VIRTUAL PREVENTIVE CARE SERVICE

Day Training, Developmentally Disabled Services

Code: 251C00000X

Community/Behavioral Health

Code: 251S00000X

In Home Supportive Care

Code: 253Z00000X

Clinic/Center — Adult Mental Health

Code: 261QM0850X

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320600000X

Residential Treatment Facility, Physical Disabilities

Code: 320700000X

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320900000X

Transportation Network Company

Code: 342000000X

Transportation Broker

Code: 347E00000X

Respite Care — Respite Care, Intellectual and/or Developmental Disabilities, Child

Code: 385HR2060X

Respite Care — Respite Care, Physical Disabilities, Child

Code: 385HR2065X

Home Health

Code: 251E00000X