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Provider Demographic Information - MOG International LLC

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	MOG International LLC
Address:	649 SOUTH AVE SECANE, PA 19018-3541
Phone:	(484) 278-4805
Fax:	(484) 278-4806
E-mail:	moginterllc2007@gmail.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:	MOG HOME HEALTH CARE SERVICES
Address:	649 SOUTH AVE UNIT 8 SECANE, PA 19018-3541
Phone:	(484) 278-4805

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PROVIDER SERVICES AND RATES Supporting line for group header


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

Chore, Permanent - 1 Hour	$24.55 / 1 hr.
Chore, Temporary - 1 Hour	$24.55 / 1 hr.
Companion Services (Level 2)	$8.33 / 15 min.
Homemaker, Permanent - 1 Hour	$24.55 / 1 hr.
Homemaker, Temporary - 1 Hour	$24.55 / 1 hr.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh)	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) RN	$25.64 / 15 min.
Nursing - (1:1) LPN-15 minutes	$14.87 / 15 min.
Nursing - (1:1) RN-15 minutes	$20.60 / 15 min.
Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)OutHomeECS-LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2	Not Set
Respite-Base Out-of-Home 24 Hours (Basic)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 1)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3)	Not Set
Respite-Lic-Day-1 person-NG 3	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-ECS	Not Set
Respite-Lic-Day-1 person-NG 3-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-ECS	Not Set
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-ECS	Not Set
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-ECS	Not Set
Respite-Lic-Day-2 person-NG 2-Emergency	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-ECS	Not Set
Respite-Lic-Day-2 person-NG 3-Emergency	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 4	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-ECS	Not Set
Respite-Lic-Day-2 person-NG 4-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG1	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG1-ECS	Not Set
Respite-Lic-Day-2 person-NG5	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-ECS	Not Set
Respite-Lic-Day-2 person-NG5-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-ECS	Not Set
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-ECS	Not Set
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-ECS	Not Set
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-ECS	Not Set
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-ECS	Not Set
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-ECS	Not Set
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-ECS	Not Set
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-ECS	Not Set
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-ECS	Not Set
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-ECS	Not Set
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency-ECS	Not Set
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(L3,1:1 Enh)OutOf Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1)Out-of-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4, 2:1)OutOfHome-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 4-2:1 Enh)OutHome-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutHomECS RN	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS	Not Set
Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS	Not Set
Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS	Not Set
Respite-Unlic-15min(Lvl 4,2:1) Out of Home	$17.03 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1)Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$97.84 / 1 Day
Respite-Unlic-Day (Basic 1:4) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$343.22 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) Out-of-Home	$681.46 / 1 Day
Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS	Not Set
Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD	Not Set
Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE	Not Set
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD	$869.48 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE	$869.48 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home	$869.48 / 1 Day
Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD	Not Set
Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE	Not Set
Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS	Not Set

