|
|
|
|
|
53D |
Additional Staff Supports - 31C/31U CDS only |
Y |
C |
D |
|
H |
O |
|
|
|
|
53E |
Adaptive Equipment |
Y |
C |
D |
G |
H |
|
R |
|
|
|
53H |
Home Accessibility Modification |
Y |
C |
D |
G |
H |
|
|
|
|
|
53R |
Enhanced Residential Habilitation - 60D, 61D, 62D,& 63D Only |
Y |
C |
|
|
|
|
|
|
|
|
53S |
SODC CDS Temproary Intensive Staff (w/ 38C/38U) |
N |
|
|
|
|
|
|
S |
|
|
53T |
Assistive Technology |
Y |
C |
D |
G |
H |
|
R |
|
|
|
53V * |
Vehicle Accessibility Modification |
Y |
C * |
D |
G |
H |
|
|
|
|
|
55A |
HBS - Self-Direction Assistance (SDA) |
Y |
|
|
G |
H |
|
|
|
|
|
55B |
HBS - Training for Unpaid Caregiver |
Y |
|
|
G |
H |
|
|
|
|
|
55C |
HBS - Counseling for Unpaid Caregiver |
Y |
|
|
G |
H |
|
|
|
|
|
55D |
HBS Personal Support Worker (PSW), Regular Hours, EVV Validation Required |
Y |
|
|
G |
H |
|
|
|
|
|
55E |
HBS Personal Support Worker (PSW), Regular Hours, EVV Exempt |
Y |
|
|
G |
H |
|
|
|
|
|
55F |
HBS Personal Support Worker (PSW), Overtime Hours, EVV Exempt |
Y |
|
|
G |
H |
|
|
|
|
|
55O |
HBS Personal Support Worker (PSW), Overtime Hours, EVV Validation Required |
Y |
|
|
G |
H |
|
|
|
|
|
55N |
HBS - Registered Nurse |
Y |
|
|
|
H |
|
|
|
|
|
55P |
HBS - Licensed Practical Nurse |
Y |
|
|
|
H |
|
|
|
|
|
55T |
HBS - Non-Medical Transportation |
Y |
|
|
|
H |
|
|
|
|
|
55W |
HBS - Emergency Home Response-Level 1 |
Y |
|
|
|
H |
|
|
|
|
|
55W |
HBS - Emergency Home Response-Level 2 |
Y |
|
|
|
H |
|
|
|
|
|
56U |
Behavior Intervention & Treatment-Level 1 |
Y |
C |
D |
G |
H |
O |
R |
|
|
|
56U |
Behavior Intervention & Treatment-Level 2 |
Y |
C |
D |
G |
H |
O |
R |
|
|
|
57U |
Counseling - Individual |
Y |
C |
D |
|
H |
O |
|
|
|
|
57G |
Counseling - Group |
Y |
C |
D |
|
H |
O |
|
|
|
|
58U |
Therapy - Individual |
Y |
C |
D |
|
H |
O |
|
|
|
|
58G |
Therapy - Group |
Y |
C |
D |
|
H |
O |
|
|
|
|
75-76 {C*} |
BOGARD Specialized Services |
N |
|
|
|
|
|
|
|
B |
|
87D |
In-Home Hourly Respite |
N |
|
NA |
NA |
NA |
NA |
|
|
|
|
89D |
Residential Respite |
N |
|
NA |
NA |
NA |
NA |
|
|
|
|
NOTES: |
C * |
53V authorization for CILA-funded individuals, depends on the Type of CILA setting. |
|
|
|
|
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|
|
{C*} |
Program w/ Open Authorizations - No New Placements |
|
|
|
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|
|
Client Type: |
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|
B |
BOGARD |
|
|
|
|
|
|
|
|
|
|
C |
CILA 60D,61H,62H,& 63H |
|
|
|
|
|
|
|
|
|
|
D |
Day Program Only |
|
|
|
|
|
|
|
|
|
|
G |
Children's Home Based Supports |
Children's Support Waiver |
|
|
|
|
|
|
|
|
|
H |
Adult Home Based Supports |
|
|
|
|
|
|
|
|
|
|
O |
Purchase of Services-Other |
|
|
|
|
|
|
|
|
|
|
R |
Children's Residential Waiver (CRW) |
Children's Residential Waiver |
|
|
|
|
|
|
|
|
|
S |
SODC CDS |
|
|
|
|
|
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