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| Provider: |
AB&B Transportation Services |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| | 5. | RW Skilled Nursing Extended LPN |
| | 6. | RW Skilled Nursing Extended RN |
| | 7. | RW Skilled Nursing Trained Unlicensed Personnel |
| | 8. | RW Skilled Nursing Visits |
| Provider: |
Abundant Life Residential Services |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 6. | RW Skilled Nursing Extended LPN |
| | 7. | RW Skilled Nursing Extended RN |
| | 8. | RW Skilled Nursing Trained Unlicensed Personnel |
| | 9. | RW Skilled Nursing Visits |
| Provider: |
AGAPE HealthCare Services |
| | 4. | RW Residential Habilitation |
| | 8. | RW Skilled Nursing Extended LPN |
| | 9. | RW Skilled Nursing Extended RN |
| | 10. | RW Skilled Nursing Trained Unlicensed Personnel |
| | 11. | RW Skilled Nursing Visits |
| Provider: |
Allied Alternatives, Inc. |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 5. | RW Community Support Team (ACT) |
| | 6. | RW Community Support Team (Somatic Assessment) |
| | 7. | RW Community Support Team Crisis/Emergency |
| | 12. | RW Occupational Therapy |
| | 14. | RW Residential Habilitation |
| | 19. | RW Supported Living Periodic |
| Provider: |
Alnuba Transportation |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
Alpha One Transportation Service |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
American Care Transporation |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
American Health Care Services, Inc. |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 7. | RW Occupational Therapy |
| | 9. | RW Residential Habilitation |
| | 10. | RW Speech Hearing and Language Therapy |
| Provider: |
American Medics Tran |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
American Ramp Systems of Northern Virginia |
| | 1. | RW Environmental Accessibilities Adaptations |
| | 2. | Waiver-Environmental Accessibility(Bathroom Mod)(Waiver) |
| | 3. | Waiver-Environmental Accessibility(Ramp) |
| | 4. | Waiver-Environmental Accessibilty (Electric & Plumbing) |
| Provider: |
American Transit Inc |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
Amerimank, Inc. |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 5. | RW Community Support Team (ACT) |
| | 6. | RW Community Support Team (Somatic Assessment) |
| | 7. | RW Community Support Team Crisis/Emergency |
| | 12. | RW Occupational Therapy |
| | 14. | RW Residential Habilitation |
| | 18. | RW Speech Hearing and Language Therapy |
| | 20. | RW Supported Living Periodic |
| Provider: |
Amin Transportation |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
AMNA Transit Services, Inc. |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
AMORY'S CARE TRANSPORTATION |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
Angel Healthcare Services |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 5. | RW Community Support Team (ACT) |
| | 6. | RW Community Support Team (Somatic Assessment) |
| | 7. | RW Community Support Team Crisis/Emergency |
| | 11. | RW Occupational Therapy |
| | 13. | RW Residential Habilitation |
| | 18. | RW Supported Living Periodic |
| Provider: |
Angel Loving Care Group Home |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 8. | RW Occupational Therapy |
| | 10. | RW Residential Habilitation |
| | 14. | RW Speech Hearing and Language Therapy |
| | 16. | RW Supported Living Periodic |
| | 3. | RW Residential Habilitation |
| | 8. | RW Supported Living Periodic |
| Provider: |
Anna Healthcare Inc |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 5. | RW Community Support Team (ACT) |
| | 6. | RW Community Support Team (Somatic Assessment) |
| | 7. | RW Community Support Team Crisis/Emergency |
| | 9. | RW Day Habilitation (second provider) |
| | 10. | RW Day Habilitation (third provider) |
| | 11. | RW Day Habilitation One-to-One |
| | 12. | RW Environmental Accessibilities Adaptations |
| | 17. | RW Occupational Therapy |
| | 18. | RW One Time Transitional Services |
| | 20. | RW Residential Habilitation |
| | 24. | RW Skilled Nursing Extended LPN |
| | 25. | RW Skilled Nursing Extended RN |
| | 26. | RW Skilled Nursing Trained Unlicensed Personnel |
| | 27. | RW Skilled Nursing Visits |
| | 28. | RW Speech Hearing and Language Therapy |
| | 30. | RW Supported Living Periodic |
| | 31. | Speech, Hearing & Language - Follow-up |
| | 32. | Speech, Hearing, & Language - Assessment |
| Provider: |
Anna's Community Services, Inc. |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 6. | RW Day Habilitation (second provider) |
| | 7. | RW Day Habilitation (third provider) |
| | 8. | RW Day Habilitation One-to-One |
| | 10. | RW One Time Transitional Services |
| | 11. | RW Residential Habilitation |
| | 16. | RW Supported Living Periodic |
| Provider: |
Apex Healthcare Services, Inc. |
| | 4. | RW Occupational Therapy |
| | 6. | RW Residential Habilitation |
| | 10. | RW Speech Hearing and Language Therapy |
| | 12. | RW Supported Living Periodic |
| | 2. | RW Prevocational Habilitation |
| | 3. | RW Supportive Employment (Intake and Assessment Paraprofessional) |
| | 4. | RW Supportive Employment (Intake and Assessment Professional) |
| | 5. | RW Supportive Employment (Job Placement Paraprofessional) |
| | 6. | RW Supportive Employment (Job Placement Professional) |
| | 7. | RW Supportive Employment (Job Training & Support Paraprofessional) |
| | 8. | RW Supportive Employment (Job Training & Support Professional) |
| | 9. | RW Supportive Employment (Long-Term Follow-Along) |
| | 10. | Supportive Employment Job Development |
| | 11. | Supportive Employment Placement & Support (less than 4 hrs) |
| | 12. | Supportive Employment Placement and Support (4 hrs or more) |
| | 13. | Waiver-Day Habilitation |
| | 14. | Waiver-Prevocational Habilitation |
| | 15. | Waiver-Supportive Employment |
| Provider: |
ARCAR Services, Inc |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| Provider: |
Art & Drama Therapy Inst |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 6. | RW Day Habilitation (second provider) |
| | 7. | RW Day Habilitation (third provider) |
| | 8. | RW Day Habilitation One-to-One |
| | 11. | RW Prevocational Habilitation |
| | 12. | RW Professional Services Art Therapy |
| | 13. | RW Professional Services Dance Therapy |
| | 14. | RW Professional Services Drama Therapy |
| | 15. | RW Professional Services Fitness Trainer |
| | 16. | RW Professional Services Music Therapy |
| | 17. | RW Residential Habilitation |
| | 21. | RW Speech Hearing and Language Therapy |
| | 22. | RW Supportive Employment (Intake and Assessment Paraprofessional) |
| | 23. | RW Supportive Employment (Intake and Assessment Professional) |
| | 24. | RW Supportive Employment (Job Placement Paraprofessional) |
| | 25. | RW Supportive Employment (Job Placement Professional) |
| | 26. | RW Supportive Employment (Job Training & Support Paraprofessional) |
| | 27. | RW Supportive Employment (Job Training & Support Professional) |
| | 28. | RW Supportive Employment (Long-Term Follow-Along) |
| | 29. | Supportive Employment Job Development |
| | 30. | Waiver-Day Habilitation |
| | 31. | Waiver-Nutritional Assessment |
| | 32. | Waiver-Nutritional Counseling |
| | 33. | Waiver-Prevocational Habilitation |
| | 34. | Waiver-Speech Language Assessment |
| | 35. | Waiver-Speech Language: Follow Up |
| | 36. | Waiver-Supportive Employment |
| | 1. | RW Prevocational Habilitation |
| | 2. | RW Prevocational Support (second provider) |
| | 3. | Waiver-Prevocational Habilitation |
| Provider: |
ASAP Services, Inc |
| | 2. | Physical Therapy: Therapy |
| | 4. | RW Occupational Therapy |
| | 6. | RW Personal Emergency System (Intallation) |
| | 7. | RW Personal Emergency System (Maintenance) |
| | 12. | RW Skilled Nursing Extended LPN |
| | 13. | RW Skilled Nursing Extended RN |
| | 14. | RW Skilled Nursing Trained Unlicensed Personnel |
| | 15. | RW Skilled Nursing Visits |
| | 16. | RW Speech Hearing and Language Therapy |
| | 17. | Speech, Hearing & Language - Follow-up |
| | 18. | Speech, Hearing, & Language - Assessment |
| | 19. | Waiver-Attendant Care Aide |
| | 21. | Waiver-Companion care, adult |
| | 23. | Waiver-Occupational Therapy: Initial Assessment |
| | 24. | Waiver-Occupational Therapy: Therapy |
| | 25. | Waiver-Personal Care Aide |
| | 26. | Waiver-Physical Therapy Assessment |
| | 27. | Waiver-Respite Care Services: Respite Aide - 18+ hours per day for |
| | 28. | Waiver-Skilled Nursing Visit : Up to 4 hours |
| | 29. | Waiver-Skilled Nursing: Extended hours - LPN |
| | 30. | Waiver-Skilled Nursing: Extended Services - RN |
| Provider: |
ASSOCIATED COMMUNITY SERVICES |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 5. | RW Community Support Team (ACT) |
| | 6. | RW Community Support Team (Somatic Assessment) |
