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Provider Demographic Information - PERSONAL TOUCH PROFESSIONAL SERVICES II

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	PERSONAL TOUCH PROFESSIONAL SERVICES II
Address:	201 YORK RD # I-526 JENKINTOWN, PA 19046-3200
Phone:	(267) 361-8308
Fax:	(217) 701-5888
E-mail:	PTPSTWO@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:	Corporate Office
Name:	PERSONAL TOUCH PROFESSIONAL SERVICES II
Address:	200 York Rd # 1526 JENKINTOWN, PA 19046-3925
Phone:	(267) 808-8810

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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 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 (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 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.
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-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-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-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
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)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 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1) Out of Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$97.84 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 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 4, 2:1) Out-of-Home	$681.46 / 1 Day
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

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

CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
Res Hab-2 Person-NG 1-Elig	$554.38 / 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-Lic-2 Person-Inelig	$57.29 / 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-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-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-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
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-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
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)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 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1) Out of Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$97.84 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 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 4, 2:1) Out-of-Home	$681.46 / 1 Day
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

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

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-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-NG5-Elig	$1,004.32 / 1 Day
Res Hab-3 Person-NG5-Elig-w/Day Supports	$835.46 / 1 Day
Res Hab-4 Person-NG5-Elig-w/Day Supports	$642.84 / 1 Day
Res Hab-Lic-4 Person-Elig-NG5	$766.28 / 1 Day

