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Important Information for Residential Providers for Innovations, B3 and TBI Providers

Due to the COVID outbreak, Alliance Health is committed to providing financial support for Innovations, TBI and B3 Residential Services. The rates are specifically to support direct care staff and increased facility related costs due to COVID. These rates are in effect for dates of service June 1-June 30, 2020. Member specific rates will not change.

B3 CodesServiceRate for June
T2033U4Supported Living Level I $                   175.34
T2033HI U4Supported Living Level II $                   211.70
T2033TF U4Supported Living Level III $                   247.45
H2016U4Residential Supports Level 1 $                   113.88
H2016U2 U4Residential Supports Level 1 – AFL $                   108.40
H2016HI U4Residential Supports Level 4 $                   196.12
H2016HI U2 U4Residential Supports Level 4 – AFL $                   199.48
T2014U4Residential Supports Level 2 $                   145.51
T2014U2 U4Residential Supports Level 2 – AFL $                   153.94
T2020U4Residential Supports Level 3 $                   170.82
T2020U2 U4Residential Supports Level 3 – AFL $                   176.72
Innovations
H2016Residential Supports Level 1 $                   113.88
H2016U2Residential Supports Level 1 – AFL $                   108.40
H2016HIResidential Supports Level 4 $                   196.12
H2016HI U2Residential Supports Level 4 – AFL $                   199.48
T2014Residential Supports Level 2 $                   145.51
T2014U2Residential Supports Level 2 – AFL $                   153.94
T2020Residential Supports Level 3 $                   170.82
T2020U2Residential Supports Level 3 – AFL $                   176.72
T2033Supported Living Level 1 $                   175.34
T2033HISupported Living Level 2 $                   211.70
T2033TFSupported Living Level 3 $                   247.45
TBI
H201622Residential Supports 1 $                   138.38
H2016U2 22Residential Supports Level 1 – AFL $                   138.38
T201422Residential Supports 2 $                   180.02
T2014U2 22Residential Supports Level 2 – AFL $                   180.02
T202022Residential Supports 3 $                   257.17
T2020U2 22Residential Supports Level 3 – AFL $                   357.17

Please direct any questions or concerns to: [email protected].

Alliance Health highly recommends that you monitor Provider News and our website daily for any updates regarding provider services. Alliance will update this information as we receive any updates from the State in regards to COVID-19.

Please continue to check our COVID-19 resources for providers at alliancehealthplan.org/providers/covid-19-updates-and-resources. Alliance will continue to update this page with resources.

In the event that COVID -19 seriously impacts your ability to provide services to our members, please notify Alliance immediately by submitting the Temporary Disruption of Service Delivery form found on our website.



Page last modified: June 1, 2020