| | 7. | RW Community Support Team Crisis/Emergency |
| | 9. | RW Day Habilitation (second provider) |
| | 10. | RW Day Habilitation (third provider) |
| | 11. | RW Day Habilitation One-to-One |
| | 16. | RW One Time Transitional Services |
| | 17. | RW Prevocational Habilitation |
| | 18. | RW Residential Habilitation |
| | 22. | RW Speech Hearing and Language Therapy |
| | 24. | RW Supported Living Periodic |
| | 25. | RW Supportive Employment (Intake and Assessment Paraprofessional) |
| | 26. | RW Supportive Employment (Intake and Assessment Professional) |
| | 27. | RW Supportive Employment (Job Placement Paraprofessional) |
| | 28. | RW Supportive Employment (Job Placement Professional) |
| | 29. | RW Supportive Employment (Job Training & Support Paraprofessional) |
| | 30. | RW Supportive Employment (Job Training & Support Professional) |
| | 31. | Speech, Hearing & Language - Follow-up |
| | 32. | Speech, Hearing, & Language - Assessment |
| | 33. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 34. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 35. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 36. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 37. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 38. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 39. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 40. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 41. | Waiver Trans-Trip Cancellation |
| | 42. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 43. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 44. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 45. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 46. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 47. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 48. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 49. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
Associated Community Services (Prof) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 3. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 4. | RW Behavior Support Diagnostic Assessment |
| | 5. | RW Behavior Support Non-Professional |
| | 6. | RW Community Support Team (ACT) |
| | 7. | RW Community Support Team (Somatic Assessment) |
| | 8. | RW Community Support Team Crisis/Emergency |
| | 10. | RW Day Habilitation (second provider) |
| | 11. | RW Day Habilitation (third provider) |
| | 12. | RW Day Habilitation One-to-One |
| | 16. | RW One Time Transitional Services |
| | 17. | RW Prevocational Habilitation |
| | 18. | RW Residential Habilitation |
| | 23. | RW Supported Living Periodic |
| | 24. | RW Supportive Employment (Intake and Assessment Paraprofessional) |
| | 25. | RW Supportive Employment (Intake and Assessment Professional) |
| | 26. | RW Supportive Employment (Job Placement Paraprofessional) |
| | 27. | RW Supportive Employment (Job Placement Professional) |
| | 28. | RW Supportive Employment (Job Training & Support Paraprofessional) |
| | 29. | RW Supportive Employment (Job Training & Support Professional) |
| | 30. | Speech, Hearing & Language - Follow-up |
| | 31. | Speech, Hearing, & Language - Assessment |
| | 32. | Supportive Employment Job Development |
| | 33. | Supportive Employment Placement & Support (less than 4 hrs) |
| | 34. | Supportive Employment Placement and Support (4 hrs or more) |
| | 35. | Waiver-Attendant Care Aide |
| | 37. | Waiver-Crisis Assessment |
| | 38. | Waiver-Crisis Attendant |
| | 40. | Waiver-Day Habilitation |
| | 41. | Waiver-Family Training - Follow-Up |
| | 42. | Waiver-Family Training - Initial |
| | 44. | Waiver-Independent Habilitation (Monday - Friday) |
| | 45. | Waiver-Independent Habilitation (Saturday & Sunday) |
| | 46. | Waiver-Nutritional Assessment |
| | 47. | Waiver-Nutritional Counseling |
| | 48. | Waiver-Preventative/Consultative - Initial |
| | 49. | Waiver-Preventative/Consultative Follow-up |
| | 50. | Waiver-Prevocational Habilitation |
| | 51. | Waiver-Residential Habilitation |
| | 52. | Waiver-Respite Care Services: LPN |
| | 53. | Waiver-Respite Care Services: Respite Aide - 18+ hours per day for |
| | 54. | Waiver-Respite Care Services: Respite Aide: 1 to 17 hrs per day |
| | 55. | Waiver-Respite Care Services: RN |
| | 56. | Waiver-Skilled Nursing Services: Up to 4 hours |
| | 57. | Waiver-Skilled Nursing Visit : Up to 4 hours |
| | 58. | Waiver-Skilled Nursing: Extended hours - LPN |
| | 59. | Waiver-Skilled Nursing: Extended Services - RN |
| | 60. | Waiver-Speech Language Assessment |
| | 61. | Waiver-Speech Language: Follow Up |
| | 62. | Waiver-Supportive Employment |
| Provider: |
ATS Transportation & Limo |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| | 4. | RW Residential Habilitation |
| | 9. | Waiver-Attendant Care Aide |
| | 10. | Waiver-Companion care, adult |
| | 11. | Waiver-Independent Habilitation (Monday - Friday) |
| | 12. | Waiver-Independent Habilitation (Saturday & Sunday) |
| | 13. | Waiver-Nutritional Assessment |
| | 14. | Waiver-Nutritional Counseling |
| | 15. | Waiver-Personal Care Aide |
| | 16. | Waiver-Residential Habilitation |
| | 17. | Waiver-Skilled Nursing Services: Up to 4 hours |
| | 18. | Waiver-Skilled Nursing Visit : Up to 4 hours |
| | 19. | Waiver-Skilled Nursing: Extended hours - LPN |
| | 20. | Waiver-Skilled Nursing: Extended Services - RN |
| Provider: |
Baiyee Home Health Care, LLC |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 7. | RW Occupational Therapy |
| | 9. | RW Residential Habilitation |
| | 10. | RW Skilled Nursing Extended LPN |
| | 11. | RW Skilled Nursing Extended RN |
| | 12. | RW Skilled Nursing Trained Unlicensed Personnel |
| | 13. | RW Skilled Nursing Visits |
| | 14. | RW Speech Hearing and Language Therapy |
| Provider: |
Basil Transport |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
Batmn Transport |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
Behavior Research Associates |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 6. | RW Occupational Therapy |
| | 9. | RW Residential Habilitation |
| | 10. | RW Skilled Nursing Extended LPN |
| | 11. | RW Skilled Nursing Extended RN |
| | 12. | RW Skilled Nursing Trained Unlicensed Personnel |
| | 13. | RW Skilled Nursing Visits |
| | 14. | RW Speech Hearing and Language Therapy |
| | 16. | RW Supported Living Periodic |
| | 17. | Waiver-Crisis Assessment |
| | 18. | Waiver-Crisis Attendant |
| | 20. | Waiver-Independent Habilitation (Monday - Friday) |
| | 21. | Waiver-Independent Habilitation (Saturday & Sunday) |
| | 22. | Waiver-Nutritional Assessment |
| | 23. | Waiver-Nutritional Counseling |
| | 24. | Waiver-Occupational Therapy: Initial Assessment |
| | 25. | Waiver-Occupational Therapy: Therapy |
| | 26. | Waiver-Physical Therapy Assessment |
| | 27. | Waiver-Physical Therapy Ongoing |
| | 28. | Waiver-Preventative/Consultative - Initial |
| | 29. | Waiver-Preventative/Consultative Follow-up |
| | 30. | Waiver-Residential Habilitation |
| | 31. | Waiver-Skilled Nursing Services: Up to 4 hours |
| | 32. | Waiver-Skilled Nursing Visit : Up to 4 hours |
| | 33. | Waiver-Skilled Nursing: Extended hours - LPN |
| | 34. | Waiver-Skilled Nursing: Extended Services - RN |
| | 35. | Waiver-Speech Language Assessment |
| | 36. | Waiver-Speech Language: Follow Up |
| Provider: |
Berhan Home Health Care Agency, Inc |
| | 2. | Physical Therapy: Therapy |
| | 5. | RW Occupational Therapy |
| | 11. | RW Skilled Nursing Extended LPN |
| | 12. | RW Skilled Nursing Extended RN |
| | 13. | RW Skilled Nursing Trained Unlicensed Personnel |
| | 14. | RW Skilled Nursing Visits |
| | 15. | RW Speech Hearing and Language Therapy |
| | 16. | Speech, Hearing & Language - Follow-up |
| | 17. | Speech, Hearing, & Language - Assessment |
| | 18. | Waiver-Attendant Care Aide |
| | 20. | Waiver-Companion care, adult |
| | 22. | Waiver-Occupational Therapy: Initial Assessment |
| | 23. | Waiver-Occupational Therapy: Therapy |
| | 24. | Waiver-Personal Care Aide |
| | 25. | Waiver-Physical Therapy Assessment |
| | 26. | Waiver-Prevocational Habilitation |
| | 27. | Waiver-Respite Care Services: LPN |
| | 28. | Waiver-Respite Care Services: Respite Aide - 18+ hours per day for |
| | 29. | Waiver-Respite Care Services: Respite Aide: 1 to 17 hrs per day |
| | 30. | Waiver-Respite Care Services: RN |
| | 31. | Waiver-Skilled Nursing Services: Up to 4 hours |
| | 32. | Waiver-Skilled Nursing Visit : Up to 4 hours |
| | 33. | Waiver-Skilled Nursing: Extended hours - LPN |
| | 34. | Waiver-Skilled Nursing: Extended Services - RN |
| Provider: |
Best Transportation |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
Bethlehem House Inc. |
| | 2. | RW Supported Living Periodic |
| Provider: |
Blossom Services Inc |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 8. | RW Occupational Therapy |
