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Non Medicaid: Day Supports
About
Coverage
State
Diagnosis Group(s)
Developmental Disability
Age Group(s)
Ages 16+
Authorization
Submission Requirements
Initial:
- Service Authorization Request (SAR)
- Psychological/Psychiatric/Neuropsych Evaluation
- Person Centered Plan (PCP) or Individual Support Plan (ISP) with signed Service Order
- TBI Assessment requiring minimum to low supervision/support level
Authorization Duration and Limits
Initial and Concurrent:
- 30 hours/week for 6 months
- 1 unit = 15 minutes
SNAP
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SIS
| A | B | C | D | E | F | G |
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Service Codes & Descriptions
- YM590- Day Supports, Group
Full Service Definition
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