| |
| County : Allegheny |
| |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: Community OnCall/Remote Support |
$1.64 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$20.24 / 15 min.
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$171.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$204.29 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$279.58 / 1 Day
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$147.63 / 1 Day
|
| 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-1 person-Elig-NG5 > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs |
$120.79 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 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 2-By Relative>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 3-By Relative>30 Hrs |
$197.06 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs |
$237.16 / 1 Day
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$147.63 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$147.63 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| NEA - Supported Living - No Day - NG5 |
Not Set
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allow. (NEA)-Supported Living NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
$0.01 - $1,701.49 / 1 Day
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
$0.01 - $2,586.11 / 1 Day
|
| Needs Excptn Allowance (NEA)-Supported Living-524 |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| 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-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-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-Lic-1 Person-Inelig |
$88.34 - $99.10 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$47.38 - $54.05 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$33.46 - $38.74 / 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 - $30.10 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$23.74 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.16 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
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-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$5.77 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$11.53 / 15 min.
|
| Transportation(Zone 1)-Trip |
$33.83 / Trip
|
| Transportation(Zone 2)-Trip |
$60.91 / Trip
|
| Transportation(Zone 3)-Trip |
$69.19 / Trip
|
| |
| County : Armstrong/Indiana |
| |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: Community OnCall/Remote Support |
$1.64 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$20.24 / 15 min.
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$171.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$204.29 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$279.58 / 1 Day
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$147.63 / 1 Day
|
| 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-1 person-Elig-NG5 > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs |
$120.79 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 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 2-By Relative>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 3-By Relative>30 Hrs |
$197.06 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs |
$237.16 / 1 Day
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$147.63 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$147.63 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| NEA - Supported Living - No Day - NG5 |
Not Set
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allow. (NEA)-Supported Living NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
$0.01 - $1,701.49 / 1 Day
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
$0.01 - $2,586.11 / 1 Day
|
| Needs Excptn Allowance (NEA)-Supported Living-524 |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| 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-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-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-Lic-1 Person-Inelig |
$88.34 - $99.10 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$47.38 - $54.05 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$33.46 - $38.74 / 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 - $30.10 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$23.74 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.16 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
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-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$5.77 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$11.53 / 15 min.
|
| Transportation(Zone 1)-Trip |
$33.83 / Trip
|
| Transportation(Zone 2)-Trip |
$60.91 / Trip
|
| Transportation(Zone 3)-Trip |
$69.19 / Trip
|
| |
| County : Beaver |
| |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: Community OnCall/Remote Support |
$1.64 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$20.24 / 15 min.
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$171.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$204.29 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$279.58 / 1 Day
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$147.63 / 1 Day
|
| 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-1 person-Elig-NG5 > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs |
$120.79 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 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 2-By Relative>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 3-By Relative>30 Hrs |
$197.06 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs |
$237.16 / 1 Day
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$147.63 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$147.63 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| NEA - Supported Living - No Day - NG5 |
Not Set
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allow. (NEA)-Supported Living NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
$0.01 - $1,701.49 / 1 Day
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
$0.01 - $2,586.11 / 1 Day
|
| Needs Excptn Allowance (NEA)-Supported Living-524 |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| 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-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-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-Lic-1 Person-Inelig |
$88.34 - $99.10 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$47.38 - $54.05 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$33.46 - $38.74 / 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 - $30.10 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$23.74 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.16 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
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-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$5.77 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$11.53 / 15 min.
|
| Transportation(Zone 1)-Trip |
$33.83 / Trip
|
| Transportation(Zone 2)-Trip |
$60.91 / Trip
|
| Transportation(Zone 3)-Trip |
$69.19 / Trip
|
| |
| County : Bedford/Somerset |
| |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: Community OnCall/Remote Support |
$1.64 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$20.24 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) |
$5.76 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) |
$10.28 / 15 min.
