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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header
 
Name: EXCENTIA HUMAN SERVICES
Address: 1810 ROHRERSTOWN RD
LANCASTER, PA 17601-2322
Phone: (717) 519-6740
Fax: (717) 519-6746
E-mail: JKepeck@excentiahumanservices.org
Web Site: N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header
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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header
 
Type: Regional/Field Office Counties Served:
Name: PAI ADULT DAY SERVICES
Address: 1810 ROHRERSTOWN RD
LANCASTER, PA 17601-2322
Phone: (717) 519-6740
Fax: (717) 519-6746
 

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PROVIDER SERVICES AND RATES Supporting line for group header
 
County : Armstrong/Indiana
|Service Name / Level |Rate
CPS Community 1:1 $12.81 / 15 min.
Res Hab-3 Person-NG 2-Elig $441.87 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports $341.21 / 1 Day
Res Hab-Lic-3 Person-Inelig $33.46 / 1 Day
 
County : Berks
|Service Name / Level |Rate
Res Hab-3 Person-NG 3-Elig $514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports $440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig $624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports $484.03 / 1 Day
Res Hab-Lic-3 Person-Inelig $33.46 / 1 Day
 
County : Bucks
|Service Name / Level |Rate
Behavioral Supports-Level 1-Initial/Ongoing $22.08 / 15 min.
 
County : Dauphin
|Service Name / Level |Rate
Behavioral Supports-Level 1-Initial/Ongoing $22.08 / 15 min.
CPS Community 1:1 $12.81 / 15 min.
CPS Community 1:1 Enhanced $17.83 / 15 min.
CPS Community 1:1 Enhanced $17.83 / 15 min.
CPS Community 1:2 or 1:3 $6.98 / 15 min.
CPS Community 2:1 $24.62 / 15 min.
CPS Community 2:1 Enhanced $29.70 / 15 min.
CPS Community 2:3 $10.43 / 15 min.
CPS Facility 1:1 $12.40 / 15 min.
CPS Facility 1:1 Enhanced $17.27 / 15 min.
CPS Facility 1:1 Enhcd LPN $17.27 / 15 min.
CPS Facility 1:1 Enhcd RN $17.27 / 15 min.
CPS Facility 1:11 to 1:15 $2.96 / 15 min.
CPS Facility 1:2 to 1:3 $6.84 / 15 min.
CPS Facility 1:4 to 1:6 $5.23 / 15 min.
CPS Facility 1:7 to 1:10 $3.18 / 15 min.
CPS Facility 2:1 $23.77 / 15 min.
CPS Facility 2:1 Enhcd $28.65 / 15 min.
CPS Facility 2:1 Enhcd LPN $28.65 / 15 min.
CPS Facility 2:1 Enhcd RN $28.65 / 15 min.
Communication Specialist $16.89 / 15 min.
Res Hab-1 Person-NG 1-Elig $523.00 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports $408.54 / 1 Day
Res Hab-1 Person-NG 2-Elig $606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports $515.01 / 1 Day
Res Hab-1 Person-NG 3-Elig $924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports $746.22 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,118.74 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports $822.23 / 1 Day
Res Hab-2 Person-NG 1-Elig $523.00 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports $408.54 / 1 Day
Res Hab-2 Person-NG 2-Elig $606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports $515.01 / 1 Day
Res Hab-2 Person-NG 3-Elig $685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports $630.70 / 1 Day
Res Hab-2 Person-NG 4-Elig $820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports $689.49 / 1 Day
Res Hab-3 Person-NG 1-Elig $387.76 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports $294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig $441.87 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports $341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig $514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports $440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig $624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports $484.03 / 1 Day
Res Hab-Lic-1 Person-Inelig $88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig $47.38 / 1 Day
Res Hab-Lic-3 Person-Inelig $33.46 / 1 Day
Supported Employment-Career Assessment $17.91 / 15 min.
Supported Emplymnt-Job Finding/Job Development $17.91 / 15 min.
Supported Emplymnt-Job Support - 1:1 $17.91 / 15 min.
Supported Emplymnt-Job Support-1:2 $10.72 / 15 min.
 
County : Franklin/Fulton
|Service Name / Level |Rate
Communication Specialist $16.89 / 15 min.
 
