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Provider Demographic Information - EIG SERVICES LLC

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	EIG SERVICES LLC
Address:	2500 MOSSIDE BLVD MONROEVILLE, PA 15146-3511
Phone:	(412) 372-5500
Fax:	(412) 372-5501
E-mail:	admin@eigservicesllc.com
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:	Regional/Field Office	Counties Served:
Name:	EIG Services LLC
Address:	2500 Mosside Blvd MONROEVILLE, PA 15146-1496
Phone:	(412) 372-5500
Fax:	(412) 372-5501

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PROVIDER SERVICES AND RATES Supporting line for group header


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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
In-Home & Commnty Supprts (Basic)	$4.42 / 15 min.
In-Home & Commnty Supprts (Lvl 1)	$6.22 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

County : Armstrong/Indiana
\|Service Name / Level	\|Rate

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

County : Bedford/Somerset
\|Service Name / Level	\|Rate

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

County : Bradford/Sullivan
\|Service Name / Level	\|Rate

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

County : Cameron/Elk
\|Service Name / Level	\|Rate

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

County : Carbon/Monroe/Pike
\|Service Name / Level	\|Rate

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

County : Clearfield/Jefferson
\|Service Name / Level	\|Rate

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

County : Columbia/Montour/Snyder/Union
\|Service Name / Level	\|Rate

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

County : Forest/Warren
\|Service Name / Level	\|Rate

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

County : Huntingdon/Mifflin/Juniata
\|Service Name / Level	\|Rate

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

County : Lackawanna/Susquehanna
\|Service Name / Level	\|Rate

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

County : Luzerne/Wyoming
\|Service Name / Level	\|Rate

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

County : Lycoming/Clinton
\|Service Name / Level	\|Rate

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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

Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Life Sharin-1 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	Not Set
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-2 per-Elig-NG 1-ByRelative-ECS >30Hrs	Not Set
Life Sharing-2 per-Elig-NG 2-By Relative-ECS>30Hrs	Not Set
Life Sharing-2 per-Elig-NG 3-By Relativ-ECS>30 Hrs	Not Set
Life Sharing-2 per-Elig-NG 4-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-NG5-by Relative-ECS>30 Hr	Not Set
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-ECS < 30 Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-ECS-byRelative<30Hrs	Not Set
Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs	$111.44 / 1 Day
Life Sharing-2 per-Elig-Unlic-LPN-ECS < 30 Hrs	Not Set
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-ECS < 30 Hrs	Not Set
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 per-NG1-Relative-ECS >30Hrs WithDay	Not Set
Life Sharing-2 per-NG2-Relative-ECS>30Hrs WithDay	Not Set
Life Sharing-2 per-NG3-Relative-ECS>30 Hrs WithDay	Not Set
Life Sharing-2 per-NG4-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 per-NG5-Relative-ECS>30 Hr WithDay	Not Set
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$160.45 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$182.70 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$230.61 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$271.93 / 1 Day
Life Sharing-2 person-Elig-NG5-by Relative>30 Hrs	$271.93 / 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-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
LifeSharin-2 per-Elig-Unlic-LPN-ECS-byRelativ<30Hr	Not Set
LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr	$156.49 / 1 Day
LifeSharing-2 per-Elig-Unlic-RN-ECS-byRelativ<30Hr	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-Lic-1 Person-Inelig	$93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig	$50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig	$35.47 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE - ECS	Not Set
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) - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.95 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE - ECS	Not Set
Resid Hab-Unlic 3-Indiv Home (Inelig)	$7.50 / 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
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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