Limit Changes for Support Services for Adults with Intellectual Disabilities or Autistic Disorder

December 27, 2011

As of 7/1/2011, the annual hourly limits for Community Support services were reduced from 1,300 to 1,125 hours. Annual hourly limits for Work Support services were increased from 300 to 600 hours. The combined annual hourly limit for when members use both Community Support and Work Support services was reduced to 1,125 from 1,300 hours.

Section 29 providers may see claims adjustments on their Remittance Advice (RA) statements, for members who have used the annual maximum benefit.