| |
| County : Allegheny |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Bedford/Somerset |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Berks |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Blair |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Bradford/Sullivan |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Bucks |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Cambria |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Cameron/Elk |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Carbon/Monroe/Pike |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Centre |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Chester |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Clarion |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Clearfield/Jefferson |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Columbia/Montour/Snyder/Union |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Crawford |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Cumberland/Perry |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Delaware |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Fayette |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Franklin/Fulton |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Greene |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Huntingdon/Mifflin/Juniata |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Lackawanna/Susquehanna |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Lancaster |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Lebanon |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Lehigh |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Luzerne/Wyoming |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Lycoming/Clinton |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : McKean |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Mercer |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Montgomery |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Northampton |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Northumberland |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Philadelphia |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Potter |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Schuylkill |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Tioga |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Venango |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Washington |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Wayne |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : Westmoreland |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|
| |
| County : York/Adams |
| |Service Name / Level |
|Rate |
|
| Initial Plan Development - ID/A |
$1,195.28 / Outcome Based
|
| Supports Coordination |
$27.21 / 15 min.
|
| Supports Coordination - Base Funded - Monthly |
Not Set
|
| Supports Coordination - Base Funded 15 Mins |
Not Set
|
| Supports Coordination - Community Living Waiver |
$334.01 / 1 month
|
| Supports Coordination - Consolidated Waiver |
$334.01 / 1 month
|
| Supports Coordination - P/FDS |
$295.00 / 1 month
|