County : Lancaster
|Service Name / Level |Rate
Behavioral Supports-Level 1-Initial/Ongoing $22.08 / 15 min.
CPS Community 1:1 $12.81 / 15 min.
CPS Community 1:1 Enhanced $17.83 / 15 min.
CPS Community 1:1 Enhanced $17.83 / 15 min.
CPS Community 1:2 or 1:3 $6.98 / 15 min.
CPS Community 2:1 $24.62 / 15 min.
CPS Community 2:1 Enhanced $29.70 / 15 min.
CPS Community 2:3 $10.43 / 15 min.
CPS Facility 1:1 $12.40 / 15 min.
CPS Facility 1:1 Enhanced $17.27 / 15 min.
CPS Facility 1:1 Enhcd LPN $17.27 / 15 min.
CPS Facility 1:1 Enhcd RN $17.27 / 15 min.
CPS Facility 1:11 to 1:15 $2.96 / 15 min.
CPS Facility 1:2 to 1:3 $6.84 / 15 min.
CPS Facility 1:4 to 1:6 $5.23 / 15 min.
CPS Facility 1:7 to 1:10 $3.18 / 15 min.
CPS Facility 2:1 $23.77 / 15 min.
CPS Facility 2:1 Enhcd $28.65 / 15 min.
CPS Facility 2:1 Enhcd LPN $28.65 / 15 min.
CPS Facility 2:1 Enhcd RN $28.65 / 15 min.
CPS:Community OnCall/Remote Support $1.64 / 15 min.
Communication Specialist $16.89 / 15 min.
Companion Services (Level 2) $7.71 / 15 min.
Housing Transition/Tenancy Sustaining services $20.24 / 15 min.
In-Home & Commnty Supprts (Basic) $4.09 / 15 min.
In-Home & Commnty Supprts (Lvl 1) $5.76 / 15 min.
In-Home & Commnty Supprts (Lvl 2) $10.28 / 15 min.
In-Home & Commnty Supprts (Lvl 3) $19.83 / 15 min.
Licen Day Hab., Older Adult Daily Living Centers $3.72 / 15 min.
Occupational Therapy-15 min $22.74 / 15 min.
Physical Therapy-15 min $23.96 / 15 min.
Res Hab-1 Person-NG 1-Elig $523.00 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports $408.54 / 1 Day
Res Hab-1 Person-NG 2-Elig $606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports $515.01 / 1 Day
Res Hab-1 Person-NG 3-Elig $924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports $746.22 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,118.74 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports $822.23 / 1 Day
Res Hab-1 Person-NG5-Elig $1,655.20 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports $1,265.90 / 1 Day
Res Hab-2 Person-NG 1-Elig $523.00 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports $408.54 / 1 Day
Res Hab-2 Person-NG 2-Elig $606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports $515.01 / 1 Day
Res Hab-2 Person-NG 3-Elig $685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports $630.70 / 1 Day
Res Hab-2 Person-NG 4-Elig $820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports $689.49 / 1 Day
Res Hab-2 Person-NG5-Elig $1,238.27 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports $1,146.38 / 1 Day
Res Hab-3 Person-NG 1-Elig $387.76 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports $294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig $441.87 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports $341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig $514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-ECS $624.76 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports $440.90 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports-ECS $533.42 / 1 Day
Res Hab-3 Person-NG 4-Elig $624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-ECS $764.32 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports $484.03 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports-ECS $588.28 / 1 Day
Res Hab-3 Person-NG5-Elig $947.47 / 1 Day
Res Hab-3 Person-NG5-Elig-w/Day Supports $788.17 / 1 Day
Res Hab-4 Person-NG 1-Elig-w/Day Supports $232.07 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports $268.22 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports $341.91 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports $376.12 / 1 Day
Res Hab-4 Person-NG5-Elig-w/Day Supports $606.45 / 1 Day
Res Hab-5-8 Person-NG 1-Elig $267.15 / 1 Day
Res Hab-5-8 Person-NG 1-Elig-w/Day Supports $212.03 / 1 Day
Res Hab-5-8 Person-NG 2-Elig $311.99 / 1 Day
Res Hab-5-8 Person-NG 2-Elig-w/Day Supports $250.71 / 1 Day
Res Hab-5-8 Person-NG 3-Elig $360.24 / 1 Day
Res Hab-5-8 Person-NG 3-Elig-w/Day Supports $314.42 / 1 Day
Res Hab-5-8 Person-NG 4-Elig $429.04 / 1 Day
Res Hab-5-8 Person-NG 4-Elig-w/Day Supports $338.58 / 1 Day
Res Hab-5-8 Person-NG5-Elig $644.85 / 1 Day
Res Hab-5-8 Person-NG5-Elig-w/Day Supports $546.93 / 1 Day
Res Hab-Lic-1 Person-Inelig $88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig $47.38 / 1 Day
Res Hab-Lic-3 Person-Inelig $33.46 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1 $304.14 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2 $347.00 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3 $401.47 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4 $481.66 / 1 Day
Res Hab-Lic-4 Person-Inelig $25.61 / 1 Day
Respite-Lic-Day-1 person-NG 3 $855.36 / 1 Day
Respite-Lic-Day-1 person-NG 4 $931.37 / 1 Day
Respite-Lic-Day-2 person-NG 2 $581.17 / 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-2 person-NG1 $474.70 / 1 Day
Respite-Lic-Day-3 person-NG 1 $348.80 / 1 Day
Respite-Lic-Day-3 person-NG 2 $395.52 / 1 Day
Respite-Lic-Day-3 person-NG 3 $495.21 / 1 Day
Respite-Lic-Day-3 person-NG 4 $538.34 / 1 Day
Respite-Lic-Day-4 person-NG 1 $278.56 / 1 Day
Respite-Lic-Day-4 person-NG 2 $314.71 / 1 Day
Respite-Lic-Day-4 person-NG 3 $388.40 / 1 Day
Respite-Lic-Day-4 person-NG 4 $422.61 / 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 3, 1:1) Out-of-Home $317.80 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) Out-of-Home $630.98 / 1 Day
Speech/Language Therapy-15 min $21.88 / 15 min.
Supplemental Habilitation 1:1 - 15 min $5.77 / 15 min.
Supplemental Habilitation 2:1 - 15 min $11.53 / 15 min.
Supported Employment-Career Assessment $17.91 / 15 min.
Supported Emplymnt-Job Finding/Job Development $17.91 / 15 min.
Supported Emplymnt-Job Support - 1:1 $17.91 / 15 min.
Supported Emplymnt-Job Support-1:2 $10.72 / 15 min.
Transportation(Zone 1)-Trip $33.83 / Trip
Transportation(Zone 2)-Trip $60.91 / Trip
Transportation(Zone 3)-Trip $69.19 / Trip
 