| | 9. | RW Residential Habilitation |
| | 13. | RW Skilled Nursing Extended LPN |
| | 14. | RW Skilled Nursing Extended RN |
| | 15. | RW Speech Hearing and Language Therapy |
| Provider: |
Bourn Enterprises |
| | 2. | RW Day Habilitation (second provider) |
| | 3. | RW Day Habilitation (third provider) |
| | 4. | RW Day Habilitation One-to-One |
| | 5. | RW Prevocational Habilitation |
| | 6. | RW Supportive Employment (Intake and Assessment Paraprofessional) |
| | 7. | RW Supportive Employment (Intake and Assessment Professional) |
| | 8. | RW Supportive Employment (Job Placement Paraprofessional) |
| | 9. | RW Supportive Employment (Job Placement Professional) |
| | 10. | RW Supportive Employment (Job Training & Support Paraprofessional) |
| | 11. | RW Supportive Employment (Job Training & Support Professional) |
| | 12. | Supportive Employment Job Development |
| | 13. | Supportive Employment Placement & Support (less than 4 hrs) |
| | 14. | Supportive Employment Placement and Support (4 hrs or more) |
| | 15. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 16. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 17. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 18. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 19. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| | 20. | Waiver-Companion care, adult |
| | 21. | Waiver-Day Habilitation |
| | 22. | Waiver-Prevocational Habilitation |
| | 23. | Waiver-Supportive Employment |
| Provider: |
Brown Bear Home Therapies, PLLC |
| Provider: |
Bush Factor Transportation |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
Capital Care Inc |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 5. | RW Community Support Team (ACT) |
| | 6. | RW Community Support Team (Somatic Assessment) |
| | 7. | RW Community Support Team Crisis/Emergency |
| | 9. | RW Day Habilitation (second provider) |
| | 10. | RW Day Habilitation (third provider) |
| | 11. | RW Day Habilitation One-to-One |
| | 15. | RW Occupational Therapy |
| | 18. | RW Residential Habilitation |
| | 22. | RW Skilled Nursing Extended LPN |
| | 23. | RW Skilled Nursing Extended RN |
| | 24. | RW Skilled Nursing Trained Unlicensed Personnel |
| | 25. | RW Skilled Nursing Visits |
| | 26. | RW Speech Hearing and Language Therapy |
| | 28. | RW Supported Living Periodic |
| Provider: |
Capitol Hill Services |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 6. | RW Day Habilitation (second provider) |
| | 7. | RW Day Habilitation (third provider) |
| | 8. | RW Day Habilitation One-to-One |
| | 10. | RW Occupational Therapy |
| | 12. | RW Prevocational Habilitation |
| | 13. | RW Prevocational Support (second provider) |
| | 14. | RW Residential Habilitation |
| | 18. | RW Skilled Nursing Extended LPN |
| | 19. | RW Skilled Nursing Extended RN |
| | 20. | RW Skilled Nursing Trained Unlicensed Personnel |
| | 21. | RW Skilled Nursing Visits |
| | 22. | RW Speech Hearing and Language Therapy |
| | 24. | RW Supported Living Periodic |
| | 25. | RW Supportive Employment (Intake and Assessment Paraprofessional) |
| | 26. | RW Supportive Employment (Intake and Assessment Professional) |
| | 27. | RW Supportive Employment (Job Placement Paraprofessional) |
| | 28. | RW Supportive Employment (Job Placement Professional) |
| | 29. | RW Supportive Employment (Job Training & Support Paraprofessional) |
| | 30. | RW Supportive Employment (Job Training & Support Professional) |
| Provider: |
Capitol Hill Supportive Services |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 6. | RW Day Habilitation (second provider) |
| | 7. | RW Day Habilitation (third provider) |
| | 8. | RW Day Habilitation One-to-One |
| | 11. | RW Occupational Therapy |
| | 14. | RW Prevocational Habilitation |
| | 18. | RW Speech Hearing and Language Therapy |
| | 20. | RW Supportive Employment (Intake and Assessment Paraprofessional) |
| | 21. | RW Supportive Employment (Intake and Assessment Professional) |
| | 22. | RW Supportive Employment (Job Placement Paraprofessional) |
| | 23. | RW Supportive Employment (Job Placement Professional) |
| | 24. | RW Supportive Employment (Job Training & Support Paraprofessional) |
| | 25. | RW Supportive Employment (Job Training & Support Professional) |
| | 26. | Supportive Employment Job Development |
| | 27. | Supportive Employment Placement & Support (less than 4 hrs) |
| | 28. | Supportive Employment Placement and Support (4 hrs or more) |
| | 29. | Waiver-Attendant Care Aide |
| | 31. | Waiver-Companion care, adult |
| | 32. | Waiver-Crisis Assessment |
| | 33. | Waiver-Crisis Attendant |
| | 35. | Waiver-Day Habilitation |
| | 36. | Waiver-Family Training - Follow-Up |
| | 37. | Waiver-Family Training - Initial |
| | 39. | Waiver-Independent Habilitation (Monday - Friday) |
| | 40. | Waiver-Independent Habilitation (Saturday & Sunday) |
| | 41. | Waiver-Nutritional Assessment |
| | 42. | Waiver-Nutritional Counseling |
| | 43. | Waiver-Occupational Therapy: Initial Assessment |
| | 44. | Waiver-Occupational Therapy: Therapy |
| | 45. | Waiver-Personal Care Aide |
| | 46. | Waiver-Physical Therapy Assessment |
| | 47. | Waiver-Physical Therapy Ongoing |
| | 48. | Waiver-Preventative/Consultative - Initial |
| | 49. | Waiver-Preventative/Consultative Follow-up |
| | 50. | Waiver-Prevocational Habilitation |
| | 51. | Waiver-Respite Care Services: LPN |
| | 52. | Waiver-Respite Care Services: Respite Aide - 18+ hours per day for |
| | 53. | Waiver-Respite Care Services: Respite Aide: 1 to 17 hrs per day |
| | 54. | Waiver-Respite Care Services: RN |
| | 55. | Waiver-Skilled Nursing Services: Up to 4 hours |
| | 56. | Waiver-Skilled Nursing Visit : Up to 4 hours |
| | 57. | Waiver-Skilled Nursing: Extended hours - LPN |
| | 58. | Waiver-Skilled Nursing: Extended Services - RN |
| | 59. | Waiver-Speech Language Assessment |
| | 60. | Waiver-Speech Language: Follow Up |
| | 61. | Waiver-Supportive Employment |
| Provider: |
Care First Network, LLC |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 7. | RW Occupational Therapy |
| | 9. | RW Residential Habilitation |
| | 10. | RW Speech Hearing and Language Therapy |
| | 12. | RW Supported Living Periodic |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 7. | RW Residential Habilitation |
| | 11. | RW Speech Hearing and Language Therapy |
| | 13. | RW Supported Living Periodic |
| | 14. | Waiver-Attendant Care Aide |
| | 16. | Waiver-Companion care, adult |
| | 18. | Waiver-Independent Habilitation (Monday - Friday) |
| | 19. | Waiver-Independent Habilitation (Saturday & Sunday) |
| | 20. | Waiver-Nutritional Assessment |
| | 21. | Waiver-Nutritional Counseling |
| | 22. | Waiver-Personal Care Aide |
| | 23. | Waiver-Respite Care Services: Respite Aide - 18+ hours per day for |
| | 24. | Waiver-Skilled Nursing Services: Up to 4 hours |
| | 25. | Waiver-Skilled Nursing Visit : Up to 4 hours |
| | 26. | Waiver-Skilled Nursing: Extended hours - LPN |
| | 27. | Waiver-Skilled Nursing: Extended Services - RN |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 9. | RW Occupational Therapy |
| | 10. | RW One Time Transitional Services |
| | 12. | RW Residential Habilitation |
| | 16. | RW Skilled Nursing Extended LPN |
| | 17. | RW Skilled Nursing Extended RN |
| | 18. | RW Skilled Nursing Trained Unlicensed Personnel |
| | 19. | RW Skilled Nursing Visits |
| | 20. | RW Speech Hearing and Language Therapy |
| | 22. | Waiver-Residential Habilitation |
| Provider: |
CENTER FOR EMPOWERMENT & EMPLOYMENT |
| | 2. | RW Day Habilitation (second provider) |
| | 3. | RW Day Habilitation (third provider) |
| | 4. | RW Day Habilitation One-to-One |
| | 5. | RW Prevocational Habilitation |
| | 6. | RW Supportive Employment (Intake and Assessment Paraprofessional) |
| | 7. | RW Supportive Employment (Intake and Assessment Professional) |
| | 8. | RW Supportive Employment (Job Placement Paraprofessional) |
| | 9. | RW Supportive Employment (Job Placement Professional) |
| | 10. | RW Supportive Employment (Job Training & Support Paraprofessional) |
| | 11. | RW Supportive Employment (Job Training & Support Professional) |
| | 12. | RW Supportive Employment (Long-Term Follow-Along) |
| | 13. | Waiver-Companion care, adult |
| | 14. | Waiver-Day Habilitation |
| | 15. | Waiver-Prevocational Habilitation |
| | 16. | Waiver-Supportive Employment |
| Provider: |
Center for Social Change, Inc |
| | 1. | RW Residential Habilitation |
| Provider: |
Cheryl Y. Lee - Dental Office |
| | 1. | Waiver-Dental Full Mouth Debridement |
| | 2. | Waiver-Dental Acrylic Jacket |
| | 3. | Waiver-Dental Acrylic or Plastic Restoration III |
| | 4. | Waiver-Dental Amalga one Surface, Permanent |
| | 5. | Waiver-Dental Amalgam Three Surfaces, Permanent |
| | 6. | Waiver-Dental Amalgam Two Surfaces, Permanent |
| | 7. | Waiver-Dental Apicoectomy |
