CMS/EIP Fiscal Report Center: 05
Services beginning 10/01/2025 ending 12/31/2025 Date of Report:01/07/2026 Page: 1
List order: No List
Agency Filter:EIP DEI DEIP
Eligibility Filter:Part C (excluding not eligible)
Services Number of Number of Fee Reported Avg Fee
Children Units Per/Unit
Service Coordination,Class #01
CASE-CASE-NON-TCM CASE MANAGEMENT 581 259.500000 11726.7600 45.1898
SCTT-SCTT-SERVICE COORDINATOR TRAVEL 169 150.000000 0.0000 0.0000
TCM-T1017TL-TARGETED CASE MANAGEMENT 998 2393.000000 109310.1200 45.6791
Subtotal (Total Children Is Unduplicated) 1049 2802.500000 121036.8800 43.1889
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EI Services,Class #03
CONIF-CONIF-CONSULT, ITDS FACE TO FACE 1 0.250000 -0.1000 0.0000
EIGF-T1027TTSC-EI GROUP SESSION BY EI PROF 1 3.000000 81.0000 27.0000
EPIC-99601-Early Steps Professional Development Fee 1 1.000000 15.0000 15.0000
Subtotal (Total Children Is Unduplicated) 2 4.250000 95.9000 22.5647
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Total 2806.750000 121132.7800 43.1577
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Number of Children (Unduplicated) With at Least One Service 1051
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Center 05
Flag Claims Units Chgs Paid
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R 1 0.250000 11.4200 0.0000
U 0 0.000000 0.0000 0.0000
B 2450 1226.000000 56001.5600 28053.9300
P 4 4.000000 96.0000 96.0000
D 13 4.250000 194.1400 0.0000
S 0 0.000000 0.0000 0.0000
H 0 0.000000 0.0000 0.0000
T 0 0.000000 0.0000 0.0000
3276 1525.000000 62682.8000 0.0000
Other 70 47.250000 2146.8600 -0.1000
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Total 5814 2806.750000 121132.7800 28149.8300