Rule and Procedure Table of Contents
BOARD PAYMENT TYPE SERVICE CODES | Entry | Code | Definition | BOARD PAYMENT TYPE SERVICE CODES | Entry | Code | Definition
Note: Entry
Code is the Service Code number entered by the caseworker for both initial and
changes to placement/payment information (CFS 906). The code numbers
under unlicensed and licensed columns are the codes given by the Central
Payment Unit depending on the licensing status of the provider and relative or
nonrelative relationship to the child.
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0201 |
Private Institution |
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0202 |
Other Institutions |
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0203 |
Private Group Homes |
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0204 |
Supervised Independent Living |
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0207 |
DMH, DORS, DPH Institution Allowance |
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0216 |
DMH, DORS, DPH, INST. Allow. CUB/HTN Refugee |
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0217 |
DMH, DORS, DPH INST. Allow. Other Refugee |
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0218 |
Detention Facility - Allowance |
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0221 |
Emergency Shelters - Institutions |
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0222 |
Emergency Group Homes - Institutions |
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0223 |
Youth Emergency Shelters |
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0251 |
David B Consent Order |
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0267 |
Pregnant/Parenting Teen- Residential |
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0701 |
Youth In Transition/Grants |
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0708 |
Youth In Transition/Grants |
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0720 |
Youth In College/Grants |
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0725 |
Youth In College - Grants |
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0801 |
Dept. Scholarship Living Expenses |
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0802 |
Dept. Scholarship Initial Expenses |
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0803 |
Initial Month Dept. Scholarship |
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0806 |
Dept. Scholarship Living Expenses |
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0901 |
Maternity Home Care |
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7201 |
Medicaid Private Institution |
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7202 |
Medicaid Group Home Fee For Service |
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7203 |
Medicaid/Private Group Home |
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7204 |
Medicaid/Supervised Independent Living |
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7205 |
Medicaid Independent Living Fee for Service. |
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7251 |
Medicaid David B Consent Order |
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7267 |
Medicaid Pregnant Parenting Teen-Resident |
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0126 |
Dept. Guardian Successor |
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0150 |
Subsidized Guardian Subsidy-Intensive |
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0186 |
Subsidized Guardian - Relative - Man Calc |
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0188 |
Subsidized Guardian - Non-relative - Man Calc |
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0189 |
Subsidized Guardian - Spec Rate |
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0193 |
Subsidized Guardian - Relative |
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0194 |
Subsidized Guardian - Non-relative |
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0331 |
Adoption Subsidy - agreement prior to 7-1-95. |
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0332 |
Adoption Subsidy - agreement after 6-30-95 |
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0333 |
Adoption Subsidy - agreement prior to 7-1-95 |
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0334 |
Adoption Subsidy - agreement after 6-30-95 |
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0335 |
Adoption Subsidy- Eligible Other Benefits |
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0336 |
Adoption Subsidy- Spec Rate/Manual Enter |
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0337 |
Adoption Subsidy - NO LONGER USED |
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0338 |
Adoption Subsidy - No COLA |
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0350 |
Adoption Subsidy - Under age 19 in school |
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0355 |
Adoption Subsidy - Under age 21 with disability |
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0370 |
Subsidized Guardianship - Under age 19 in school |
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0375 |
Subsidized Guardianship - Under age 21 with disability |
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