| | 8. | Waiver-Dental Apicoectomy Perriradicular Surg Each |
| | 9. | Waiver-Dental Bitewings four films |
| | 10. | Waiver-Dental Bitewings Two Films |
| | 11. | Waiver-Dental Bitewings, Signle First Film |
| | 12. | Waiver-Dental Cephalometric Film |
| | 13. | Waiver-Dental Clinical Crown Lengthening |
| | 14. | Waiver-Dental Comp Periodontal Evaluation |
| | 15. | Waiver-Dental Complete Lower Denture |
| | 16. | Waiver-Dental Complete Upper Denture |
| | 17. | Waiver-Dental Composite Resin 3 Surfaces Restorati |
| | 18. | Waiver-Dental Comprehensive Oral Evaluation |
| | 19. | Waiver-Dental Consultation |
| | 20. | Waiver-Dental Consultation Evaluation Exam |
| | 21. | Waiver-Dental Crown Resin |
| | 22. | Waiver-Dental Curettage of Fistulous Tract |
| | 23. | Waiver-Dental Deep Scaling |
| | 24. | Waiver-Dental Dental Sealants |
| | 25. | Waiver-Dental Dentures Mand Part Metal |
| | 26. | Waiver-Dental Dentures Maxill Part Metal |
| | 27. | Waiver-Dental Dentures Maxill Part Resin |
| | 28. | Waiver-Dental Esthetic Restoration Class IV |
| | 29. | Waiver-Dental Extraction Erupted Tooth/Exr |
| | 30. | Waiver-Dental Extraction of Tooth Erupted |
| | 31. | Waiver-Dental Extraction of Tooth,Soft Tissue, Imp |
| | 32. | Waiver-Dental Fixed Appliance Therapy |
| | 33. | Waiver-Dental Fixed Band Type |
| | 34. | Waiver-Dental Fixed, Band Type Bilat (new) |
| | 35. | Waiver-Dental Frenulectomy |
| | 36. | Waiver-Dental Gingivectomy or Gingivoplasty, 1T03.T |
| | 37. | Waiver-Dental Gingivectomy or Gingivoplasty, 5 MOR |
| | 38. | Waiver-Dental Gold (Full Cast) |
| | 39. | Waiver-Dental Incision Drainage Abscess Intraoral |
| | 40. | Waiver-Dental Initial Assessment Bitewings Two Films |
| | 41. | Waiver-Dental Initial Assessment PANOREX |
| | 42. | Waiver-Dental Intraor Complete Film Series |
| | 44. | Waiver-Dental Occlusal Adjustment Complete |
| | 45. | Waiver-Dental Occlusal Adjustment LTD |
| | 46. | Waiver-Dental Occlusal Equlibration by Report |
| | 47. | Waiver-Dental Occlusal X Ray |
| | 48. | Waiver-Dental One Canal, Excludes Final Restoratio |
| | 49. | Waiver-Dental Palliative Treatment of Dental Pain |
| | 50. | Waiver-Dental Periapical X Ray; Each Additional Fi |
| | 51. | Waiver-Dental Periapical X Ray; Firts Film |
| | 52. | Waiver-Dental Periodic Dental Screening |
| | 53. | Waiver-Dental Prefab Stainless Steel Crown |
| | 54. | Waiver-Dental Preventative Prophylaxis |
| | 55. | Waiver-Dental Pulp Cap Direct Excluding Final Rest |
| | 56. | Waiver-Dental Pulp Test |
| | 57. | Waiver-Dental Pulpotomy |
| | 58. | Waiver-Dental Recement Crown |
| | 59. | Waiver-Dental Repair Broken Complete Dentures |
| | 60. | Waiver-Dental Replace FX Broen & Tooth on Denture |
| | 61. | Waiver-Dental Replantation of Tooth with Splint |
| | 62. | Waiver-Dental Resin Two Surfaces-Anterior |
| | 63. | Waiver-Dental Resin-Based Composite Four Surface |
| | 64. | Waiver-Dental Resin-Based Composite One Surface |
| | 65. | Waiver-Dental Resin-Based Composite Three Surface |
| | 66. | Waiver-Dental Resin-Based Composite Two Surface |
| | 67. | Waiver-Dental Retreatment of Previous Root Canal |
| | 68. | Waiver-Dental Retrograde Amalgam |
| | 69. | Waiver-Dental Root Tips |
| | 70. | Waiver-Dental Study models |
| | 71. | Waiver-Dental Three canals, Excludes Final Restora |
| | 72. | Waiver-Dental Topical Fluor w/o Prophy |
| | 73. | Waiver-Dental Two canals, Excludes Final Restora |
| Provider: |
Choices Unlimited, LLC |
| | 2. | RW Day Habilitation (second provider) |
| | 3. | RW Day Habilitation (third provider) |
| | 4. | RW Day Habilitation One-to-One |
| | 5. | RW Prevocational Habilitation |
| | 6. | RW Supportive Employment (Intake and Assessment Paraprofessional) |
| | 7. | RW Supportive Employment (Intake and Assessment Professional) |
| | 8. | RW Supportive Employment (Job Placement Paraprofessional) |
| | 9. | RW Supportive Employment (Job Placement Professional) |
| | 10. | RW Supportive Employment (Job Training & Support Paraprofessional) |
| | 11. | RW Supportive Employment (Job Training & Support Professional) |
| | 12. | RW Supportive Employment (Long-Term Follow-Along) |
| | 13. | Supportive Employment Job Development |
| | 14. | Supportive Employment Placement & Support (less than 4 hrs) |
| | 15. | Supportive Employment Placement and Support (4 hrs or more) |
| | 16. | Waiver-Prevocational Habilitation |
| | 17. | Waiver-Supportive Employment |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 5. | RW Community Support Team (ACT) |
| | 6. | RW Community Support Team (Somatic Assessment) |
| | 7. | RW Community Support Team Crisis/Emergency |
| | 10. | RW Residential Habilitation |
| Provider: |
Clark Transportation |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
COMMUNITY MULTI-SERVICES |
| | 9. | RW Skilled Nursing Extended LPN |
| | 10. | RW Skilled Nursing Extended RN |
| | 11. | RW Skilled Nursing Trained Unlicensed Personnel |
| | 12. | RW Skilled Nursing Visits |
| | 14. | RW Supported Living Periodic |
| | 15. | Waiver-Attendant Care Aide |
| | 18. | Waiver-Independent Habilitation (Monday - Friday) |
| | 19. | Waiver-Independent Habilitation (Saturday & Sunday) |
| | 20. | Waiver-Nutritional Assessment |
| | 21. | Waiver-Nutritional Counseling |
| | 22. | Waiver-Respite Care Services: LPN |
| | 23. | Waiver-Respite Care Services: Respite Aide - 18+ hours per day for |
| | 24. | Waiver-Respite Care Services: Respite Aide: 1 to 17 hrs per day |
| | 25. | Waiver-Respite Care Services: RN |
| | 26. | Waiver-Skilled Nursing Services: Up to 4 hours |
| | 27. | Waiver-Skilled Nursing Visit : Up to 4 hours |
| | 28. | Waiver-Skilled Nursing: Extended hours - LPN |
| | 29. | Waiver-Skilled Nursing: Extended Services - RN |
| Provider: |
Community Support Systems, Inc |
| | 1. | RW Behavior Support Diagnostic Assessment |
| | 2. | RW Behavior Support Non-Professional |
| | 3. | RW Community Support Team (ACT) |
| | 4. | RW Community Support Team (Somatic Assessment) |
| | 5. | RW Community Support Team Crisis/Emergency |
| | 10. | RW Occupational Therapy |
| | 12. | RW Residential Habilitation |
| | 16. | RW Speech Hearing and Language Therapy |
| | 18. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 19. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| Provider: |
COMPREHENSIVE CARE II, INC. |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 5. | RW Residential Habilitation |
| Provider: |
Covington, Frederick B |
| | 1. | RW Occupational Therapy |
| Provider: |
Crawford, St. Elmo, Jr & Associates b |
| | 1. | Waiver-Dental Full Mouth Debridement |
| | 2. | Waiver-Dental Acrylic Jacket |
| | 3. | Waiver-Dental Acrylic or Plastic Restoration III |
| | 4. | Waiver-Dental Alveolectomy with Extraction |
| | 5. | Waiver-Dental Alveolplasty Not in Conj W/Ext Per Q |
| | 6. | Waiver-Dental Amalga one Surface, Permanent |
| | 7. | Waiver-Dental Amalgam Fours Services, Permanent |
| | 8. | Waiver-Dental Amalgam Three Surfaces, Permanent |
| | 9. | Waiver-Dental Amalgam Two Surfaces, Permanent |
| | 10. | Waiver-Dental Apexification/Recalcification Initia |
| | 11. | Waiver-Dental Biopsy of Oral Tissue Soft |
| | 12. | Waiver-Dental Bitewings four films |
| | 13. | Waiver-Dental Bitewings Two Films |
| | 14. | Waiver-Dental Bitewings, Signle First Film |
| | 15. | Waiver-Dental Clinical Crown Lengthening |
| | 16. | Waiver-Dental Comp Periodontal Evaluation |
| | 17. | Waiver-Dental Complete Lower Denture |
| | 18. | Waiver-Dental Complete Upper Denture |
| | 19. | Waiver-Dental Composite Resin 3 Surfaces Restorati |
| | 20. | Waiver-Dental Comprehensive Oral Evaluation |
| | 21. | Waiver-Dental Consultation |
| | 22. | Waiver-Dental Consultation Evaluation Exam |
| | 23. | Waiver-Dental Crown Resin |
| | 24. | Waiver-Dental Deep Scaling |
| | 25. | Waiver-Dental Dental Sealants |
| | 26. | Waiver-Dental Dentures Mand Part Metal |
| | 27. | Waiver-Dental Dentures Maxill Part Metal |
| | 28. | Waiver-Dental Dentures Maxill Part Resin |
| | 29. | Waiver-Dental Esthetic Restoration Class IV |
| | 30. | Waiver-Dental Extensive Oral Eval Prob Focus |
| | 31. | Waiver-Dental Extraction Erupted Tooth/Exr |
| | 32. | Waiver-Dental Extraction of Tooth Erupted |
| | 33. | Waiver-Dental Extraction of Tooth Partial Bony, Im |
| | 34. | Waiver-Dental Extraction of Tooth,Soft Tissue, Imp |
| | 35. | Waiver-Dental Extraction Tooth Complete Bony Impac |
| | 36. | Waiver-Dental Fixed Appliance Therapy |
| | 37. | Waiver-Dental Fixed Band Type |
| | 38. | Waiver-Dental Fixed, Band Type Bilat (new) |
| | 39. | Waiver-Dental Frenulectomy |
| | 40. | Waiver-Dental Gingivectomy or Gingivoplasty, 1T03.T |
| | 41. | Waiver-Dental Gingivectomy or Gingivoplasty, 5 MOR |
| | 42. | Waiver-Dental Gold (Full Cast) |
| | 43. | Waiver-Dental Hospital Visit |
| | 44. | Waiver-Dental Initial Assessment Bitewings Two Films |
