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Provider Demographic Information - PA CHILD CORPORATION

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	PA CHILD CORPORATION
Address:	3130 W MARKET ST YORK, PA 17404
Phone:	(717) 850-3662
Fax:	(717) 814-3163
Web Site:	N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header

Click here to view Provider Certification Information

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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header


Type:	Corporate Office
Name:	Pa Child, Inc
Address:	3301 W MARKET ST YORK, PA 17404-5806
Phone:	(717) 850-3662
Fax:	(717) 814-3163

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PROVIDER SERVICES AND RATES Supporting line for group header


County : Berks
\|Service Name / Level	\|Rate

Behavioral Supports-Level 1-Initial/Ongoing	Not Set
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.
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 person-Elig-NG 1 > 30 Hrs WithOut	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut	$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-NG5 > 30 Hrs WithDay	$251.39 / 1 Day
Respite-Lic-Day-1 person-NG 3	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.25 - $987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.25 - $987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 4	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG1	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG5	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-Emergency	$800.99 / 1 Day

County : Cumberland/Perry
\|Service Name / Level	\|Rate

Behavioral Supports-Level 1-Initial/Ongoing	Not Set
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.
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 2-by Relative > 30 Hrs	$216.55 / 1 Day
Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs	$296.35 / 1 Day
Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs	$376.95 / 1 Day
Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs	$376.95 / 1 Day
Life Sharing-1 per-NG2-Relative >30Hrs WithOut	$230.47 / 1 Day
Life Sharing-1 per-NG3-Relative >30Hrs WithOut	$325.99 / 1 Day
Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut	$414.65 / 1 Day
Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut	$414.65 / 1 Day
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 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 2-ECS > 30 Hrs WithDay	Not Set
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
Respite-Lic-Day-1 person-NG 3	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 4	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG1	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG5	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-Emergency	$800.99 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home	$343.22 / 1 Day
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home	$8.59 / 15 min.
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$97.84 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$343.22 / 1 Day

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.
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 2-by Relative > 30 Hrs	$216.55 / 1 Day
Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs	$296.35 / 1 Day
Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs	$376.95 / 1 Day
Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs	$376.95 / 1 Day
Life Sharing-1 per-NG2-Relative >30Hrs WithOut	$230.47 / 1 Day
Life Sharing-1 per-NG3-Relative >30Hrs WithOut	$325.99 / 1 Day
Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut	$414.65 / 1 Day
Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut	$414.65 / 1 Day
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-NG2-ECS > 30 Hrs WithOut	Not Set
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 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 3-ECS > 30 Hrs W/Out	Not Set
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 2-ECS > 30 Hrs WithDay	Not Set
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
Respite-Lic-Day-1 person-NG 3	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.25 - $987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.25 - $987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 4	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG1	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG5	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-Emergency	$800.99 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home	$343.22 / 1 Day
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home	$8.59 / 15 min.
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$97.84 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$343.22 / 1 Day

County : Franklin/Fulton
\|Service Name / Level	\|Rate

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 person-Elig-NG 1 > 30 Hrs WithOut	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut	$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-NG5 > 30 Hrs WithDay	$251.39 / 1 Day

County : Lancaster
\|Service Name / Level	\|Rate

Behavioral Supports-Level 1-Initial/Ongoing	Not Set
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.
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 2-by Relative > 30 Hrs	$216.55 / 1 Day
Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs	$296.35 / 1 Day
Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs	$376.95 / 1 Day
Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs	$376.95 / 1 Day
Life Sharing-1 per-NG2-Relative >30Hrs WithOut	$230.47 / 1 Day
Life Sharing-1 per-NG3-Relative >30Hrs WithOut	$325.99 / 1 Day
Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut	$414.65 / 1 Day
Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut	$414.65 / 1 Day
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-NG2-ECS > 30 Hrs WithOut	Not Set
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 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 3-ECS > 30 Hrs W/Out	Not Set
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 2-ECS > 30 Hrs WithDay	Not Set
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
Respite-Lic-Day-1 person-NG 3	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.25 - $987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.25 - $987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 4	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG1	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG5	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-Emergency	$800.99 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home	$343.22 / 1 Day
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home	$8.59 / 15 min.
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$97.84 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$343.22 / 1 Day

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.
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 person-Elig-NG 1 > 30 Hrs WithOut	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut	$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-NG5 > 30 Hrs WithDay	$251.39 / 1 Day
Respite-Lic-Day-1 person-NG 3	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 4	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG1	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG5	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-Emergency	$800.99 / 1 Day

County : York/Adams
\|Service Name / Level	\|Rate

Behavioral Supports-Level 1-Initial/Ongoing	Not Set
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.
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 2-by Relative > 30 Hrs	$216.55 / 1 Day
Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs	$296.35 / 1 Day
Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs	$376.95 / 1 Day
Life Sharing-1 per-Elig-NG5-by Relative > 30 Hrs	$376.95 / 1 Day
Life Sharing-1 per-NG2-Relative >30Hrs WithOut	$230.47 / 1 Day
Life Sharing-1 per-NG3-Relative >30Hrs WithOut	$325.99 / 1 Day
Life Sharing-1 per-NG4-Relative > 30 Hrs WithOut	$414.65 / 1 Day
Life Sharing-1 per-NG5-Relative > 30 Hrs WithOut	$414.65 / 1 Day
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-NG2-ECS > 30 Hrs WithOut	Not Set
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 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 3-ECS > 30 Hrs W/Out	Not Set
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 2-ECS > 30 Hrs WithDay	Not Set
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
Respite-Lic-Day-1 person-NG 3	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 4	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG1	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG5	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-Emergency	$800.99 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home	$343.22 / 1 Day
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home	$8.59 / 15 min.
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$97.84 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$343.22 / 1 Day

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