Behavior Analysis Fee-for-Service Regions 9, 10, and 11
Electronic Visit Verification (EVV) Location Codes
Providers are encouraged to reference the table below to help understand how the location descriptions used in the Tellus EVV system relate to the location codes in FMMIS. These codes are found on your 835 and Remittance Advice.
| Tellus to FMMIS Location Code Cross-walk |
| Tellus Description |
Corresponding FMMIS Code |
FMMIS Description |
| Adult Day Healthcare Facility |
99 |
Other Place of Service |
| Assisted Living Facility |
13 |
Assisted Living Facility |
| Community |
99 |
Other Place of Service |
| Community Mental Health Center |
53 |
Community Mental Health Center |
| Comprehensive Outpatient Rehab Facility |
62 |
Comprehensive Outpatient Rehab Facility |
| Member Home/Primary Residence |
12 |
Home |
| Neighbor Home |
12 |
Home |
| Relatives or Friends Residence |
12 |
Home |
| Seasonal Residence |
12 |
Home |
| Group Home |
14 |
Group Home |
| Independent Clinic |
49 |
Independent Clinic |
| Medical Facility |
99 |
Other Place of Service |
| Outpatient |
22 |
Outpatient |
| School |
03 |
School |
| Work/Office |
11 |
Office |
| Telemedicine for COVID-19 |
02 |
Telemedicine for COVID-19 |
| Walk-in Retail Health Clinic |
17 |
Walk-in Retail Health Clinic |
|
Additional Information:
To view additional training materials please go to https://mobilecaregiverplus.com/ahca-ba and select the Training & Resources tab. If you have questions regarding training or system registration you may contact TELLUS at: 1.833.622.2422. |