| | 45. | Waiver-Dental Initial Assessment PANOREX |
| | 46. | Waiver-Dental Intraor Complete Film Series |
| | 47. | Waiver-Dental Limit Oral Eval Problem Focus |
| | 48. | Waiver-Dental Mobilization Erupted |
| | 49. | Waiver-Dental Occlusal Adjustment Complete |
| | 50. | Waiver-Dental Occlusal Adjustment LTD |
| | 51. | Waiver-Dental Occlusal Equlibration by Report |
| | 52. | Waiver-Dental Occlusal X Ray |
| | 53. | Waiver-Dental One Canal, Excludes Final Restoratio |
| | 54. | Waiver-Dental P.A. Film |
| | 55. | Waiver-Dental Palliative Treatment of Dental Pain |
| | 56. | Waiver-Dental Periapical X Ray; Each Additional Fi |
| | 57. | Waiver-Dental Periapical X Ray; Firts Film |
| | 58. | Waiver-Dental Periodic Dental Screening |
| | 59. | Waiver-Dental Prefab Stainless Steel Crown |
| | 60. | Waiver-Dental Preventative Prophylaxis |
| | 61. | Waiver-Dental Pulp Cap Direct Excluding Final Rest |
| | 62. | Waiver-Dental Pulp Test |
| | 63. | Waiver-Dental Pulpotomy |
| | 64. | Waiver-Dental Re-Eval,Est Pt, Problem Focus |
| | 65. | Waiver-Dental Recement Crown |
| | 66. | Waiver-Dental Repair Broken Complete Dentures |
| | 67. | Waiver-Dental Replace FX Broen & Tooth on Denture |
| | 68. | Waiver-Dental Replantation of Tooth with Splint |
| | 69. | Waiver-Dental Resin Two Surfaces-Anterior |
| | 70. | Waiver-Dental Resin-Based Composite Four Surface |
| | 71. | Waiver-Dental Resin-Based Composite One Surface |
| | 72. | Waiver-Dental Resin-Based Composite Three Surface |
| | 73. | Waiver-Dental Resin-Based Composite Two Surface |
| | 74. | Waiver-Dental Retreatment of Previous Root Canal |
| | 75. | Waiver-Dental Retrograde Amalgam |
| | 76. | Waiver-Dental Root Tips |
| | 77. | Waiver-Dental Stomatoplasty Per Arch Uncomplicated |
| | 78. | Waiver-Dental Study models |
| | 79. | Waiver-Dental Surgical Exposure of Boney impaction |
| | 80. | Waiver-Dental Three canals, Excludes Final Restora |
| | 81. | Waiver-Dental Topical Fluor w/o Prophy |
| | 82. | Waiver-Dental Two canals, Excludes Final Restora |
| Provider: |
Creative Options for Employment |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 6. | RW Day Habilitation (second provider) |
| | 7. | RW Day Habilitation (third provider) |
| | 8. | RW Day Habilitation One-to-One |
| | 10. | RW Prevocational Habilitation |
| | 11. | RW Prevocational Support (second provider) |
| | 12. | RW Speech Hearing and Language Therapy |
| | 13. | RW Supportive Employment (Intake and Assessment Paraprofessional) |
| | 14. | RW Supportive Employment (Intake and Assessment Professional) |
| | 15. | RW Supportive Employment (Job Placement Paraprofessional) |
| | 16. | RW Supportive Employment (Job Placement Professional) |
| | 17. | RW Supportive Employment (Job Training & Support Paraprofessional) |
| | 18. | RW Supportive Employment (Job Training & Support Professional) |
| | 19. | RW Supportive Employment (Long-Term Follow-Along) |
| | 20. | Supportive Employment Job Development |
| | 21. | Supportive Employment Placement & Support (less than 4 hrs) |
| | 22. | Supportive Employment Placement and Support (4 hrs or more) |
| | 23. | Waiver-Attendant Care Aide |
| | 24. | Waiver-Family Training - Follow-Up |
| | 25. | Waiver-Family Training - Initial |
| | 26. | Waiver-Prevocational Habilitation |
| | 27. | Waiver-Supportive Employment |
| Provider: |
Current Provider When Eligible |
| | 3. | Speech, Hearing & Language - Follow-up |
| | 4. | Speech, Hearing, & Language - Assessment |
| | 5. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 10. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 11. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 12. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 13. | Waiver Trans-Trip Cancellation |
| | 14. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 18. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 19. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 20. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 21. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| | 22. | Waiver-Attendant Care Aide |
| | 24. | Waiver-Companion care, adult |
| | 25. | Waiver-Crisis Assessment |
| | 26. | Waiver-Crisis Attendant |
| | 28. | Waiver-Day Habilitation |
| | 29. | Waiver-Family Training - Follow-Up |
| | 30. | Waiver-Family Training - Initial |
| | 32. | Waiver-Independent Habilitation (Monday - Friday) |
| | 33. | Waiver-Independent Habilitation (Saturday & Sunday) |
| | 34. | Waiver-Nutritional Assessment |
| | 35. | Waiver-Nutritional Counseling |
| | 36. | Waiver-Personal Care Aide |
| | 37. | Waiver-Physical Therapy Ongoing |
| | 38. | Waiver-Preventative/Consultative - Initial |
| | 39. | Waiver-Preventative/Consultative Follow-up |
| | 40. | Waiver-Residential Habilitation |
| | 41. | Waiver-Respite Care Services: Respite Aide - 18+ hours per day for |
| | 42. | Waiver-Respite Care Services: RN |
| | 43. | Waiver-Skilled Nursing Services: Up to 4 hours |
| | 44. | Waiver-Skilled Nursing Visit : Up to 4 hours |
| | 45. | Waiver-Skilled Nursing: Extended hours - LPN |
| | 46. | Waiver-Skilled Nursing: Extended Services - RN |
| Provider: |
DC Care Center, Inc. |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 5. | RW Environmental Accessibilities Adaptations |
| | 6. | RW Occupational Therapy |
| | 7. | RW One Time Transitional Services |
| | 9. | RW Residential Habilitation |
| | 13. | RW Speech Hearing and Language Therapy |
| | 15. | RW Supported Living Periodic |
| Provider: |
DC Health Care Inc. |
| | 1. | Physical Therapy: Therapy |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 3. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 4. | RW Behavior Support Diagnostic Assessment |
| | 5. | RW Behavior Support Non-Professional |
| | 9. | RW Occupational Therapy |
| | 10. | RW One Time Transitional Services |
| | 13. | RW Residential Habilitation |
| | 17. | RW Skilled Nursing Extended LPN |
| | 18. | RW Skilled Nursing Extended RN |
| | 19. | RW Skilled Nursing Trained Unlicensed Personnel |
| | 20. | RW Skilled Nursing Visits |
| | 21. | RW Speech Hearing and Language Therapy |
| | 23. | RW Supported Living Periodic |
| | 24. | Waiver-Attendant Care Aide |
| | 25. | Waiver-Crisis Assessment |
| | 26. | Waiver-Crisis Attendant |
| | 28. | Waiver-Independent Habilitation (Monday - Friday) |
| | 29. | Waiver-Independent Habilitation (Saturday & Sunday) |
| | 30. | Waiver-Nutritional Assessment |
| | 31. | Waiver-Nutritional Counseling |
| | 32. | Waiver-Occupational Therapy: Initial Assessment |
| | 33. | Waiver-Occupational Therapy: Therapy |
| | 34. | Waiver-Personal Care Aide |
| | 35. | Waiver-Physical Therapy Assessment |
| | 36. | Waiver-Physical Therapy Ongoing |
| | 37. | Waiver-Preventative/Consultative - Initial |
| | 38. | Waiver-Preventative/Consultative Follow-up |
| | 39. | Waiver-Residential Habilitation |
| | 40. | Waiver-Respite Care Services: LPN |
| | 41. | Waiver-Respite Care Services: Respite Aide - 18+ hours per day for |
| | 42. | Waiver-Respite Care Services: Respite Aide: 1 to 17 hrs per day |
| | 43. | Waiver-Respite Care Services: RN |
| | 44. | Waiver-Skilled Nursing Services: Up to 4 hours |
| | 45. | Waiver-Skilled Nursing Visit : Up to 4 hours |
| | 46. | Waiver-Skilled Nursing: Extended hours - LPN |
| | 47. | Waiver-Skilled Nursing: Extended Services - RN |
| | 48. | Waiver-Speech Language Assessment |
| | 49. | Waiver-Speech Language: Follow Up |
| Provider: |
DC Transit, Inc. |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 13. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
DDS Elizabeth S. Perry-Dodson |
| | 1. | Waiver-Dental Full Mouth Debridement |
| | 2. | Waiver-Dental Acrylic Jacket |
| | 3. | Waiver-Dental Acrylic or Plastic Restoration III |
| | 4. | Waiver-Dental Alveolectomy with Extraction |
| | 5. | Waiver-Dental Alveolplasty Not in Conj W/Ext Per Q |
| | 6. | Waiver-Dental Amalga one Surface, Permanent |
| | 7. | Waiver-Dental Amalgam Fours Services, Permanent |
| | 8. | Waiver-Dental Amalgam Three Surfaces, Permanent |
| | 9. | Waiver-Dental Amalgam Two Surfaces, Permanent |
| | 10. | Waiver-Dental Apexification/Recalcification Initia |
| | 11. | Waiver-Dental Apicoectomy |
| | 12. | Waiver-Dental Apicoectomy Perriradicular Surg Each |
| | 13. | Waiver-Dental Biopsy of Oral Tissue Soft |
| | 14. | Waiver-Dental Bitewings four films |
| | 15. | Waiver-Dental Bitewings Two Films |
| | 16. | Waiver-Dental Bitewings, Signle First Film |
| | 17. | Waiver-Dental Comp Periodontal Evaluation |
| | 18. | Waiver-Dental Complete Lower Denture |
| | 19. | Waiver-Dental Complete Upper Denture |
| | 20. | Waiver-Dental Composite Resin 3 Surfaces Restorati |
| | 21. | Waiver-Dental Comprehensive Oral Evaluation |
| | 22. | Waiver-Dental Consultation |
| | 23. | Waiver-Dental Consultation Evaluation Exam |
| | 24. | Waiver-Dental Crown Resin |
