BillingTime Savings

ADS 15-Minute Units

ADS 15minute units
ADS 15minute units

When a provider of Adult Day Services must use the fifteen-minute billing unit:

  1. If the provider delivers less than five hours or more than seven hours of adult day services to the same individual during one calendar day.
  2. If the individual being served qualifies for, and the provider elects to receive, the behavioral support and/or medical assistance rate modification.
  3. If the provider delivers adult day services to the individual in multiple modes on the same day. For example, in an integrated community setting when the individual is part of a group of four or fewer individuals, and in another setting.
  4. If the provider delivers adult day services to the individual through virtual support.

Additionally, the provider must not bill a daily billing unit on the same day they bill fifteen-minute billing units for the same individual. This ensures consistency and prevents double billing for the same services.

If you have questions, please Email Our Service Team.