| Day Training, Developmentally Disabled Services | 251C00000X | |
| Community/Behavioral Health | 251S00000X | |
| In Home Supportive Care | 253Z00000X | |
| Health Maintenance Organization | 302R00000X | |
| Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness | 3104A0625X | |
| Assisted Living Facility - Assisted Living, Behavioral Disturbances — Assisted Living, Behavioral Disturbances | 3104A0630X | |
| Custodial Care Facility | 311Z00000X | |
| Custodial Care Facility - Adult Care Home — Adult Care Home | 311ZA0620X | |
| Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | |
| Non-emergency Medical Transport (VAN) | 343900000X | |
| Private Vehicle | 347C00000X | |
| 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 | |
| Respite Care - Respite Care, Physical Disabilities, Child — Respite Care, Physical Disabilities, Child | 385HR2065X | |
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320600000X | Primary |
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