| Respite Care - Respite Care, Physical Disabilities, Child — Respite Care, Physical Disabilities, Child | 385HR2065X | |
| In Home Supportive Care | 253Z00000X | |
| Clinic/Center - Adult Day Care — Adult Day Care | 261QA0600X | |
| Clinic/Center - Developmental Disabilities — Developmental Disabilities | 261QD1600X | |
| Non-emergency Medical Transport (VAN) | 343900000X | |
| Respite Care | 385H00000X | |
| Respite Care - Respite Care, Mental Illness, Child — Respite Care, Mental Illness, Child | 385HR2055X | |
| Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child | 385HR2060X | |
| Home Health | 251E00000X | |
| Meals | 174200000X | |
| Home Delivered Meals | 332U00000X | Primary |