| | 25. | Waiver-Dental Curettage of Fistulous Tract |
| | 26. | Waiver-Dental Deep Scaling |
| | 27. | Waiver-Dental Dental Sealants |
| | 28. | Waiver-Dental Dentures Mand Part Metal |
| | 29. | Waiver-Dental Dentures Maxill Part Metal |
| | 30. | Waiver-Dental Dentures Maxill Part Resin |
| | 31. | Waiver-Dental Esthetic Restoration Class IV |
| | 32. | Waiver-Dental Excision of Ranula |
| | 33. | Waiver-Dental Extensive Oral Eval Prob Focus |
| | 34. | Waiver-Dental Extraction Erupted Tooth/Exr |
| | 35. | Waiver-Dental Extraction of Tooth Erupted |
| | 36. | Waiver-Dental Extraction of Tooth Partial Bony, Im |
| | 37. | Waiver-Dental Extraction of Tooth,Soft Tissue, Imp |
| | 38. | Waiver-Dental Extraction Tooth Complete Bony Impac |
| | 39. | Waiver-Dental Fixed Appliance Therapy |
| | 40. | Waiver-Dental Fixed Band Type |
| | 41. | Waiver-Dental Fixed, Band Type Bilat (new) |
| | 42. | Waiver-Dental Frenulectomy |
| | 43. | Waiver-Dental General Anesthesia |
| | 44. | Waiver-Dental Gingivectomy or Gingivoplasty, 1T03.T |
| | 45. | Waiver-Dental Gingivectomy or Gingivoplasty, 5 MOR |
| | 46. | Waiver-Dental Gold (Full Cast) |
| | 47. | Waiver-Dental Hospital Visit |
| | 48. | Waiver-Dental Incision & Drainage Extraoral |
| | 49. | Waiver-Dental Incision Drainage Abscess Intraoral |
| | 50. | Waiver-Dental Initial Assessment Bitewings Two Films |
| | 51. | Waiver-Dental Initial Assessment PANOREX |
| | 52. | Waiver-Dental Intraor Complete Film Series |
| | 53. | Waiver-Dental Limit Oral Eval Problem Focus |
| | 54. | Waiver-Dental Mobilization Erupted |
| | 56. | Waiver-Dental Occlusal Adjustment Complete |
| | 57. | Waiver-Dental Occlusal Adjustment LTD |
| | 58. | Waiver-Dental Occlusal Equlibration by Report |
| | 59. | Waiver-Dental Occlusal X Ray |
| | 60. | Waiver-Dental One Canal, Excludes Final Restoratio |
| | 61. | Waiver-Dental Palliative Treatment of Dental Pain |
| | 62. | Waiver-Dental Periapical X Ray; Each Additional Fi |
| | 63. | Waiver-Dental Periapical X Ray; Firts Film |
| | 64. | Waiver-Dental Periodic Dental Screening |
| | 65. | Waiver-Dental Prefab Stainless Steel Crown |
| | 66. | Waiver-Dental Preventative Prophylaxis |
| | 67. | Waiver-Dental Pulp Cap Direct Excluding Final Rest |
| | 68. | Waiver-Dental Pulp Test |
| | 69. | Waiver-Dental Pulpotomy |
| | 70. | Waiver-Dental Re-Eval,Est Pt, Problem Focus |
| | 71. | Waiver-Dental Recement Crown |
| | 72. | Waiver-Dental Repair Broken Complete Dentures |
| | 73. | Waiver-Dental Replace FX Broen & Tooth on Denture |
| | 74. | Waiver-Dental Replantation of Tooth with Splint |
| | 75. | Waiver-Dental Resin Two Surfaces-Anterior |
| | 76. | Waiver-Dental Resin-Based Composite Four Surface |
| | 77. | Waiver-Dental Resin-Based Composite One Surface |
| | 78. | Waiver-Dental Resin-Based Composite Three Surface |
| | 79. | Waiver-Dental Resin-Based Composite Two Surface |
| | 80. | Waiver-Dental Retreatment of Previous Root Canal |
| | 81. | Waiver-Dental Retrograde Amalgam |
| | 82. | Waiver-Dental Root Tips |
| | 83. | Waiver-Dental Sedation Each 15 minutes |
| | 84. | Waiver-Dental Stomatoplasty Per Arch Uncomplicated |
| | 85. | Waiver-Dental Study models |
| | 86. | Waiver-Dental Surgical Exposure of Boney impaction |
| | 87. | Waiver-Dental Three canals, Excludes Final Restora |
| | 88. | Waiver-Dental Topical Fluor w/o Prophy |
| | 89. | Waiver-Dental Two canals, Excludes Final Restora |
| | 2. | RW Day Habilitation (second provider) |
| | 3. | RW Day Habilitation (third provider) |
| | 4. | RW Day Habilitation One-to-One |
| | 5. | RW Prevocational Habilitation |
| | 6. | RW Residential Habilitation |
| | 8. | RW Supportive Employment (Intake and Assessment Paraprofessional) |
| | 9. | RW Supportive Employment (Intake and Assessment Professional) |
| | 10. | RW Supportive Employment (Job Placement Paraprofessional) |
| | 11. | RW Supportive Employment (Job Placement Professional) |
| | 12. | RW Supportive Employment (Job Training & Support Paraprofessional) |
| | 13. | RW Supportive Employment (Job Training & Support Professional) |
| | 14. | Supportive Employment Job Development |
| | 15. | Supportive Employment Placement & Support (less than 4 hrs) |
| | 16. | Supportive Employment Placement and Support (4 hrs or more) |
| Provider: |
Diversified Transportation Services, Inc |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
Divine Touch Health Services, Inc |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 9. | RW Occupational Therapy |
| | 11. | RW Residential Habilitation |
| | 15. | RW Speech Hearing and Language Therapy |
| | 17. | RW Supported Living Periodic |
| Provider: |
E & P Transportation |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
Ebed Community Improvement |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 6. | RW Day Habilitation (second provider) |
| | 7. | RW Day Habilitation (third provider) |
| | 8. | RW Day Habilitation One-to-One |
| | 13. | RW Occupational Therapy |
| | 15. | RW Residential Habilitation |
| | 19. | RW Skilled Nursing Extended LPN |
| | 20. | RW Skilled Nursing Extended RN |
| | 21. | RW Skilled Nursing Trained Unlicensed Personnel |
| | 22. | RW Skilled Nursing Visits |
| | 23. | RW Speech Hearing and Language Therapy |
| | 25. | RW Supported Living Periodic |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
Emkay Transportation |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
Epps Transportation |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
Express Transportation |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
E-Z Medical Wheels |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
Fadek Transportation |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
Family Heathcare Services, Inc |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 5. | RW Community Support Team (ACT) |
| | 6. | RW Community Support Team (Somatic Assessment) |
| | 7. | RW Community Support Team Crisis/Emergency |
| | 10. | RW Occupational Therapy |
| | 12. | RW Residential Habilitation |
| | 16. | RW Speech Hearing and Language Therapy |
| | 18. | RW Supported Living Periodic |
| Provider: |
Family Transportation Services |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
Finsby Care, Inc |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 7. | RW Residential Habilitation |
| | 11. | RW Skilled Nursing Extended LPN |
| | 12. | RW Skilled Nursing Extended RN |
| | 13. | RW Skilled Nursing Trained Unlicensed Personnel |
| | 14. | RW Skilled Nursing Visits |
| | 16. | RW Supported Living Periodic |
| | 17. | Waiver-Attendant Care Aide |
| | 19. | Waiver-Companion care, adult |
| | 21. | Waiver-Respite Care Services: LPN |
| | 22. | Waiver-Respite Care Services: Respite Aide - 18+ hours per day for |
| | 23. | Waiver-Respite Care Services: Respite Aide: 1 to 17 hrs per day |
| | 24. | Waiver-Respite Care Services: RN |
| Provider: |
First Choice Health Care, LLC |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 7. | RW Occupational Therapy |
| | 9. | RW Residential Habilitation |
| | 10. | RW Speech Hearing and Language Therapy |
| Provider: |
First Metropolitan Community Service, Inc. |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 6. | RW One Time Transitional Services |
| | 7. | RW Residential Habilitation |
| | 12. | RW Supported Living Periodic |
| Provider: |
Flowers, Sally, DDS |
| | 1. | Waiver-Dental Full Mouth Debridement |
| | 2. | Waiver-Dental Acrylic Jacket |
| | 3. | Waiver-Dental Acrylic or Plastic Restoration III |
| | 4. | Waiver-Dental Alveolectomy with Extraction |
| | 5. | Waiver-Dental Amalga one Surface, Permanent |
| | 6. | Waiver-Dental Amalgam Fours Services, Permanent |
| | 7. | Waiver-Dental Amalgam Three Surfaces, Permanent |
| | 8. | Waiver-Dental Amalgam Two Surfaces, Permanent |
| | 9. | Waiver-Dental Apicoectomy |
| | 10. | Waiver-Dental Apicoectomy Perriradicular Surg Each |
| | 11. | Waiver-Dental Bitewings four films |
| | 12. | Waiver-Dental Bitewings Two Films |
| | 13. | Waiver-Dental Bitewings, Signle First Film |
| | 14. | Waiver-Dental Bone Replacement Graft Ist |
| | 15. | Waiver-Dental Clinical Crown Lengthening |
| | 16. | Waiver-Dental Comp Periodontal Evaluation |
| | 17. | Waiver-Dental Complete Lower Denture |
| | 18. | Waiver-Dental Complete Upper Denture |
| | 19. | Waiver-Dental Composite Resin 3 Surfaces Restorati |
| | 20. | Waiver-Dental Comprehensive Oral Evaluation |
| | 21. | Waiver-Dental Consultation |
| | 22. | Waiver-Dental Consultation Evaluation Exam |
| | 23. | Waiver-Dental Crown Resin |
| | 24. | Waiver-Dental Curettage of Fistulous Tract |
| | 25. | Waiver-Dental Deep Scaling |
| | 26. | Waiver-Dental Dental Sealants |
| | 27. | Waiver-Dental Dentures Mand Part Metal |
| | 28. | Waiver-Dental Dentures Maxill Part Metal |
