As of 08/01/2011 Revised 07/01/2015 SERVICE CODE UNITS AMOUNT CHILD PROTECTIVE SERVICES FAMILY SUPPORT. Private Transportation one mile $
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1 CHILD PROTECTIVE SERVICES FAMILY SUPPORT Private Transportation one mile $ Agency Transportation one mile $ Public Transportation one event up to $ Needs Assessment/Service Plan one hour $ Individualized Parenting * one hour $ General Parenting * one hour $ Adult Life Skills * one hour $ Group Child Oriented Activity * one hour $ Case Management Services minutes $ FAMILY PRESERVATION Supervision one hour $ Individualized Parenting * one hour $ Family Crisis Response * Use extended codes one hour $ Social/Emotional Support one hour $ Home Maker Services one hour $ Private Transportation one mile $ Transportation Time minutes $ Intervention Travel Time minutes $ Agency Transportation one mile $ Public Transportation one event up to $ Lodging night up to $70.00 Meals one day up to $47.00 In-State Home Study Per Study $ Out of State Home Study Per Study up to $1, Supervised Visitation Two * half hour $ Supervised Visitation One * half hour $ Supervision one hour $ CAPS Family Assessment * one hour $ Respite * one hour $ Emergency Respite * one hour $ Family Crisis Response * one hour $ Individualized Parenting * one hour $ General Parenting * one hour $ Adult Life Skills * one hour $ Home Maker Services one hour $ CAPS Case Management Services minutes $ MDT Attendance one event $ CBT Intensive Family Preservation pending service day $ Individual Review / Independent Reviewer one event $ Page 1 of 6
2 CHILD PROTECTIVE SERVICES (Cont) FOSTER FAMILY CARE Private Transportation One one mile $ Private Transportation Two one mile $ Private Transportation Three one mile $ Transportation Time minutes $ Intervention Travel Time minutes $ Agency Transportation One one mile $ Agency Transportation Two one mile $ Agency Transportation Three one mile $ Public Transportation One one event up to $ Public Transportation Two one event up to $ Public Transportation Three one event up to $ Lodging night up to $70.00 Lodging Pre-adoptive night up to $70.00 Meals one day up to $47.00 Meals Pre-adoptive one day up to $47.00 In State Home Study per study $ Out of State Home Study per study up to $1, Supervised Visitation Two * half hour $ Supervised Visitation One * half hour $ CAPS Family Assessment * one hour $ Daily Respite one day $ Connection Visit one day $ Emergency Respite * one hour $ Family Crisis Response * one hour $ Individualized Parenting * one hour $ General Parenting * one hour $ Adult Life Skills * one hour $ Intensive Therapeutic Recreation Experience one dollar $ Tutoring * one hour $ CAPS Case Management Services minutes $ Pre-Reunification Support * one hour $ MDT Attendance one event $ CHAFEE Agency Transportation one mile $ Chafee Pre-Placement Activitiest * one hour $ Chafee Phase Two - Part One * one hour $ Chafee Phase Two - Part Two * one hour $ CBT Pre Community Integration pending service day $ CBT Intensive Foster Care Re-entry pending service day $ GROUP FOSTER CARE Away From Supervision Support one day $ CBT Pre Community Integration pending service day $ CBT Intensive Foster Care Re-entry pending service day $ Individual Review / Independent Reviewer one event $ Page 2 of 6
3 CHILD PROTECTIVE SERVICES (Cont) REUNIFICATION Supervision one hour $ Individualized Parenting * one hour $ Family Crisis Response * Use extended codes one hour $ Social/Emotional Support one hour $ Home Maker Services one hour $ Private Transportation one mile $ Transportation Time minutes $ Intervention Travel Time minutes $ Agency Transportation one mile $ Public Transportation one event up to $ Lodging night up to $70.00 Meals one day up to $47.00 Supervised Visitation Two * half hour $ Supervised Visitation One * half hour $ Supervision one hour $ Respite * one hour $ Emergency Respite * one hour $ Family Crisis