Current through September 17, 2024
004.01
ADULT DAY
SERVICES. Adult Day Services provide active supports that foster
independence, encompassing both health and social services needed to ensure the
optimal functioning of the participant. Adult Day Services includes assistance
with activities of daily living (ADL), health maintenance, and supervision.
Participants receiving Adult Day Services are integrated into the community to
the greatest extent possible. The Adult Day Services provider must be within
immediate proximity of the participant to allow staff to provide support,
supervision, safety, security, and activities to keep participants engaged in
their environment.
004.01(A)
LIMITATIONS. The following limitations apply to Adult
Day Services:
(i) Adult Day Services are paid
at an hourly rate;
(ii)
Transportation to and from the Adult Day Services are not included;
and
(iii) Services must not be
provided in a residential setting.
004.01(B)
ELIGIBLE PROVIDER
TYPES. This service may be provided by Certified
Providers.
004.02
ASSISTIVE TECHNOLOGY. The use of assistive technology
enables participants who reside in their own homes to increase their abilities
to perform activities of daily living (ADL) in their home or to perceive,
control, or communicate with the environment they live in, thereby decreasing
their need for assistance from others as a result of limitations due to
disability. Providers must provide and maintain Assistive Technology in
accordance with applicable building codes or applicable standards of
manufacturing, design, and installation. Providers must provide appropriate
training to the participant in the use of the Assistive Technology.
004.02(A)
LIMITATIONS. The following limitations apply to
Assistive Technology.
(i) Each participant has
an annual budget cap of $2,500 for Assistive Technology. A request to exceed
the cap may be approved by the Department based on critical health or safety
concerns, available Waiver funding, and other relevant factors;
(ii) The Department may require an on-site
assessment of the environmental concern including an evaluation of functional
necessity with appropriate Medicaid enrolled professional providers. The cost
of the Environmental Modification Assessment is not included in the $2,500 cap
on Assistive Technology;
(iii) For
items over $500, proof of insurance or an extended warranty must be provided;
and
(iv) Damaged, stolen, or lost
items not covered by insurance or warranty may only be replaced once every two
years.
004.02(B)
ELIGIBLE PROVIDER TYPES. This service may be provided
by Certified or Independent Providers.
004.03
COMMUNITY
INTEGRATION. Services for Community Integration may include, but
are not limited to:
(A) An opportunity for the
participant to practice skills taught in therapies, counseling sessions, or
other settings to plan and participate in regularly scheduled community
activities;
(B) Supports furnished
in the community;
(C) A portion of
this service received virtually if the participant chooses; and
(D) Assistance with activities of daily
living (ADL), health maintenance, and supervision.
004.03(i)
LIMITATIONS. The following limitations apply to
Community Integration:
(1) Participants may
not perform paid work activities or unpaid activities in which others are
typically paid, but may perform hobbies in which minimal money is received or
volunteer activities;
(2)
Participants receiving Community Integration cannot receive Child Day
Habilitation;
(3) Community
Integration is reimbursed at an hourly rate. The Community Integration provider
is in the community providing a combination of habilitation supports,
protective oversight, and supervision to bill in hourly units;
(4) The rate tier for Community Integration
is determined based on needs identified in the Objective Assessment Process
(OAP);
(5) Transportation required
in the provision of Community Integration is included in the rate. The provider
is responsible for all non-medical transports, to and from services. When the
provider transports participants, the provider must ensure that all
participants are transported in a safe and comfortable manner that meets the
needs of each participant; and
(6)
This service cannot be provided during school hours set by the local school
district for the participant. This limitation includes any and all public
education programs funded under the Individuals with Disabilities Education Act
(IDEA).
004.03(ii)
ELIGIBLE PROVIDER TYPES. This service may be provided
by Certified or Independent Providers.
004.04
CONSULTATIVE ASSESSMENT
SERVICE. Consultative Assessment Service is completed in
collaboration with the support planning team and includes a Functional Behavior
Assessment (FBA) including risk levels, the development of a Behavior Support
Plan (BSP), the development of other habilitative plans, training, and
technical assistance to carry out the plan, and treatment integrity support to
the participant and the provider in the ongoing implementation of the plan.