County : Lebanon
|Service Name / Level |Rate
Behavioral Supports-Level 1-Initial/Ongoing $22.08 / 15 min.
CPS Community 1:1 $12.81 / 15 min.
CPS Community 1:2 or 1:3 $6.98 / 15 min.
CPS Community 2:1 $24.62 / 15 min.
CPS Community 2:3 $10.43 / 15 min.
CPS Facility 1:1 $12.40 / 15 min.
CPS Facility 1:1 Enhanced $17.27 / 15 min.
CPS Facility 1:1 Enhcd LPN $17.27 / 15 min.
CPS Facility 1:1 Enhcd RN $17.27 / 15 min.
CPS Facility 1:11 to 1:15 $2.96 / 15 min.
CPS Facility 1:2 to 1:3 $6.84 / 15 min.
CPS Facility 1:4 to 1:6 $5.23 / 15 min.
CPS Facility 1:7 to 1:10 $3.18 / 15 min.
CPS Facility 2:1 $23.77 / 15 min.
CPS Facility 2:1 Enhcd $28.65 / 15 min.
CPS Facility 2:1 Enhcd LPN $28.65 / 15 min.
CPS Facility 2:1 Enhcd RN $28.65 / 15 min.
CPS:Community OnCall/Remote Support $1.64 / 15 min.
Communication Specialist $16.89 / 15 min.
In-Home & Commnty Supprts (Lvl 1) $5.76 / 15 min.
In-Home & Commnty Supprts (Lvl 2) $10.28 / 15 min.
Res Hab-3 Person-NG 1-Elig $387.76 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports $294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig $441.87 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports $341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig $514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports $440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig $624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports $484.03 / 1 Day
Res Hab-Lic-3 Person-Inelig $33.46 / 1 Day
 
County : Lehigh
|Service Name / Level |Rate
Res Hab-2 Person-NG 3-Elig $685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports $630.70 / 1 Day
Res Hab-Lic-2 Person-Inelig $47.38 / 1 Day
Supported Employment-Career Assessment $17.91 / 15 min.
Supported Emplymnt-Job Finding/Job Development $17.91 / 15 min.
Supported Emplymnt-Job Support - 1:1 $17.91 / 15 min.
Supported Emplymnt-Job Support-1:2 $10.72 / 15 min.
 
