See: Long-Term Services and Supports Service Rate Limits Effective Oct. 1, 2024 (PDF)
Service name | Procedure code | Mod 1 | Mod 2 | Mod 3 | Mod 4 | 10/1/24 rate |
---|---|---|---|---|---|---|
CFSS extended personal care agency (1:1) | T1019 | U9 | UC | - | - | $5.95 |
CFSS extendedpersonal care agency, shared care (1:2) | T1019 | U9 | UC | UN | - | $4.47 |
CFSS extended personal care agency, shared care(1:3) | T1019 | U9 | UC | UP | - | $3.92 |
CFSS extended personal care agency, complex (1:1) | T1019 | U9 | UC | TG | - | $6.39 |
CFSS extended personal care agency, shared care, complex (1:2) | T1019 | U9 | UC | UN | TG | $4.80 |
CFSS extended personal care agency, shared care, complex (1:3) | T1019 | U9 | UC | UP | TG | $4.21 |
CFSS personal care reduction agency (1:1) | T1019 | U9 | U5 | - | - | $5.95 |
CFSS personal care reduction agency, shared care (1:2) | T1019 | U9 | U5 | UN | - | $4.47 |
CFSS personal care reduction agency, shared care (1:3) | T1019 | U9 | U5 | UP | - | $3.92 |
CFSS personal care reduction agency, complex (1:1) | T1019 | U9 | U5 | TG | - | $6.39 |
CFSS personal care reduction agency, shared care, complex (1:2) | T1019 | U9 | U5 | UN | TG | $4.80 |
CFSS personal care reduction agency, shared care, complex (1:3) | T1019 | U9 | U5 | UP | TG | $4.21 |
CFSS personal care agency (1:1) | T1019 | U9 | - | - | - | $5.95 |
CFSS personal care agency, shared care (1:2) | T1019 | U9 | UN | - | - | $4.47 |
CFSS personal care agency, shared care (1:3) | T1019 | U9 | UP | - | - | $3.92 |
CFSS personal care agency, complex (1:1) | T1019 | U9 | TG | - | - | $6.39 |
CFSS personal care agency, shared care, complex (1:2) | T1019 | U9 | UN | TG | - | $4.80 |
CFSS personal care agency, shared care, complex (1:3) | T1019 | U9 | UP | TG | - | $4.21 |
CFSS personal care temporary increase agency (1:1) | T1019 | U9 | U6 | - | - | $5.95 |
CFSS personal care temporary increase agency, shared care (1:2) | T1019 | U9 | UN | U6 | - | $4.47 |
CFSS personal care temporary increase agency, shared care (1:3) | T1019 | U9 | UP | U6 | - | $3.92 |
CFSS personal care temporary increase agency, complex (1:1) | T1019 | U9 | U6 | TG | - | $6.39 |
CFSS personal care temporary increase agency, shared care, complex (1:2) | T1019 | U9 | U6 | UN | TG | $4.80 |
CFSS personal care temporary increase agency, shared care, complex (1:3) | T1019 | U9 | U6 | UP | TG | $4.21 |
CFSS personal care continuation of benefits agency (1:1) | T1019 | U9 | U4 | - | - | $5.95 |
CFSS personal care continuation of benefits agency, shared care (1:2) | T1019 | U9 | UN | U4 | - | $4.47 |
CFSS personal care continuation of benefits agency, shared care (1:3) | T1019 | U9 | UP | U4 | - | $3.92 |
CFSS personal care continuation of benefits agency, complex (1:1) | T1019 | U9 | U4 | TG | - | $6.39 |
CFSS personal care continuation of benefits agency, shared care, complex (1:2) | T1019 | U9 | UN | U4 | TG | $4.80 |
CFSS personal care continuation of benefits agency, shared care, complex (1:3) | T1019 | U9 | UP | U4 | TG | $4.21 |
CFSS personal care 45 day temporary start agency (1:1) | T1019 | U8 | - | - | - | $5.95 |
CFSS personal care 45 day temporary start agency, shared care (1:2) | T1019 | U8 | UN | - | - | $4.47 |
CFSS personal care 45 day temporary start agency, shared care (1:3) | T1019 | U8 | UP | - | - | $3.92 |
CFSS personal care 45 day temporary start agency complex (1:1) | T1019 | U8 | TG | - | - | $6.39 |
CFSS personal care 45 day temporary start agency, shared care, complex (1:2) | T1019 | U8 | TG | UN | - | $4.80 |
CFSS personal care 45 day temporary start agency, shared care, complex (1:3) | T1019 | U8 | TG | UP | - | $4.21 |
CFSS goods and services agency (includes fee for FMS) | T5999 | U9 | - | - | - | N/A |
CFSS PERS installation and testing agency | S5160 | U9 | - | - | - | $500 |
CFSS PERS monthly service fee agency | S5161 | U9 | - | - | - | $110 |
CFSS PERS purchase agency | S5162 | U9 | - | - | - | $1,500 |
