5-013.06 Maximum Rate and Allowable Units

473 NAC 5-013.06

The following information is used by workers when completing provider contracts, Forms DSS-4 and DSS-4A, and by providers when billing on Form DSS-5B:

Service Description

Unit

Max. Unit Rate

Client Service Authorization Max. Units

Service Code

Respite

Hour

$ 2.00

120 per 6 months

1301

Respite

Day*

$12.00

18 per 6 months

1302

*Service provided for more than 6 hours through 24 hours is equal to one day.