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$171.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$204.29 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$279.58 / 1 Day
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$147.63 / 1 Day
|
| 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-1 person-Elig-NG5 > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs |
$120.79 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 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 2-By Relative>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 3-By Relative>30 Hrs |
$197.06 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs |
$237.16 / 1 Day
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$147.63 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$147.63 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| NEA - Supported Living - No Day - NG5 |
Not Set
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allow. (NEA)-Supported Living NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
$0.01 - $1,701.49 / 1 Day
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
$0.01 - $2,586.11 / 1 Day
|
| Needs Excptn Allowance (NEA)-Supported Living-524 |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| 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-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-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-Lic-1 Person-Inelig |
$88.34 - $99.10 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$47.38 - $54.05 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$33.46 - $38.74 / 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 - $30.10 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$23.74 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.16 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
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-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$5.77 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$11.53 / 15 min.
|
| Transportation(Zone 1)-Trip |
$33.83 / Trip
|
| Transportation(Zone 2)-Trip |
$60.91 / Trip
|
| Transportation(Zone 3)-Trip |
$69.19 / Trip
|
| |
| County : Berks |
| |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: Community OnCall/Remote Support |
$1.64 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$20.24 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 1) |
$5.76 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) |
$10.28 / 15 min.
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$171.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$204.29 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$279.58 / 1 Day
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$147.63 / 1 Day
|
| 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-1 person-Elig-NG5 > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs |
$120.79 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 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 2-By Relative>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 3-By Relative>30 Hrs |
$197.06 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs |
$237.16 / 1 Day
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$147.63 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$147.63 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| NEA - Supported Living - No Day - NG5 |
Not Set
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allow. (NEA)-Supported Living NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
$0.01 - $1,701.49 / 1 Day
|
| Needs Exception Allowance (NEA)-Child Res (3800) |
$0.01 / 1 Day
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
$0.01 - $2,586.11 / 1 Day
|
| Needs Excptn Allowance (NEA)-Child Res (3800)-520 |
$2,586.11 / 1 Day
|
| Needs Excptn Allowance (NEA)-Supported Living-524 |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| 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-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-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-Lic-1 Person-Inelig |
$88.34 - $99.10 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$47.38 - $54.05 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$33.46 - $38.74 / 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 - $30.10 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$23.74 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.16 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
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-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$5.77 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$11.53 / 15 min.
|
| Transportation(Zone 1)-Trip |
$33.83 / Trip
|
| Transportation(Zone 2)-Trip |
$60.91 / Trip
|
| Transportation(Zone 3)-Trip |
$69.19 / Trip
|
| |
| County : Blair |
| |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: Community OnCall/Remote Support |
$1.64 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$20.24 / 15 min.
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$171.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$204.29 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$279.58 / 1 Day
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$147.63 / 1 Day
|
| 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-1 person-Elig-NG5 > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs |
$120.79 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 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 2-By Relative>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 3-By Relative>30 Hrs |
$197.06 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs |
$237.16 / 1 Day
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$147.63 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$147.63 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| NEA - Supported Living - No Day - NG5 |
Not Set
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allow. (NEA)-Supported Living NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
$0.01 - $1,701.49 / 1 Day
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
$0.01 - $2,586.11 / 1 Day
|
| Needs Excptn Allowance (NEA)-Supported Living-524 |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| 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-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-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-Lic-1 Person-Inelig |
$88.34 - $99.10 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$47.38 - $54.05 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$33.46 - $38.74 / 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 - $30.10 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$23.74 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.16 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
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-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$5.77 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$11.53 / 15 min.
|
| Transportation(Zone 1)-Trip |
$33.83 / Trip
|
| Transportation(Zone 2)-Trip |
$60.91 / Trip
|
| Transportation(Zone 3)-Trip |
$69.19 / Trip
|
| |
| County : Bradford/Sullivan |
| |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: Community OnCall/Remote Support |
$1.64 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$20.24 / 15 min.
