Current Expanded Florida Benefit Procedure Code Procedure/CPT Min Max Category Medicaid Coverage Description Code Age Age Coverage (Units) For non-model For model and and DD waiver Respite Care-in S9125-in-home DD waiver enrollees, 200 Emergency and home 21 Respite 0 enrollees, this is hours a year Planned Respite Respite Care-out of H0045-out of yrs covered via for in home. home home FFS 10 days of out of home. As needed to divert hospitalization, 2 21 emergency Behavioral Health Crisis Stabilization 0910 yrs yrs room visits, or prevent placement Modifications to divert institutional stay or Home maintenance home maintenance Only in and minor 21 $5,000 every and minor home or s5165 0 home/environmental yrs 3 years. environmental modifications modifications including vehicle modifications Housing related supports/supplemental Home helper 21 0 Not covered 1 item a year. adaptive device or catalog item yrs equipment
Category Procedure Code Description Procedure/CPT Code Min Age Max Age Current Florida Medicaid Coverage Expanded Benefit Coverage (Units) Emergency and Planned Respite Respite Respite Care-in home Respite Care-out of home S9125-in-home H0045-out of home 0 21 yrs For model and DD waiver enrollees, this is covered via FFS For non-model and DD waiver enrollees, 200 hours a year for in home. 10 days of out of home. Behavioral Health Crisis Stabilization 0910 2 yrs 21 yrs As needed to divert hospitalization, emergency room visits, or prevent placement Modifications to divert institutional stay or home maintenance and minor home or environmental modifications including vehicle modifications Home maintenance and minor home/environmental modifications s5165 0 21 yrs Only in $5,000 every 3 years. Housing related supports/supplemental adaptive device or equipment Home helper catalog item 0 21 yrs Not covered 1 item a year.
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