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June 03, 2022, 01:22 EDT

Chapter : Appendix A (EI)

Updated: 5/12/2017

 

EI Service Type

Reimbursement Category 1

Reimbursement Category 2

 

Setting

ET Targeted Case

Management/Service Coordination

 

T2022

 

N/A

 

Natural Environment

Assessment for Service Planning and Development of IFSP;

Annual Renewal of the IFSP

 

 

T1023 U1

 

 

T1023

 

Natural Environment or Center-based

Team Treatment activities, Team Meetings,

Assessments done after the initial

assessment for service planning

 

 

T1024 U1

 

 

T1024

 

 

Natural Environment

Developmental Services provided for

more than one child by one provider

 

N/A

 

T1027

 

Natural Environment

Developmental Services provided by

one provider for one child

 

N/A

 

T1027 U1

 

Natural Environment

Center-based group developmental

services

 

T1026

 

N/A

 

Center

Center-based individual

developmental services

 

T1026 U1

 

N/A

 

Center

Center-based group developmental

services

 

N/A

 

T1015

 

Center

Center-based individual

developmental services

 

N/A

 

T1015 U1

 

Center

Congregate PT

G0151

N/A

NE

Individual PT

G0151 U1

N/A

NE

Congregate OT

G0152

N/A

NE

Individual OT

G0152 U1

N/A

NE

Congregate SLP

G0153

N/A

NE

Individual SLP

G0153 U1

N/A

NE

Congregate Nursing Services

G0495

N/A

NE

Individual Nursing Services

G0495 U1

N/A

NE