| |
| County : Allegheny |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Armstrong/Indiana |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Beaver |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Bedford/Somerset |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Berks |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Blair |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Bradford/Sullivan |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Bucks |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Butler |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Cambria |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Cameron/Elk |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Carbon/Monroe/Pike |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Centre |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Chester |
| |Service Name / Level |
|Rate |
|
| Companion Services (Basic Staff Support) |
$3.45 / 15 min.
|
| Companion Services (Level 1) |
$4.77 / 15 min.
|
| Companion Services (Level 2) |
$8.33 / 15 min.
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3 Enh) |
$25.64 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 3) |
$21.42 / 15 min.
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$156.49 / 1 Day
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$111.44 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG1-Relative> 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG2-Relative>30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG3-Relative>30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG4-Relative>30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$156.49 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$156.49 / 1 Day
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$140.44 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$28.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| 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 - $987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.25 - $987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Clarion |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Clearfield/Jefferson |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Columbia/Montour/Snyder/Union |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Crawford |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Cumberland/Perry |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Dauphin |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Delaware |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Erie |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Fayette |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Forest/Warren |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Franklin/Fulton |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Greene |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Huntingdon/Mifflin/Juniata |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Lackawanna/Susquehanna |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Lancaster |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Lawrence |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Lebanon |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Lehigh |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Luzerne/Wyoming |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Lycoming/Clinton |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : McKean |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Mercer |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Montgomery |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Northampton |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Northumberland |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Philadelphia |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Potter |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Schuylkill |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Tioga |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Venango |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Washington |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Wayne |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : Westmoreland |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
| |
| County : York/Adams |
| |Service Name / Level |
|Rate |
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 1-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 2-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 3-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 - ECS > 30 Hrs |
Not Set
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
Not Set
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG1-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG3-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG4-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 - ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 1-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 3-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG 4-ECS > 30 Hrs |
Not Set
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-Elig-NG5-ECS > 30 Hrs W/Out |
Not Set
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 1-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 2-ECS > 30 Hrs WithOut |
Not Set
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 3-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG 4-ECS > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
Not Set
|
| Life Sharing-2 person-NG5-ECS > 30 Hrs WithDay |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| Remote Support - Technology/Equipment |
Not Set
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$57.29 / 1 Day
|
| Respit-Life Sharin-Day(Lvl4,2:1Enh)OutHome ECS LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN |
$869.48 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
$531.24 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN |
Not Set
|
| 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
|
| Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2 |
Not Set
|
| Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2 |
Not Set
|
| Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2 |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh) |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE |
Not Set
|
| Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
$906.68 / 1 Day
|
| Respite-Lic-Day-1 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
$987.27 / 1 Day
|
| Respite-Lic-Day-1 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5 |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-1 person-NG5-Emergency |
$987.25 / 1 Day
|
| Respite-Lic-Day-1 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
$616.04 / 1 Day
|
| Respite-Lic-Day-2 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
$738.67 / 1 Day
|
| Respite-Lic-Day-2 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
$503.18 / 1 Day
|
| Respite-Lic-Day-2 person-NG1-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5 |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-2 person-NG5-Emergency |
$800.99 / 1 Day
|
| Respite-Lic-Day-2 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1 |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
$369.73 / 1 Day
|
| Respite-Lic-Day-3 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
$419.25 / 1 Day
|
| Respite-Lic-Day-3 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
$524.92 / 1 Day
|
| Respite-Lic-Day-3 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5 |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-3 person-NG5-Emergency |
$570.64 / 1 Day
|
| Respite-Lic-Day-3 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
$295.27 / 1 Day
|
| Respite-Lic-Day-4 person-NG 1-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
$333.59 / 1 Day
|
| Respite-Lic-Day-4 person-NG 2-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
$411.70 / 1 Day
|
| Respite-Lic-Day-4 person-NG 3-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG 4-Emergency-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5 |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-ECS |
Not Set
|
| Respite-Lic-Day-4 person-NG5-Emergency |
$447.97 / 1 Day
|
| Respite-Lic-Day-4 person-NG5-Emergency-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2) In-Home |
$190.26 / 1 Day
|
| Respite-Life Sharing-Day (Level 2, 1:2)In-Home-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) In-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$343.22 / 1 Day
|
| Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day (Level 4, 2:1) In-Home |
$681.46 / 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(Level 4, 2:1)In-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN |
$869.48 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 2,1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN |
$531.24 / 1 Day
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-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)In-Home-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)InHomeECS-RN |
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)InHome-ECS RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1Enh)OutHomeECS RN |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD |
Not Set
|
| Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE |
Not Set
|
| Respite-Unlic- 15-min (Basic 1:4) |
$2.44 / 15 min.
|
| Respite-Unlic- 15-min (Basic 1:4) ECS |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
$13.28 / 15 min.
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
$13.28 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$3.22 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.75 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$8.59 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) |
$21.74 / 15 min.
|
| Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 1, 1:3) Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 2, 1:2)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 3, 1:1)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-15-min(Lvl 4, 2:1) In-Home |
$17.03 / 15 min.
|
| Respite-Unlic-15min(Lvl 4, 2:1)In-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) In-Home |
$97.84 / 1 Day
|
| Respite-Unlic-Day (Basic 1:4) In-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) In-Home |
$128.64 / 1 Day
|
| Respite-Unlic-Day (Level 1, 1:3) In-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) In-Home |
$190.26 / 1 Day
|
| Respite-Unlic-Day (Level 2, 1:2) In-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) In-Home |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) In-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)In-Hme-ECS -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
$531.24 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home |
$343.22 / 1 Day
|
| Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS |
Not Set
|
| 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 Enh) ECS-In-Hme-TD |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) ECS-Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) In-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
$681.46 / 1 Day
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)Out-of-Home-ECS |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Level 3, 1:1 Enh)OutofHme-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
$869.48 / 1 Day
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TD |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enh)Out-of-Home-ECS-TE |
Not Set
|
| Respite-Unlic-Day(Lvl 4-2:1 Enhcd)Out-of-Home-ECS |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 1:1 - 15 min - ECS |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min |
Not Set
|
| Supplemental Habilitation 2:1 - 15 min - ECS |
Not Set
|
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