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

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-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-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-4 Person-NG 1-Elig-w/Day Supports	$245.99 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports	$284.31 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports	$362.42 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports	$398.69 / 1 Day
Res Hab-5-8 Person-NG 1-Elig	$283.18 / 1 Day
Res Hab-5-8 Person-NG 1-Elig-w/Day Supports	$224.75 / 1 Day
Res Hab-5-8 Person-NG 2-Elig	$330.71 / 1 Day
Res Hab-5-8 Person-NG 2-Elig-w/Day Supports	$265.75 / 1 Day
Res Hab-5-8 Person-NG 3-Elig	$381.85 / 1 Day
Res Hab-5-8 Person-NG 3-Elig-w/Day Supports	$333.29 / 1 Day
Res Hab-5-8 Person-NG 4-Elig	$454.78 / 1 Day
Res Hab-5-8 Person-NG 4-Elig-w/Day Supports	$358.89 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig	$41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1	$322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2	$367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3	$425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4	$510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig	$31.91 / 1 Day
Res Hab-Lic-5-8 Person-Inelig	$22.87 / 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 Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhcd RN	$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 2:1 Enhcd RN	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Chore, Permanent - 1 Hour	$24.55 / 1 hr.
Chore, Temporary - 1 Hour	$24.55 / 1 hr.
Companion Services (Level 1)	$4.77 / 15 min.
Family Medical Support Assistance 1:1	$19.88 / 15 min.
Fmly/Crgvr Spprt-Cnslng-no Participant Present	$14.39 / 15 min.
Fmly/Crgvr Spprt-Cnslng-w/Participant Present	$14.39 / 15 min.
Homemaker, Permanent - 1 Hour	$24.55 / 1 hr.
Homemaker, Temporary - 1 Hour	$24.55 / 1 hr.
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 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.
Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs	$181.63 / 1 Day
Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs	$216.55 / 1 Day
Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs	$296.35 / 1 Day
Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs	$376.95 / 1 Day
Life Sharing-1 per-Elig-Unlic < 30 Hrs	$156.49 / 1 Day
Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs	$156.49 / 1 Day
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 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
Res Hab-1 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$871.56 / 1 Day
Res Hab-1 Person-NG5-Elig	$1,754.51 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports	$1,341.85 / 1 Day
Res Hab-2 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-2 Person-NG5-Elig	$1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports	$1,215.16 / 1 Day
Res Hab-3 Person-NG 1-Elig	$411.03 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$312.16 / 1 Day
Res Hab-3 Person-NG 2-Elig	$468.38 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$361.68 / 1 Day
Res Hab-3 Person-NG 3-Elig	$545.05 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$467.35 / 1 Day
Res Hab-3 Person-NG 4-Elig	$662.22 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$513.07 / 1 Day
Res Hab-3 Person-NG5-Elig	$1,004.32 / 1 Day
Res Hab-3 Person-NG5-Elig-w/Day Supports	$835.46 / 1 Day
Res Hab-4 Person-NG 1-Elig-w/Day Supports	$245.99 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports	$284.31 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports	$362.42 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports	$398.69 / 1 Day
Res Hab-4 Person-NG5-Elig-w/Day Supports	$642.84 / 1 Day
Res Hab-5-8 Person-NG 1-Elig	$283.18 / 1 Day
Res Hab-5-8 Person-NG 1-Elig-w/Day Supports	$224.75 / 1 Day
Res Hab-5-8 Person-NG 2-Elig	$330.71 / 1 Day
Res Hab-5-8 Person-NG 2-Elig-w/Day Supports	$265.75 / 1 Day
Res Hab-5-8 Person-NG 3-Elig	$381.85 / 1 Day
Res Hab-5-8 Person-NG 3-Elig-w/Day Supports	$333.29 / 1 Day
Res Hab-5-8 Person-NG 4-Elig	$454.78 / 1 Day
Res Hab-5-8 Person-NG 4-Elig-w/Day Supports	$358.89 / 1 Day
Res Hab-5-8 Person-NG5-Elig	$683.54 / 1 Day
Res Hab-5-8 Person-NG5-Elig-w/Day Supports	$579.75 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig	$41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1	$322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2	$367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3	$425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4	$510.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG5	$766.28 / 1 Day
Res Hab-Lic-4 Person-Inelig	$31.91 / 1 Day
Res Hab-Lic-5-8 Person-Inelig	$22.87 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Inelig)	$28.29 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible)	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Inelig)	$16.38 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Inelig)	$9.58 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 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
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
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-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
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)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 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1) Out of Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$97.84 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 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 4, 2:1) Out-of-Home	$681.46 / 1 Day
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
Small Group Employment (Base)-15 min	$2.48 / 15 min.
Small Group Employment (Level 1)-15 min	$3.82 / 15 min.
Small Group Employment (Level 2)-15 min	$7.52 / 15 min.
Small Group Employment (Level 3)-15 Mins	$14.20 / 15 min.
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.
Supported Living-1 Person-NG1	$160.19 / 1 Day
Supported Living-1 Person-NG2	$268.46 / 1 Day
Supported Living-1 Person-NG3	$428.64 / 1 Day
Supported Living-1 Person-NG4	$576.34 / 1 Day
Supported Living-2 Person-NG1	$112.14 / 1 Day
Supported Living-2 Person-NG2	$214.77 / 1 Day
Supported Living-2 Person-NG3	$358.94 / 1 Day
Supported Living-2 Person-NG4	$576.34 / 1 Day
Supported Living-3 Person-NG1	$80.09 / 1 Day
Supported Living-3 Person-NG2	$142.24 / 1 Day
Supported Living-3 Person-NG3	$249.17 / 1 Day
Supported Living-3 Person-NG4	$401.19 / 1 Day
Supports Broker services	$19.46 / 15 min.

