EVV Covered Care Codes and Services

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HCBS Codes Currently Requiring EVV

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Home and Community Based Service Codes Currently Requiring EVV

Physically Disabled (PD)

S5125 U9 T2025 T2040 U2 S5125 U6
Intellectually/Developmentally Disabled (IDD)

H0045 S5125 S5190
T1000 TD T1019 T2025
T1000 T2040 U2
Frail Elderly (FE)

S5125 S5125 UD S5130 S5135
S5135 UD S5190 T1001 S5125 UA
T2025 T2029 T2040 U2
Brain Injury (BI)

S5125 U9 S5125 UB T2025 T2040 U2
Severe Emotional Disturbance

T1019HK
Technology Assisted (TA)

T1004 T1019 T2040 U2
Autism

T1005 U6 T1005 T2040 U2

Non-HCBS Codes Requiring EVV Effective September 2023

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Non-HCBS Codes Requiring EVV Effective September 2023

Non-HCBS Codes Requiring EVV Effective September 2023

T1019 HE

Home Health Care Service (HHCS) Codes Requiring EVV Effective December 2023

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HHCS Codes Requiring EVV Effective December 2023

HHCS Codes Requiring EVV Effective December 2023

99381 99382 99384 99385 99391 99392
99393 99394 99395 99600 99601 99602
G0156 G0299 G0300 S0315 S0316 S9128
S9129 S9131 S9460 T1023 T1030 T1031
99383 T1021 T1502

HCBS - HHCS Codes Requiring EVV Effective December 2023

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HCBS - HHCS Codes Requiring EVV Effective December 2023

Brain Injury (BI) Waiver

97129 G0152 G0151
G0153 H0004 H2014
97130 97595 97357
97129 - end date 1/31/2024
97130 - end date 1/31/2024
97535 - effective 2/1/2024
97537 - effective 2/1/2024
Technology Assisted (TA) Waiver

T1000 T1002 T1001 T1005 T1004