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Consult - TS420{GJP@Z*]Group Counsel - TS421 ףp= :@Z*^TI/-R Moderate -TS460p= [d@Z%_ TI/-R High TS461Ql@Z,`Periodic Travel - TS495 ףp=J@@Z)aAfter Hours Evaluation -TS510Z&bAdapt Bhr - TS550Q=@Zc Dev Day - TS610Z!d ADAP - TS620@Z8e Supported Employment Travel - TS63533333s?@Z7fSupported Employment Group - TS640Gz%@Z*gDay Treatment - TS670Gz.&@Z3hDay Treatment Adult PH - TS675p= c0@Z,iEduc Comm Based - TS685@Z'jTS Guardianship686hp@Z'kIndividual Rate/CLT - TS700Z*lSupported Living - Low - TS710Z lDZ/m Supported Living - Moderate - TS720Z mDZ3nCommunity Respite - TS730Qx]@DZ4oSPVD Living Family - TS746Gz~V@DZ$pGroup Living Low - TS760Z pDZ)qGroup Living Moderate - TS770Z qDZ)rGroup Living Hi Mgmt. - TS780Z rDZ8sCAP Sup Living Level 1 - TS782V@DZ8tCAP Sup Living Level 2 - TS783^@DZ8uCAP Sup Living Level 3 - TS784 c@DZ8vCAP Sup Living Level 4 - TS785es@DZ1wDetox NonhosMed - TS800es@DZ:xSup Living 1 Residential - TS811s@DZ:ySup Living 2 Residential - TS812`f@DZ:zSup Living 3 Residential - TS813_@DZ:{Sup Living 4 Residential - TS814Y@DZ:|Sup Living 5 Residential - TS815U@DZ:}Sup Living 6 Residential - TS816R@DZ2~Inpt 72 Hr Day 1 - TS820= ףp9|@DZ2Residential Supports - TS850 DYYCScnt:3LAcnt:1  ;,  ;# Serv_list;c" Services;cUPcnt:2Tla0102030405060708091011RVHWMQSTD=05 = Family / Friends /02 = Insurance 04 = State DD funds ,01 = Medicare 03 = Area DD funds /M/YCAP-MR/DD ServiceCodeMaximum Allowable Billing UnitService(1) Consumer Name: (2) Unique ID: (4) Effective Date:(5) Revision #: (6) Revision Effective Date: (7) Area Program Code: (8) SNAP Score: @Source Codes: All funding sources MUST be recorded (list in #11) U = UCR-TSC = CAP(9)(10) How OftenSourceProviderAgency#Weeks/#MonthsDates From / ToRateMedicaidCAPUCR-TSOther(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)UCAVERAGE MONTHLY COSTS M = Medicaid PRINT ON THE( a )( b )( c )( d )TAnnual subtotals before Adjustments (Multiply line 23 a, b, c, d x 12 - enter here):"ANNUAL TOTAL - ALL FUNDING SOURCES 01-00-00YN-06 = Client (non-covered services only)  07 = Vocational Rehabilitation12encyFrequ 08 = School System 09 = IPP 10 = At Risk Children (3) Client Record #: 11 = SS/SSI, SSDI, SA 12 = OtherCap_1: (22) TOTAL MONTHLY REIMBURSABLE COSTS BEFORE ADJUSTMENTS6(23) TOTAL MONTHLY MEDICAID (REGULAR MEDICAID AND CAP) 26 Comments!Add together lines 24 a, b, c, d j4 444W5 66S/7s777m899: Fɀ P@r|$X H|D \  dMbP?_*+%&RPage &P of &N&?'?(?)?MLJ01d,,L.HP LaserJet 8150 PCL 6320.PMD2xe;/DQ:A!CP()D'BoL&14 ?"J~{Z^+YYq.wh-$颓%'5oj7y4e2ENP8f)$rAH3އBf(gڢ.L=>÷s  2J}~B~2dr[ }uH72+d!FEGX$\NIwQZs ѹ}~[ίʧkKJ'$>?%C"d,,??cU} } $} m} I } } } } } } } $} } $ } } I } $ } .} } } m } $ } } I } } I }  } $ Column BColumn G? @1@  -@  @  @  @  @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ ;<=== ; << ;Y???= )D D Dmm-dd-yyA0 01-00-00~ =? q~ >@.;>?;<<<<<>=@AABAC?? =\= q ; = ;!}AAAA  ;" |  #  ~ }Y@C?? =M ==*;B;EAAAAA;BAADBAC? 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