An official State of Texas website.
6-2017
Resource Utilization Group (RUG) Individual Plan of Care (IPC) Cost Limits
| RUG | Criteria | IPC Cost Limit |
|---|---|---|
| SE3 | Extensive Services 3 / ADL > 6 | $42,174 |
| SE2 | Extensive Services 2 / ADL > 6 | $35,985 |
| SE1 | Extensive Services 1 / ADL > 6 | $31,403 |
| RAD | Rehabilitation All Levels / ADL 17-18 | $35,505 |
| RAC | Rehabilitation All Levels / ADL 14-16 | $31,500 |
| RAB | Rehabilitation All Levels / ADL 10-13 | $29,656 |
| RAA | Rehabilitation All Levels / ADL 4-9 | $26,223 |
| SSC | Special Care / ADL 17-18 | $30,697 |
| SSB | Special Care / ADL 15-16 | $29,085 |
| SSA | Special Care / ADL 4-14 | $29,023 |
| CC2 | Clinically Complex with Depression / ADL 17-18 | $25,291 |
| CC1 | Clinically Complex / ADL 17-18 | $24,019 |
| CB2 | Clinically Complex with Depression / ADL 12-16 | $23,298 |
| CB1 | Clinically Complex / ADL 12-16 | $22,300 |
| CA2 | Clinically Complex with Depression / ADL 4-11 | $21,230 |
| CA1 | Clinically Complex / ADL 4-11 | $20,029 |
| IB2 | Cog. Impairment with Nursing Rehab / ADL 6-10 | $21,261 |
| IB1 | Cog. Impairment / ADL 6-10 | $19,902 |
| IA2 | Cog. Impairment with Nursing Rehab / ADL 4-5 | $18,277 |
| IA1 | Cog. Impairment / ADL 4-5 | $17,396 |
| BB2 | Behavior Problem with Nursing Rehab / ADL 6-10 | $20,898 |
| BB1 | Behavior Problem / ADL 6-10 | $19,026 |
| BA2 | Behavior Problem with Nursing Rehab / ADL 4-5 | $17,956 |
| BA1 | Behavior Problem / ADL 4-5 | $16,361 |
| PE2 | Physical Function with Nursing Rehab / ADL 16-18 | $22,413 |
| PE1 | Physical Function / ADL 16-18 | $21,254 |
| PD2 | Physical Function with Nursing Rehab / ADL 11-15 | $21,537 |
| PD1 | Physical Function / ADL 11-15 | $20,336 |
| PC2 | Physical Function with Nursing Rehab / ADL 9-10 | $19,829 |
| PC1 | Physical Function / ADL 9-10 | $19,062 |
| PB2 | Physical Function with Nursing Rehab / ADL 6-8 | $18,589 |
| PB1 | Physical Function / ADL 6-8 | $17,746 |
| PA2 | Physical Function with Nursing Rehab / ADL 4-5 | $16,715 |
| PA1 | Physical Function / ADL 4-5 | $15,837 |