ABUNDANCE OF GRACE HOMECARE

Clinic/Center — Mental Health (Including Community Mental Health Center)

Code: 261QM0801X

Day Training, Developmentally Disabled Services

Code: 251C00000X

Home Health

Code: 251E00000X

Hospice Care, Community Based

Code: 251G00000X

In Home Supportive Care

Code: 253Z00000X

Clinic/Center — Adult Day Care

Code: 261QA0600X

Intermediate Care Facility, Intellectual Disabilities

Code: 315P00000X

Non-emergency Medical Transport (VAN)

Code: 343900000X

Respite Care

Code: 385H00000X