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
Payclass Filters:GR
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 470 1116.500000 51001.7200 45.6800
Subtotal (Total Children Is Unduplicated) 804 1526.000000 62728.4800 41.1065
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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 2.000000 54.0000 27.0000
EPIC-99601-Early Steps Professional Development Fee 1 1.000000 15.0000 15.0000
Subtotal (Total Children Is Unduplicated) 2 3.250000 68.9000 21.2000
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Total 1529.250000 62797.3800 41.0642
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Number of Children (Unduplicated) With at Least One Service 806
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Center 05
Flag Claims Units Chgs Paid
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R 0 0.000000 0.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 0 0.000000 0.0000 0.0000
P 3 3.000000 69.0000 69.0000
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
3260 1516.750000 62305.9400 0.0000
Other 13 5.250000 228.3000 -0.1000
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Total 3289 1529.250000 62797.3800 68.9000