As part of the Texas Health and Human Services Commission (HHSC) Electronic Visit Verification (EVV) initiative implementation process, this is an updated list of DADS service codes which require the use of EVV under the HHSC EVV initiative.

DADS Service Codes

Program/Service Service Group Bill Code Description Service Code
Community Living Assistance and Support Services (CLASS) habilitation 2 S0101 Habilitation – ADLs 10
CLASS habilitation 2 S0100 Habilitation – Training 10
CLASS habilitation 2 S0105 Habilitation Attendant Care Services – Delegated Nursing 10A
CLASS habilitation 2 S0106 Habilitation – Supportive Employ Employment 10B
CLASS habilitation 2 S0107 Habilitation – Prevocational 10B
CLASS respite 2 G0100 Respite – In Home Respite – DSA 11
CLASS CDS habilitation – training 2 G6085 CDS Habilitation – Training 10V
CLASS CDS habilitation – ADLs 2 G6086 CDS Habilitation – Adls – Training 10V
Community First Choice (CFC) habilitation 2 G1108 Personal Assistance Services (PAS) 10CFC
Community First Choice (CFC) CDS habilitation 2 G1109 CDS PAS – Individual Directed Services 10CFV
CLASS CDS habilitation (ended on 12/1/2013) 2 G0722 PAS – Individual Directed Services 27A
CLASS CDS respite 2 G0197 CDS Respite In-Home 11PV
Medically Dependent Children Program (MDCP) respite (attendant) 18 G0121 Respite – Personal Assistance Services 11
MDCP respite (attendant-delegated) 18 G0164 Respite – Personal Assistance Services – Delegated 11Q
MDCP adjunct support (attendant) 18 G0168 Adjunct – PAS HCSS 11U
MDCP adjunct support (attendant) 18 G0168 Adjunct – PAS HCSS Chore Service 11U
MDCP adjunct support (attendant) 18 G0168 Adjunct – PAS HCSS – Homemaker Service 11U
MDCP adjunct support (attendant) 18 G0168 Adjunct – PAS HCSS Companion Care – Adult 11U
MDCP adjunct support (attendant-delegated) 18 G0169 Adjunct – PAS HCSS – Delegated 11V
MDCP CDS respite (attendant) 18 G0182 CDS – Respite-In-Home – IND 11ZV
MDCP CDS adjunct support (attendant) 18 G0192 CDS – Adjunct PAS HCSS – IND Chore 11UV
MDCP CDS adjunct support (attendant) 18 G0192 CDS – Adjunct PAS HCSS – IND Homemaker 11UV
MDCP CDS adjunct support (attendant) 18 G0192 CDS – Adjunct PAS HCSS – IND Companion 11UV
Primary Home Care (PHC) 7 G0702 Personal Assistance Services – Level 1 – Non-Priority 17
PHC 7 G0701 Personal Assistance Services – Level 2 – Priority 17
PHC CDS 7 G0717 CDS – Personal Assistance Services (PAS) – IND 17V
Community Attendant Services (CAS) 7 G0743 PAS Community Attendant Services (1929B) – Level 1 (Non-Priority) 17D
CAS 7 G0742 PAS Community Attendant Services (1929B) – Level 2 (Priority) 17D
CAS CDS 7 G0749 CDS Community Attendant Services (1929B) – Level 1 (Non-Priority) 17DV
CAS CDS 7 G0748 CDS Community Attendant Services (1929B) – Level 2 (Priority) 17DV
Family Care (FC) 7 G0741 PAS Family Care – Level 1 (Non-Priority) 17C
FC 7 G0740 PAS Family Care – Level 2 (Priority) 17C
FC CDS 7 G0746 Participant – PAS Family Care CDS – Level 1 (Non-Priority) 17CV
FC CDS 7 G0745 Participant – PAS Family Care CDS – Level 2 (Priority) 17CV