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

Chore, Permanent - 1 Hour	$24.55 / 1 hr.
Chore, Temporary - 1 Hour	$24.55 / 1 hr.
Companion Services (Basic Staff Support)	$3.45 / 15 min.
Companion Services (Level 1)	$4.77 / 15 min.
Companion Services (Level 2)	$8.33 / 15 min.
Homemaker, Permanent - 1 Hour	$24.55 / 1 hr.
Homemaker, Temporary - 1 Hour	$24.55 / 1 hr.
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 Enh)	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) RN	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh)	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) LPN	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) RN	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
Nursing (1:2) LPN	$7.64 / 15 min.
Nursing (1:2) RN	$10.50 / 15 min.
Nursing - (1:1) LPN-15 minutes	$14.87 / 15 min.
Nursing - (1:1) RN-15 minutes	$20.60 / 15 min.
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-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)OutHomeECS-LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2	Not Set
Respite-Base Out-of-Home 24 Hours (Basic)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 1)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3)	Not Set
Respite-Lic-Day-1 person-NG 3	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-ECS	Not Set
Respite-Lic-Day-1 person-NG 3-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-ECS	Not Set
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-ECS	Not Set
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-ECS	Not Set
Respite-Lic-Day-2 person-NG 2-Emergency	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-ECS	Not Set
Respite-Lic-Day-2 person-NG 3-Emergency	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 4	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-ECS	Not Set
Respite-Lic-Day-2 person-NG 4-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG1	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG1-ECS	Not Set
Respite-Lic-Day-2 person-NG5	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-ECS	Not Set
Respite-Lic-Day-2 person-NG5-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-ECS	Not Set
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-ECS	Not Set
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-ECS	Not Set
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-ECS	Not Set
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-ECS	Not Set
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-ECS	Not Set
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-ECS	Not Set
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-ECS	Not Set
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-ECS	Not Set
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-ECS	Not Set
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency-ECS	Not Set
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(L3,1:1 Enh)OutOf Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1)Out-of-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4, 2:1)OutOfHome-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 4-2:1 Enh)OutHome-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutHomECS RN	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS	Not Set
Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS	Not Set
Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1) Out of Home	$17.03 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1)Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Basic 1:4) In-Home	$97.84 / 1 Day
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$97.84 / 1 Day
Respite-Unlic-Day (Basic 1:4) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 1, 1:3) In-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$343.22 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home	$869.48 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) Out-of-Home	$681.46 / 1 Day
Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS	Not Set
Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD	Not Set
Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE	Not Set
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD	$869.48 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE	$869.48 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home	$869.48 / 1 Day
Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD	Not Set
Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE	Not Set
Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS	Not Set
Transportation(Zone 1)-Trip	Not Set
Transportation(Zone 2)-Trip	Not Set
Transportation(Zone 3)-Trip	Not Set

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

Chore, Permanent - 1 Hour	$24.55 / 1 hr.
Chore, Temporary - 1 Hour	$24.55 / 1 hr.
Companion Services (Basic Staff Support)	$3.45 / 15 min.
Companion Services (Level 1)	$4.77 / 15 min.
Companion Services (Level 2)	$8.33 / 15 min.
Homemaker, Permanent - 1 Hour	$24.55 / 1 hr.
Homemaker, Temporary - 1 Hour	$24.55 / 1 hr.
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 Enh)	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) RN	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh)	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) LPN	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) RN	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
Nursing (1:2) LPN	$7.64 / 15 min.
Nursing (1:2) RN	$10.50 / 15 min.
Nursing - (1:1) LPN-15 minutes	$14.87 / 15 min.
Nursing - (1:1) RN-15 minutes	$20.60 / 15 min.
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-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)OutHomeECS-LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2	Not Set
Respite-Base Out-of-Home 24 Hours (Basic)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 1)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3)	Not Set
Respite-Lic-Day-1 person-NG 3	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-ECS	Not Set
Respite-Lic-Day-1 person-NG 3-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-ECS	Not Set
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-ECS	Not Set
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-ECS	Not Set
Respite-Lic-Day-2 person-NG 2-Emergency	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-ECS	Not Set
Respite-Lic-Day-2 person-NG 3-Emergency	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 4	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-ECS	Not Set
Respite-Lic-Day-2 person-NG 4-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG1	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG1-ECS	Not Set
Respite-Lic-Day-2 person-NG5	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-ECS	Not Set
Respite-Lic-Day-2 person-NG5-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-ECS	Not Set
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-ECS	Not Set
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-ECS	Not Set
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-ECS	Not Set
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-ECS	Not Set
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-ECS	Not Set
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-ECS	Not Set
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-ECS	Not Set
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-ECS	Not Set
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-ECS	Not Set
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency-ECS	Not Set
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(L3,1:1 Enh)OutOf Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1)Out-of-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4, 2:1)OutOfHome-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 4-2:1 Enh)OutHome-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutHomECS RN	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS	Not Set
Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS	Not Set
Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1) Out of Home	$17.03 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1)Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Basic 1:4) In-Home	$97.84 / 1 Day
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$97.84 / 1 Day
Respite-Unlic-Day (Basic 1:4) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 1, 1:3) In-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$343.22 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home	$869.48 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) Out-of-Home	$681.46 / 1 Day
Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS	Not Set
Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD	Not Set
Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE	Not Set
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD	$869.48 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE	$869.48 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home	$869.48 / 1 Day
Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD	Not Set
Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE	Not Set
Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS	Not Set
Transportation(Zone 1)-Trip	Not Set
Transportation(Zone 2)-Trip	Not Set
Transportation(Zone 3)-Trip	Not Set

