| |
| County : Allegheny |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Armstrong/Indiana |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Beaver |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Bedford/Somerset |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Berks |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Blair |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Bradford/Sullivan |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Bucks |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 - $2,830.57 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,221.52 - $1,374.09 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| 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 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 |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Butler |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Cambria |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Cameron/Elk |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Carbon/Monroe/Pike |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Centre |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Chester |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 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 |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Clarion |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Clearfield/Jefferson |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Columbia/Montour/Snyder/Union |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Crawford |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Cumberland/Perry |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 - $2,149.68 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Dauphin |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Delaware |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 - $1,886.47 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| 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 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 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 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-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Erie |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Fayette |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Forest/Warren |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Franklin/Fulton |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Greene |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Huntingdon/Mifflin/Juniata |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Lackawanna/Susquehanna |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Lancaster |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Lawrence |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Lebanon |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Lehigh |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Luzerne/Wyoming |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Lycoming/Clinton |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : McKean |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Mercer |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Montgomery |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 - $2,007.56 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 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-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Northampton |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 - $2,149.68 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.38 - $1,374.09 / 1 Day
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
Not Set
|
| 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Northumberland |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Philadelphia |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 - $2,149.68 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.38 - $1,374.09 / 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 |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$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-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Potter |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Schuylkill |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Tioga |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Venango |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Washington |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Wayne |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : Westmoreland |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| Res Hab-Lic-1 Person-Inelig |
$105.05 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
Not Set
|
| Res Hab-Lic-3 Person-Inelig |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
| |
| County : York/Adams |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Basic Staff Support) - ECS |
Not Set
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 1) - ECS |
Not Set
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| Companion Services (Level 2) - ECS |
Not Set
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Basic) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN |
$15.31 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS |
Not Set
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) ECS |
Not Set
|
| NEA - Adult Res (6400) - No Day - NG5 |
$1,401.70 / 1 Day
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
$1,225.79 - $1,374.09 / 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 2-Elig |
Not Set
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
Not Set
|
| Res Hab-2 Person-NG 3-Elig |
Not Set
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 3-Elig |
Not Set
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
Not Set
|
| 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 |
Not Set
|
| Res Hab-Lic-4 Person-Inelig |
Not Set
|
| Res Hab-Lic-5-8 Person-Inelig |
Not Set
|
| 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 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 / 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)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
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Support (Medical Environment) (Basic)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 1)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 2)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 3 Enh) |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 3 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 3)-15 Mins |
Not Set
|
| Support (Medical Environment) (Level 4 Enh) |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TD |
Not Set
|
| Support (Medical Environment) (Level 4 Enh)-TE |
Not Set
|
| Support (Medical Environment) (Level 4)-15 Mins |
Not Set
|
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