Assistance With Self-Care Activities in a STA - Weekday Evening

When to use this code

Use this code when a participant receives hands-on personal care during evening hours (after 6pm). This includes help with showering, dressing, grooming, toileting, or eating. Evening loading compensates support workers for working outside standard business hours. If the support happens at a different time, check the related items for the correct time-based code. The wrong time code is a common audit flag.

Common billing scenarios

• A participant receives help with dinner preparation and an evening routine from 6pm to 8pm. The provider bills 2 hours at the evening rate of $77.38.
• A support worker assists with evening medication, a shower, and getting ready for bed. The session runs from 7pm to 8:30pm, billed as 1.5 hours at the evening rate.

Provider notes

• Short notice cancellation fees apply. If a participant cancels with less than 7 clear days notice (or 2 clear business days for some supports), you can charge up to 90% of the agreed fee. You must document the cancellation and have the cancellation policy in your service agreement.
• 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.