Providers may conduct observations in person or remotely using video
conferencing. Consultative Assessment Service is necessary to improve the
independence and inclusion of participants in their community. Consultative
Assessment Services may include, but are not limited to:
(1) Performing a Functional Behavioral
Assessment (FBA) including the level of risk necessary to address problematic
behaviors in functioning that are attributed to developmental, cognitive, or
communication impairments;
(2)
Evaluating whether current interventions are correctly administered and
effective;
(3) Recommending any new
interventions; and
(4) Recommending
best practices in intervention strategies, medical and psychological
conditions, or environmental impact to service delivery to the participant's
team.
004.04(A)
LIMITATIONS. The following limitations apply to
Consultative Assessment Service:
(i)
Consultative Assessment Services is billed at an hourly rate;
(ii) Consultative Assessment Services may
only be provided by a Licensed Independent Mental Health Practitioner (LIMHP),
Licensed Clinical Psychologist (PhD), Advanced Practice Registered Nurse
(APRN), or Board-Certified Behavior Analyst (BCBA or BCBA-D) supervised under
an LIMHP, licensed psychologist or APRN;
(iii) Providers of this service must attend a
minimum of two Individual Support Plan (ISP) meetings per ISP year. More
frequent attendance may be necessary based on the frequency of High General
Event Record (GER) reporting; and
(iv) For a participant under the age of 21
years, this service is available under the Medicaid State Plan under Early and
Periodic Screening, Diagnosis, and Treatment (EPSDT).
004.04(B)
ELIGIBLE PROVIDER
TYPES. This service may be provided by Certified or Independent
Providers.
004.05
ENVIRONMENTAL MODIFICATION ASSESSMENT. This assessment
is used to ensure the health, welfare, and safety of the participant and to
enable the participant to integrate more fully into the community.
004.05(A)
LIMITATIONS. The following limitations apply to
Environmental Modification Assessment:
(i) A
participant's annual budget cap for Environmental Modification Assessment is
$1,000. A request to exceed the cap may be approved by the Department based on
critical health or safety concerns, available Waiver funding, and other
relevant factors;
(ii)
Environmental Modification Assessment is reimbursed at a flat rate per
completed assessment not to exceed the amount charged to the general public;
and
(iii) Environmental
Modification Assessments must not evaluate a modification that is not allowed
under this chapter.
004.05(B)
ELIGIBLE PROVIDER
TYPES. This service may be provided by Certified or Independent
Providers.
004.06
DAY SUPPORT. Day Support services provide
person-centered activities. This service includes the provision of personal
care, health maintenance, and supervision. Day Support services are regularly
scheduled activities, formalized training, and staff supports for the
acquisition, retention, or improvement in:
(1)
Self-help;
(2) Behavioral
skills;
(3) Adaptive
skills;
(4) Social
development;
(5) Activities of
daily living (ADL); and
(6)
Community living.
004.06(A)
LIMITATIONS. The following limitations apply to Day
Support:
(i) Day Support is reimbursed at an
hourly rate; and
(ii) The amount of
prior authorized services is based on the participant's need as documented in
the service plan and within the participant's approved annual budget. If the
service has a tiered rate, the rate tier for this service is determined based
upon needs identified in the Objective Assessment Process (OAP);
(iii) Transportation to and from the
participant's private residence, or other provider setting, to a Day Support
setting is not included in the reimbursement rate;
(iv) Transportation to and from the Day
Support setting to integrated community activities during the Day Support
service hours is included in the reimbursement rate. When the provider
transports participants, the provider must ensure that all participants are
transported in a safe and comfortable manner that meets the needs of each
participant; and
(v) This service
must be provided in a provider-operated or controlled non-residential setting,
separate from the participant's private residence or other residential living
arrangement.
004.06(B)
ELIGIBLE PROVIDER TYPES. This service may be provided
by Certified Providers.
004.07
HOME
MODIFICATIONS. Home Modifications are provided within the current
footprint of the residence. Such modifications include, but are not limited to:
(1) Installation of ramps;
(2) Widening of doorways;
(3) Modification of bathroom facilities;
and
(4) Installation of specialized
electric and plumbing systems that are necessary to accommodate the medical
equipment and supplies that are necessary for the welfare of the participant.
