| |
| County : Dauphin |
| |Service Name / Level |
|Rate |
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Facility 1:2 to 1:3 |
$7.39 / 15 min.
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 / 1 Day
|
| |
| County : Lancaster |
| |Service Name / Level |
|Rate |
|
| Res Hab-5-8 Person-NG 1-Elig |
$283.18 / 1 Day
|
| Res Hab-5-8 Person-NG 1-Elig-w/Day Supports |
$224.75 / 1 Day
|
| Res Hab-5-8 Person-NG 2-Elig |
$330.71 / 1 Day
|
| Res Hab-5-8 Person-NG 2-Elig-w/Day Supports |
$265.75 / 1 Day
|
| Res Hab-5-8 Person-NG 3-Elig |
$381.85 / 1 Day
|
| Res Hab-5-8 Person-NG 3-Elig-w/Day Supports |
$333.29 / 1 Day
|
| Res Hab-5-8 Person-NG 4-Elig |
$454.78 / 1 Day
|
| Res Hab-5-8 Person-NG 4-Elig-w/Day Supports |
$358.89 / 1 Day
|
| Res Hab-Lic-5-8 Person-Inelig |
$18.93 / 1 Day
|
| |
| County : York/Adams |
| |Service Name / Level |
|Rate |
|
| Adv Supp Emplymnt-Discovery |
$4,318.68 / Outcome Based
|
| Adv Supp Emplymnt-Job Acquisition |
$4,318.68 / Outcome Based
|
| Adv Supp Emplymnt-Job Retention>=4 Mths |
$10,364.85 / Outcome Based
|
| CPS Community 1:1 |
$13.83 / 15 min.
|
| CPS Community 1:2 or 1:3 |
$7.54 / 15 min.
|
| CPS Community 2:1 |
$26.59 / 15 min.
|
| CPS Community 2:3 |
$11.26 / 15 min.
|
| CPS Facility 1:1 |
$13.39 / 15 min.
|
| CPS Facility 1:1 Enhanced |
$18.65 / 15 min.
|
| CPS Facility 1:1 Enhcd LPN |
$18.65 / 15 min.
|
| CPS Facility 1:1 Enhcd RN |
$18.65 / 15 min.
|
| CPS Facility 1:11 to 1:15 |
$3.20 / 15 min.
|
| CPS Facility 1:2 to 1:3 |
$7.39 / 15 min.
|
| CPS Facility 1:4 to 1:6 |
$5.65 / 15 min.
|
| CPS Facility 1:7 to 1:10 |
$3.43 / 15 min.
|
| CPS Facility 2:1 |
$25.67 / 15 min.
|
| CPS Facility 2:1 Enhcd |
$30.94 / 15 min.
|
| CPS Facility 2:1 Enhcd LPN |
$30.94 / 15 min.
|
| CPS Facility 2:1 Enhcd RN |
$30.94 / 15 min.
|
| CPS: Community OnCall/Remote Support |
$1.77 / 15 min.
|
| CPS:Community OnCall/Remote Support |
$1.77 / 15 min.
|
| In-Home & Commnty Supprts (Basic) |
$4.42 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) |
$6.22 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) |
$11.10 / 15 min.
|
| Life Sharing-1 person-Elig-NG 1 > 30 Hrs |
$181.63 / 1 Day
|
| Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$216.55 / 1 Day
|
| Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$296.35 / 1 Day
|
| Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-Elig-NG5 > 30 Hrs |
$376.95 / 1 Day
|
| Life Sharing-1 person-NG1 > 30 Hrs WithOut |
$200.90 / 1 Day
|
| Life Sharing-1 person-NG2 > 30 Hrs WithOut |
$230.47 / 1 Day
|
| Life Sharing-1 person-NG3 > 30 Hrs WithOut |
$325.99 / 1 Day
|
| Life Sharing-1 person-NG4 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-1 person-NG5 > 30 Hrs WithOut |
$414.65 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs WithOut |
$160.45 / 1 Day
|
| Life Sharing-2 person-Elig-NG 2 > 30 Hrs WithOut |
$182.70 / 1 Day
|
| Life Sharing-2 person-Elig-NG 3 > 30 Hrs WithOut |
$230.61 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs WithOut |
$271.93 / 1 Day
|
| Life Sharing-2 person-NG 1 > 30 Hrs WithDay |
$128.04 / 1 Day
|
| Life Sharing-2 person-NG 2 > 30 Hrs WithDay |
$153.53 / 1 Day
|
| Life Sharing-2 person-NG 3 > 30 Hrs WithDay |
$208.88 / 1 Day
|
| Life Sharing-2 person-NG 4 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Life Sharing-2 person-NG5 > 30 Hrs WithDay |
$251.39 / 1 Day
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
$1,190.88 / 1 Day
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
$1,487.39 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-1 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-1 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig |
$980.38 / 1 Day
|
| Res Hab-1 Person-NG 3-Elig-w/Day Supports |
$790.99 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig |
$1,185.86 / 1 Day
|
| Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$871.56 / 1 Day
|
| Res Hab-1 Person-NG5-Elig |
$1,754.51 / 1 Day
|
| Res Hab-1 Person-NG5-Elig-w/Day Supports |
$1,341.85 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig |
$554.38 / 1 Day
|
| Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$433.05 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig |
$643.34 / 1 Day
|
| Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$545.91 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig |
