Agencies
Services
Current Rates
Persons who are Elderly Waiver |
|||||
| Fee Schedule Effective Date: 1.1.2026 | |||||
| Service/Service Description | Procedure Code | Modifier | Geographic Area for Applicable Rate | Service Unit Type | Unit Rate |
|---|---|---|---|---|---|
| In-Home Service | S5130 |
None | Statewide | Hour | $30.80 |
| In-Home Service w/ Insurance | S5130 | None | Statewide | Hour | $32.57 |
| Adult Day Service | S5100 | None | Statewide | Hour | $16.84 |
| Adult Day Service Transportation | T2003 |
None | Statewide | Ride |
$12.44 |
| Emergency Home Response Install | S5165 | None | Statewide | Install | $40.00 |
| Emergency Home Response, Monthly Monitoring, Basic and GPS | S5165 | None | Statewide | Month | $28.00 |
| Emergency Home Response Monthly Monitoring with Fall Detection | S5165 | TG |
Statewide | Month | $37.00 |
| Automated Medication Dispenser Install | A9901 |
None | Statewide | Install | $50.00 |
| Automated Medication Dispenser Monthly Monitoring | T1505 | None | Statewide | Month | $40.00 |
