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This person is eligible for the enhanced rate
This person is eligible for the enhanced rate.
The total days for this service agreement is 0. The total units for this service agreement are 0. Press the down arrow to continue.
There are errors in one or more entries. Listen to the description of the errors then tab through until you get to the fields you need to fix
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normal
There are errors in one or more entries. Listen to the description of the errors then tab through until you get to the fields you need to fix
normal
There are errors in one or more entries. Listen to the description of the errors then tab through until you get to the fields you need to fix
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Summary
Goods and Services: $0
PERS: $0
FMS fees: $0
Direct care: $0
Failed background study: $0
Non-enhanced direct care (no qualifying workers): $0
Over limit, reduce by $0
Next is a summary of what to enter on the MMIS ASA3 screen. Each line has a label describing what it is, the MMIS code, and the number to enter on that line for this service agreement. Use the down arrows to navigate.
press calculate to update
Direct care
T1019 UB
$0
Goods/services
T5999 UB
$0
PERS purchase
S5162 UB
$0
PERS installation
S5160 UB
$0
PERS monthly
S5161 UB
$0
FMS fee
T2040 UB
$0
Failed Bkgd
T2040 UB
0
Over limit, reduce by $0