| Code | Description |
| 26 | Transportation with Provider Specialty |
| 36 | Personal Care Services |
| 37 | Room and Board
|
| 38 | Respite Care
|
| 39 | Direct Support Services
|
| 40 | Specialized Foster Care/MR
|
| 41 | Adult Day Care
|
| 42 | Employee Training Specialist
|
| 43 | Homemaker Services
|
| 44 | Architectural Modification
|
| 45 | Foster Care Agency
|
| 46 | Advantage Home Delivered Meal
|
| 49 | DDSD-Supportive Living Arrangements
|
| 50 | Group Home
|
| 51 | Advantage Comprehensive Health Care
|
| 58 | Community Transition Services
|
| 119 | Family Training
|
| 262 | Bus |
| 263 | Public Transportation |
| 265 | Common Carrier (Non-Ambulatory)
|
| 266 | Family or Individual |
| 267 | Volunteer/Agency |