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Traditional Services
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001 Funeral Services
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006 Foster Grandparent Program
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008 Sports Club
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009 Medicare Part D Premium and Medications
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015 School for the Deaf-Blind
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017 Crisis Team – Evaluation and Behavior Intervention
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020 Transition/Set Up Expenses
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021 Vehicle Modification and Adaptation
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022 Motel
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024 Purchase Reimbursement
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025 Tutor Services – Group
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026 Intensive Transition Services
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028 Socialization Training Program
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029 START (Systemic, Therapeutic, Assessment, Resources and Treatment Services)
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034 Money Management
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042 Repair Services
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048 Client/Parent Support Behavior Intervention Training
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051 Personal Emergency Response System (PERS)
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055 Community Integration Training Program
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056 Interdisciplinary Assessment Service
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057 Air Charter Service
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058 Out-Of-State Residential Treatment Program
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062 Personal Assistance
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063 Community Activities Support Services
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065 SSP Restoration
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072 Coordinator of Volunteers
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073 Parent Coordinated Supported Living Program
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074 Out-Of-Home Respite-Acute Care Facility
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076 Coordinated Family Support (CFS) Services Pilot Program
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077 Parent-Coordinated Home Based Behavior Intervention Program for Autistic Children
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083 Public School Early Intervention Program
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084 Special Olympics
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089 Housing Access Services
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090 Crisis Intervention Facility/Bed
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091 In-Home Day Program
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093 Parent Coordinated Personal Assistance Service
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094 Creative Art Program
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095 Geriatric Facility
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097 Wellness Initiative Projects
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099 Self-Directed Support Services
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100 Professional Copying, Reporting and Technical Services
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101 Housing Services
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102 Individual or Family Training
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103 Specialized Health, Treatment and Training Services
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104 Environmental Accessibility
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105 Travel Reimbursement
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106 Specialized Recreational Therapy
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107 Educational Services
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108 Parenting Support Services
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109 Supplemental Residential Program Support
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110 Supplemental Day Services Program Support
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111 Supplemental Program Support (OTHER)
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112 Communication Aides
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113 DSS Licensed – Specialized Residential Facility (Habilitation)
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114 Specialized Residential Facility (HEALTH)
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115 Specialized Therapeutic Services (Consumers 3 to 20 years)
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116 Early Start Specialized Therapeutic Services
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117 Specialized Therapeutic Services
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163 CDSS LICENSED – Group Home for Children with Special Health Care Needs
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310 Respite Services
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311 Respite Services
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313 Homemaker
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314 Housing Access Supports
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358 Personal Emergency Response Systems (PERS)
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359 Home Health Aide
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360 Communication Support
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361 Skilled Nursing
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364 Behavioral Intervention Services
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367 Dental Services
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405 Day Care – Family Member
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410 Diaper and Nutritional Supplements
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415 Nursing Service – Family Member
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420 Respite Service – Family Member
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425 Transportation – Family Member
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455 Participant-Directed Day Care Service – Family Member
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456 Participant-Directed Personal Assistance
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457 Participant-Directed Independent Living Services
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458 Participant-Directed Supported Employment
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459 Participant-Directed Social Recreation, Camp and Non-Medical Therapies
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460 Participant-Directed Nursing Service – Family Member
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465 Participant-Directed Respite Service – Family Member
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470 Participant-Directed Transportation – Family Member
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475 Participant-Directed Community-Based Training Service for Adults
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490 FMS F/EA Financial Management Services (Bill Payer/fiscal agent or Co-Employer) Fiscal/Employer Agent (Client direct employer)
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491 FMS Co-Employer
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505 Activity Center
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510 Adult Development Center
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515 Behavior Management
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520 Independent Living Program
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525 Social Recreation Program
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531 Day Services
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532 Behavior Day Service
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533 Medical Day Service
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605 Adaptive Skills Training Professional & Specialist
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610 Attorney
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612 Behavior Analyst
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613 Associate Behavior Analyst
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615 Behavior Management Assistant
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616 Behavior Technician Paraprofessional
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620 Behavior Management Consultant
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625 Counseling Services
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627 Diaper Service
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630 Driver Trainer
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635 Independent Living Specialist
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642 Interpreter
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643 Translator
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644 American Sign Language (ASL) Training and Support
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645 Mobility Training Services Agency
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650 Mobility Training Services Specialist
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655 Out-of-state Manufacturer or Distributor
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660 Retail/Wholesale Stores
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670 Developmental Specialist
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672 Educational Psychologist
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674 Teacher
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676 Teacher’s Aide
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678 Teacher of Special Education
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680 Tutor Services
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691 Art Therapist
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692 Dance Therapist
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693 Music Therapist
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694 Recreational Therapist
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700 Acute Care Hospitals
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702 Adult Day Health Center
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706 Audiology
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707 Speech Pathology
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710 Day Treatment Centers
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715 Dentistry
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720 Dietary Services
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725 Durable Medical Equipment Dealer
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730 Hearing and Audiology Facilities
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735 Laboratory and Radiologic Services
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741 Nurse Anesthetist
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742 Licensed Vocational Nurse
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743 Nurse’s Aide or Assistant
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744 Registered Nurse
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745 Orthoptic Services
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750 Orthotic and Prosthetic Services
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755 Other Medical Equipment or Supplies
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760 Other Medical Services
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765 Pharmaceutical Services
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772 Physical Therapy
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773 Occupational Therapy
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775 Physicians or Surgeons
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780 Psychiatrist
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785 Clinical Psychologist
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790 Psychiatric Technician
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793 Respiratory Therapist
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800 Genetic Counselor
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805 Infant Development Program
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810 Infant Development Specialist
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850 Camping Services
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851 Child Day Care
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854 Home Health Agency
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855 Adult Day Care
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856 Home Health Aide
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858 Homemaker
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860 Housekeeping Services
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862 In-home Respite Services Agency
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864 In-home Respite Worker
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868 Out-of-home Respite Services
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869 Respite Facility
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875 Transportation Companies
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880 Transportation – Additional Component
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882 Transportation Assistant
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883 Transportation Broker
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885 Transportation – Medical
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890 Transportation Auto Driver
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891 Personal Support Service
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892 Training and Habilitation Service
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893 24-Hour Emergency Assistance
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894 Supported Living Service Vendor Administration
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895 Transportation – Public Transit Authority, Dial-A-Ride, Rental Car Agency
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896 Supported Living Service
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899 Community Crisis Home Transition Component
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900 Enhanced Behavioral Supports Home – Facility
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901 Enhanced Behavioral Supports Home – Individual Services
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902 Community Crisis Home Facility Component
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903 Community Crisis Home – Individualized Services and Supports Component
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904 Family Home Agency
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905 Residential Facility Serving Adults, Owner Operated
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910 Residential Facility Serving Children, Owner Operated
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915 Residential Facility Serving Adults, Staff Operated
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920 Residential Facility Serving Children, Staff Operated
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925 Immediate Care Facility/Developmentally Disabled (ICF/DD)
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930 Immediate Care Facility/Developmentally Disabled-Habilitative (ICF/DD-H)
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935 Immediate Care Facility/Developmentally Disabled-Nursing (ICF/DD-N)
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940 Nursing Facility
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950 Supported Employment Program – Group Services
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952 Supported Employment Program
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954 Work Activity Program
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956 Coordinated Career Pathways
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999 Start-Up Funding for CCP/PDF Start-Up
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Title 17 – 54342 – Types of Services