Archived EVV Service Codes

Program/Service Service Group Bill Code Description Service Code
Community Based Alternatives (CBA)
respite
3 G0101 RESPITE – IN-HOME 11
CBA PAS 3 G0701 PERSONAL ASSISTANCE SERVICES 17
CBA CDS-respite 3 G0171 IN HOME RESPITE CDS 11
CBA CDS-PAS 3 G0717 CDS-PERSONAL ASSISTANCE SERVICES (PAS) – IND 17V
Community Living Assistance and Support Services (CLASS)
habilitation
2 S0101 HABILITATION - ADL'S 10
CLASS habilitation 2 S0100 HABILITATION – TRAINING 10
CLASS habilitation 2 S0105 HABILITATION ATTENDANT CARE SERVICES – DELEGATED NURSING 10A
CLASS habilitation 2 S0106 HABILITATION – SUPPORTIVE EMPLOY EMPLOYMENT 10B
CLASS habilitation 2 S0107 HABILITATION – PREVOCATIONAL 10B
CLASS respite 2 G0100 RESPITE-IN HOME RESPITE-DSA 11
CLASS CDS habilitation 2 G0722 PAS – CLIENT DIRECTED SERVICES 27A
CLASS CDS respite 2 G0197 CDS RESPITE IN-HOME 11PV
Medically Dependent Children Program (MDCP)
respite (attendant)
18 G0121 RESPITE – PERSONAL ASSISTANCE SERVICES 11
MDCP respite (attendant-delegated) 18 G0164 RESPITE-PERSONAL ASSISTANCE SERVICES-DELEGATED 11Q
MDCP flexible family support (attendant) 18 G0168 FLEXIBLE FAMILY SUPPORT – PAS HCSS 11U
MDCP flexible family support (attendant) 18 G0168 FLEXIBLE FAMILY SUPPORT – PAS HCSS CHORE SERVICE 11U
MDCP flexible family support (attendant) 18 G0168 FLEXIBLE FAMILY SUPPORT – PAS HCSS – HOMEMAKER SERVICE 11U
MDCP flexible family support (attendant) 18 G0168 FLEXIBLE FAMILY SUPPORT – PAS HCSS COMPANION CARE-ADULT 11U
MDCP flexible family support(attendant-delegated) 18 G0169 FLEXIBLE FAMILY SUPPORT – PAS HCSS-delegated 11V
MDCP CDS respite (attendant) 18 G0182 CDS - RESPITE-IN-HOME - IND 11ZV
MDCP CDS flexible family support (attendant) 18 G0192 CDS - FLEXIBLE FAMILY SUPPORT PAS HCSS - IND chore 11UV
MDCP CDS flexible family support (attendant) 18 G0192 CDS - FLEXIBLE FAMILY SUPPORT PAS HCSS - IND homemaker 11UV
MDCP CDS flexible family support (attendant) 18 G0192 CDS - FLEXIBLE FAMILY SUPPORT PAS HCSS - IND companion 11UV
Primary Home Care (PHC) 7 G0702 PERSONAL ASSISTANCE SERVICES - LEVEL 1 - NON-PRIORITY 17
PHC 7 G0701 PERSONAL ASSISTANCE SERVICES - LEVEL 2 - PRIORITY 17
PHC CDS 7 G0717 CDS-PERSONAL ASSISTANCE SERVICES (PAS) - IND 17V
Community Attendant Services (CAS) 7 G0743 PAS COMMUNITY ATTENDANT SERVICES (1929B) - LVL 1 (NON-PRIORITY) 17D
CAS 7 G0742 PAS COMMUNITY ATTENDANT SERVICES (1929B) - LVL 2 (PRIORITY) 17D
CAS CDS 7 G0749 CDS Community Attendant Services (1929b) - Level 1 (Non-Priority) 17DV
CAS CDS 7 G0748 CDS Community Attendant Services (1929b) - Level 2 (Priority) 17DV
Family Care (FC) 7 G0741 PAS FAMILY CARE - LVL 1 (NON-PRIORITY) 17C
FC 7 G0740 PAS FAMILY CARE - LVL 2 (PRIORITY) 17C
FC CDS 7 G0746 PARTICIPANT PAS FAMILY CARE CDS - LVL 1 (NON-PRIORITY) 17CV
FC CDS 7 G0745 PARTICIPANT - PAS FAMILY CARE CDS - LVL 2 (PRIORITY) 17CV