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

Res Hab-2 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-2 Person-NG5-Elig	$1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports	$1,215.16 / 1 Day
Res Hab-3 Person-NG 1-Elig	$411.03 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$312.16 / 1 Day
Res Hab-3 Person-NG 2-Elig	$468.38 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$361.68 / 1 Day
Res Hab-3 Person-NG 3-Elig	$545.05 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$467.35 / 1 Day
Res Hab-3 Person-NG 4-Elig	$662.22 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$513.07 / 1 Day
Res Hab-3 Person-NG5-Elig	$1,004.32 / 1 Day
Res Hab-3 Person-NG5-Elig-w/Day Supports	$835.46 / 1 Day
Res Hab-4 Person-NG 1-Elig-w/Day Supports	$245.99 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports	$284.31 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports	$362.42 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports	$398.69 / 1 Day
Res Hab-4 Person-NG5-Elig-w/Day Supports	$642.84 / 1 Day
Res Hab-5-8 Person-NG 1-Elig	$283.18 / 1 Day
Res Hab-5-8 Person-NG 1-Elig-w/Day Supports	$224.75 / 1 Day
Res Hab-5-8 Person-NG 2-Elig	$330.71 / 1 Day
Res Hab-5-8 Person-NG 2-Elig-w/Day Supports	$265.75 / 1 Day
Res Hab-5-8 Person-NG 3-Elig	$381.85 / 1 Day
Res Hab-5-8 Person-NG 3-Elig-w/Day Supports	$333.29 / 1 Day
Res Hab-5-8 Person-NG 4-Elig	$454.78 / 1 Day
Res Hab-5-8 Person-NG 4-Elig-w/Day Supports	$358.89 / 1 Day
Res Hab-5-8 Person-NG5-Elig	$683.54 / 1 Day
Res Hab-5-8 Person-NG5-Elig-w/Day Supports	$579.75 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig	$41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1	$322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2	$367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3	$425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4	$510.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG5	$766.28 / 1 Day
Res Hab-Lic-4 Person-Inelig	$31.91 / 1 Day
Res Hab-Lic-5-8 Person-Inelig	$22.87 / 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-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-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-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
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-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
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)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 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1) Out of Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$97.84 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 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 4, 2:1) Out-of-Home	$681.46 / 1 Day
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
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 Community 1:1	$13.83 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
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.
Fmly/Crgvr Spprt-Cnslng-no Participant Present	$14.39 / 15 min.
Fmly/Crgvr Spprt-Cnslng-w/Participant Present	$14.39 / 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.
Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs	$181.63 / 1 Day
Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs	$216.55 / 1 Day
Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs	$296.35 / 1 Day
Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs	$376.95 / 1 Day
Life Sharing-1 per-Elig-Unlic < 30 Hrs	$156.49 / 1 Day
Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs	$156.49 / 1 Day
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 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
Nursing (1:2) RN	$10.50 / 15 min.
Nursing - (1:1) RN-15 minutes	$20.60 / 15 min.
Res Hab-2 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-2 Person-NG5-Elig	$1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports	$1,215.16 / 1 Day
Res Hab-3 Person-NG 1-Elig	$411.03 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$312.16 / 1 Day
Res Hab-3 Person-NG 2-Elig	$468.38 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$361.68 / 1 Day
Res Hab-3 Person-NG 3-Elig	$545.05 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$467.35 / 1 Day
Res Hab-3 Person-NG 4-Elig	$662.22 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$513.07 / 1 Day
Res Hab-3 Person-NG5-Elig	$1,004.32 / 1 Day
Res Hab-3 Person-NG5-Elig-w/Day Supports	$835.46 / 1 Day
Res Hab-4 Person-NG 1-Elig-w/Day Supports	$245.99 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports	$284.31 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports	$362.42 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports	$398.69 / 1 Day
Res Hab-4 Person-NG5-Elig-w/Day Supports	$642.84 / 1 Day
Res Hab-5-8 Person-NG 1-Elig	$283.18 / 1 Day
Res Hab-5-8 Person-NG 1-Elig-w/Day Supports	$224.75 / 1 Day
Res Hab-5-8 Person-NG 2-Elig	$330.71 / 1 Day
Res Hab-5-8 Person-NG 2-Elig-w/Day Supports	$265.75 / 1 Day
Res Hab-5-8 Person-NG 3-Elig	$381.85 / 1 Day
Res Hab-5-8 Person-NG 3-Elig-w/Day Supports	$333.29 / 1 Day
Res Hab-5-8 Person-NG 4-Elig	$454.78 / 1 Day
Res Hab-5-8 Person-NG 4-Elig-w/Day Supports	$358.89 / 1 Day
Res Hab-5-8 Person-NG5-Elig	$683.54 / 1 Day
Res Hab-5-8 Person-NG5-Elig-w/Day Supports	$579.75 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig	$41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1	$322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2	$367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3	$425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4	$510.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG5	$766.28 / 1 Day
Res Hab-Lic-4 Person-Inelig	$31.91 / 1 Day
Res Hab-Lic-5-8 Person-Inelig	$22.87 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Inelig)	$28.29 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible)	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Inelig)	$16.38 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Inelig)	$9.58 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 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-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-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-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
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)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 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1) Out of Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$97.84 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 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 4, 2:1) Out-of-Home	$681.46 / 1 Day
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
Small Group Employment (Base)-15 min	$2.48 / 15 min.
Small Group Employment (Level 1)-15 min	$3.82 / 15 min.
Small Group Employment (Level 2)-15 min	$7.52 / 15 min.
Small Group Employment (Level 3)-15 Mins	$14.20 / 15 min.
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.
Supported Living-1 Person-NG1	$160.19 / 1 Day
Supported Living-1 Person-NG2	$268.46 / 1 Day
Supported Living-1 Person-NG3	$428.64 / 1 Day
Supported Living-1 Person-NG4	$576.34 / 1 Day
Supported Living-2 Person-NG1	$112.14 / 1 Day
Supported Living-2 Person-NG2	$214.77 / 1 Day
Supported Living-2 Person-NG3	$358.94 / 1 Day
Supported Living-2 Person-NG4	$576.34 / 1 Day
Supported Living-3 Person-NG1	$80.09 / 1 Day
Supported Living-3 Person-NG2	$142.24 / 1 Day
Supported Living-3 Person-NG3	$249.17 / 1 Day
Supported Living-3 Person-NG4	$401.19 / 1 Day