004.07(A)
LIMITATIONS. The following limitations apply to Home
Modification:
(i) Home Modification has a
budget shall be capped at $10,000 per five-year period. A request to exceed the
cap may be approved by the Department based on critical health or safety
concerns, available Waiver funding, and other relevant factors;
(ii) Home modifications shall not be
authorized for a residence that is provider-owned, provider-operated, or
provider-controlled. Home modifications may be authorized for a home owned by a
participant's family or guardian in which the participant resides;
(iii) The Department may require an on-site
environmental assessment, including an evaluation of functional necessity with
an appropriate Medicaid-enrolled professional provider. The cost of the
Environmental Modification Assessment is not included in the $10,000 budget cap
for Home Modification;
(iv)
Renter's insurance or homeowner's insurance is required and proof shall be
provided to the Department on request;
(v) Adaptations that add to the total square
footage of the home are not allowed except when necessary to complete an
adaptation (for example, in order to improve entry to a residence or to
configure a bathroom to accommodate a wheelchair);
(vi) Adaptations or improvements to the home
that are of general utility, and are not of direct medical or remedial benefit
to the participant are not allowed; and
(vii) Adaptations will not be allowed if the
home presents a health and safety risk to the participant, other than that
corrected by the approved Home Modifications.
004.07(B)
ELIGIBLE PROVIDER
TYPES. This service may be provided by Certified or Independent
Providers.
004.08
INDEPENDENT LIVING. Independent Living is a
habilitative service that provides individually tailored intermittent supports
for a Waiver participant that assists with the acquisition, retention, or
improvement in skills related to living in the community. Independent Living
includes adaptive skill development of daily living activities necessary to
enable the participant to live in the most integrated setting appropriate to
their needs. Providers of Independent Living generally do not perform these
activities for the participant, except when not performing the activities pose
a risk to the participant's health and safety. Independent Living shall be
provided to the participant in their private home and the community, not a
provider-owner or leased, operated, or controlled residence. A participant may
choose to receive a portion of this service virtually.
004.08(A)
LIMITATIONS. The following limitations apply to
Independent Living:
(i) The total combined
hours for virtual supports may not exceed a weekly amount of 10 hours and are
included as part of the currently existing limit of 70 hours per week of
services provided during the day;
(ii) Independent Living is reimbursed at an
hourly rate and the provider must use Electronic Visit Verification (EVV).
Independent Living cannot exceed a weekly amount of 70 hours;
(iii) Personal care activities that only
require verbal cueing may be performed remotely, but cannot be performed in
lieu of the provision of habilitation and needed supervision;
(iv) Participants receiving Independent
Living cannot receive Supported Family Living;
(v) Participants receiving Independent Living
cannot have an active service authorization for Respite; and
(vi) This service must not overlap with,
supplant, or duplicate other comparable services provided through Medicaid
State Plan or Medicaid Home and Community-Based Services (HCBS)
Waiver.
004.08(B)
ELIGIBLE PROVIDER TYPES. This service may be provided
by Certified or Independent Providers.
004.09
PERSONAL EMERGENCY
RESPONSE SYSTEM (PERS). The provider of the Personal Emergency
Response System (PERS) is responsible for:
(1)
Instruction to the participant about how to use the Personal Emergency Response
System (PERS) device;
(2) Obtaining
the participant's or authorized representative's signature verifying receipt of
the Personal Emergency Response System (PERS) device;
(3) Ensuring that response to device signals
(where appropriate to the device) will be provided 24 hours per day, 7 days per
week;
(4) Ensuring that the
participant has a functioning Personal Emergency Response System (PERS) device
within 24 hours of notification of malfunction of the device;
(5) Updating a list of responders and contact
names, at least semi-annually, to ensure accurate and correct
information;
(6) Ensuring monthly
testing of the Personal Emergency Response System (PERS) device; and
(7) Furnishing ongoing assistance relating to
instruction, use, and maintenance of the device.
004.09(A)
LIMITATIONS. The following limitations apply to
Personal Emergency Response System (PERS):
(i)
Personal Emergency Response System (PERS) shall not be authorized for a
participant who resides in a residence that is provider-owned,
provider-operated, or provider-controlled;
(ii) Personal Emergency Response System
(PERS) is reimbursed as a monthly rental fee or as a one-time installation fee,
as applicable; and
(iii) Personal
Emergency Response System (PERS) is limited to participants who live alone or
who are alone for significant parts of the day and do not have a regular unpaid
caregiver or provider for extended periods of time.
004.09(B)
ELIGIBLE PROVIDER
TYPES. This service may be provided by Certified
Providers.
