HCPCS Code | MOD | Definition | Maximum Fee Allowance |
H0019 | U1 | Adult MH Rehab. Svcs. Level A+ Group Home (per diem) | $164.00 |
H0019 | 52 U1 | Adult MH Rehab. Svcs. Level A+ Supervised Apartment (per diem) | $164.00 |
H0019 | U2 | Adult MH Rehab. Svcs. Level A Group Home (per diem) | $131.00 |
H0019 | 52 U2 | Adult MH Rehab. Svcs. Level A Supervised Apartment (per diem) | $66.00 |
H0019 | U3 | Adult MH Rehab. Svcs. Level B Group Home (per diem) | $102.00 |
H0019 | 52 U3 | Adult MH Rehab. Svcs. Level B Supervised Apartment (per 15 minutes) | $3.75 ($15.00/hour) |
H0019 | U5 | Adult MH Rehab. Svcs. Level D (per diem) | $40.00 |
N.J. Admin. Code § 10:77A-3.2