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Provider Demographic Information - KIXITON HOME CARE SERVICES LLC

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	KIXITON HOME CARE SERVICES LLC
Address:	1450 ROSEDALE AVE MIDDLETOWN, PA 17057-3438
Phone:	(717) 379-3926
E-mail:	KIXIOFIE@YAHOO.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:	KIXITON HOME CARE SERVICES LLC
Address:	1450 ROSEDALE AVE MIDDLETOWN, PA 17057-3438
Phone:	(717) 379-3926

Type:	Regional/Field Office	Counties Served:
Name:	KIXITON HOME CARE SERVICES LLC
Address:	3544 N PROGRESS AVE STE 10 8 HARRISBURG, PA 17110-9638
Phone:	(717) 379-3926
Fax:	(770) 670-5787

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PROVIDER SERVICES AND RATES Supporting line for group header


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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

CPS (1:1 to 1:5) Remote	Not Set
CPS (1:6 or >) Remote	Not Set
CPS Community 1:1	Not Set
CPS Community 1:1 Enhanced	Not Set
CPS Community 1:1 Enhcd RN	Not Set
CPS Community 1:2 or 1:3	Not Set
CPS Community 2:1	Not Set
CPS Community 2:1 Enhanced	Not Set
CPS Community 2:1 Enhcd LPN	Not Set
CPS Community 2:1 Enhcd RN	Not Set
CPS Community 2:3	Not Set
CPS Facility 1:4 to 1:6	Not Set
CPS Facility 1:7 to 1:10	Not Set
CPS: Community OnCall/Remote Support	Not Set
Companion Services (Basic Staff Support)	Not Set
Companion Services (Level 1)	Not Set
Companion Services (Level 2)	Not Set
In-Home & Commnty Supprts (Basic)	Not Set
In-Home & Commnty Supprts (Lvl 1)	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh)	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) RN	Not Set
In-Home & Commnty Supprts (Lvl 2)	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh)	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) LPN	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) RN	Not Set
In-Home & Commnty Supprts (Lvl 3)	Not Set
Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) In-Home	Not Set
Respite-Unlic-Day (Level 1, 1:3) In-Home	Not Set
Respite-Unlic-Day (Level 2, 1:2) In-Home	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE	Not Set
Respite-Unlic-Day (Level 3, 1:1) In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) In-Home	Not Set
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

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 1:1 Enhcd LPN	$19.26 / 15 min.
CPS Community 1:1 Enhcd RN	$19.26 / 15 min.
CPS Community 1:2 or 1:3	$7.54 / 15 min.
CPS Community 2:1	$26.59 / 15 min.
CPS Community 2:1 Enhanced	$32.08 / 15 min.
CPS Community 2:1 Enhanced ECS	Not Set
CPS Community 2:1 Enhcd LPN	$32.08 / 15 min.
CPS Community 2:1 Enhcd LPN ECS	Not Set
CPS Community 2:1 Enhcd RN	$32.08 / 15 min.
CPS Community 2:1 Enhcd RN ECS	Not Set
CPS Community 2:3	$11.26 / 15 min.
CPS Community 2:3-ECS	Not Set
CPS Facility 1:4 to 1:6	$5.65 / 15 min.
CPS Facility 1:4 to 1:6-ECS	Not Set
CPS Facility 1:7 to 1:10	$3.43 / 15 min.
CPS Facility 1:7 to 1:10-ECS	Not Set
CPS: Community OnCall/Remote Support	$1.77 / 15 min.
CPS: Community OnCall/Remote Support-ECS	Not Set
Companion Services (Basic Staff Support)	Not Set
Companion Services (Level 1)	Not Set
Companion Services (Level 2)	Not Set
In-Home & Commnty Supprts (Basic)	$4.42 / 15 min.
In-Home & Commnty Supprts (Basic) ECS	Not Set
In-Home & Commnty Supprts (Lvl 1)	$6.22 / 15 min.
In-Home & Commnty Supprts (Lvl 1) ECS	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh)	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) ECS	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) RN	$15.31 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS	Not Set
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 2) ECS	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh)	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) ECS	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) LPN	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) RN	$25.64 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS	Not Set
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
In-Home & Commnty Supprts (Lvl 3) ECS	Not Set
Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Respite-Unlic-15min(Lvl 4, 2:1)In-Home-ECS	Not Set
Respite-Unlic-Day (Basic 1:4) In-Home	$97.84 / 1 Day
Respite-Unlic-Day (Basic 1:4) In-Home-ECS	Not Set
Respite-Unlic-Day (Level 1, 1:3) In-Home	$128.64 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) In-Home-ECS	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home-ECS	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TD	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE	Not Set
Respite-Unlic-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TD	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enh) ECS-In-Hme-TE	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD	$869.48 / 1 Day
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE	$869.48 / 1 Day
Respite-Unlic-Day (Level 4, 2:1 Enhcd) ECS-In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home	$869.48 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