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

Chore, Permanent - 1 Hour	$24.55 / 1 hr.
Chore, Temporary - 1 Hour	$24.55 / 1 hr.
Companion Services (Basic Staff Support)	$3.45 / 15 min.
Companion Services (Level 1)	$4.77 / 15 min.
Homemaker, Permanent - 1 Hour	$24.55 / 1 hr.
Homemaker, Temporary - 1 Hour	$24.55 / 1 hr.
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 Enh)	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) RN	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh)	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) LPN	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) RN	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
Nursing (1:2) LPN	$7.64 / 15 min.
Nursing (1:2) RN	$10.50 / 15 min.
Nursing - (1:1) LPN-15 minutes	$14.87 / 15 min.
Nursing - (1:1) RN-15 minutes	$20.60 / 15 min.
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-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)OutHomeECS-LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2	Not Set
Respite-Base Out-of-Home 24 Hours (Basic)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 1)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3)	Not Set
Respite-Lic-Day-1 person-NG 3	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-ECS	Not Set
Respite-Lic-Day-1 person-NG 3-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-ECS	Not Set
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-ECS	Not Set
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-ECS	Not Set
Respite-Lic-Day-2 person-NG 2-Emergency	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-ECS	Not Set
Respite-Lic-Day-2 person-NG 3-Emergency	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 4	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-ECS	Not Set
Respite-Lic-Day-2 person-NG 4-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG1	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG1-ECS	Not Set
Respite-Lic-Day-2 person-NG5	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-ECS	Not Set
Respite-Lic-Day-2 person-NG5-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-ECS	Not Set
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-ECS	Not Set
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-ECS	Not Set
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-ECS	Not Set
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-ECS	Not Set
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-ECS	Not Set
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-ECS	Not Set
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-ECS	Not Set
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-ECS	Not Set
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-ECS	Not Set
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency-ECS	Not Set
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(L3,1:1 Enh)OutOf Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1)Out-of-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4, 2:1)OutOfHome-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 4-2:1 Enh)OutHome-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutHomECS RN	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS	Not Set
Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS	Not Set
Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1) Out of Home	$17.03 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1)Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Basic 1:4) In-Home	$97.84 / 1 Day
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$97.84 / 1 Day
Respite-Unlic-Day (Basic 1:4) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 1, 1:3) In-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$343.22 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home	$869.48 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) Out-of-Home	$681.46 / 1 Day
Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS	Not Set
Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD	Not Set
Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE	Not Set
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD	$869.48 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE	$869.48 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home	$869.48 / 1 Day
Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD	Not Set
Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE	Not Set
Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS	Not Set
Transportation(Zone 1)-Trip	Not Set
Transportation(Zone 2)-Trip	Not Set
Transportation(Zone 3)-Trip	Not Set