| | 29. | Waiver-Dental Dentures Maxill Part Resin |
| | 30. | Waiver-Dental Esthetic Restoration Class IV |
| | 31. | Waiver-Dental Extensive Oral Eval Prob Focus |
| | 32. | Waiver-Dental Extraction Erupted Tooth/Exr |
| | 33. | Waiver-Dental Extraction of Tooth Erupted |
| | 34. | Waiver-Dental Extraction of Tooth Partial Bony, Im |
| | 35. | Waiver-Dental Extraction of Tooth,Soft Tissue, Imp |
| | 36. | Waiver-Dental Extraction Tooth Complete Bony Impac |
| | 37. | Waiver-Dental Fixed Appliance Therapy |
| | 38. | Waiver-Dental Fixed Band Type |
| | 39. | Waiver-Dental Fixed, Band Type Bilat (new) |
| | 40. | Waiver-Dental Frenulectomy |
| | 41. | Waiver-Dental Gingivectomy or Gingivoplasty, 1T03.T |
| | 42. | Waiver-Dental Gingivectomy or Gingivoplasty, 5 MOR |
| | 43. | Waiver-Dental Gold (Full Cast) |
| | 44. | Waiver-Dental Hospital Visit |
| | 45. | Waiver-Dental Incision Drainage Abscess Intraoral |
| | 46. | Waiver-Dental Initial Assessment Bitewings Two Films |
| | 47. | Waiver-Dental Initial Assessment PANOREX |
| | 48. | Waiver-Dental Intraor Complete Film Series |
| | 49. | Waiver-Dental Limit Oral Eval Problem Focus |
| | 51. | Waiver-Dental Occlusal Adjustment Complete |
| | 52. | Waiver-Dental Occlusal Adjustment LTD |
| | 53. | Waiver-Dental Occlusal Equlibration by Report |
| | 54. | Waiver-Dental Occlusal X Ray |
| | 55. | Waiver-Dental One Canal, Excludes Final Restoratio |
| | 56. | Waiver-Dental P.A. Film |
| | 57. | Waiver-Dental Palliative Treatment of Dental Pain |
| | 58. | Waiver-Dental Periapical X Ray; Each Additional Fi |
| | 59. | Waiver-Dental Periapical X Ray; Firts Film |
| | 60. | Waiver-Dental Periodic Dental Screening |
| | 61. | Waiver-Dental Prefab Stainless Steel Crown |
| | 62. | Waiver-Dental Preventative Prophylaxis |
| | 63. | Waiver-Dental Pulp Cap Direct Excluding Final Rest |
| | 64. | Waiver-Dental Pulp Test |
| | 65. | Waiver-Dental Pulpotomy |
| | 66. | Waiver-Dental Recement Crown |
| | 67. | Waiver-Dental Repair Broken Complete Dentures |
| | 68. | Waiver-Dental Replace FX Broen & Tooth on Denture |
| | 69. | Waiver-Dental Replantation of Tooth with Splint |
| | 70. | Waiver-Dental Resin Two Surfaces-Anterior |
| | 71. | Waiver-Dental Resin-Based Composite Four Surface |
| | 72. | Waiver-Dental Resin-Based Composite One Surface |
| | 73. | Waiver-Dental Resin-Based Composite Three Surface |
| | 74. | Waiver-Dental Resin-Based Composite Two Surface |
| | 75. | Waiver-Dental Retreatment of Previous Root Canal |
| | 76. | Waiver-Dental Retrograde Amalgam |
| | 77. | Waiver-Dental Root Tips |
| | 78. | Waiver-Dental Study models |
| | 79. | Waiver-Dental Three canals, Excludes Final Restora |
| | 80. | Waiver-Dental Topical Fluor w/o Prophy |
| | 81. | Waiver-Dental Two canals, Excludes Final Restora |
| Provider: |
FOCHO Health Services, Inc. |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 6. | RW Occupational Therapy |
| | 8. | RW Residential Habilitation |
| | 12. | RW Speech Hearing and Language Therapy |
| Provider: |
Gadosolo Transport |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
GENERATION INC TRANSPORTATION |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
Gentle Movements Inc. Trans |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| | 4. | RW Prevocational Habilitation |
| | 5. | RW Residential Habilitation |
| | 10. | RW Supportive Employment (Intake and Assessment Paraprofessional) |
| | 11. | RW Supportive Employment (Intake and Assessment Professional) |
| | 12. | RW Supportive Employment (Job Placement Paraprofessional) |
| | 13. | RW Supportive Employment (Job Placement Professional) |
| | 14. | RW Supportive Employment (Job Training & Support Paraprofessional) |
| | 15. | RW Supportive Employment (Job Training & Support Professional) |
| | 16. | RW Supportive Employment (Long-Term Follow-Along) |
| | 17. | Waiver-Attendant Care Aide |
| | 18. | Waiver-Day Habilitation |
| | 19. | Waiver-Independent Habilitation (Monday - Friday) |
| | 20. | Waiver-Independent Habilitation (Saturday & Sunday) |
| | 21. | Waiver-Prevocational Habilitation |
| | 22. | Waiver-Residential Habilitation |
| | 23. | Waiver-Respite Care Services: LPN |
| | 24. | Waiver-Respite Care Services: Respite Aide - 18+ hours per day for |
| | 25. | Waiver-Respite Care Services: RN |
| | 26. | Waiver-Supportive Employment |
| Provider: |
Gina Outreach Services, Inc. |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 5. | RW Community Support Team (ACT) |
| | 6. | RW Community Support Team (Somatic Assessment) |
| | 7. | RW Community Support Team Crisis/Emergency |
| | 12. | RW Occupational Therapy |
| | 14. | RW Residential Habilitation |
| | 18. | RW Speech Hearing and Language Therapy |
| | 20. | RW Supported Living Periodic |
| Provider: |
Global Medical Services, Inc. |
| | 4. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 5. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 6. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 7. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 8. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 9. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 10. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 11. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 12. | Waiver Trans-Trip Cancellation |
| | 13. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 14. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 15. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 16. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 18. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 19. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 20. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| | 21. | Waiver-Attendant Care Aide |
| | 23. | Waiver-Respite Care Services: LPN |
| | 24. | Waiver-Respite Care Services: Respite Aide - 18+ hours per day for |
| | 25. | Waiver-Respite Care Services: Respite Aide: 1 to 17 hrs per day |
| | 26. | Waiver-Respite Care Services: RN |
| Provider: |
Grace Transportation Service |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
GRAFTON SCHOOL, INC. |
| | 2. | RW Day Habilitation (second provider) |
| | 3. | RW Day Habilitation (third provider) |
| | 4. | RW Day Habilitation One-to-One |
| | 5. | RW Residential Habilitation |
| | 6. | Waiver-Day Habilitation |
| Provider: |
Guardian Medical Monitoring, Inc |
| | 1. | RW Personal Emergency System (Intallation) |
| | 2. | RW Personal Emergency System (Maintenance) |
| | 3. | Waiver-Personal Emergency Response Services installation |
| | 4. | Waiver-Personal Emergency Response Services monthly rental |
| Provider: |
Halima Supported Services, Inc. |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 5. | RW Community Support Team (ACT) |
| | 6. | RW Community Support Team (Somatic Assessment) |
| | 7. | RW Community Support Team Crisis/Emergency |
| | 12. | RW Occupational Therapy |
| | 14. | RW Residential Habilitation |
| | 18. | RW Speech Hearing and Language Therapy |
| | 20. | RW Supported Living Periodic |
| Provider: |
Handi-Pro Transportation, Inc |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| Provider: |
Headstart to Life |
| | 1. | RW Prevocational Habilitation |
| | 2. | RW Prevocational Support (second provider) |
| | 3. | RW Supportive Employment (Intake and Assessment Paraprofessional) |
| | 4. | RW Supportive Employment (Intake and Assessment Professional) |
| | 5. | RW Supportive Employment (Job Placement Paraprofessional) |
| | 6. | RW Supportive Employment (Job Placement Professional) |
| | 7. | RW Supportive Employment (Job Training & Support Paraprofessional) |
| | 8. | RW Supportive Employment (Job Training & Support Professional) |
| | 9. | RW Supportive Employment (Long-Term Follow-Along) |
| Provider: |
HealthCare Resources |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 8. | RW Residential Habilitation |
| | 10. | RW Supported Living Periodic |
| | 11. | Waiver-Attendant Care Aide |
| | 12. | Waiver-Day Habilitation |
| | 13. | Waiver-Independent Habilitation (Monday - Friday) |
| | 14. | Waiver-Independent Habilitation (Saturday & Sunday) |
| | 15. | Waiver-Preventative/Consultative - Initial |
| | 16. | Waiver-Preventative/Consultative Follow-up |
| | 17. | Waiver-Residential Habilitation |
| | 18. | Waiver-Skilled Nursing Services: Up to 4 hours |
| | 19. | Waiver-Skilled Nursing Visit : Up to 4 hours |
| | 20. | Waiver-Skilled Nursing: Extended hours - LPN |
| | 21. | Waiver-Skilled Nursing: Extended Services - RN |
| Provider: |
Healthtech Institute |
| | 2. | RW Day Habilitation (second provider) |
| | 3. | RW Day Habilitation (third provider) |
| | 4. | RW Day Habilitation One-to-One |
| | 6. | RW Prevocational Habilitation |
| | 7. | RW Speech Hearing and Language Therapy |
| | 8. | RW Supportive Employment (Intake and Assessment Paraprofessional) |