CFSS worker training & supervision (agencytraining) | S5116 | U9 | - | - | - | $1.272.96 |
CFSS worker training and supervision (formal training) | S5116 | U9 | UD | - | - | N/A |
Service name | Procedure code | Mod 1 | Mod 2 | Mod 3 | Mod 4 | 10/1/24 rate |
---|---|---|---|---|---|---|
CFSS personal care extended budget (1:1) | T1019 | UB | UC | - | - | N/A |
CFSS personal care extended budget, shared care (1:2) | T1019 | UB | UC | UN | - | N/A |
CFSS personal care extended budget, shared care (1:3) | T1019 | UB | UC | UP | - | N/A |
CFSS personal care extended budget (1:1), complex | T1019 | UB | UC | TG | - | N/A |
CFSS personal care extended budget, shared care, complex (1:2) | T1019 | UB | UC | UN | TG | N/A |
CFSS personal care extended budget, shared care, complex (1:3) | T1019 | UB | UC | UP | TG | N/A |
CFSS personal care reduction budget (1:1) | T1019 | UB | U5 | - | - | N/A |
CFSS personal care reduction budget, shared care (1:2) | T1019 | UB | U5 | UN | - | N/A |
CFSS personal care reduction budget, shared care(1:3) | T1019 | UB | U5 | UP | - | N/A |
CFSS personal care reduction budget, complex (1:1) | T1019 | UB | U5 | TG | - | N/A |
CFSS personal care reduction budget, shared care, complex (1:2) | T1019 | UB | U5 | UN | TG | N/A |
CFSS personal care reduction budget, shared care, complex (1:3) | T1019 | UB | U5 | UP | TG | N/A |
CFSS personal care budget (1:1) | T1019 | UB | - | - | - | N/A |
CFSS personal care budget, shared care (1:2) | T1019 | UB | UN | - | - | N/A |
CFSS personal care budget, shared care (1:3) | T1019 | UB | UP | - | - | N/A |
CFSS personal care budget, complex (1:1) | T1019 | UB | TG | - | - | N/A |
CFSS personal care budget, shared care, complex (1:2) | T1019 | UB | UN | TG | - | N/A |
CFSS personal care budget, shared care, complex (1:3) | T1019 | UB | UP | TG | - | N/A |
CFSS personal care temporary increase budget (1:1) | T1019 | UB | U6 | - | - | N/A |
CFSS personal care temporary increase budget, shared care (1:2) | T1019 | UB | UN | U6 | - | N/A |
CFSS personal care temporary increase budget, shared care (1:3) | T1019 | UB | UP | U6 | - | N/A |
CFSS personal care temporary increase budget, complex (1:1) | T1019 | UB | U6 | TG | - | N/A |
CFSS personal care temporary increase budget, shared care, complex (1:2) | T1019 | UB | U6 | UN | TG | N/A |
CFSS personal care temporary increase, shared care, complex (1:3) | T1019 | UB | U6 | UP | TG | N/A |
CFSS personal care continuation of benefits budget (1:1) | T1019 | UB | U4 | - | - | N/A |
CFSS personal care continuation of benefits budget, shared care (1:2) | T1019 | UB | UN | U4 | - | N/A |
CFSS personal care continuation of benefits budget, shared care (1:3) | T1019 | UB | UP | U4 | - | N/A |
CFSS personal care continuation of benefits budget, complex (1:1) | T1019 | UB | U4 | TG | - | N/A |
CFSS personal care continuation of benefits budget, shared care, complex (1:2) | T1019 | UB | UN | U4 | TG | N/A |
CFSS continuation of benefits budget, shared care, complex (1:3) | T1019 | UB | UP | U4 | TG | N/A |
CFSS goods and services budget | T5999 | UB | - | - | - | N/A |
CFSS PERS installation and testing budget | S5160 | UB | - | - | - | $500 |
CFSS PERS monthly service fee budget | S5161 | UB | - | - | - | $110 |
CFSS PERS purchase budget | S5162 | UB | - | - | - | $1,500 |
CFSS worker training & supervision budget (formal training) | S5116 | UB | UD | - | - | $1,272.96 |
CFSS financial management services fee budget | T2040 | UB | UA | - | - | N/A |
CFSS failed background study fee budget | T2040 | UB | UA | U6 | - | $44 |
Service name | Procedure code | Mod 1 | Mod 2 | Mod 3 | Mod 4 | 10/1/24 rate |
---|---|---|---|---|---|---|
CFSS consultation services, orientation and annual renewal | T1023 | - | - | - | - | $100 |
CFSS consultation services, ongoing support | T1023 | TS | - | - | - | $100 |
CFSS consultation services, quality assurance and remediation | T1023 | U2 | - | - | - | $100 |