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

Chore, Permanent - 1 Hour	$24.55 / 1 hr.
Chore, Temporary - 1 Hour	$24.55 / 1 hr.
Companion Services (Level 2)	$8.33 / 15 min.
Homemaker, Permanent - 1 Hour	$24.55 / 1 hr.
Homemaker, Temporary - 1 Hour	$24.55 / 1 hr.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh)	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) RN	$25.64 / 15 min.
Nursing - (1:1) LPN-15 minutes	$14.87 / 15 min.
Nursing - (1:1) RN-15 minutes	$20.60 / 15 min.
Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)OutHomeECS-LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2	Not Set
Respite-Base Out-of-Home 24 Hours (Basic)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 1)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3)	Not Set
Respite-Lic-Day-1 person-NG 3	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-ECS	Not Set
Respite-Lic-Day-1 person-NG 3-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-ECS	Not Set
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-ECS	Not Set
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-ECS	Not Set
Respite-Lic-Day-2 person-NG 2-Emergency	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-ECS	Not Set
Respite-Lic-Day-2 person-NG 3-Emergency	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 4	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-ECS	Not Set
Respite-Lic-Day-2 person-NG 4-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG1	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG1-ECS	Not Set
Respite-Lic-Day-2 person-NG5	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-ECS	Not Set
Respite-Lic-Day-2 person-NG5-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-ECS	Not Set
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-ECS	Not Set
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-ECS	Not Set
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-ECS	Not Set
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-ECS	Not Set
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-ECS	Not Set
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-ECS	Not Set
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-ECS	Not Set
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-ECS	Not Set
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-ECS	Not Set
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency-ECS	Not Set
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(L3,1:1 Enh)OutOf Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1)Out-of-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4, 2:1)OutOfHome-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 4-2:1 Enh)OutHome-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutHomECS RN	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS	Not Set
Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS	Not Set
Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS	Not Set
Respite-Unlic-15min(Lvl 4,2:1) Out of Home	$17.03 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1)Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$97.84 / 1 Day
Respite-Unlic-Day (Basic 1:4) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$343.22 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) Out-of-Home	$681.46 / 1 Day
Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS	Not Set
Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD	Not Set
Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE	Not Set
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD	$869.48 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE	$869.48 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home	$869.48 / 1 Day
Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD	Not Set
Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE	Not Set
Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS	Not Set

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

Chore, Permanent - 1 Hour	$24.55 / 1 hr.
Chore, Temporary - 1 Hour	$24.55 / 1 hr.
Companion Services (Basic Staff Support)	$3.45 / 15 min.
Companion Services (Level 1)	$4.77 / 15 min.
Companion Services (Level 2)	$8.33 / 15 min.
Homemaker, Permanent - 1 Hour	$24.55 / 1 hr.
Homemaker, Temporary - 1 Hour	$24.55 / 1 hr.
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 Enh)	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) RN	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh)	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) LPN	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) RN	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
Nursing (1:2) LPN	$7.64 / 15 min.
Nursing (1:2) RN	$10.50 / 15 min.
Nursing - (1:1) LPN-15 minutes	$14.87 / 15 min.
Nursing - (1:1) RN-15 minutes	$20.60 / 15 min.
Occupational Therapy-15 min	$24.56 / 15 min.
Physical Therapy-15 min	$25.88 / 15 min.
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-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)OutHomeECS-LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2	Not Set
Respite-Base Out-of-Home 24 Hours (Basic)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 1)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3)	Not Set
Respite-Lic-Day-1 person-NG 3	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-ECS	Not Set
Respite-Lic-Day-1 person-NG 3-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-ECS	Not Set
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-ECS	Not Set
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-ECS	Not Set
Respite-Lic-Day-2 person-NG 2-Emergency	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-ECS	Not Set
Respite-Lic-Day-2 person-NG 3-Emergency	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 4	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-ECS	Not Set
Respite-Lic-Day-2 person-NG 4-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG1	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG1-ECS	Not Set
Respite-Lic-Day-2 person-NG5	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-ECS	Not Set
Respite-Lic-Day-2 person-NG5-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-ECS	Not Set
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-ECS	Not Set
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-ECS	Not Set
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-ECS	Not Set
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-ECS	Not Set
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-ECS	Not Set
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-ECS	Not Set
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-ECS	Not Set
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-ECS	Not Set
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-ECS	Not Set
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency-ECS	Not Set
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(L3,1:1 Enh)OutOf Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1)Out-of-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4, 2:1)OutOfHome-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 4-2:1 Enh)OutHome-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutHomECS RN	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS	Not Set
Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS	Not Set
Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1) Out of Home	$17.03 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1)Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Basic 1:4) In-Home	$97.84 / 1 Day
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$97.84 / 1 Day
Respite-Unlic-Day (Basic 1:4) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 1, 1:3) In-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$343.22 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home	$869.48 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) Out-of-Home	$681.46 / 1 Day
Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS	Not Set
Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD	Not Set
Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE	Not Set
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD	$869.48 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE	$869.48 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home	$869.48 / 1 Day
Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD	Not Set
Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE	Not Set
Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS	Not Set
Transportation(Zone 1)-Trip	Not Set
Transportation(Zone 2)-Trip	Not Set
Transportation(Zone 3)-Trip	Not Set

