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Provider Demographic Information - JASMINE NYREE HOMES

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	JASMINE NYREE HOMES
Address:	3048 ASHLYN ST PITTSBURGH, PA 15204
Phone:	(412) 520-8401
E-mail:	Christyporter1@aol.com
Web Site:	N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header

Click here to view Provider Certification Information

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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header


Type:	Corporate Office
Name:	JASMINE NYREE HOMES
Address:	3048 ASHLYN ST PITTSBURGH, PA 15204
Phone:	(412) 520-8401

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PROVIDER SERVICES AND RATES Supporting line for group header


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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS (1:6 or >) Remote	$2.06 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:1 Enhanced	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Community Enhcd LPN	$32.08 / 15 min.
CPS Facility 1:1	$13.39 / 15 min.
CPS Facility 1:1 Enhanced	$18.65 / 15 min.
CPS Facility 1:1 Enhcd LPN	$18.65 / 15 min.
CPS Facility 1:11 to 1:15	$3.20 / 15 min.
CPS Facility 1:2 to 1:3	$7.39 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS Facility 2:1	$25.67 / 15 min.
CPS Facility 2:1 Enhcd	$30.94 / 15 min.
CPS Facility 2:1 Enhcd LPN	$30.94 / 15 min.
CPS Facility 2:1 Enhcd RN	$30.94 / 15 min.
CPS:Community OnCall/Remote Support	$1.77 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$97.84 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$343.22 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) Out-of-Home	$681.46 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home	$869.48 / 1 Day

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

Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS Community 1:1	$13.83 / 15 min.
CPS Facility 1:1	$13.39 / 15 min.
CPS Facility 1:2 to 1:3	$7.39 / 15 min.
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:1	$13.83 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
CPS Facility 1:2 to 1:3	$7.39 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

CPS (1:1 to 1:5) Remote	$5.34 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:3	$11.26 / 15 min.
Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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

Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN	$531.24 / 1 Day
Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN	$869.48 / 1 Day
Respite-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-Emergency	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$987.27 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5-Emergency	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency	$503.18 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-3 person-NG 1	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency	$369.73 / 1 Day
Respite-Lic-Day-3 person-NG 2	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$419.25 / 1 Day
Respite-Lic-Day-3 person-NG 3	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$524.92 / 1 Day
Respite-Lic-Day-3 person-NG 4	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5	$570.64 / 1 Day
Respite-Lic-Day-3 person-NG5-Emergency	$570.64 / 1 Day
Respite-Lic-Day-4 person-NG 1	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 1-Emergency	$295.27 / 1 Day
Respite-Lic-Day-4 person-NG 2	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 2-Emergency	$333.59 / 1 Day
Respite-Lic-Day-4 person-NG 3	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 3-Emergency	$411.70 / 1 Day
Respite-Lic-Day-4 person-NG 4	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG 4-Emergency	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5	$447.97 / 1 Day
Respite-Lic-Day-4 person-NG5-Emergency	$447.97 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home	$190.26 / 1 Day
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN	$869.48 / 1 Day

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