Assistance In A Shared Living Arrangement

When to use this code

Use this code for Supported Independent Living (SIL) arrangements. SIL provides ongoing support in a shared or individual living setting, helping participants with daily routines, personal care, and household tasks. SIL funding is typically based on a roster of care that maps out support needs across the week.

Common billing scenarios

• A provider submits a quote for this support based on the participant’s individual needs. The NDIA or plan manager reviews the quote before approving the funding.
• The participant and provider agree on a price and service scope. The provider then submits a claim against this code for the approved amount.

Provider notes

• This is a quotable support, so there is no fixed price limit. You will need to submit a detailed quote to the NDIA or the participant’s plan manager before delivering the service. The quote should break down the expected costs and justify why the amount is reasonable.
• Core supports are the most commonly claimed category. Make sure your service agreements clearly state the code, rate, and cancellation terms. This reduces disputes at claiming time.