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CO HCPF Home and Community-Based Services (HCBS) for Persons with Intellectual and/or Developmental Disabilities Waiver Programs & Targeted Case Management for HCBS Waiver Programs — HCBS-DD Standard Procedure Code Table

HCBS-DDStandardProcedureCodeTable

activein force · 2026-07-26 – presentas-observed

ProviderAgenciesmustbillthefollowingprocedurecodesforHCBS-DDserviceswhenservicesaredeliveredtoMemberswhentheyareoutsideoftheCityandCountyofDenver::

Description

ProcedureCode

Modifier(s)

Level

UnitDesignation

Specialty673:ResidentialHabilitationGroupHome

GroupResidentialServicesandSupports(GRSS)

T2016T2016T2016T2016T2016T2016T2016T2016

U3,HQU3,22,HQU3,TF,HQU3,TF,STU3,TG,HQU3,TG,STU3,SC,HQU3,SC,HQHIU3,SC,HQHB

Level1Level2Level3Level4Level5Level6Level7GJRCOnlyPRCOnly

DayDayDayDayDayDayDayDayDay

Specialty674:ResidentialHabilitationIRSS/HostHome

IndividualResidentialServicesandSupports(IRSS)

T2016T2016T2016T2016T2016T2016T2016

U3U3,22U3,TFU3,TF,22U3,TGU3,TG,22U3,SC

Level1Level2Level3Level4Level5Level6Level7

DayDayDayDayDayDayDay

IndividualResidentialServicesandSupports/HostHome(IRSS/HH)

T2016T2016T2016T2016T2016T2016T2016

U3,TTU3,22,TTU3,TF,TTU3,TF,TUU3,TG,TTU3,TG,TUU3,SC,TT

Level1Level2Level3Level4Level5Level6Level7

DayDayDayDayDayDayDay

Specialty639:DayHabilitationServices-SpecializedHabilitation

SpecializedHabilitation-Tier2(Traditional/Current)

T2021T2021T2021T2021T2021T2021T2021T2021T2021

U3,HQU3,22,HQU3,TF,HQU3,TF,STU3,TG,HQU3,TG,STU3,SC,HQU3,SC,HQ,HIU3,SC,HQ,HB

Level1Level2Level3Level4Level5Level6Level7GJRCOnlyPRCOnly

15Minutes15Minutes15Minutes15Minutes15Minutes15Minutes15Minutes15Minutes15Minutes

Specialty713:DayHabilitation-SupportedCommunityConnections

SupportedCommunityConnections-Tier2(Traditional/Current)

T2021T2021T2021T2021T2021T2021T2021T2021T2021

U3U3,22U3,TFU3,TF,22U3,TGU3,TG,22U3,SCU3,SC,HIU3,SC,HB

Level1Level2Level3Level4Level5Level6Level7GJRCOnlyPRCOnly

15Minutes15Minutes15Minutes15Minutes15Minutes15Minutes15Minutes15Minutes15Minutes

SupportedCommunityConnections-Tier3(Individual)

S5100

U3,HB

AllLevels

15Minutes

Specialty679:SupportedEmployment*JobDevelopmentandJobPlacementareavailableaswaiverservicesonlywhenthoseservicesarefirstdeniedbytheDivisionofVocationalRehabilitation(DVR)orthoseDVRservicesarenotavailabletothememberduetoanorderofselection(DVRwaitinglist).

JobCoaching(Group)

T2019T2019T2019T2019T2019T2019

U3,HQU3,22,HQU3,TF,HQU3,TF,22U3,TG,HQU3,TG,22

Level1Level2Level3Level4Level5Level6

15Minutes15Minutes15Minutes15Minutes15Minutes15Minutes

JobCoaching(Individual)

T2019

U3,SC

AllLevels

15Minutes

JobDevelopment(Group)

H2023

U3,HQ

JobDevelopment(Individual)

H2023H2023H2023

U3U3,22U3,TF

Level1-2Level3-4Level5-6

15Minutes15Minutes15Minutes

JobPlacement(Group)

H2024

U3,HQ

AllLevels

Dollar

JobPlacement(Individual)

H2024

AllLevels

Dollar

WorkplaceAssistance

T2019

U3,HB

AllLevels

15Minutes

Specialty669:PrevocationalServices

Pre-VocationalServices

T2015T2015T2015T2015T2015T2015

U3,HQU3,22,HQU3,TF,HQU3,TF,22U3,TG,HQU3,TG,22

Level1Level2Level3Level4Level5Level6

15Minutes15Minutes15Minutes15Minutes15Minutes15Minutes

Specialty661:Non-MedicalTransportation(NMT)

Other(PublicConveyance)

T2004

Single

Dollar

MileageRange1,OutsideDenverCountyMileageRange2,OutsideDenverCountyMileageRange3,OutsideDenverCounty

T2003T2003T2003

U3U3,22U3,TF

0-10miles11-20miles20miles

TripTripTrip

MileageRange1,DenverCountyMileageRange2,DenverCountyMileageRange3,DenverCounty

T2003T2003T2003

U8,HXU8,22,HXU8,TF,HX

0-10miles11-20miles20miles

TripTripTrip

Specialty610:BehavioralServices*BehavioralServicesforindividualsaged18-20ontheDDwaivermustbeaccessedthroughstateplanbenefitsorEPSDT.

BehavioralLineStaff

H2019

Single

15Minutes

BehavioralConsultation

H2019

U3,22,TG

AllLevels

15Minutes

BehavioralCounseling(Individual)

H2019

U3,TF,TG

AllLevels

15Minutes

BehavioralCounseling(Group)

H2019

U3,TF,HQ

AllLevels

15Minutes

BehavioralPlanAssessment

T2024

U3,22

AllLevels

15Minutes

Specialty667:SpecializedMedicalEquipmentandSupplies

DisposableSupplies

T2028

AllLevels

Dollar

Equipment

T2029

AllLevels

Dollar

Specialty687:Vision

Vision*Visionservicesforindividualsaged18-20ontheDDwaivermustbeaccessedthroughstateplanbenefitsorEPSDT.

V2799

AllLevels

Dollar

Specialty754:PeerMentorship

PeerMentorship

H2015

1unit=15minutes

Specialty774:BenefitsPlanning

BenefitsPlanning

T2019

U3,HI

AllLevels

1unit=15minutes

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Provenance

Source: hcpf.colorado.gov
Retrieved: 2026-07-26
Edition: 2026-07-26
Content hash: ec2f5d7152c53645441f2b1c88ff26c8043a714021ca5ddcab1ef43cc74d4117

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