$60/month
Billing Codes (per coverage):
BI/CIH/EBD/CMHS
S5185
T2029
CES/DD/SLS
T2029
*Not available for members living in HCBS Funded Residential Facilities.
$30/month
Billing Codes:
S5161
S5160
BI, CIH, EBD, CMHS
SLS
$45/month
Billing Codes:
S5161
S5160
BI, CIH, EBD, CMHS
SLS