|
County : Bedford/Somerset |
|Service Name / Level |
|Rate |
|
Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$171.35 / 1 Day
|
Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$204.29 / 1 Day
|
Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$279.58 / 1 Day
|
Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$355.61 / 1 Day
|
Life Sharing-2 person-Elig-NG 1 > 30 Hrs |
$120.79 / 1 Day
|
Life Sharing-2 person-Elig-NG 2 > 30 Hrs |
$144.84 / 1 Day
|
Life Sharing-2 person-Elig-NG 3 > 30 Hrs |
$197.06 / 1 Day
|
Life Sharing-2 person-Elig-NG 4 > 30 Hrs |
$237.16 / 1 Day
|
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home |
$119.11 / 1 Day
|
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home |
$176.17 / 1 Day
|
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home |
$317.80 / 1 Day
|
|
County : Cumberland/Perry |
|Service Name / Level |
|Rate |
|
Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$171.35 / 1 Day
|
Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$204.29 / 1 Day
|
Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$279.58 / 1 Day
|
Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$355.61 / 1 Day
|
Life Sharing-2 person-Elig-NG 1 > 30 Hrs |
$120.79 / 1 Day
|
Life Sharing-2 person-Elig-NG 2 > 30 Hrs |
$144.84 / 1 Day
|
Life Sharing-2 person-Elig-NG 3 > 30 Hrs |
$197.06 / 1 Day
|
Life Sharing-2 person-Elig-NG 4 > 30 Hrs |
$237.16 / 1 Day
|
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
$139.56 / 1 Day
|
Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$245.13 / 1 Day
|
Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$2.98 / 15 min.
|
Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.40 / 15 min.
|
Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$7.95 / 15 min.
|
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home |
$119.11 / 1 Day
|
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home |
$176.17 / 1 Day
|
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home |
$317.80 / 1 Day
|
Supplemental Habilitation 1:1 - 15 min |
$5.77 / 15 min.
|
Supplemental Habilitation 2:1 - 15 min |
$11.53 / 15 min.
|
|
County : Franklin/Fulton |
|Service Name / Level |
|Rate |
|
Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$171.35 / 1 Day
|
Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$204.29 / 1 Day
|
Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$279.58 / 1 Day
|
Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$355.61 / 1 Day
|
Life Sharing-2 person-Elig-NG 1 > 30 Hrs |
$120.79 / 1 Day
|
Life Sharing-2 person-Elig-NG 2 > 30 Hrs |
$144.84 / 1 Day
|
Life Sharing-2 person-Elig-NG 3 > 30 Hrs |
$197.06 / 1 Day
|
Life Sharing-2 person-Elig-NG 4 > 30 Hrs |
$237.16 / 1 Day
|
Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
Respite-Lic-Day-1 person-NG 3 |
$855.36 / 1 Day
|
Respite-Lic-Day-1 person-NG 3-Emergency |
$855.36 / 1 Day
|
Respite-Lic-Day-1 person-NG 4 |
$931.37 / 1 Day
|
Respite-Lic-Day-1 person-NG 4-Emergency |
$931.37 / 1 Day
|
Respite-Lic-Day-2 person-NG 3 |
$696.86 / 1 Day
|
Respite-Lic-Day-2 person-NG 3-Emergency |
$696.86 / 1 Day
|
Respite-Lic-Day-2 person-NG 4 |
$755.65 / 1 Day
|
Respite-Lic-Day-2 person-NG 4-Emergency |
$755.65 / 1 Day
|
Respite-Lic-Day-3 person-NG 1 |
$348.80 / 1 Day
|
Respite-Lic-Day-3 person-NG 1-Emergency |
$348.80 / 1 Day
|
Respite-Lic-Day-3 person-NG 2 |
$395.52 / 1 Day
|
Respite-Lic-Day-3 person-NG 2-Emergency |
$395.52 / 1 Day
|
Respite-Lic-Day-3 person-NG 3 |
$495.21 / 1 Day
|
Respite-Lic-Day-3 person-NG 3-Emergency |