$726.82 / 1 Day
|
| Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$668.54 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig |
$869.36 / 1 Day
|
| Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$730.86 / 1 Day
|
| Res Hab-2 Person-NG5-Elig |
$1,312.57 / 1 Day
|
| Res Hab-2 Person-NG5-Elig-w/Day Supports |
$1,215.16 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig |
$411.03 / 1 Day
|
| Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$312.16 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig |
$468.38 / 1 Day
|
| Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$361.68 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig |
$545.05 / 1 Day
|
| Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$467.35 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig |
$662.22 / 1 Day
|
| Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$513.07 / 1 Day
|
| Res Hab-3 Person-NG5-Elig |
$1,004.32 / 1 Day
|
| Res Hab-3 Person-NG5-Elig-w/Day Supports |
$835.46 / 1 Day
|
| Res Hab-4 Person-NG 1-Elig-w/Day Supports |
$245.99 / 1 Day
|
| Res Hab-4 Person-NG 2-Elig-w/Day Supports |
$284.31 / 1 Day
|
| Res Hab-4 Person-NG 3-Elig-w/Day Supports |
$362.42 / 1 Day
|
| Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$398.69 / 1 Day
|
| Res Hab-4 Person-NG5-Elig-w/Day Supports |
$642.84 / 1 Day
|
| Res Hab-5-8 Person-NG 1-Elig |
$283.18 / 1 Day
|
| Res Hab-5-8 Person-NG 1-Elig-w/Day Supports |
$224.75 / 1 Day
|
| Res Hab-5-8 Person-NG 2-Elig |
$330.71 / 1 Day
|
| Res Hab-5-8 Person-NG 2-Elig-w/Day Supports |
$265.75 / 1 Day
|
| Res Hab-5-8 Person-NG 3-Elig |
$381.85 / 1 Day
|
| Res Hab-5-8 Person-NG 3-Elig-w/Day Supports |
$333.29 / 1 Day
|
| Res Hab-5-8 Person-NG 4-Elig |
$454.78 / 1 Day
|
| Res Hab-5-8 Person-NG 4-Elig-w/Day Supports |
$358.89 / 1 Day
|
| Res Hab-Lic-1 Person-Inelig |
$93.64 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$50.22 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$35.47 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 1 |
$322.49 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 2 |
$367.82 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 3 |
$425.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG 4 |
$510.56 / 1 Day
|
| Res Hab-Lic-4 Person-Elig-NG5 |
$766.28 / 1 Day
|
| Res Hab-Lic-4 Person-Inelig |
$27.15 / 1 Day
|
| Res Hab-Lic-5-8 Person-Inelig |
$18.93 / 1 Day
|
| Respite Only Home-2 People-Lic-Day-NG 1 |
$574.21 / 1 Day
|
| Respite Only Home-2 People-Lic-Day-NG 2 |
$703.01 / 1 Day
|
| Respite Only Home-2 People-Lic-Day-NG 3 |
$842.97 / 1 Day
|
| Respite Only Home-2 People-Lic-Day-NG 4 |
$914.07 / 1 Day
|
| Respite Only Home-3 People-Lic-Day-NG 1 |
$421.93 / 1 Day
|
| Respite Only Home-3 People-Lic-Day-NG 2 |
$478.44 / 1 Day
|
| Respite Only Home-3 People-Lic-Day-NG 3 |
$599.03 / 1 Day
|
| Respite Only Home-3 People-Lic-Day-NG 4 |
$651.20 / 1 Day
|
| Respite Only Home-4 People-Lic-Day-NG 1 |
$336.95 / 1 Day
|
| Respite Only Home-4 People-Lic-Day-NG 2 |
$380.69 / 1 Day
|
| Respite Only Home-4 People-Lic-Day-NG 3 |
$469.82 / 1 Day
|
| Respite Only Home-4 People-Lic-Day-NG 4 |
$511.21 / 1 Day
|
| Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
Not Set
|
| Respite-Lic-Day-2 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 2 |
Not Set
|
| Respite-Lic-Day-2 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 3 |
Not Set
|
| Respite-Lic-Day-2 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG 4 |
Not Set
|
| Respite-Lic-Day-2 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-2 person-NG1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Small Group Employment (Level 1)-15 min |
Not Set
|
| Small Group Employment (Level 3)-15 Mins |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$6.12 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$12.22 / 15 min.
|
| Supported Employment-Career Assessment |
$19.34 / 15 min.
|
| Supported Emplymnt-Job Finding/Job Development |
$19.34 / 15 min.
|
| Supported Emplymnt-Job Support - 1:1 |
$19.34 / 15 min.
|
| Supported Emplymnt-Job Support-1:2 |
$11.58 / 15 min.
|
| Transportation(Zone 1)-Trip |
$36.54 / Trip
|
| Transportation(Zone 2)-Trip |
$65.78 / Trip
|
| Transportation(Zone 3)-Trip |
$74.73 / Trip
|
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