004.10
PREVOCATIONAL SERVICE. Prevocational Services may
include career planning to prepare the participant to obtain, maintain or
advance employment. Prevocational Services with a focus on career planning
includes development of self-awareness and assessment of skills, abilities, and
needs for self-identifying career goals and direction, including resume or
business plan development for customized home businesses. Prevocational
Services may involve assisting the participant in accessing an Employment
Network, the Nebraska Work Incentive Network (WIN), Ticket to Work services,
Work Incentive Planning and Assistance (WIPA) services, or other qualified
service programs that provide benefits planning. Prevocational Services may
include job searching designed to assist the participant (or in limited
situations on behalf of the participant), to locate a job, or develop a work
experience. Job searching with the participant will be provided on a one-to-one
basis. Prevocational Services also includes the provision of personal care and
protective oversight and supervision (when applicable) to the participant.
Participation in Prevocational Services is not a required pre-requisite for
Supported Employment - Individual or Small Group Vocational Support.
004.010(A)
LIMITATIONS. The following limitations apply to
Prevocational Service:
(i) Prevocational
Services shall not exceed 12 consecutive months. Up to an additional 12 months
may be approved by the Department with submission of an approved employment
plan (through vocational rehabilitation, school district, or the Waiver) and
showing active progress on finding employment opportunities, increasing work
skills, time on tasks, or other job preparedness objectives;
(ii) Prevocational Service is reimbursed at
an hourly rate; and
(iii)
Transportation to and from the Prevocational Service is not included in the
reimbursement rate for this service.
004.10(B)
ELIGIBLE PROVIDER
TYPES. This service may be provided by Certified or Independent
Providers.
004.11
RESPITE. Respite includes assistance with activities
of daily living (ADL), health maintenance, and supervision.
004.11(A)
LIMITATIONS. The following limitations apply to
Respite:
(i) Respite service in an
institutional setting requires prior approval by the Department and is not
authorized unless no other option is available. Respite service in an
institutional setting shall be paid at a per diem daily rate;
(ii) Respite service, other than in an
institutional setting, is reimbursed at an hourly rate . Any use of Respite
over 8 hours within a 24-hour period is not reimbursable;
(iii) The maximum number of hours for
participants is 240 hours per annual budget year. Unused Respite cannot be
carried over into the next annual budget year. Respite provided at the daily
rate counts as 8 hours towards the 240 hour annual maximum;
(iv) Transportation to and from the Respite
service is not included in the reimbursement rate for this service;
(v) Respite services may not be provided
during the same time period as other program services;
(vi) Respite services may not be provided by
any Independent Provider living in the same private residence as the
participant;
(vii) A Respite
service provider or provider staff shall not provide respite services to
persons 18 years and older and persons under 18 years of age at the same time
and in the same location; and
(viii) An Independent Provider must have
training in the following areas and provide evidence of a current certificate
of completion from a source approved by the Department:
(1) State law reporting requirements and
prevention of abuse, neglect, and exploitation;
(2) Cardiopulmonary Resuscitation (CPR);
and
(3) Basic first aid.
004.11(B)
ELIGIBLE PROVIDER TYPES. This service may be provided
by Certified or Independent Providers.
004.12
SMALL GROUP VOCATIONAL
SUPPORT. The habilitative teaching, supervision, and ongoing
supports are provided by a specially trained on-site supervisor, who is an
employee of the Developmental Disabilities Certified provider. Small Group
Vocational Support includes the acquisition of work skills, appropriate work
behavior, and the behavioral and adaptive skills necessary to enable the
participant to attain or maintain his or her maximum inclusion and personal
accomplishment in the working community. Small Group Vocational Support may
include services not specifically related to job skill training that enables
the participant to be successful in integrating into the job setting. The
provider must obtain authorization to pay subminimum wage through the Nebraska
Department of Labor.
004.12(A)
LIMITATIONS. The following limitations apply to Small
Group Vocational Support:
(i) The participant
must first be referred to Vocational Rehabilitation and determined ineligible
for Vocational Rehabilitation before this service can be authorized. Another
referral can be made to Vocational Rehabilitation at any time;
(ii) This service must be discontinued upon
the participant obtaining competitive integrated employment;
(iii) Small Group Vocational Support is
billed at an hourly rate;
(iv)
Small Group Vocational Support must be provided in a manner that promotes
integration into the workplace and interaction between participants and
individuals without disabilities in those workplaces;
(v) This service cannot be provided in a
setting or location controlled or operated by the provider; and
(vi) Waiver funds cannot be used to
compensate or supplement a participant's wages.
