| |
| County : Allegheny |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Armstrong/Indiana |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Beaver |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Bedford/Somerset |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Berks |
| |Service Name / Level |
|Rate |
|
| Behavioral Supports-Level 1-Initial/Ongoing |
$23.85 / 15 min.
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Exception Allowance (NEA)-Child Res (3800) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Needs Excptn Allowance (NEA)-Child Res (3800)-520 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Blair |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Bradford/Sullivan |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Bucks |
| |Service Name / Level |
|Rate |
|
| Behavioral Supports-Level 1-Initial/Ongoing |
$23.85 / 15 min.
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Butler |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Cambria |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Cameron/Elk |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Carbon/Monroe/Pike |
| |Service Name / Level |
|Rate |
|
| Behavioral Supports-Level 1-Initial/Ongoing |
$23.85 / 15 min.
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Centre |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Chester |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Clarion |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Clearfield/Jefferson |
| |Service Name / Level |
|Rate |
|
| Behavioral Supports-Level 1-Initial/Ongoing |
$23.85 / 15 min.
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Columbia/Montour/Snyder/Union |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Crawford |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Cumberland/Perry |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Dauphin |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Delaware |
| |Service Name / Level |
|Rate |
|
| Behavioral Supports-Level 1-Initial/Ongoing |
$23.85 / 15 min.
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Erie |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Fayette |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Forest/Warren |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Franklin/Fulton |
| |Service Name / Level |
|Rate |
|
| Behavioral Supports-Level 1-Initial/Ongoing |
$23.85 / 15 min.
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 1, 1:3) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 2, 1:2) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Greene |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Huntingdon/Mifflin/Juniata |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Lackawanna/Susquehanna |
| |Service Name / Level |
|Rate |
|
| Behavioral Supports-Level 1-Initial/Ongoing |
$23.85 / 15 min.
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Lancaster |
| |Service Name / Level |
|Rate |
|
| Behavioral Supports-Level 1-Initial/Ongoing |
$23.85 / 15 min.
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Family Aide (Level 3)-15 Mins |
Not Set
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| Life Sharing (Base Only) |
$181.63 / 1 Day
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Basic 1:4) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 1, 1:3) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 2, 1:2) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Lawrence |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Lebanon |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 1, 1:3) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 2, 1:2) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Lehigh |
| |Service Name / Level |
|Rate |
|
| Behavioral Supports-Level 1-Initial/Ongoing |
$23.85 / 15 min.
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Basic 1:4) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 1, 1:3) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 2, 1:2) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Luzerne/Wyoming |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Lycoming/Clinton |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : McKean |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Mercer |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Montgomery |
| |Service Name / Level |
|Rate |
|
| Behavioral Supports-Level 1-Initial/Ongoing |
$23.85 / 15 min.
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Northampton |
| |Service Name / Level |
|Rate |
|
| Behavioral Supports-Level 1-Initial/Ongoing |
$23.85 / 15 min.
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Basic 1:4) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 1, 1:3) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 2, 1:2) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Northumberland |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Philadelphia |
| |Service Name / Level |
|Rate |
|
| Behavioral Supports-Level 1-Initial/Ongoing |
$23.85 / 15 min.
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Exception Allowance (NEA)-Supported Living |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Potter |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Schuylkill |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Tioga |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Venango |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Washington |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Wayne |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : Westmoreland |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
| |
| County : York/Adams |
| |Service Name / Level |
|Rate |
|
| Behavioral Supports-Level 1-Initial/Ongoing |
$23.85 / 15 min.
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$21.86 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 Person-NG1-Relative >30Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 per-Elig-NG 1-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-byRelative-ECS >30Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-byRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-NG5-ByRelative-ECS>30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN-ECS < 30 Hrs |
Not Set
|
| Life Sharing-1 per-NG1-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG2-Relative >30Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 per-NG2-Relative-ECS >30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG3-Relative >30Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 per-NG3-Relative-ECS>30Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG4-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 per-NG5-Relative-ECS>30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| LifeSharin-1 per-Elg-Unlic-LPN-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-ECS-byRelativ<30Hrs |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
$0.01 - $3,743.86 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$0.01 - $1,352.42 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 - $105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 - $57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 - $41.06 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 - $31.91 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$25.16 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$88.19 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.95 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Living-1 Person-NG1 |
$160.19 / 1 Day
|
| Supported Living-1 Person-NG2 |
$268.46 / 1 Day
|
| Supported Living-1 Person-NG3 |
$428.64 / 1 Day
|
| Supported Living-1 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-1 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG1 |
$112.14 / 1 Day
|
| Supported Living-2 Person-NG2 |
$214.77 / 1 Day
|
| Supported Living-2 Person-NG3 |
$358.94 / 1 Day
|
| Supported Living-2 Person-NG4 |
$576.34 / 1 Day
|
| Supported Living-2 Person-NG5 |
$576.34 / 1 Day
|
| Supported Living-3 Person-NG1 |
$80.09 / 1 Day
|
| Supported Living-3 Person-NG2 |
$142.24 / 1 Day
|
| Supported Living-3 Person-NG3 |
$249.17 / 1 Day
|
| Supported Living-3 Person-NG4 |
$401.19 / 1 Day
|
| Supported Living-3 Person-NG5 |
$401.19 / 1 Day
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
Service 
Home
Counties
Providers
Services
County Contacts
