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EVV service code descriptions

Service code Description Unit of service Portal Launched
G0299 Direct Skilled Nursing, RN, Home or Hospice, 15 Minutes Hourly MIHH End of 2023
G0300 Direct Skilled Nursing, LPN, Home or Hospice, 15 Minutes Hourly MIHH End of 2023
H0043:UC:U3 Individualized Home Supports with training Daily MIWS Yes
H2014:UC:U3 Individualized Home Supports with training Hourly MIWS Yes
H2014:UC:UN:U3 Individualized Home Supports with Training (1:2) Hourly MIWS Yes
H2015:U3 Individual Community Living Support, In Person, 15 Minutes Hourly MIWS Yes
S5125:UC Individualized Home Supports with family training Hourly MIWS Yes
S5125:UC:UN Individualized Home Supports with family training (1:2) Hourly MIWS Yes
S5130:TG Homemaker, Assistance with Personal Cares, 15 Minutes Hourly MIWS Yes
S5135:U4 Personal Support, 15 Minutes Hourly MIWS Yes
S5135:UA Night Supervision, 15 Minutes Hourly MIWS Yes
S5135:UC Individualized Home Supports without training Hourly MIWS Yes
S5135:UC:UN Individualized Home Supports without training (1:2) Hourly MIWS Yes
S5150 Respite Care Services, In Home, 15 Minutes Hourly MIWS Yes
S5151 Respite Care Services, In Home, Daily Daily MIWS Yes
S5181 Respiratory Therapy, Per Visit Visit MIHH End of 2023
S5181:UC Respiratory Therapy, Extended, Per Visit Visit MIHH End of 2023
S9125 Crisis Respite, Daily Daily MIWS Yes
S9128 Speech Therapy, Per Visit Visit MIHH End of 2023
S9128:UC Speech Therapy, Extended, Per Visit Visit MIHH End of 2023
S9129 Occupational Therapy, Per Visit Visit MIHH End of 2023
S9129:TF Occupational Therapy Assistant, Per Visit Visit MIHH End of 2023
S9129:TF:UC Occupational Therapy Assistant, Extended, Per Visit Visit MIHH End of 2023
S9129:UC Occupational Therapy, Extended, Per Visit Visit MIHH End of 2023
S9131 Physical Therapy, Per Visit Visit MIHH End of 2023
S9131:TF Physical Therapy Assistant, Per Visit Visit MIHH End of 2023
S9131:TF:UC Physical Therapy Assistant, Extended, Per Visit Visit MIHH End of 2023
S9131:UC Physical Therapy, Extended, Per Visit Visit MIHH End of 2023
T1004 Home Health Aide, Extended, 15 Minutes Hourly MIHH End of 2023
T1005 Crisis Respite, 15 Minutes Hourly MIWS End of 2023
T1005:TG Crisis Respite, Specialized, 15 Minutes Hourly MIWS Yes
T1019 1:1 PCA Services Hourly MICS Yes
T1019:HQ 1:3 PCA Services Hourly MICS Yes
T1019:HQ:TG 1:3 PCA Complex Hourly MICS Yes
T1019:HQ:UC 1:3 Extended PCA Services (waiver services) Hourly MICS Yes
T1019:TG 1:1 PCA Complex Hourly MICS Yes
T1019:TG:HQ:U5 Notice of Reduction PCA Complex 1:3 Hourly MICS Yes
T1019:TG:HQ:U6 Temporary Increase in Units PCA Complex 1:3 Hourly MICS Yes
T1019:TG:TT:U6 Temporary Increase in Units PCA Complex 1:2 Hourly MICS Yes
T1019:TG:U6 Temporary Increase in Units PCA Complex 1:1 Hourly MICS Yes
T1019:TT 1:2 PCA Services Hourly MICS Yes
T1019:TT:TG 1:2 PCA Complex Hourly MICS Yes
