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Code 47
This code identifies a Medicaid member who is enrolled in OPWDD’s Home and Community Based Service (HCBS) Waiver and resides in a supervised Community Residence.
This member is exempt from Utilization Threshold and Co-payment requirements.
Code 48
This code identifies a Medicaid member who is enrolled in OPWDD’s Home and Community Based Service (HCBS) Waiver and resides in a supportive Community Residence (CR) or a supportive Individual Residential Alternative (IRA).
This member is exempt from Utilization Threshold and Co-payment requirements.
Code 49
This code identifies a Medicaid member who is enrolled in OPWDD’s Home and Community Based Services (HCBS) Waiver, resides in a supervised Individual Residential Alternative (IRA) and is authorized to receive IRA residential habilitation services.
This member is exempt from Utilization Threshold and Co-payment requirements.
Code 50
This member has Connect services, plus is eligible for the service package available to all members with Perinatal Family. This member is exempt from Utilization Threshold and Co-payment requirements.
Code 51
This member has Connect services, plus is eligible