CPS (1:1 to 1:5) Remote	Not Set
CPS (1:6 or >) Remote	Not Set
CPS Community 1:1	Not Set
CPS Community 1:1 Enhanced	Not Set
CPS Community 1:1 Enhcd RN	Not Set
CPS Community 1:2 or 1:3	Not Set
CPS Community 2:1	Not Set
CPS Community 2:1 Enhanced	Not Set
CPS Community 2:1 Enhcd LPN	Not Set
CPS Community 2:1 Enhcd RN	Not Set
CPS Community 2:3	Not Set
CPS Facility 1:4 to 1:6	Not Set
CPS Facility 1:7 to 1:10	Not Set
CPS: Community OnCall/Remote Support	Not Set
Companion Services (Basic Staff Support)	Not Set
Companion Services (Level 1)	Not Set
Companion Services (Level 2)	Not Set
In-Home & Commnty Supprts (Basic)	Not Set
In-Home & Commnty Supprts (Lvl 1)	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh)	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) RN	Not Set
In-Home & Commnty Supprts (Lvl 2)	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh)	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) LPN	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) RN	Not Set
In-Home & Commnty Supprts (Lvl 3)	Not Set
Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) In-Home	Not Set
Respite-Unlic-Day (Level 1, 1:3) In-Home	Not Set
Respite-Unlic-Day (Level 2, 1:2) In-Home	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE	Not Set
Respite-Unlic-Day (Level 3, 1:1) In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) In-Home	Not Set
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

CPS (1:1 to 1:5) Remote	Not Set
CPS (1:6 or >) Remote	Not Set
CPS Community 1:1	Not Set
CPS Community 1:1 Enhanced	Not Set
CPS Community 1:1 Enhcd RN	Not Set
CPS Community 1:2 or 1:3	Not Set
CPS Community 2:1	Not Set
CPS Community 2:1 Enhanced	Not Set
CPS Community 2:1 Enhcd LPN	Not Set
CPS Community 2:1 Enhcd RN	Not Set
CPS Community 2:3	Not Set
CPS Facility 1:4 to 1:6	Not Set
CPS Facility 1:7 to 1:10	Not Set
CPS: Community OnCall/Remote Support	Not Set
Companion Services (Basic Staff Support)	Not Set
Companion Services (Level 1)	Not Set
Companion Services (Level 2)	Not Set
In-Home & Commnty Supprts (Basic)	Not Set
In-Home & Commnty Supprts (Lvl 1)	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh)	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) RN	Not Set
In-Home & Commnty Supprts (Lvl 2)	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh)	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) LPN	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) RN	Not Set
In-Home & Commnty Supprts (Lvl 3)	Not Set
Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) In-Home	Not Set
Respite-Unlic-Day (Level 1, 1:3) In-Home	Not Set
Respite-Unlic-Day (Level 2, 1:2) In-Home	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE	Not Set
Respite-Unlic-Day (Level 3, 1:1) In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) In-Home	Not Set
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

CPS (1:1 to 1:5) Remote	Not Set
CPS (1:6 or >) Remote	Not Set
CPS Community 1:1	Not Set
CPS Community 1:1 Enhanced	Not Set
CPS Community 1:1 Enhcd RN	Not Set
CPS Community 1:2 or 1:3	Not Set
CPS Community 2:1	Not Set
CPS Community 2:1 Enhanced	Not Set
CPS Community 2:1 Enhcd LPN	Not Set
CPS Community 2:1 Enhcd RN	Not Set
CPS Community 2:3	Not Set
CPS Facility 1:4 to 1:6	Not Set
CPS Facility 1:7 to 1:10	Not Set
CPS: Community OnCall/Remote Support	Not Set
Companion Services (Basic Staff Support)	Not Set
Companion Services (Level 1)	Not Set
Companion Services (Level 2)	Not Set
In-Home & Commnty Supprts (Basic)	Not Set
In-Home & Commnty Supprts (Lvl 1)	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh)	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) RN	Not Set
In-Home & Commnty Supprts (Lvl 2)	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh)	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) LPN	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) RN	Not Set
In-Home & Commnty Supprts (Lvl 3)	Not Set
Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) In-Home	Not Set
Respite-Unlic-Day (Level 1, 1:3) In-Home	Not Set
Respite-Unlic-Day (Level 2, 1:2) In-Home	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE	Not Set
Respite-Unlic-Day (Level 3, 1:1) In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) In-Home	Not Set
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

