Medicare Waivers Page 2

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Volume 36 Number 09
Rate Update for Home and Community Based Services
October 1, 2013
Advanced Respite - Aged & Disabled Waiver
$ 4.53
$ 4.85
S5150TF
15-min unit)
Basic Block Respite - Aged & Disabled Waiver
$ 76.92
$ 82.30
S515152
(9-12 hours)
Advanced Block Respite - Aged & Disabled
$101.20
$108.28
S515152TF
Waiver (6-8 hours)
Advanced Respite Daily – Aged & Disabled
$ 250.32
$ 267.84
S5151TF
Waiver (17-24 hrs)
$
5.45
$
5.83
S5170
Home Delivered Meals (per meal)
$
7.49
$
8.01
T1000
Private Duty Nursing, HCY (15-min unit)
$
7.06
$
7.55
T1000SC
Private Duty Nursing - Exception (15-min unit)
Private Duty Nursing, AIDS Waiver (15-min
$
7.06
$
7.55
T1000U4
unit)
Private Duty Nursing - Medically Fragile Adult
$
7.06
$
7.55
T1000U5
Waiver (15-min unit)
$ 40.85
$ 43.71
T1001
Authorized Nurse Visit (per visit)
$ 40.85
$ 43.71
T1001EP
Authorized Nurse Visit - HCY (per visit)
$ 40.85
$ 43.71
T1001TDEP
RN evaluation visit for PC - HCY (per visit)
$ 31.07
$ 33.24
T1001U3
Authorized Nurse Visit - ALF/RCF (per visit)
Nurse Respite - Aged & Disabled Waiver
$
5.66
$
6.06
T1005
(15-min unit)
$
4.24
$
4.54
T1019
Personal Care (15-min unit)
$
4.24
$
4.54
T1019EP
Personal Care - HCY (15-min unit)
$
5.25
$
5.62
T1019TF
Advanced Personal Care (15-min unit)
$
5.25
$
5.62
T1019TFEP
Advanced Personal Care - HCY (15-min unit)
Consumer Directed Services Personal Care
$
3.69
$
3.95
T1019U2
(15-min unit)
$
4.10
$
4.39
T1019U3
Personal Care - ALF/RCF (15-min unit)
Advanced Personal Care - ALF/RCF (15-min
$
4.61
$
4.93
T1019U3TF
unit)
$
4.24
$
4.54
T1019U4
Personal Care - AIDS Waiver (15-min unit)
CDS Personal Care - Independent Living
$
3.69
$
3.95
T1019U6
Waiver (15-min unit)
Provider Bulletins are available on the MO HealthNet Division (MHD) (Formerly the Division of Medical
Services) Web site at Bulletins will remain on the Provider
Bulletins page only until incorporated into the
provider manuals
as appropriate, then moved to the Archived
Bulletin page.
MO HealthNet News: Providers and other interested parties are urged to go to the MHD Web site at
to subscribe to the electronic mailing list to
receive automatic notifications of provider bulletins, provider manual updates, and other official MO HealthNet
communications via E-mail.
MO HealthNet Managed Care: The information contained in this bulletin applies to coverage for:
MO HealthNet Fee-for-Service
Services not included in MO HealthNet Managed Care
Questions regarding MO HealthNet Managed Care benefits should be directed to the patient’s MO HealthNet
Managed Care health plan. Before delivering a service, please check the patient’s eligibility status by swiping
the MO HealthNet card or by calling the Interactive Voice Response (IVR) System at 573-751-2896 and using
Option One for the card.
Provider Communications Hotline
573-751-2896

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