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

CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
Res Hab-1 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$871.56 / 1 Day
Res Hab-1 Person-NG5-Elig	$1,754.51 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports	$1,341.85 / 1 Day
Res Hab-2 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-2 Person-NG5-Elig	$1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports	$1,215.16 / 1 Day
Res Hab-3 Person-NG 1-Elig	$411.03 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$312.16 / 1 Day
Res Hab-3 Person-NG 2-Elig	$468.38 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$361.68 / 1 Day
Res Hab-3 Person-NG 3-Elig	$545.05 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$467.35 / 1 Day
Res Hab-3 Person-NG 4-Elig	$662.22 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$513.07 / 1 Day
Res Hab-3 Person-NG5-Elig	$1,004.32 / 1 Day
Res Hab-3 Person-NG5-Elig-w/Day Supports	$835.46 / 1 Day
Res Hab-4 Person-NG 1-Elig-w/Day Supports	$245.99 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports	$284.31 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports	$362.42 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports	$398.69 / 1 Day
Res Hab-4 Person-NG5-Elig-w/Day Supports	$642.84 / 1 Day
Res Hab-5-8 Person-NG 1-Elig	$283.18 / 1 Day
Res Hab-5-8 Person-NG 1-Elig-w/Day Supports	$224.75 / 1 Day
Res Hab-5-8 Person-NG 2-Elig	$330.71 / 1 Day
Res Hab-5-8 Person-NG 2-Elig-w/Day Supports	$265.75 / 1 Day
Res Hab-5-8 Person-NG 3-Elig	$381.85 / 1 Day
Res Hab-5-8 Person-NG 3-Elig-w/Day Supports	$333.29 / 1 Day
Res Hab-5-8 Person-NG 4-Elig	$454.78 / 1 Day
Res Hab-5-8 Person-NG 4-Elig-w/Day Supports	$358.89 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig	$41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1	$322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2	$367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3	$425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4	$510.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG5	$766.28 / 1 Day
Res Hab-Lic-4 Person-Inelig	$31.91 / 1 Day
Res Hab-Lic-5-8 Person-Inelig	$22.87 / 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 - $987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 4	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG1	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG5	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-Emergency	$800.99 / 1 Day
Respite-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
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
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-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
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)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 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1) Out of Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$97.84 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 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 4, 2:1) Out-of-Home	$681.46 / 1 Day
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
Small Group Employment (Base)-15 min	$2.48 / 15 min.
Small Group Employment (Level 1)-15 min	$3.82 / 15 min.
Small Group Employment (Level 2)-15 min	$7.52 / 15 min.
Small Group Employment (Level 3)-15 Mins	$14.20 / 15 min.
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 Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhcd RN	$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 2:1 Enhcd RN	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
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.
Family Medical Support Assistance 1:1	$19.88 / 15 min.
Fmly/Crgvr Spprt-Cnslng-no Participant Present	$14.39 / 15 min.
Fmly/Crgvr Spprt-Cnslng-w/Participant Present	$14.39 / 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.
Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs	$181.63 / 1 Day
Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs	$216.55 / 1 Day
Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs	$296.35 / 1 Day
Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs	$376.95 / 1 Day
Life Sharing-1 per-Elig-Unlic < 30 Hrs	$156.49 / 1 Day
Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs	$156.49 / 1 Day
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 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
