CalAIM Community Supports Services. 1. REIMBURSEMENT -- County shall be reimbursed for its services according to the rates and effective dates listed below: Lifetime maximum of$5,000.00. The amount of the Housing Deposit, up to the maximum allowed See DHCS guidance for specific billing codes and modifiers Service Rat - Effective 10/01/2022. $449.00 PEPM 15 County of Orange Amendment 13 to the Coordination and Provision of Health Care Services (Ca!AW Community Supports)_Cll354896AA See DHCS guidance for specific billing codes and modifiers Services Service Rate - Effective 10/01/2022 $475.00 PEPM See DHCS guidance for specific billing codes and modifiers Service Rate - Effective 10/01/2022 $226.00 Per Da , All Inclusive See DHCS guidance for specific billing codes and modifiers Tailored Meals Service Rate - Effective as of the Effective Date of this Amendment. $12.00 Per Delivered Meal $66.00 Per Weekly Grocery Box Delivered $38.00 Per Nutritional Assessment See DHCS guidance for specific billing codes and modifiers rams Service Rate - Effective 7/01/2022
CalAIM Community Supports Services. 1. REIMBURSEMENT -- County shall be reimbursed for its services according to the rates and effective dates listed below: Housing Deposits – Effective as of the Effective Date of this Amendment 11. Service Lifetime maximum of $5,000.00. The amount of the Housing Deposit, up to the maximum allowed Billing Code(s); including modifiers See DHCS guidance for specific billing codes and modifiers Housing Transition Navigation Services Service Rate- Effective as of the Effective Date of this Amendment 11. Bundled Payments (per Enrollee per Month (PEPM)) $449.00 PEPM Billing Code(s); including modifiers See DHCS guidance for specific billing codes and modifiers Housing Tenancy and Sustaining Services Service Rate- Effective as of the Effective Date of this Amendment 11. Bundled Payments (per Enrollee per Month (PEPM)) $475.00 PEPM Billing Code(s); including modifiers See DHCS guidance for specific billing codes and modifiers Recuperative Care (Medical Respite) Service Rate- Effective as of the Effective Date of this Amendment 11. Service Rate $226.00 Per Day, All Inclusive Billing Code(s); including modifiers See DHCS guidance for specific billing codes and modifiers Medically Tailored Meals Service Rate- Effective 7/01/2022 Service Rate $10.00 Per Delivered Meal $66.00 Per Weekly Grocery Box Delivered $38.00 Per Nutritional Assessment Billing Code(s); including modifiers See DHCS guidance for specific billing codes and modifiers Day Habilitation Programs Service Rate- Effective 7/01/2022 Service Rate $67.30 Per Day, All Inclusive Billing Code(s); including modifiers See DHCS guidance for specific billing codes and modifiers Short-Term Post-Hospitalization Housing Service Rate- Effective 7/01/2022 Service Rate $108.00 Per Day, All Inclusive Billing Code(s); including modifiers See DHCS guidance for specific billing codes and modifiers
