Specialties for Waiver for Persons with Physical Disabilities (“PD”)
Providers (Provider Type 58)
To see which documents must be submitted with your Provider Enrollment Packet, click the name of your provider specialty in the list below. Out of state providers must also submit proof of Medicaid eligibility in the state that services are/were rendered.
| Specialty | Description | Updated Date |
|---|---|---|
| 39 | Homemaker Services | 01/19/24 |
| 48 | Assisted Living | 07/31/24 |
| 189 | Attendant Services | 01/19/24 |
| 191 | Respite Care | 01/19/24 |
| 199 | Chore | 10/22/19 |
| 200 | Environmental Accessibility Adaptations | 10/30/19 |
| 202 | Personal Emergency Response System (PERS) | 10/30/19 |
| 204 | Home Delivered Meals | 10/30/19 |
| 205 | Specialized Medical Equipment / Supplies | 10/30/19 |
| 303 | Private Case Management Services | 04/07/23 |
Return to Provider Enrollment Checklists page.
If you have any questions, please contact the Provider Enrollment Unit at (877) 638-3472 from 8:00AM to 5:00PM, Monday through Friday