$495.21 / 1 Day
|
Respite-Lic-Day-3 person-NG 4 |
$538.34 / 1 Day
|
Respite-Lic-Day-3 person-NG 4-Emergency |
$538.34 / 1 Day
|
Respite-Lic-Day-4 person-NG 1 |
$278.56 / 1 Day
|
Respite-Lic-Day-4 person-NG 1-Emergency |
$278.56 / 1 Day
|
Respite-Lic-Day-4 person-NG 2 |
$314.71 / 1 Day
|
Respite-Lic-Day-4 person-NG 2-Emergency |
$314.71 / 1 Day
|
Respite-Lic-Day-4 person-NG 3 |
$388.40 / 1 Day
|
Respite-Lic-Day-4 person-NG 3-Emergency |
$388.40 / 1 Day
|
Respite-Lic-Day-4 person-NG 4 |
$422.61 / 1 Day
|
Respite-Lic-Day-4 person-NG 4-Emergency |
$422.61 / 1 Day
|
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
$139.56 / 1 Day
|
Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$245.13 / 1 Day
|
Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$2.98 / 15 min.
|
Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.40 / 15 min.
|
Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$7.95 / 15 min.
|
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home |
$119.11 / 1 Day
|
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home |
$176.17 / 1 Day
|
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home |
$317.80 / 1 Day
|
Supplemental Habilitation 1:1 - 15 min |
$5.77 / 15 min.
|
Supplemental Habilitation 2:1 - 15 min |
$11.53 / 15 min.
|
|
County : Huntingdon/Mifflin/Juniata |
|Service Name / Level |
|Rate |
|
Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$171.35 / 1 Day
|
Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$204.29 / 1 Day
|
Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$279.58 / 1 Day
|
Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$355.61 / 1 Day
|
Life Sharing-2 person-Elig-NG 1 > 30 Hrs |
$120.79 / 1 Day
|
Life Sharing-2 person-Elig-NG 2 > 30 Hrs |
$144.84 / 1 Day
|
Life Sharing-2 person-Elig-NG 3 > 30 Hrs |
$197.06 / 1 Day
|
Life Sharing-2 person-Elig-NG 4 > 30 Hrs |
$237.16 / 1 Day
|
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home |
$176.17 / 1 Day
|
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home |
$317.80 / 1 Day
|
|
County : Montgomery |
|Service Name / Level |
|Rate |
|
Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$171.35 / 1 Day
|
Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$204.29 / 1 Day
|
Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$279.58 / 1 Day
|
Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$355.61 / 1 Day
|
Life Sharing-2 person-Elig-NG 1 > 30 Hrs |
$120.79 / 1 Day
|
Life Sharing-2 person-Elig-NG 2 > 30 Hrs |
$144.84 / 1 Day
|
Life Sharing-2 person-Elig-NG 3 > 30 Hrs |
$197.06 / 1 Day
|
Life Sharing-2 person-Elig-NG 4 > 30 Hrs |
$237.16 / 1 Day
|
|
County : York/Adams |
|Service Name / Level |
|Rate |
|
Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$171.35 / 1 Day
|
Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$204.29 / 1 Day
|
Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$279.58 / 1 Day
|
Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$355.61 / 1 Day
|
Life Sharing-2 person-Elig-NG 1 > 30 Hrs |
$120.79 / 1 Day
|
Life Sharing-2 person-Elig-NG 2 > 30 Hrs |
$144.84 / 1 Day
|
Life Sharing-2 person-Elig-NG 3 > 30 Hrs |
$197.06 / 1 Day
|
Life Sharing-2 person-Elig-NG 4 > 30 Hrs |
$237.16 / 1 Day
|
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
$139.56 / 1 Day
|
Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$245.13 / 1 Day
|
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home |
$176.17 / 1 Day
|
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home |
$317.80 / 1 Day
|