Nursing (1:2) RN	$10.50 / 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-1 Person-NG 3-Elig	$980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$871.56 / 1 Day
Res Hab-1 Person-NG5-Elig	$1,754.51 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports	$1,341.85 / 1 Day
Res Hab-2 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-2 Person-NG5-Elig	$1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports	$1,215.16 / 1 Day
Res Hab-3 Person-NG 1-Elig	$411.03 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$312.16 / 1 Day
Res Hab-3 Person-NG 2-Elig	$468.38 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$361.68 / 1 Day
Res Hab-3 Person-NG 3-Elig	$545.05 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$467.35 / 1 Day
Res Hab-3 Person-NG 4-Elig	$662.22 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$513.07 / 1 Day
Res Hab-3 Person-NG5-Elig	$1,004.32 / 1 Day
Res Hab-3 Person-NG5-Elig-w/Day Supports	$835.46 / 1 Day
Res Hab-4 Person-NG 1-Elig-w/Day Supports	$245.99 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports	$284.31 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports	$362.42 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports	$398.69 / 1 Day
Res Hab-4 Person-NG5-Elig-w/Day Supports	$642.84 / 1 Day
Res Hab-5-8 Person-NG 1-Elig	$283.18 / 1 Day
Res Hab-5-8 Person-NG 1-Elig-w/Day Supports	$224.75 / 1 Day
Res Hab-5-8 Person-NG 2-Elig	$330.71 / 1 Day
Res Hab-5-8 Person-NG 2-Elig-w/Day Supports	$265.75 / 1 Day
Res Hab-5-8 Person-NG 3-Elig	$381.85 / 1 Day
Res Hab-5-8 Person-NG 3-Elig-w/Day Supports	$333.29 / 1 Day
Res Hab-5-8 Person-NG 4-Elig	$454.78 / 1 Day
Res Hab-5-8 Person-NG 4-Elig-w/Day Supports	$358.89 / 1 Day
Res Hab-5-8 Person-NG5-Elig	$683.54 / 1 Day
Res Hab-5-8 Person-NG5-Elig-w/Day Supports	$579.75 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig	$41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1	$322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2	$367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3	$425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4	$510.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG5	$766.28 / 1 Day
Res Hab-Lic-4 Person-Inelig	$31.91 / 1 Day
Res Hab-Lic-5-8 Person-Inelig	$22.87 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Inelig)	$28.29 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible)	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Inelig)	$16.38 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Inelig)	$9.58 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 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 - $987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 4	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG1	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG5	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-Emergency	$800.99 / 1 Day
Respite-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
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
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-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
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)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 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1) Out of Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$97.84 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 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 4, 2:1) Out-of-Home	$681.46 / 1 Day
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
Small Group Employment (Base)-15 min	$2.48 / 15 min.
Small Group Employment (Level 1)-15 min	$3.82 / 15 min.
Small Group Employment (Level 2)-15 min	$7.52 / 15 min.
Small Group Employment (Level 3)-15 Mins	$14.20 / 15 min.
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.
Supported Living-1 Person-NG1	$160.19 / 1 Day
Supported Living-1 Person-NG2	$268.46 / 1 Day
Supported Living-1 Person-NG3	$428.64 / 1 Day
Supported Living-1 Person-NG4	$576.34 / 1 Day
Supported Living-2 Person-NG1	$112.14 / 1 Day
Supported Living-2 Person-NG2	$214.77 / 1 Day
Supported Living-2 Person-NG3	$358.94 / 1 Day
Supported Living-2 Person-NG4	$576.34 / 1 Day
Supported Living-3 Person-NG1	$80.09 / 1 Day
Supported Living-3 Person-NG2	$142.24 / 1 Day
Supported Living-3 Person-NG3	$249.17 / 1 Day
Supported Living-3 Person-NG4	$401.19 / 1 Day
Supports Broker services	$19.46 / 15 min.