004.12(B)
ELIGIBLE PROVIDER
TYPES. This service may be provided by Certified
Providers.
004.13
SUPPORTED EMPLOYMENT - FOLLOW ALONG. This service is
provided through intermittent and occasional job support, and communication
with the participant's employer. The provider must observe and supervise the
participant, teaching job tasks and monitoring at the work site a minimum of
twice a month. The provider must facilitate natural support at the work site
and advocate for the participant, but only for purposes directly related to
employment.
004.13(A)
LIMITATIONS. The following limitations apply to
Supported Employment - Follow Along:
(i)
Supported Employment - Follow Along is billed at an hourly rate not to exceed
25 hours annually;
(ii) Supported
Employment - Follow Along must be provided in an integrated community work
environment where more than half the employees who work around the participant
do not have a disability;
(iii) A
provider of Supported Employment - Follow-Along cannot be the employer of the
participant to whom they provide Supported Employment - Follow-Along;
and
(iv) Waiver funds cannot be
used to compensate or supplement a participant's wages.
004.13(B)
ELIGIBLE PROVIDER
TYPES. This service may be provided by Certified or Independent
Providers.
004.14
SUPPORTED EMPLOYMENT - INDIVIDUAL. Supported
Employment - Individual includes adaptations, supervision, and training
required by participants as a result of their disabilities but does not include
supervisory activities rendered as a normal part of the business setting. The
employer is still responsible for all routine and ordinary employment matters.
This service is provided through formalized training and supports. The provider
shall provide help to the participant in accessing the following services:
(A) Employment Network;
(B) The Nebraska Work Incentive Network
(WIN);
(C) Ticket to Work
services;
(D) Work Incentive
Planning and Assistance (WIPA) services; or
(E) Other qualified service programs that
provide benefits planning.
004.14(A)
LIMITATIONS. The following limitations apply to
Supported Employment - Individual.
(i)
Participants are required to receive at least the applicable minimum wage,
except for self-employment;
(ii)
Supported Employment - Individual service is reimbursed at an hourly rate;
and
(iii) Transportation to and
from the Supported Employment - Individual service is not included in the
reimbursement rate for this service.
004.14(B)
ELIGIBLE PROVIDER
TYPES. This service may be provided by Certified or Independent
Providers.
004.15
SUPPORTED FAMILY LIVING. Supported Family Living is a
habilitative service that provides individually tailored intermittent teaching
and supports to assist with the acquisition, retention, or improvement in
skills related to living in the community. Supported Family Living includes
adaptive skill development necessary to enable the participant to live in the
most integrated setting appropriate to their needs. Providers of Supported
Family Living generally do not perform these activities for the participant,
except when not performing the activities pose a risk to the participant's
health and safety. Supported Family Living is provided to the participant in
the participant's family home, not a provider-owned or leased, operated, or
controlled setting. A participant can choose to receive a portion of this
service virtually. The participant must reside with relatives in their private
family home.
004.15(A)
LIMITATIONS. The following limitations apply to
Supported Family Living:
(i) The total
combined hours for virtual supports may not exceed a weekly amount of 10 hours
and are included as part of the currently existing limit of 70 hours per week
of services provided during the day;
(ii) The use of virtual supports must be a
person-centered decision and facilitate community integration and not risk
leading to the isolation of the participant from the community or from
interacting with other people;
(iii) The amount of prior authorized services
is based on the participant's need as documented in the service plan, and
within the participant's approved annual budget;
(iv) Supported Family Living is reimbursed at
an hourly rate and the provider must use Electronic Visit Verification
(EVV);
(v) Supported Family Living
cannot exceed a weekly amount of 70 hours; and
(vi) This service must not overlap with,
supplant, or duplicate other comparable services provided through the Medicaid
State Plan or Home and Community-Based Services (HCBS) Waiver.
004.15(B)
ELIGIBLE
PROVIDER TYPES. This service may be provided by Certified or
Independent Providers.
004.16
TRANSITIONAL
SERVICES. Transitional Services may be approved when a need
remains and all other economic assistance resources are exhausted. Transitional
Services include items, such as furniture, furnishings, household items, basic
utility fees or deposits, or professional moving expenses.