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

Chore, Permanent - 1 Hour	$24.55 / 1 hr.
Chore, Temporary - 1 Hour	$24.55 / 1 hr.
Companion Services (Basic Staff Support)	$3.45 / 15 min.
Companion Services (Level 1)	$4.77 / 15 min.
Companion Services (Level 2)	$8.33 / 15 min.
Homemaker, Permanent - 1 Hour	$24.55 / 1 hr.
Homemaker, Temporary - 1 Hour	$24.55 / 1 hr.
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.
In-Home & Commnty Supprts (Lvl 3 Enh)	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) LPN	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) RN	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
Nursing (1:2) LPN	$7.64 / 15 min.
Nursing (1:2) RN	$10.50 / 15 min.
Nursing - (1:1) LPN-15 minutes	$14.87 / 15 min.
Nursing - (1:1) RN-15 minutes	$20.60 / 15 min.
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-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)OutHomeECS-LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2	Not Set
Respite-Base Out-of-Home 24 Hours (Basic)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 1)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3)	Not Set
Respite-Lic-Day-1 person-NG 3	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-ECS	Not Set
Respite-Lic-Day-1 person-NG 3-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-ECS	Not Set
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-ECS	Not Set
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-ECS	Not Set
Respite-Lic-Day-2 person-NG 2-Emergency	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-ECS	Not Set
Respite-Lic-Day-2 person-NG 3-Emergency	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 4	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-ECS	Not Set
Respite-Lic-Day-2 person-NG 4-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG1	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG1-ECS	Not Set
Respite-Lic-Day-2 person-NG5	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-ECS	Not Set
Respite-Lic-Day-2 person-NG5-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-ECS	Not Set
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-ECS	Not Set
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-ECS	Not Set
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-ECS	Not Set
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-ECS	Not Set
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-ECS	Not Set
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-ECS	Not Set
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-ECS	Not Set
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-ECS	Not Set
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-ECS	Not Set
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency-ECS	Not Set
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(L3,1:1 Enh)OutOf Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1)Out-of-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4, 2:1)OutOfHome-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 4-2:1 Enh)OutHome-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutHomECS RN	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS	Not Set
Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS	Not Set
Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1) Out of Home	$17.03 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1)Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Basic 1:4) In-Home	$97.84 / 1 Day
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$97.84 / 1 Day
Respite-Unlic-Day (Basic 1:4) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 1, 1:3) In-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$343.22 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home-ECS	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home	$869.48 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) Out-of-Home	$681.46 / 1 Day
Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS	Not Set
Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD	Not Set
Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE	Not Set
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD	$869.48 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE	$869.48 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home	$869.48 / 1 Day
Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD	Not Set
Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE	Not Set
Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS	Not Set
Transportation(Zone 1)-Trip	Not Set
Transportation(Zone 2)-Trip	Not Set
Transportation(Zone 3)-Trip	Not Set

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