| | 9. | RW Supportive Employment (Intake and Assessment Professional) |
| | 10. | RW Supportive Employment (Job Placement Paraprofessional) |
| | 11. | RW Supportive Employment (Job Placement Professional) |
| | 12. | RW Supportive Employment (Job Training & Support Paraprofessional) |
| | 13. | RW Supportive Employment (Job Training & Support Professional) |
| | 14. | RW Supportive Employment (Long-Term Follow-Along) |
| | 15. | Supportive Employment Job Development |
| | 16. | Supportive Employment Placement & Support (less than 4 hrs) |
| | 17. | Supportive Employment Placement and Support (4 hrs or more) |
| | 18. | Waiver-Family Training - Follow-Up |
| | 19. | Waiver-Family Training - Initial |
| | 20. | Waiver-Nutritional Assessment |
| | 21. | Waiver-Nutritional Counseling |
| | 22. | Waiver-Speech Language Assessment |
| | 23. | Waiver-Speech Language: Follow Up |
| | 24. | Waiver-Supportive Employment |
| Provider: |
Heaven on Wheels |
| | 1. | Waiver Trans-Ambulatory Van (1-way, way outside Beltway) |
| | 2. | Waiver Trans-Ambulatory Van (1-way,in Beltway,extra assistant) |
| | 3. | Waiver Trans-Ambulatory Van (1-way,inside Beltway) |
| | 4. | Waiver Trans-Ambulatory Van (1-way,outside Beltway,extra assistant) |
| | 5. | Waiver Trans-Ambulatory Van (2-way, inside Beltway) |
| | 6. | Waiver Trans-Ambulatory Van (2-way, inside Beltway, extra assistant) |
| | 7. | Waiver Trans-Ambulatory Van (2-way, outside Beltway) |
| | 8. | Waiver Trans-Ambulatory Van (2-way,outside Beltway,extra assistant) |
| | 9. | Waiver Trans-Trip Cancellation |
| | 10. | Waiver Trans-Wheelchair Van (1-way, inside Beltway) |
| | 11. | Waiver Trans-Wheelchair Van (1-way, inside Beltway, with extra assistant) |
| | 12. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway) |
| | 13. | Waiver Trans-Wheelchair Van (1-way, way outside Beltway, with extra assistant) |
| | 14. | Waiver Trans-Wheelchair Van (2-way, inside Beltway) |
| | 15. | Waiver Trans-Wheelchair Van (2-way, inside Beltway, with extra assistant) |
| | 16. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway) |
| | 17. | Waiver Trans-Wheelchair Van (2-way, way outside Beltway, with extra assistant) |
| | 18. | Waiver-Skilled Nursing Services: Up to 4 hours |
| | 19. | Waiver-Skilled Nursing Visit : Up to 4 hours |
| | 20. | Waiver-Skilled Nursing: Extended hours - LPN |
| | 21. | Waiver-Skilled Nursing: Extended Services - RN |
| Provider: |
HELPING HANDS Adult Day |
| | 2. | RW Day Habilitation (second provider) |
| | 3. | RW Day Habilitation (third provider) |
| | 4. | RW Prevocational Habilitation |
| | 5. | RW Prevocational Support (second provider) |
| | 9. | RW Supportive Employment (Intake and Assessment Paraprofessional) |
| | 10. | RW Supportive Employment (Intake and Assessment Professional) |
| | 11. | RW Supportive Employment (Job Placement Paraprofessional) |
| | 12. | RW Supportive Employment (Job Placement Professional) |
| | 13. | RW Supportive Employment (Job Training & Support Paraprofessional) |
| | 14. | RW Supportive Employment (Job Training & Support Professional) |
| Provider: |
HMI Home Health Agency |
| | 5. | RW Skilled Nursing Extended LPN |
| | 6. | RW Skilled Nursing Extended RN |
| | 7. | RW Skilled Nursing Trained Unlicensed Personnel |
| | 8. | RW Skilled Nursing Visits |
| | 9. | RW Speech Hearing and Language Therapy |
| Provider: |
Holy Health Care Services LLC |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 5. | RW Community Support Team (ACT) |
| | 6. | RW Community Support Team (Somatic Assessment) |
| | 7. | RW Community Support Team Crisis/Emergency |
| | 9. | RW Day Habilitation (second provider) |
| | 10. | RW Day Habilitation (third provider) |
| | 11. | RW Day Habilitation One-to-One |
| | 15. | RW Occupational Therapy |
| | 16. | RW One Time Transitional Services |
| | 17. | RW Personal Emergency System (Intallation) |
| | 18. | RW Personal Emergency System (Maintenance) |
| | 20. | RW Prevocational Habilitation |
| | 21. | RW Prevocational Support (second provider) |
| | 22. | RW Residential Habilitation |
| | 26. | RW Skilled Nursing Extended LPN |
| | 27. | RW Skilled Nursing Extended RN |
| | 28. | RW Skilled Nursing Trained Unlicensed Personnel |
| | 29. | RW Skilled Nursing Visits |
| | 31. | RW Supported Living Periodic |
| | 32. | RW Supportive Employment (Intake and Assessment Paraprofessional) |
| | 33. | RW Supportive Employment (Intake and Assessment Professional) |
| | 34. | RW Supportive Employment (Job Placement Paraprofessional) |
| | 35. | RW Supportive Employment (Job Placement Professional) |
| | 36. | RW Supportive Employment (Job Training & Support Paraprofessional) |
| | 37. | RW Supportive Employment (Job Training & Support Professional) |
| Provider: |
Hooker, Jennifer |
| | 2. | RW Speech Hearing and Language Therapy |
| Provider: |
Hope Found, Inc. |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 5. | RW Community Support Team (ACT) |
| | 6. | RW Community Support Team (Somatic Assessment) |
| | 7. | RW Community Support Team Crisis/Emergency |
| | 12. | RW Occupational Therapy |
| | 14. | RW Residential Habilitation |
| | 18. | RW Speech Hearing and Language Therapy |
| | 20. | RW Supported Living Periodic |
| Provider: |
Human Touch Home Health Care Agency |
| | 2. | Physical Therapy: Therapy |
| | 3. | RW Occupational Therapy |
| | 4. | RW One Time Transitional Services |
| | 10. | RW Skilled Nursing Extended LPN |
| | 11. | RW Skilled Nursing Extended RN |
| | 12. | RW Skilled Nursing Trained Unlicensed Personnel |
| | 13. | RW Skilled Nursing Visits |
| | 14. | RW Speech Hearing and Language Therapy |
| | 15. | Waiver-Attendant Care Aide |
| | 17. | Waiver-Companion care, adult |
| | 19. | Waiver-Occupational Therapy: Initial Assessment |
| | 20. | Waiver-Occupational Therapy: Therapy |
| | 21. | Waiver-Personal Care Aide |
| | 22. | Waiver-Physical Therapy Assessment |
| | 23. | Waiver-Respite Care Services: LPN |
| | 24. | Waiver-Respite Care Services: Respite Aide - 18+ hours per day for |
| | 25. | Waiver-Respite Care Services: Respite Aide: 1 to 17 hrs per day |
| | 26. | Waiver-Respite Care Services: RN |
| | 27. | Waiver-Skilled Nursing Services: Up to 4 hours |
| | 28. | Waiver-Skilled Nursing Visit : Up to 4 hours |
| | 29. | Waiver-Skilled Nursing: Extended hours - LPN |
| | 30. | Waiver-Skilled Nursing: Extended Services - RN |
| Provider: |
Immaculate Health Care Services, Inc |
| | 2. | Physical Therapy: Therapy |
| | 3. | RW Occupational Therapy |
| | 5. | RW Personal Emergency System (Intallation) |
| | 6. | RW Personal Emergency System (Maintenance) |
| | 11. | RW Skilled Nursing Extended LPN |
| | 12. | RW Skilled Nursing Extended RN |
| | 13. | RW Skilled Nursing Trained Unlicensed Personnel |
| | 14. | RW Skilled Nursing Visits |
| | 15. | RW Speech Hearing and Language Therapy |
| | 17. | RW Supported Living Periodic |
| | 18. | Speech, Hearing & Language - Follow-up |
| | 19. | Speech, Hearing, & Language - Assessment |
| | 20. | Waiver-Attendant Care Aide |
| | 22. | Waiver-Companion care, adult |
| | 24. | Waiver-Occupational Therapy: Initial Assessment |
| | 25. | Waiver-Occupational Therapy: Therapy |
| | 26. | Waiver-Personal Care Aide |
| | 27. | Waiver-Physical Therapy Assessment |
| | 28. | Waiver-Respite Care Services: LPN |
| | 29. | Waiver-Respite Care Services: Respite Aide - 18+ hours per day for |
| | 30. | Waiver-Respite Care Services: Respite Aide: 1 to 17 hrs per day |
| | 31. | Waiver-Respite Care Services: RN |
| | 32. | Waiver-Skilled Nursing Services: Up to 4 hours |
| | 33. | Waiver-Skilled Nursing: Extended hours - LPN |
| | 34. | Waiver-Speech Language Assessment |
| | 35. | Waiver-Speech Language: Follow Up |
| Provider: |
Individual Advocacy Group |
| | 1. | RW Behavior Support BSP Development & Follow-Up (Paraprofessional) |
| | 2. | RW Behavior Support BSP Development & Follow-Up (Professional) |
| | 3. | RW Behavior Support Diagnostic Assessment |
| | 4. | RW Behavior Support Non-Professional |
| | 5. | RW Community Support Team (ACT) |
| | 6. | RW Community Support Team (Somatic Assessment) |
| | 7. | RW Community Support Team Crisis/Emergency |
| | 9. | RW Day Habilitation (second provider) |
| | 10. | RW Day Habilitation (third provider) |
| | 11. | RW Day Habilitation One-to-One |
| | 12. | RW Environmental Accessibilities Adaptations |
| | 13. | RW One Time Transitional Services |
| | 14. | RW Skilled Nursing Extended LPN |
| | 15. | RW Skilled Nursing Extended RN |
| | 16. | RW Skilled Nursing Trained Unlicensed Personnel |
| | 17. | RW Skilled Nursing Visits |
| | 19. | RW Supported Living Periodic |
| | 20. | RW Supportive Employment (Intake and Assessment Paraprofessional) |
| | 21. | RW Supportive Employment (Intake and Assessment Professional) |
| | 22. | RW Supportive Employment (Job Placement Paraprofessional) |
|