004.16(A)
LIMITATIONS. The following limitations apply to
Transitional Services:
(i) Transitional
Services have a participant budget cap of $1,500. A request to exceed the cap
must be based on critical health or safety concerns, based on available Waiver
funding and other relevant factors, and is subject to approval by the
Department;
(ii) Approved
Transitional Services shall be reimbursed directly to a provider, and not the
participant;
(iii) Payment for a
rental deposit or rent is not allowed in this service;
(iv) Payment for personal care items, food,
or clothing, is not allowed in this service; and
(v) This service cannot be provided for a
residence owned or controlled by the provider.
004.16(B)
ELIGIBLE PROVIDER
TYPES. This service may be provided by Certified or Independent
Providers.
004.17
TRANSPORTATION SERVICE. This service does not include
transportation to medical appointments that is available under the Medicaid
State Plan or other federal and state transportation programs. Transportation
Service is not intended to replace formal or informal transportation options,
like the use of natural supports. Transportation providers must meet the same
requirements as Medicaid Non-Emergency Transportation Providers, with the
exception that the participant's household can own their own vehicle. The
provider must ensure that all participants are transported in a safe and
comfortable manner that meets the needs of each participant. The provider must
ensure that:
(1) Vehicles are adapted to meet
the needs of all participants served. Participants must not be denied
Transportation Services due to the lack of adaptation of vehicles;
(2) Adequate measures are taken to provide a
sufficient number of staff in the vehicle to ensure safety and to meet the
needs of each participant being transported; and
(3) Each person transporting participants
served:
(i) Has a valid driver's license with
the appropriate class code;
(ii)
Has knowledge of state and local traffic rules;
(iii) Is capable of assisting participants in
and out of vehicles and to and from parking places, when required;
and
(iv) Has received training in
first aid, Cardiopulmonary Resuscitation (CPR), and meeting the needs of the
specific participants for whom transportation is provided.
004.17(A)
LIMITATIONS. The following limitations apply to
Transportation Service: Provider reimbursement for transporting a participant
to and from destinations must be calculated by using the most direct route;
(i) Transportation is reimbursed per mile:
(1) Certified provider mileage is reimbursed
pursuant to Neb. Rev. Stat. §
81-1176 times three; and
(2) Independent Provider mileage is
reimbursed pursuant to Neb. Rev. Stat. §
81-1176;
(ii) Public transit system transportation is
reimbursed at the cost of a single ride pass; and
(iii) The public transportation rate shall
not exceed the rates charged to the general public.
004.17(B)
ELIGIBLE PROVIDER
TYPES. This service may be provided by Certified or Independent
Providers.
004.18
VEHICLE MODIFICATIONS. Vehicle Modifications are
specified by the service plan as necessary to enable the participant to
integrate more fully into the community and to ensure the health, welfare, and
safety of the participant.
004.18(A)
LIMITATIONS. The following limitations apply to
Vehicle Modifications:
(i) Vehicle
Modification services has a budget cap of $10,000 per five-year period. A
request to exceed the cap must be based on critical health or safety concerns,
based on available Waiver funding and other relevant factors, and is subject to
approval by the Department;
(ii)
The Department may require an on-site assessment of an environmental concern,
including an evaluation of functional necessity with an appropriate Medicaid
enrolled professional provider. The cost of the Environmental Modification
Assessment is not included in the $10,000 budget cap for Vehicle
Modification;
(iii) Motor vehicle
insurance is required, and proof must be provided to the Department on
request;
(iv) If the motor vehicle
is leased, the proof that the modification is transferrable to the next motor
vehicle must be provided before Vehicle Modification will be
approved;
(v) Vehicle Modifications
are limited to motor vehicles that are titled or leased in the name of the
participant or a family member;
(vi) Adaptations or improvements to the
vehicle that are of general utility, and are not of direct medical or remedial
benefit to the participant, are not allowed;
(vii) Vehicle Modification service cannot be
used to purchase or lease a vehicle;
(viii) The purchase of existing adaptations
or adaptations begun without prior authorization is not allowed; and
(ix) The regularly scheduled upkeep and
maintenance of a vehicle except for upkeep and maintenance of the modifications
are not considered a Vehicle Modification.
004.18(B)
ELIGIBLE PROVIDER
TYPES. This service may be provided by Certified
Providers.
