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Medicaid B(3): Respite
About
Coverage
Medicaid Direct (Medicaid B)
Diagnosis Group(s)
Developmental Disability
Age Group(s)
Adults 18+
Authorization
Submission Requirements
All B3 Services end 6/30/2024
- Service Authorization Request (SAR)
- Person Centered Plan (PCP) with Service Order
- Comprehensive Clinical Assessment (CCA)
Service Definition Authorization Parameters
All B3 Services end 6/30/2024
- Up to maximum of 90 day authorization period
- Up to 32 hours/month billing limit
- Limited funding
- Not an entitlement service
SNAP
| A | B | C | D |
|---|---|---|---|
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Service Codes & Descriptions
- H0045HB - Respite B3 Individual Adult
- H0045 HQ HB - Respite Group Adult
Service Description
Respite provides relief to caregivers. This service is available to families of children with Behavioral Health needs and all ages for Intellectual and Developmental Disabilities needs.
When submitting requests for B3 Respite Services in ACS, please choose Definition = Respite - B3.
Following are the correct codes to submit when requesting B3 Respite Services:
H0045 = Respite B3 Individual Child
H0045 HQ = Respite B3 Group Child
H0045 HB = Respite B3 Individual Adult
H0045 HQ HB = Respite B3 Group Adult
Alliance Statement of Work
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