| PROVIDER | NAME | ||||||||
| 092901 | HELPING HANDS CARING HEARTS | ||||||||
| Unit | S/A | ||||||||
| Srvc Cat | Service Desc | RU | FS | PA | Eff Date | Lap Date | Rate | Descr | Code |
| 13690000 | REPAYEE STARTUP FEE | 5038 | 38 | N | 1/1/2003 | 06/30/10 | 150.00 | EVENT | 1369 |
| 13680000 | REP PAYEE | 5038 | 38 | Y | 1/1/2003 | 06/30/10 | 60.00 | Hour | 1368 |
| 15650000 | HOUSE SUP/SUP LIVING | 5038 | 38 | Y | 1/1/2003 | 06/30/10 | 25.00 | Hour | 1565 |
| 13810000 | TELEPHONE MED MONITORING | 5038 | 38 | Y | 1/1/2004 | 6/30/2004 | 7.00 | EVENT | 1381 |
| 13810000 | TELEPHONE MED MONITORING | 5031 | 31 | Y | 1/1/2004 | 6/30/2004 | 7.00 | EVENT | 1381 |