T1019:TT:UC 1:2 Extended PCA Services (waiver services) Hourly MICS Yes
T1019:U5 Notice of Reduction Hourly MICS Yes
T1019:U5:HQ Notice of Reduction, 1:3 Hourly MICS Yes
T1019:U5:HQ:TG Notice of Reduction, 1:3, complex Hourly MICS Yes
T1019:U5:TG Notice of Reduction, complex Hourly MICS Yes
T1019:U5:TT Notice of Reduction, 1:2 Hourly MICS Yes
T1019:U5:TT:TG Notice of Reduction, 1:2, complex Hourly MICS Yes
T1019:U6 Temporary Increase in Units Hourly MICS Yes
T1019:U8 CFSS, Agency, 45 Day Temporary Start Hourly MICS TBD
T1019:U8:TG CFSS, Agency, Complex, 45 Day Temporary Start Hourly MICS TBD
T1019:U9 CFSS, Agency, 1:1 Hourly MICS TBD
T1019:U9:TG CFSS, Agency, Complex, 1:1 Hourly MICS TBD
T1019:U9:U4 CFSS, Agency, Continuation of Benefits, 1:1 Hourly MICS TBD
T1019:U9:U4:TG CFSS, Agency, Complex, Continuation of Benefits, 1:1 Hourly MICS TBD
T1019:U9:U5 CFSS, Agency, Reduction, 1:1 Hourly MICS TBD
T1019:U9:U5:TG CFSS, Agency, Complex, Reduction, 1:1 Hourly MICS TBD
T1019:U9:U5:UN CFSS, Agency, Reduction, 1:2 Hourly MICS TBD
T1019:U9:U5:UN:TG CFSS, Agency, Complex, Reduction, 1:2 Hourly MICS TBD
T1019:U9:U5:UP CFSS, Agency, Reduction, 1:3 Hourly MICS TBD
T1019:U9:U5:UP:TG CFSS, Agency, Complex, Reduction, 1:3 Hourly MICS TBD
T1019:U9:U6 CFSS, Agency, Temporary Increase, 1:1 Hourly MICS TBD
T1019:U9:U6:TG CFSS, Agency, Complex, Temporary Increase, 1:1 Hourly MICS TBD
T1019:U9:U6:UN:TG CFSS, Agency, Complex, Temporary Increase, 1:2 Hourly MICS TBD
T1019:U9:U6:UP:TG CFSS, Agency, Complex, Temporary Increase, 1:3 Hourly MICS TBD
T1019:U9:UC CFSS, Agency, Extended, 1:1 Hourly MICS TBD
T1019:U9:UC:TG CFSS, Agency, Complex, Extended, 1:1 Hourly MICS TBD
T1019:U9:UC:UN CFSS, Agency, Extended, 1:2 Hourly MICS TBD
T1019:U9:UC:UN:TG CFSS, Agency, Complex, Extended, 1:2 Hourly MICS TBD
T1019:U9:UC:UP CFSS, Agency, Extended, 1:3 Hourly MICS TBD
T1019:U9:UC:UP:TG CFSS, Agency, Complex, Extended, 1:3 Hourly MICS TBD
T1019:U9:UN CFSS, Agency, 1:2 Hourly MICS TBD
T1019:U9:UN:TG CFSS, Agency, Complex, 1:2 Hourly MICS TBD
T1019:U9:UN:U4 CFSS, Agency, Continuation of Benefits, 1:2 Hourly MICS TBD
T1019:U9:UN:U4:TG CFSS, Agency, Complex, Continuation of Benefits, 1:2 Hourly MICS TBD
T1019:U9:UN:U6 CFSS, Agency, Temporary Increase, 1:2 Hourly MICS TBD
T1019:U9:UP CFSS, Agency, 1:3 Hourly MICS TBD
T1019:U9:UP:TG CFSS, Agency, Complex, 1:3 Hourly MICS TBD
T1019:U9:UP:U4 CFSS, Agency, Continuation of Benefits, 1:3 Hourly MICS TBD
T1019:U9:UP:U4:TG CFSS, Agency, Complex, Continuation of Benefits, 1:3 Hourly MICS TBD
T1019:U9:UP:U6 CFSS, Agency, Temporary Increase, 1:3 Hourly MICS TBD
T1019:UB CFSS, Budget, 1:1 Decremental budget MINN Yes
T1019:UB:TG CFSS, Budget, Complex, 1:1 Decremental budget MINN Yes
T1019:UB:U4 CFSS, Budget, Continuation of Benefits, 1:1 Decremental budget MINN Yes
T1019:UB:U4:TG CFSS, Budget, Complex, Continuation of Benefits, 1:1 Decremental budget MINN Yes
T1019:UB:U5 CFSS, Budget, Reduction, 1:1 Decremental budget MINN Yes