CPS (1:1 to 1:5) Remote	Not Set
CPS (1:6 or >) Remote	Not Set
CPS Community 1:1	Not Set
CPS Community 1:1 Enhanced	Not Set
CPS Community 1:1 Enhcd RN	Not Set
CPS Community 1:2 or 1:3	Not Set
CPS Community 2:1	Not Set
CPS Community 2:1 Enhanced	Not Set
CPS Community 2:1 Enhcd LPN	Not Set
CPS Community 2:1 Enhcd RN	Not Set
CPS Community 2:3	Not Set
CPS Facility 1:4 to 1:6	Not Set
CPS Facility 1:7 to 1:10	Not Set
CPS: Community OnCall/Remote Support	Not Set
Companion Services (Basic Staff Support)	Not Set
Companion Services (Level 1)	Not Set
Companion Services (Level 2)	Not Set
In-Home & Commnty Supprts (Basic)	Not Set
In-Home & Commnty Supprts (Lvl 1)	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh)	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) RN	Not Set
In-Home & Commnty Supprts (Lvl 2)	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh)	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) LPN	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) RN	Not Set
In-Home & Commnty Supprts (Lvl 3)	Not Set
Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) In-Home	Not Set
Respite-Unlic-Day (Level 1, 1:3) In-Home	Not Set
Respite-Unlic-Day (Level 2, 1:2) In-Home	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE	Not Set
Respite-Unlic-Day (Level 3, 1:1) In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) In-Home	Not Set
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

CPS (1:1 to 1:5) Remote	Not Set
CPS (1:6 or >) Remote	Not Set
CPS Community 1:1	Not Set
CPS Community 1:1 Enhanced	Not Set
CPS Community 1:1 Enhcd RN	Not Set
CPS Community 1:2 or 1:3	Not Set
CPS Community 2:1	Not Set
CPS Community 2:1 Enhanced	Not Set
CPS Community 2:1 Enhcd LPN	Not Set
CPS Community 2:1 Enhcd RN	Not Set
CPS Community 2:3	Not Set
CPS Facility 1:4 to 1:6	Not Set
CPS Facility 1:7 to 1:10	Not Set
CPS: Community OnCall/Remote Support	Not Set
Companion Services (Basic Staff Support)	Not Set
Companion Services (Level 1)	Not Set
Companion Services (Level 2)	Not Set
In-Home & Commnty Supprts (Basic)	Not Set
In-Home & Commnty Supprts (Lvl 1)	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh)	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) RN	Not Set
In-Home & Commnty Supprts (Lvl 2)	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh)	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) LPN	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) RN	Not Set
In-Home & Commnty Supprts (Lvl 3)	Not Set
Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) In-Home	Not Set
Respite-Unlic-Day (Level 1, 1:3) In-Home	Not Set
Respite-Unlic-Day (Level 2, 1:2) In-Home	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE	Not Set
Respite-Unlic-Day (Level 3, 1:1) In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) In-Home	Not Set
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

CPS (1:1 to 1:5) Remote	Not Set
CPS (1:6 or >) Remote	Not Set
CPS Community 1:1	Not Set
CPS Community 1:1 Enhanced	Not Set
CPS Community 1:1 Enhcd RN	Not Set
CPS Community 1:2 or 1:3	Not Set
CPS Community 2:1	Not Set
CPS Community 2:1 Enhanced	Not Set
CPS Community 2:1 Enhcd LPN	Not Set
CPS Community 2:1 Enhcd RN	Not Set
CPS Community 2:3	Not Set
CPS Facility 1:4 to 1:6	Not Set
CPS Facility 1:7 to 1:10	Not Set
CPS: Community OnCall/Remote Support	Not Set
Companion Services (Basic Staff Support)	Not Set
Companion Services (Level 1)	Not Set
Companion Services (Level 2)	Not Set
In-Home & Commnty Supprts (Basic)	Not Set
In-Home & Commnty Supprts (Lvl 1)	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh)	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) RN	Not Set
In-Home & Commnty Supprts (Lvl 2)	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh)	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) LPN	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) RN	Not Set
In-Home & Commnty Supprts (Lvl 3)	Not Set
Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) In-Home	Not Set
Respite-Unlic-Day (Level 1, 1:3) In-Home	Not Set
Respite-Unlic-Day (Level 2, 1:2) In-Home	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE	Not Set
Respite-Unlic-Day (Level 3, 1:1) In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) In-Home	Not Set
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

