DSD E-list Announcement
Date: April 24, 2013
To: All interested parties
From: BI, CAC, CADI and DD waiver policy staff
Subject: Authorization and rate maximums for certain disability waiver services
Effective Date: Immediately
Purpose of E-mail: Remind interested parties of authorization and rate maximums in place for certain disability waiver services
Contact Information: Regional Resource Specialist
In an effort to ensure compliance with department policies, DHS would like to remind interested parties of the following: Effective July 1, 2010, DHS implemented authorization and rate maximums for the following services across the disability waiver programs to promote consistency and ease of management under the authority of 42 CFR 431.10(e).
Service Name | Procedure Code | Current Maximum |
S5165 | $40,000.00 per year | |
T2029 | $3,909.00 per year | |
Transportation, Mileage Commercial | S0215 UC | $1.46 per mile* |
Transportation, Mileage Non-commercial | S0215 UC | $0.55 per mile* |
Transportation, One Way Trip | T2003 | $18.78 per trip |
The authorization maximums for environmental accessibility adaptations and specialized supplies and equipment are per person per year (i.e. 365 days), regardless of whether the person changes waiver types.
Please refer to the Continuing Care Program Service Rate Limits sheet.
* The transportation rate maximum for commercial and non-commercial vehicles is set at the federal mileage rate. While the HCPC code for these two rates are the same, the type of transportation provided, commercial or non-commercial, should be specified in the individual's service agreement.![]()
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