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

Behavioral Supports-Level 1-Initial/Ongoing	$23.85 / 15 min.
Behavioral Supports-Level 2-Initial/Ongoing	$25.55 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhcd RN	$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 2:1 Enhcd RN	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
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.
Family Medical Support Assistance 1:1	$19.88 / 15 min.
Fmly/Crgvr Spprt-Cnslng-no Participant Present	$14.39 / 15 min.
Fmly/Crgvr Spprt-Cnslng-w/Participant Present	$14.39 / 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.
Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs	$181.63 / 1 Day
Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs	$216.55 / 1 Day
Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs	$296.35 / 1 Day
Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs	$376.95 / 1 Day
Life Sharing-1 per-Elig-Unlic < 30 Hrs	$156.49 / 1 Day
Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs	$156.49 / 1 Day
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$111.44 / 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
Needs Exception Allowance (NEA)-Adult Res (6400)	Not Set
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	Not Set
Nursing (1:2) RN	$10.50 / 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-1 Person-NG 3-Elig	$980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$871.56 / 1 Day
Res Hab-1 Person-NG5-Elig	$1,754.51 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports	$1,341.85 / 1 Day
Res Hab-2 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-2 Person-NG5-Elig	$1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports	$1,215.16 / 1 Day
Res Hab-3 Person-NG 1-Elig	$411.03 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$312.16 / 1 Day
Res Hab-3 Person-NG 2-Elig	$468.38 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$361.68 / 1 Day
Res Hab-3 Person-NG 3-Elig	$545.05 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$467.35 / 1 Day
Res Hab-3 Person-NG 4-Elig	$662.22 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$513.07 / 1 Day
Res Hab-3 Person-NG5-Elig	$1,004.32 / 1 Day
Res Hab-3 Person-NG5-Elig-w/Day Supports	$835.46 / 1 Day
Res Hab-4 Person-NG 1-Elig-w/Day Supports	$245.99 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports	$284.31 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports	$362.42 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports	$398.69 / 1 Day
Res Hab-4 Person-NG5-Elig-w/Day Supports	$642.84 / 1 Day
Res Hab-5-8 Person-NG 1-Elig	$283.18 / 1 Day
Res Hab-5-8 Person-NG 1-Elig-w/Day Supports	$224.75 / 1 Day
Res Hab-5-8 Person-NG 2-Elig	$330.71 / 1 Day
Res Hab-5-8 Person-NG 2-Elig-w/Day Supports	$265.75 / 1 Day
Res Hab-5-8 Person-NG 3-Elig	$381.85 / 1 Day
Res Hab-5-8 Person-NG 3-Elig-w/Day Supports	$333.29 / 1 Day
Res Hab-5-8 Person-NG 4-Elig	$454.78 / 1 Day
Res Hab-5-8 Person-NG 4-Elig-w/Day Supports	$358.89 / 1 Day
Res Hab-5-8 Person-NG5-Elig	$683.54 / 1 Day
Res Hab-5-8 Person-NG5-Elig-w/Day Supports	$579.75 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig	$41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1	$322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2	$367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3	$425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4	$510.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG5	$766.28 / 1 Day
Res Hab-Lic-4 Person-Inelig	$31.91 / 1 Day
Res Hab-Lic-5-8 Person-Inelig	$22.87 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TD	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible) - TE	$140.44 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Inelig)	$28.29 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible)	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$88.19 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Inelig)	$16.38 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible)	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TD	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Eligible) - TE	$63.71 / 1 Day
Resid Hab-Unlic 3-Indiv Home (Inelig)	$9.58 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 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 - $987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 4	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG 4-Emergency	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG1	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG5	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5-Emergency	$800.99 / 1 Day
Respite-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
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
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-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
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)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 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1) Out of Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$97.84 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 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 4, 2:1) Out-of-Home	$681.46 / 1 Day
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
Small Group Employment (Base)-15 min	$2.48 / 15 min.
Small Group Employment (Level 1)-15 min	$3.82 / 15 min.
Small Group Employment (Level 2)-15 min	$7.52 / 15 min.
Small Group Employment (Level 3)-15 Mins	$14.20 / 15 min.
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.
Supported Living-1 Person-NG1	$160.19 / 1 Day
Supported Living-1 Person-NG2	$268.46 / 1 Day
Supported Living-1 Person-NG3	$428.64 / 1 Day
Supported Living-1 Person-NG4	$576.34 / 1 Day
Supported Living-2 Person-NG1	$112.14 / 1 Day
Supported Living-2 Person-NG2	$214.77 / 1 Day
Supported Living-2 Person-NG3	$358.94 / 1 Day
Supported Living-2 Person-NG4	$576.34 / 1 Day
Supported Living-3 Person-NG1	$80.09 / 1 Day
Supported Living-3 Person-NG2	$142.24 / 1 Day
Supported Living-3 Person-NG3	$249.17 / 1 Day
Supported Living-3 Person-NG4	$401.19 / 1 Day
Supports Broker services	$19.46 / 15 min.

