Common use of SPECIFIC SERVICE CATEGORIES Clause in Contracts

SPECIFIC SERVICE CATEGORIES. Please Check the Specific Service Categories That Apply To You or The Organization in which you are qualified, including licenses, or certified, to provide services: Addiction Treatment Services (ADT) Dental Services (DEN) Personal Care Services (PCS) Allergy (ALG) Dialysis Services (DIA) Physical Therapy (PTH) Addiction Treatment Services (ADT) Early Childhood Intervention (ECI) Podiatry (POD) Assessment/Diagnosis (ASS) EPSDT Screening (EPS) Pre-Natal Services (PNA) Audiology (AUD) Family Services (FAM) Psychological Services (PSC) Assessment Diagnosis (ASD) Homemaker Services (HOM) Pyschiatric (PSY) Birthing Services (BIR) Dental Hygienist (DHY) Recreation Therapy (RTH) Case Management-Family Services (CMF) Laboratory Screening Services (LAB) Respiratory Care Services (RES) Case Management-Medical (CMM) Mental Health (MEN) Respite Care (RSC) Case Management-Social (CMS) Midwiifery (MID) Supported Employment Services (SES) Child Care Services (DAY) Music Therapy (MTH) Social Worker Services (SWS) Chore Services (CHR) Neurology (NEU) Speech Therapy (STH) Consulting (CON) Nutrition and Dietary (NUT) Transportation Services (TRS) Counseling Services (CSL) Occupational Therapy (OTH) Visiting Nurse (home) (VIS) Crisis Intervention Services (CRI) Optometry (OPT) Vocational Rehabilitation (VOC) Day Treatment Services (Habilitation) (DTR) Pediatric (PED)

SPECIFIC SERVICE CATEGORIES. Please Check the Specific Service Categories That Apply To You or The Organization in which you are qualified, including licenses, or certified, to provide services: Addiction Treatment Services (ADT) Dental Services (DEN) Personal Care Services (PCS) Allergy (ALG) Dialysis Services (DIA) Physical Therapy (PTH) Addiction Treatment Services (ADT) Early Childhood Intervention (ECI) Podiatry (POD) Assessment/Diagnosis (ASS) EPSDT Screening (EPS) Pre-Natal Services (PNA) Audiology (AUD) Family Services (FAM) Psychological Services (PSC) Assessment Diagnosis (ASD) Homemaker Services (HOM) Pyschiatric (PSY) Birthing Services (BIR) Dental Hygienist (DHY) Recreation Therapy (RTH) Case Management-Family Services (CMF) Laboratory Screening Services (LAB) Respiratory Care Services (RES) Case Management-Medical (CMM) Mental Health (MEN) Respite Care (RSC) Case Management-Social (CMS) Midwiifery (MID) Supported Employment Services (SES) Child Care Services (DAY) Music Therapy (MTH) Social Worker Services (SWS) Chore Services (CHR) Neurology (NEU) Speech Therapy (STH) Consulting (CON) Nutrition and Dietary (NUT) Transportation Services (TRS) Counseling Services (CSL) Occupational Therapy (OTH) Visiting Nurse (home) (VIS) Crisis Intervention Services (CRI) Optometry (OPT) Vocational Rehabilitation (VOC) Day Treatment Services (Habilitation) (DTR) Pediatric (PED) Other: Supported Educational Services (C.4.12.5)

SPECIFIC SERVICE CATEGORIES. Please Check the Specific Service Categories That Apply To You or The Organization in which you are qualified, including licenses, or certified, to provide services: Addiction Treatment Services (ADT) Dental Services (DEN) Personal Care Services (PCS) Allergy (ALG) Dialysis Services (DIA) Physical Therapy (PTH) Addiction Treatment Services (ADT) Early Childhood Intervention (ECI) Podiatry (POD) Assessment/Diagnosis (ASS) EPSDT Screening (EPS) Pre-Natal Services (PNA) Audiology (AUD) Family Services (FAM) Psychological Services (PSC) Assessment Diagnosis (ASD) Homemaker Services (HOM) Pyschiatric (PSY) Birthing Services (BIR) Dental Hygienist (DHY) Recreation Therapy (RTH) Case Management-Family Services (CMF) Laboratory Screening Services (LAB) Respiratory Care Services (RES) Case Management-Medical (CMM) Mental Health (MEN) Respite Care (RSC) Case Management-Social (CMS) Midwiifery (MID) Supported Employment Services (SES) Child Care Services (DAY) Music Therapy (MTH) Social Worker Services (SWS) Chore Services (CHR) Neurology (NEU) Speech Therapy (STH) Consulting (CON) Nutrition and Dietary (NUT) Transportation Services (TRS) Counseling Services (CSL) Occupational Therapy (OTH) Visiting Nurse (home) (VIS) Crisis Intervention Services (CRI) Optometry (OPT) Vocational Rehabilitation (VOC) Day Treatment Services (Habilitation) (DTR) Dental Services (DEN) Dialysis Services (DIA) Early Childhood Intervention (ECI) EPSDT Screening (EPS) Family Services (FAM) Homemaker Services (HOM) Dental Hygienist (DHY) Laboratory Screening Services (LAB) Mental Health (MEN) Midwiifery (MID) Music Therapy (MTH) Neurology (NEU) Nutrition and Dietary (NUT) Occupational Therapy (OTH) Optometry (OPT) Pediatric (PED) Personal Care Services (PCS) Physical Therapy (PTH) Podiatry (POD) Pre-Natal Services (PNA) Psychological Services (PSC) Pyschiatric (PSY) Recreation Therapy (RTH) Respiratory Care Services (RES) Respite Care (RSC) Supported Employment Services (SES) Social Worker Services (SWS) Speech Therapy (STH) Transportation Services (TRS) Visiting Nurse (home) (VIS) Vocational Rehabilitation (VOC)