CPS (1:1 to 1:5) Remote	Not Set
CPS (1:6 or >) Remote	Not Set
CPS Community 1:1	Not Set
CPS Community 1:1 Enhanced	Not Set
CPS Community 1:1 Enhcd RN	Not Set
CPS Community 1:2 or 1:3	Not Set
CPS Community 2:1	Not Set
CPS Community 2:1 Enhanced	Not Set
CPS Community 2:1 Enhcd LPN	Not Set
CPS Community 2:1 Enhcd RN	Not Set
CPS Community 2:3	Not Set
CPS Facility 1:4 to 1:6	Not Set
CPS Facility 1:7 to 1:10	Not Set
CPS: Community OnCall/Remote Support	Not Set
Companion Services (Basic Staff Support)	Not Set
Companion Services (Level 1)	Not Set
Companion Services (Level 2)	Not Set
In-Home & Commnty Supprts (Basic)	Not Set
In-Home & Commnty Supprts (Lvl 1)	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh)	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) RN	Not Set
In-Home & Commnty Supprts (Lvl 2)	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh)	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) LPN	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) RN	Not Set
In-Home & Commnty Supprts (Lvl 3)	Not Set
Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) In-Home	Not Set
Respite-Unlic-Day (Level 1, 1:3) In-Home	Not Set
Respite-Unlic-Day (Level 2, 1:2) In-Home	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE	Not Set
Respite-Unlic-Day (Level 3, 1:1) In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) In-Home	Not Set
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

CPS (1:1 to 1:5) Remote	Not Set
CPS (1:6 or >) Remote	Not Set
CPS Community 1:1	Not Set
CPS Community 1:1 Enhanced	Not Set
CPS Community 1:1 Enhcd RN	Not Set
CPS Community 1:2 or 1:3	Not Set
CPS Community 2:1	Not Set
CPS Community 2:1 Enhanced	Not Set
CPS Community 2:1 Enhcd LPN	Not Set
CPS Community 2:1 Enhcd RN	Not Set
CPS Community 2:3	Not Set
CPS Facility 1:4 to 1:6	Not Set
CPS Facility 1:7 to 1:10	Not Set
CPS: Community OnCall/Remote Support	Not Set
Companion Services (Basic Staff Support)	Not Set
Companion Services (Level 1)	Not Set
Companion Services (Level 2)	Not Set
In-Home & Commnty Supprts (Basic)	Not Set
In-Home & Commnty Supprts (Lvl 1)	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh)	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) RN	Not Set
In-Home & Commnty Supprts (Lvl 2)	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh)	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) LPN	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) RN	Not Set
In-Home & Commnty Supprts (Lvl 3)	Not Set
Respit-Life Sharing-Day(Lvl 4, 2:1 Enh)InHome LPN	$869.48 / 1 Day
Respit-Life Sharing-Day(Lvl3,1:1Enh)InHome ECS LPN	Not Set
Respit-Life Sharing-Day(Lvl4,2:1Enh)InHome ECS LPN	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$190.26 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$869.48 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$681.46 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$869.48 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome-RN	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$3.22 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.75 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TD	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enh) ECS - TE	Not Set
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$21.74 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced) ECS	Not Set
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$17.03 / 15 min.
Respite-Unlic-Day (Basic 1:4) In-Home	Not Set
Respite-Unlic-Day (Level 1, 1:3) In-Home	Not Set
Respite-Unlic-Day (Level 2, 1:2) In-Home	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE	Not Set
Respite-Unlic-Day (Level 3, 1:1) In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE	Not Set
Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) ECS-In-Home	Not Set
Respite-Unlic-Day (Level 4, 2:1) In-Home	Not Set
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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