1. Day Services: Changes to the Changes

2. Day Service Rules on Hold
On , DODD announced that the proposed rule changes that were set to go into effect on were put on hold.
Primary Solutions was minutes away from releasing our software update to accommodate the proposed rule changes.

3. What Does This Mean?
Most of the software changes that were set to go out in the Maintenance Release have been rolled back.
The MR will be available early next week
When the MR is applied, the day service module will have a new field called group size and updated language that refers to the new day service types. These changes will not affect the day service module functionality.

4. Required Changes
There are some required manual changes to ensure that Combo is not billed.
End date the following Combo service codes in the Service Tree
AXD, AXF
FXD, FDF
SXD, SXF
Change the default Day Service Type on any location that has the Combo code listed as the default
Change the default Day Service type on the location tab in the people record for any consumer that has Combo as the default

5. End date the Combo service codes in the Service Tree
Required Changes
End date the Combo service codes in the Service Tree

6. Required Changes
Edit Location-Change the Default Day Service Type to either Adult or Voc Hab
**Note that this should not be changed until billing for services on

7. Required Changes
People/Location tab changes-Ensure that the Day service Type does not have the
Combo code

8. Additional Guidance from DODD
On , DODD sent out additional clarification on how to proceed between and when the new rules will go into effect. In summary, it stated:
The Combo code cannot be billed beyond
Daily codes may still be used when providing between 5 – 7 hrs in one day of one or both, Adult Day Support and/or Voc Hab

9. Challenges for the Day Service Module with the Changes to the Changes
The Day Service module is hard coded to use the combo codes when a mixture of these services is entered.
The Combo code will be assigned in the day service module even if the services are end dated. This must be addressed manually.

10. Mixture of ADS and AVH
If a consumer has both ADS and AVH services on the same day, the module will assign a Combo code. This must be addressed manually by one of the following means:
Changing the services on the first tab of the day service module to reflect only one service
Making manual corrections in County Simple Billing

11. Possible Scenario
Consumer receives 3 hours of Voc Hab and 2 hrs of Adult Day
The day service module will assign a combo code. Manual options to correct are:
User can change the first tab in the day service module to 5 hours of Voc Hab OR
User can reverse these records once they are batched and rekey them in with the actual service codes and units.

12. How to Identify This Calculate all four tabs in the module.
Check the fourth tab for Combo codes

13. How to Identify This
The Consumer Day Service Activity QuickPrint report in module could assist in identifying the records that need to be addressed

14. For questions regarding upcoming rule changes, please contact DODD For assistance with these software changes, please contact us at