ADDENDUM J
SPECIAL EDUCATION PROGRAM
MMIS CODES, UNITS, RATES
April 2004
HCPCs SERVICES Unit
Rate
X0201 Physical Therapy Evaluation
1 Hour (min. 31min.)
$ 85.00
X0202 Ind. P.T. W/Licensed PT
1/2 Hour (min. 20 min.)
$ 29.00
X0203 Ind. P.T. Program
1/2 Hour (min. 20 min.)
$ 24.00
X0204 P.T. Program-Group
1/2 Hour (min. 20 min.)
$ 19.00
X0205 Occupational Therapy Evaluation
1 Hour (min. 31min.)
$ 85.00
X0206 Ind.O.T. W/Licensed OT.
1/2 Hour (min. 20 min.)
$ 29.00
X0207 Ind. O.T. Program
1/2 Hour (min. 20 min.)
$ 24.00
X0208 O.T. Program-Group
1/2 Hour (min. 20 min.)
$ 19.00
X0209 Speech, Hearing, Lang. Evaluation
1 Hour (min. 31min.)
$ 85.00
X0210 Ind. S.H.L. w/Speech Lang. Pathologist 1/2 Hour (min. 20 min.)
$ 29.00
X0211 Ind. S.H.L. Program
1/2 Hour (min. 20 min.)
$ 24.00
X0212 S.H.L. Program/Group
1/2 Hour (min. 20 min.)
$ 19.00
X0521 Psychiatric Evaluation
Completed Evaluation
$135.00
X0525 Psychological Evaluation
Completed Evaluation
$120.00
X0529 Social Worker Evaluation
Completed Evaluation
$ 85.00
X0523 Psychiatric Counseling
1/2 Hour (min. 20 min.)
$ 45.00
X0527 Psychological Counseling
1/2 Hour (min. 20 min.)
$ 40.00
X0531 Social Worker Counseling
1/2 Hour (min. 20 min.)
$ 30.00
X0222 Guidance Counselor Counseling
1/2 Hour (min. 20 min.)
$ 29.00
X0223 Counseling Services-Group
1/2 Hour (min. 20 min.)
$ 20.00
X0221 Nursing Services
1/2 Hour (min. 20 min.)
$ 25.00
X0213 Residential Placement
1 unit equals 1 day M.A. Approved Cost
Less Education & R. & B.
X0220 Transportation
Individual For A Round Trip
$ 10.00
X0215 Non-Medical Case Mgt
1/2 hour (min. 15 min.) $ 35.00
X0650 Medical Case Mgt
1/2 hour (min. 15 min.)
$ 35.00
X0216 Personal Care
1/2 hour (min. 20 min.) $ 10.00
X0217 Day Program Services
1 unit equals 1 day M.A. Approved Cost Less Education
X0226 Assistive Technology Device
1 unit equals 1 device
Variable Rate
X0227 Assistive Technology Service
1/2 hour (min. 20 min.) $ 25.00
X0229 Child Outreach Screening
Completed screening
$ 60.00
X0239 Child Outreach Rescreening
Completed screening
$ 25.00