T1019:UB:U5:TG CFSS, Budget, Complex, Reduction, 1:1 Decremental budget MINN Yes
T1019:UB:U5:UN CFSS, Budget, Reduction, 1:2 Decremental budget MINN Yes
T1019:UB:U5:UN:TG CFSS, Budget, Complex, Reduction, 1:2 Decremental budget MINN Yes
T1019:UB:U5:UP CFSS, Budget, Reduction, 1:3 Decremental budget MINN Yes
T1019:UB:U5:UP:TG CFSS, Budget, Complex, Reduction, 1:3 Decremental budget MINN Yes
T1019:UB:U6 CFSS, Budget, Temporary Increase, 1:1 Decremental budget MINN Yes
T1019:UB:U6:TG CFSS, Budget, Complex, Temporary Increase, 1:1 Decremental budget MINN Yes
T1019:UB:U6:UN:TG CFSS, Budget, Complex, Temporary Increase, 1:2 Decremental budget MINN Yes
T1019:UB:U6:UP:TG CFSS, Budget, Complex, Temporary Increase, 1:3 Decremental budget MINN Yes
T1019:UB:UC CFSS, Budget, Extended, 1:1 Decremental budget MINN Yes
T1019:UB:UC:TG CFSS, Budget, Complex, Extended, 1:1 Decremental budget MINN Yes
T1019:UB:UC:UN CFSS, Budget, Extended, 1:2 Decremental budget MINN Yes
T1019:UB:UC:UN:TG CFSS, Budget, Complex, Extended, 1:2 Decremental budget MINN Yes
T1019:UB:UC:UP CFSS, Budget, Extended, 1:3 Decremental budget MINN Yes
T1019:UB:UC:UP:TG CFSS, Budget, Complex, Extended, 1:3 Decremental budget MINN Yes
T1019:UB:UN CFSS, Budget, 1:2 Decremental budget MINN Yes
T1019:UB:UN:TG CFSS, Budget, Complex, 1:2 Decremental budget MINN Yes
T1019:UB:UN:U4 CFSS, Budget, Continuation of Benefits, 1:2 Decremental budget MINN Yes
T1019:UB:UN:U4:TG CFSS, Budget, Complex, Continuation of Benefits, 1:2 Decremental budget MINN Yes
T1019:UB:UN:U6 CFSS, Budget, Temporary Increase, 1:2 Decremental budget MINN Yes
T1019:UB:UP CFSS, Budget, 1:3 Decremental budget MINN Yes
T1019:UB:UP:TG CFSS, Budget, Complex, 1:3 Decremental budget MINN Yes
T1019:UB:UP:U4 CFSS, Budget, Continuation of Benefits, 1:3 Decremental budget MINN Yes
T1019:UB:UP:U4:TG CFSS, Budget, Complex, Continuation of Benefits, 1:3 Decremental budget MINN Yes
T1019:UB:UP:U6 CFSS, Budget, Temporary Increase, 1:3 Decremental budget MINN Yes
T1019:UC Extended PCA Services (waiver services) Hourly MICS Yes
T1019:UC:HG Extended PCA Services (waiver services) 1:3 Hourly MICS Yes
T1019:UC:HG:TG Extended PCA Services (waiver services) 1:3 complex Hourly MICS Yes
T1019:UC:TG Extended PCA Services (waiver services), complex Hourly MICS Yes
T1019:UC:TT Extended PCA Services (waiver services) 1:2 Hourly MICS Yes
T1019:UC:TT:TG Extended PCA Services (waiver services) 1:2 complex Hourly MICS Yes
T1021 Home Health Aide, Per Visit Visit MIHH End of 2023
T1030 Skilled Nurse Visit, RN, Per Visit Visit MIHH End of 2023
T1031 Skilled Nurse Visit, LPN, Per Visit Visit MIHH End of 2023
T2025 Consumer Support Grant, Decremental Decremental budget MINN Yes
T2028 CDCS Personal Assistance, Decremental Decremental budget MINN Yes
T2028:U1 CDCS Personal Assistance, Decremental Decremental budget MINN Yes
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