|Procedure Code||Description of Service||Group A Rate||Group B Rate||Group C Rate|
|Y9433||Evaluation (per eval)||$1,788.55||$1,788.55||$1,788.55|
|Y9438||Medical Transportation (Round Trip)||$29.31||$29.31||$29.31|
|Y9434||In-District (per diem)||$30.99||$61.98||$92.97|
|Y9435||Out-of-District (per diem)||$30.99||$61.98||$92.97|
Local Education Agencies are assigned a group by the State. Group assignment is based on multiple factors, including, but not limited to, participation rate, historical data and expenditures. Newly participating LEAs are automatically assigned to Group B.
In accordance with New Jersey Statutes Annotated 18A:55-3 school districts are required to maximize their participation in the Special Education Medicaid Initiative (SEMI). The newly adopted Accountability Regulations specified in New Jersey Administrative Code (N.J.A.C. 6A:2A-5.3). include programmatic guidelines and standards for local school districts to maximize participation in SEMI.