Again, the needs of individuals with disabilities are more complex. The plan should reflect that. Most of the codes based on time.... It almost takes twice as much time to deal with some of these patients. We see that with pediatric patients as well, even healthy ones. It may take more time for them.
For the standard formulas that may be used to decide fees, if there is a time component, it needs to be adjusted for the extra needs some patients have. That could be for seniors as well or those with more issues.