| 1 | 251E00000X | Home Health | | | | No |
| 2 | 251S00000X | Community/Behavioral Health | | | | No |
| 3 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 4 | 320700000X | Residential Treatment Facility, Physical Disabilities | | | | No |
| 5 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 6 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | | | No |
| 7 | 323P00000X | Psychiatric Residential Treatment Facility | | | | No |
| 8 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 9 | 3245S0500X | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | | | No |
| 10 | 332100000X | Department of Veterans Affairs (VA) Pharmacy | | | | No |
| 11 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 12 | 347C00000X | Private Vehicle | | | | No |
| 13 | 385HR2050X | Respite Care | Respite Care Camp | | | No |
| 14 | 385HR2055X | Respite Care | Respite Care, Mental Illness, Child | | | No |
| 15 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | Yes |