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

Respite-Lic-Day-1 person-NG 4	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5	$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 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG1	$503.18 / 1 Day

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

Respite-Lic-Day-1 person-NG 4	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5	$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 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG1	$503.18 / 1 Day

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

Res Hab-2 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-2 Person-NG5-Elig	$1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports	$1,215.16 / 1 Day
Res Hab-3 Person-NG 1-Elig	$411.03 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$312.16 / 1 Day
Res Hab-3 Person-NG 2-Elig	$468.38 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$361.68 / 1 Day
Res Hab-3 Person-NG 3-Elig	$545.05 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$467.35 / 1 Day
Res Hab-3 Person-NG 4-Elig	$662.22 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$513.07 / 1 Day
Res Hab-3 Person-NG5-Elig	$1,004.32 / 1 Day
Res Hab-3 Person-NG5-Elig-w/Day Supports	$835.46 / 1 Day
Res Hab-4 Person-NG 1-Elig-w/Day Supports	$245.99 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports	$284.31 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports	$362.42 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports	$398.69 / 1 Day
Res Hab-4 Person-NG5-Elig-w/Day Supports	$642.84 / 1 Day
Res Hab-5-8 Person-NG 1-Elig	$283.18 / 1 Day
Res Hab-5-8 Person-NG 1-Elig-w/Day Supports	$224.75 / 1 Day
Res Hab-5-8 Person-NG 2-Elig	$330.71 / 1 Day
Res Hab-5-8 Person-NG 2-Elig-w/Day Supports	$265.75 / 1 Day
Res Hab-5-8 Person-NG 3-Elig	$381.85 / 1 Day
Res Hab-5-8 Person-NG 3-Elig-w/Day Supports	$333.29 / 1 Day
Res Hab-5-8 Person-NG 4-Elig	$454.78 / 1 Day
Res Hab-5-8 Person-NG 4-Elig-w/Day Supports	$358.89 / 1 Day
Res Hab-5-8 Person-NG5-Elig	$683.54 / 1 Day
Res Hab-5-8 Person-NG5-Elig-w/Day Supports	$579.75 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig	$41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1	$322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2	$367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3	$425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4	$510.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG5	$766.28 / 1 Day
Res Hab-Lic-4 Person-Inelig	$31.91 / 1 Day
Res Hab-Lic-5-8 Person-Inelig	$22.87 / 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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