Section 3 / Part 6
Effective Date: April 26, 2005
Service codes in alphabetical order
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Accessibility remodeling 414
Accounting services 622
Achievement testing 150
Addiction evaluation 170
Addiction recovery summary 140
Addiction treatment 330
Addiction treatment records 140
Admissions fee 510
Advertising 622
After school care 955
Alcohol and Drug treatment records 140
Alcohol or drug assessment 170
Alcohol/Drug treatment 330
Alert baby cry signaler 290
Amplifier, telephone 290
Anesthesiologist fee 230
Anesthesiology charge 230
Appendectomy 245
Aptitude testing 150
Artificial limb 380
Assistant surgeon charge 220
Assistive animals 935
Assistive technology assessment 417
Attendant services 930
Audiological exam 130
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Babysitters 955
Back cushion 410
Barber school 530
Bath lift 410
Bathing 930
Batteries for hearing aid 290
Blood level testing 120
Books 540
Braces 390
Braille labeler 270
Braille training 550
Brailler 270
Bridges, dental 380
Bus coupons 800
Business startup expenses 622
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Cab tickets 800
Calculator for class 540
Camera equipment for class 540
Cane (for support) 390
Cane, folding 270
Cap and gown 540
CAT scan (computerized axial tomography) 120
Cataract surgery 220
CBJT 655
CBWA 155
CCTV's 270
CDC assessment 150
Chairlift 412
Chemical profile 120
Chemotherapy 220
Childcare 955
Childcare tuition 955
Chiropractor fees 260
Class supplies (i.e. art, photography) 540
Client compensation for CBWA participation 155
Clippers 620
CNA training (from employer) 580
CNA training (through area vo-tech) 530
College/University tuition/fees 510
Commercial driver's license 621
Communication boards 410
Community based job tryout 655
Community college 510
Compensation to client for participation in a job tryout 655
Comprehensive job coaching 570
Comprehensive job placement 610
Compression stocking 390
Computer repair 416
Computer skills training - work related 530
Computers 413
Communication boards 410
Community based job tryout 655
Community college 510
Compensation to client for participation 655
in a job tryout
Comprehensive job coaching 570
Comprehensive job placement 610
Compression stocking 390
Computer repair 416
Computer skills training - work related 530
Computers 413
Contact lenses 270
Co-pay for prescription 210
Copy charges, hospital 140
Cosmetology training 530
Counseling (general) 365
Counseling (substantial) by a rehabilitation counselor 370
Counseling sessions (treatment by qualified person) 340
Court records 140
CPR training 630
Crown 280
Crutches 390
CT scans (computed tomography) 120
Custom seating 411
Customer Service 001
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Day planners 540
Daycare 955
Definitive medical summary 140
Definitive psychiatric summary 170
Diesel mechanics training 530
Dental exam 280
Dental services 280
Dentures 380
Deposit on business property 622
Diabetic testing supplies 210
Dialysis 220
Digital voice recorder 270
Disks 413
Docking stand 410
Doctor's notes 140
Dome magnifier 270
Door widening 414
Doorbell amplifier 290
Dorm costs 700
Dressing (assistance) 930
Driver education course 630
Driver training (learning to drive) 630
Drivers 935
Driver's evaluation 110
Driver's license fee 621
Drug screening/urinalysis 330
Dyslexia remediation 550
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Ear molds 290
EKG/ECG 120
Electrical stimulation 350
Emergency food/shelter for eligible individuals 750
Emergency room charge 250
Employer contacts 610
Employer development 610
Enrichment activities while in school 700
[I.e. Club dues (degree related);
field trips (extra cost); honor society dues]
ENT exam 130
Eye exam, initial 130
Eye, prosthetic 380
Eye glasses 270
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Feeding 930
Fillings 280
Fitting of prosthesis 417
Flasher alarm 290
Follow-up eye exam 240
Follow-up visit with Doctor 240
Footplates 411
Foreign language interpreters 910
Fuel charge 800
Functional capacity evaluation 130
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Gas money 800
GED classes 520
GED skills training 520
General medical exam 130
Grab bar installation 414
Group therapy 340
Guide dog 935
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Haircuts, for interviews, jobs 700
Hand controls 412
Hardware, computer 413
Health insurance payment 200
Hearing aid dispensing fee 417
Hearing aid repair 416
Hearing aid re-programming 416
Hearing aids 290
Hearing assessment 130
Hospital fee 250
Hospital records, medical 140
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Imaging service 120
Independent living assessment 110
Independent living skills training 590
Individual therapy 340
Inpatient care 250
Insulin 210
Insurance (vehicle) 820
Intelligence testing 170
Intensive employment support 575
Intercurrent illness 245
Interest testing 150
Internet services for business 622
Interview clothes 700
Interview skills development 610
Interviewing skills development 610
IPE Case Coordination Component #1: Referral 028
IPE Case Coordination Component #2: Quarterly Intervals 029
IPE Research Component #1: Referral 025
IPE Research Component #2: Employment Plan 026
IPE Research Component #3: IPE/Signed 027
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Job coaching / placement 570
Job coaching on the job that does not include job finding 575
Job coaching on the job that includes finding the job 570
Job coaching only 575
Job development 610
Job finding 610
Job finding/retention 610
Job placement 610
Job Placement Services Component #1: Job Seeking 611
Job Placement Services Component #2: job Placement 612
Job Placement Services Component #3: Successful Closure 613
Job preparedness training 550
Job readiness training 550
Job site modification 417
Job success classes 550
Junior college program 510
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Kansas sales tax 810
Keyboard 413
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Lab work 120
Labor and parts 830
Language interpreter 910
Large print measuring cups 410
Large print overlay 270
Laser surgery 220
Lens 270
Liability insurance for business 622
Liability insurance 820
Liquid level indicator 410
Living expenses during plan 700