County : Lycoming/Clinton
|Service Name / Level |Rate
Res Hab-3 Person-NG 3-Elig $514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports $440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig $624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports $484.03 / 1 Day
Res Hab-Lic-3 Person-Inelig $33.46 / 1 Day
 
County : Montgomery
|Service Name / Level |Rate
CPS Community 1:1 $12.81 / 15 min.
CPS Community 1:2 or 1:3 $6.98 / 15 min.
CPS Community 2:1 $24.62 / 15 min.
CPS Community 2:3 $10.43 / 15 min.
CPS Facility 1:1 $12.40 / 15 min.
CPS Facility 1:1 Enhanced $17.27 / 15 min.
CPS Facility 1:1 Enhcd LPN $17.27 / 15 min.
CPS Facility 1:1 Enhcd RN $17.27 / 15 min.
CPS Facility 1:11 to 1:15 $2.96 / 15 min.
CPS Facility 1:2 to 1:3 $6.84 / 15 min.
CPS Facility 1:4 to 1:6 $5.23 / 15 min.
CPS Facility 1:7 to 1:10 $3.18 / 15 min.
CPS Facility 2:1 $23.77 / 15 min.
CPS Facility 2:1 Enhcd $28.65 / 15 min.
CPS Facility 2:1 Enhcd LPN $28.65 / 15 min.
CPS Facility 2:1 Enhcd RN $28.65 / 15 min.
CPS:Community OnCall/Remote Support $1.64 / 15 min.
 
County : Philadelphia
|Service Name / Level |Rate
CPS Community 1:1 $12.81 / 15 min.
CPS Community 1:2 or 1:3 $6.98 / 15 min.
CPS Community 2:1 $24.62 / 15 min.
CPS Community 2:3 $10.43 / 15 min.
CPS Facility 1:1 $12.40 / 15 min.
CPS Facility 1:1 Enhanced $17.27 / 15 min.
CPS Facility 1:1 Enhcd LPN $17.27 / 15 min.
CPS Facility 1:1 Enhcd RN $17.27 / 15 min.
CPS Facility 1:11 to 1:15 $2.96 / 15 min.
CPS Facility 1:2 to 1:3 $6.84 / 15 min.
CPS Facility 1:4 to 1:6 $5.23 / 15 min.
CPS Facility 1:7 to 1:10 $3.18 / 15 min.
CPS Facility 2:1 $23.77 / 15 min.
CPS Facility 2:1 Enhcd $28.65 / 15 min.
CPS Facility 2:1 Enhcd LPN $28.65 / 15 min.
CPS Facility 2:1 Enhcd RN $28.65 / 15 min.
CPS: Community OnCall/Remote Support $1.64 / 15 min.
CPS:Community OnCall/Remote Support $1.64 / 15 min.
 
County : Washington
|Service Name / Level |Rate
In-Home & Commnty Supprts (Lvl 1) $5.76 / 15 min.
In-Home & Commnty Supprts (Lvl 2) $10.28 / 15 min.
 
County : York/Adams
|Service Name / Level |Rate
CPS Community 1:1 $12.81 / 15 min.
CPS Community 1:2 or 1:3 $6.98 / 15 min.
CPS Community 2:1 $24.62 / 15 min.
CPS Community 2:3 $10.43 / 15 min.
CPS Facility 1:1 $12.40 / 15 min.
CPS Facility 1:1 Enhanced $17.27 / 15 min.
CPS Facility 1:1 Enhcd LPN $17.27 / 15 min.
CPS Facility 1:1 Enhcd RN $17.27 / 15 min.
CPS Facility 1:11 to 1:15 $2.96 / 15 min.
CPS Facility 1:2 to 1:3 $6.84 / 15 min.
CPS Facility 1:4 to 1:6 $5.23 / 15 min.
CPS Facility 1:7 to 1:10 $3.18 / 15 min.
CPS Facility 2:1 $23.77 / 15 min.
CPS Facility 2:1 Enhcd $28.65 / 15 min.
CPS Facility 2:1 Enhcd LPN $28.65 / 15 min.
CPS Facility 2:1 Enhcd RN $28.65 / 15 min.
CPS:Community OnCall/Remote Support $1.64 / 15 min.
In-Home & Commnty Supprts (Basic) $4.09 / 15 min.
In-Home & Commnty Supprts (Lvl 1) $5.76 / 15 min.
Res Hab-3 Person-NG 1-Elig $387.76 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports $294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig $441.87 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports $341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig $514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports $440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig $624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports $484.03 / 1 Day
Res Hab-Lic-3 Person-Inelig $33.46 / 1 Day

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