Response * one hour $ Individualized Parenting * one hour $ General Parenting * one hour $ Adult Life Skills * one hour $ Home Maker Services one hour $ MDT Attendance one event $ CBT Intensive Family Reunification pending service day $ ADOPTION PRESERVATION Private Transportation one mile $ Agency Transportation one mile $ Public Transportation one event up to $ Lodging night up to $70.00 Meals one day up to $47.00 CAPS Family Assessment * one hour $ Crisis Respite * one day $ Family Crisis Response * one hour $ Individualized Parenting * one hour $ Case Management Services minutes $ CAPS Case Management Services minutes $ Page 3 of 6
4 YOUTH SERVICES FAMILY SUPPORT Private Transportation one mile $ Agency Transportation one mile $ Public Transportation one event up to $ Family and Needs Assessment * one hour $ Supervision one hour $ Individualized Parenting * one hour $ Case Management Services minutes $ FAMILY PRESERVATION Private Transportation one mile $ Transportation Time minutes $ Intervention Travel Time minutes $ Agency Transportation one mile $ Public Transportation one event up to $ Lodging night up to $70.00 Meals one day up to $47.00 In-State Home Study per study $ Out of State Home Study per study up to $1, Supervision one hour $ Individualized Parenting * Use extended codes one hour $ Family Crisis Response * one hour $ Supervised Visitation One * half hour $ Supervision one hour $ CAPS Family Assessment * one hour $ Emergency Respite * one hour $ Family Crisis Response * one hour $ Individualized Parenting * one hour $ Adult Life Skills * one hour $ CAPS Case Management Services minutes $ MDT Attendance one event $ CBT Intensive Family Preservation pending service day $ Individual Review / Independent Reviewer one event $ Page 4 of 6
5 YOUTH SERVICES (Cont) FOSTER FAMILY CARE Private Transportation One one mile $ Private Transportation Two one mile $ Transportation Time minutes $ Intervention Travel Time minutes $ Agency Transportation One one mile $ Agency Transportation Two one mile $ Public Transportation One one event up to $ Public Transportation Two one event up to $ Lodging night up to $70.00 Meals one day up to $47.00 In-State Home Study per study $ Out of State Home Study per study up to $1, Supervised Visitation Two * half hour $ Supervised Visitation One * half hour $ CAPS Family Assessment * one hour $ Daily Respite one day $ Connection Visit one day $ Emergency Respite * one hour $ Family Crisis Response * one hour $ Individualized Parenting * one hour $ Adult Life Skills * one hour $ Intensive Therapeutic Recreation Experience one dollar $ Tutoring * one hour $ CAPS Case Management Services minutes $ Pre-Reunification Support * one hour $ MDT Attendance one event $ CHAFEE Agency Transportation one mile $ Chafee Pre-Placement Activitiest * one hour $ Chafee Phase Two - Part One * one hour $ Chafee Phase Two - Part Two * one hour $ CBT Pre Community Integration service day $ CBT Intensive Foster Care Re-entry service day $ GROUP FOSTER CARE Away From Supervision one day $ CBT Pre Community Integration service day $ CBT Intensive Foster Care Re-entry service day $ Individual Review / Independent Reviewer one event $ Page 5 of 6
6 YOUTH SERVICES (Cont) REUNIFICATION Supervision one hour $ Individualized Parenting * Use extended codes one hour $ Family Crisis Response * one hour $ Private Transportation one mile $ TransportationTime minutes $ Intervention Travel Time minutes $ Agency Transportation one mile $ Public Transportation one event up to $ Lodging night up to $70.00 Meals one day up to $47.00 Supervised Visitation One * half hour $ Supervision one hour $ Respite * one hour $ Emergency Respite * one hour $ Family Crisis Response * one hour $ Individualized Parenting * one hour $ Adult Life Skills * one hour $ MDT Attendance one event $ CBT Intensive Family Reunification pending service day $ Page 6 of 6
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