| H0041 | Foster care, child, non-therapeutic, per diem |
| S5140 | Foster care, adult; per diem |
| S5145 | Foster care, therapeutic, child; per diem |
| H0042 | Foster care, child, non-therapeutic, per month |
| S5141 | Foster care, adult; per month |
| S5146 | Foster care, therapeutic, child; per month |
