Assistance in Supported Independent Living - Night-Time Sleepover

When to use this code

Use this code for Supported Independent Living (SIL) support delivered overnight (sleepover shift). SIL involves shared or individual living arrangements where support workers assist with daily tasks. Sleepover rates are a flat amount per night rather than an hourly charge, because the worker is available but not actively providing support for the full period. SIL pricing is usually determined through a roster of care, so make sure the correct time code matches the shift being worked.

Common billing scenarios

• A provider delivers this support and claims $297.60 per unit. The claim is submitted with documentation of the support provided.
• A participant receives this support on a regular basis. The provider submits claims after each service delivery with appropriate records.

Provider notes

• Non-face-to-face delivery is allowed for this code. This means you can bill for activities like report writing, care coordination calls, or progress notes, provided your service agreement with the participant covers these activities. Keep clear records of what non-face-to-face work was done and how long it took.
• This code allows provider travel claims. Travel time to the participant can be billed, but keep in mind the NDIA expects travel to be reasonable. If you are seeing multiple participants in one area, split the travel cost across their plans.
• 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.
• Sleepover shifts have specific requirements. The worker must have access to a bed in a private room and should be able to sleep for most of the shift. If the participant regularly needs active support during the night, the hourly night rate is more appropriate. Document any active support periods during a sleepover.
• 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.