Living skills assessment 110
Living skills training 590
Low vision exam 130
Low vision magnifier 270
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Maintenance 700
Meals for drivers 800
Mechanic's tools for job 620
Medical history 140
Medical insurance premium 200
Medical records 140
Mental health center information 140
Mental health center services 340
Mental status exam 170
Mileage for client 800
Mileage for vendors 801
Mobility support 930
Mobility training 550
Motherboards 413
Mouse arm 413
MRI (magnetic resonance imaging) 120
Myelogram 120
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Neurological exam 130
Neuropsychological assessment 170
Non-prescription medication 210
Note taking 915
Note taking other than interpreters 935
Nursing license 621
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Occupational evaluation 130
Occupational license 621
Occupational therapy 350
Office supplies for business 622
OJT 560
On job training 560
Optical exam 130
Oral interpretation 915
Orientation and mobility training 550
Orthodontic repairs 280
Orthopedic exam 130
Orthotic shoes 390
OTAP training 580
Outpatient hospitalization 250
Over the counter (OTC) medication 210
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Pain management treatment 220
Panoramic x-ray 120
Parking permits 540
Partial denture 380
Patient records 140
Payment for non-degree post-secondary education 530
Payment-for-performance job seeking 611
Payment-for-performance job placement 612
Payment-for-performance successful case closure 613
Payment to provider to set-up a CBWA, monitor site and prepare report
155
Payment to provider to set-up a tryout, monitor the tryout, and report
655
Peer specialist training 580
Personal care attendant 930
Personal property tax, vehicle 820
Personality assessment 170
Pharmacy supplies 210
Physical exam 130
Physical therapy 350
Physical therapy evaluation 130
Physician's office visit 240
Pill dispenser 210
Police report 140
Post secondary degree program 510
Post secondary school records 140
Power door conversion 412
Power supply 413
Power wheelchair 411
Prescription medication 210
Printers 413
Probation or parole reports 140
Prosthesis 380
Prosthesis fitting 417
Psychiatric diagnostic exam 170
Psychiatric hospitalization records 140
Psychiatric medication check 320
Psychiatric services 320
Psychiatric therapy sessions 320
Psychiatric treatment 320
Psychiatrist's notes 140
Psychological records 140
Psychological testing 170
Psychotherapy (other than psychiatrist) 340
Psychotherapy notes 140
Purchasing Support Component #1: Referral 030
Purchasing Support Component #2: Purchase Authorization 031
Purchasing Support Component #3: Item Delivered 032
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Ramp installation 414
Reader services 920
Reading aloud 920
Real-time captioning 915
Recheck 240
Recorder 270
Recovery room charges 250
Recovery services 330
Registration fee for school 510
Registration fee for vehicle 820
Relocation expense connected to
job placement significant distance away 800
Remedial training 550
Rent deposits 700
Repair CCTV 416
Repair estimate 830
Resume preparation 610
Road to Success classes 526
Room charges 250
Room/board while at school 700
Root canal 280
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Scanner 413
School supplies 540
Schools for the blind and visually impaired 520
Schools for the deaf 520
Screen readers 270
Service calls for equipment repairs 416
Shoe inserts 390
Sign language interpreters 915
Sign language interpreters reimbursement for travel 916
Signalers 290
Sit/stand stool 390
Situational assessment 150
Social work license renewal 621
Software, computer 413
Sonic boom alarm clock 290
Sound recording of print 920
Speak dictionary 270
Special shoes (foot conditions) 390
Special accommodation fee for job placement 609
Speech therapy 360
Support stocking 390
Supported education 550
Supported Employment-3 Component #1: Job Seeking 601
Supported Employment-3 Component #2: Job Placement 602
Supported Employment-3 Component #3: Successful Closure 603
Supported Employment-4 Component #1: Referral 604
Supported Employment-4 Component #2: Job Placement 605
Supported Employment-4 Component #3: Stabilization 606
Supported Employment-4 Component #4: Successful Closure 607
Surgeon fees 220
Surgery hospital supplies 250
Surgical care 250
Syringes 210
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Tactile interpretation 915
Tags 820
Talking calculator 270
Talking compass 270
Talking watch 270
Taxi 800
TB test 120
Technical drafting 530
Teeth cleaning 280
Textbooks 540
Therapeutic exercise 350
Three wheel scooter 411
Tinted lenses 270
Tires, automotive 830
Tool chest 620
Tooth extraction 280
Towing charges 830
Training in personal care techniques 950
Transcript 140
Transcription of print to Braille 920
Transportation payments to clients 800
Travel expense for personal care attendant 800
Treatment of flu 245
Treatment for broken bone 245
Treatment of intercurrent illness 245
Treatment records 140
Trimmers 620
TTD 290
TTY 290
Tuition and fees for a post-secondary degree program 510
Tutor 630
Tympanometry 130
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Urinalysis 120
Utility deposit / payment 700
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Vehicle accessibility modifications 412
Vehicle inspection 820
Vehicle purchase (car, van, truck) 810
Vehicle repair 830
Veterinarian services for assistive animal 940
Video magnifier 270
Visual aids 270
Vocational assessment 150
Vocational evaluation 150
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Walker 390
Wheelchair modification 417
Wheelchair parts 416
Wheelchair repair 416
Wheelchair, manual 411
White cane 270
Wilson Reading System 525
Work clothes 700
Work Training with Placement Component #1: Development of Plan 551
Work Training with Placement Component #2: Completion of Plan Objective
552
Work Training with Placement Component #3: Placement in Permanent Job
553
Work Training with Placement Component #4: Successful Closure 554
Wrist rest 413
Written medical summary 140
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X-rays 120
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Zoom text 270
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