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$171.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$204.29 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$279.58 / 1 Day
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$147.63 / 1 Day
|
| 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-1 person-Elig-NG5 > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs |
$120.79 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 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 2-By Relative>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 3-By Relative>30 Hrs |
$197.06 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs |
$237.16 / 1 Day
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$147.63 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$147.63 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| NEA - Supported Living - No Day - NG5 |
Not Set
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allow. (NEA)-Supported Living NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
$0.01 - $1,701.49 / 1 Day
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
$0.01 - $2,586.11 / 1 Day
|
| Needs Excptn Allowance (NEA)-Supported Living-524 |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| 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-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-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-Lic-1 Person-Inelig |
$88.34 - $99.10 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$47.38 - $54.05 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$33.46 - $38.74 / 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 - $30.10 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$23.74 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.16 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
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-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$5.77 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$11.53 / 15 min.
|
| Transportation(Zone 1)-Trip |
$33.83 / Trip
|
| Transportation(Zone 2)-Trip |
$60.91 / Trip
|
| Transportation(Zone 3)-Trip |
$69.19 / Trip
|
| |
| County : Bucks |
| |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: Community OnCall/Remote Support |
$1.64 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$20.24 / 15 min.
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$171.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$204.29 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$279.58 / 1 Day
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$147.63 / 1 Day
|
| 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-1 person-Elig-NG5 > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs |
$120.79 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 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 2-By Relative>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 3-By Relative>30 Hrs |
$197.06 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs |
$237.16 / 1 Day
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$147.63 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$147.63 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| NEA - Supported Living - No Day - NG5 |
Not Set
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allow. (NEA)-Supported Living NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
$0.01 - $1,701.49 / 1 Day
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
$0.01 - $2,586.11 / 1 Day
|
| Needs Excptn Allowance (NEA)-Supported Living-524 |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| 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-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-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-Lic-1 Person-Inelig |
$88.34 - $99.10 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$47.38 - $54.05 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$33.46 - $38.74 / 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 - $30.10 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$23.74 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.16 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
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-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$5.77 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$11.53 / 15 min.
|
| Transportation(Zone 1)-Trip |
$33.83 / Trip
|
| Transportation(Zone 2)-Trip |
$60.91 / Trip
|
| Transportation(Zone 3)-Trip |
$69.19 / Trip
|
| |
| County : Butler |
| |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: Community OnCall/Remote Support |
$1.64 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$20.24 / 15 min.
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$171.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$204.29 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$279.58 / 1 Day
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$147.63 / 1 Day
|
| 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-1 person-Elig-NG5 > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs |
$120.79 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 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 2-By Relative>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 3-By Relative>30 Hrs |
$197.06 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs |
$237.16 / 1 Day
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$147.63 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$147.63 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| NEA - Supported Living - No Day - NG5 |
Not Set
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allow. (NEA)-Supported Living NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
$0.01 - $1,701.49 / 1 Day
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
$0.01 - $2,586.11 / 1 Day
|
| Needs Excptn Allowance (NEA)-Supported Living-524 |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| 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-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-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-Lic-1 Person-Inelig |
$88.34 - $99.10 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$47.38 - $54.05 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$33.46 - $38.74 / 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 - $30.10 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$23.74 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.16 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
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-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$5.77 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$11.53 / 15 min.
|
| Transportation(Zone 1)-Trip |
$33.83 / Trip
|
| Transportation(Zone 2)-Trip |
$60.91 / Trip
|
| Transportation(Zone 3)-Trip |
$69.19 / Trip
|
| |
| County : Cambria |
| |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: Community OnCall/Remote Support |
$1.64 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$20.24 / 15 min.
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$171.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$204.29 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$279.58 / 1 Day
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$147.63 / 1 Day
|
| 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-1 person-Elig-NG5 > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs |
$120.79 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 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 2-By Relative>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 3-By Relative>30 Hrs |
$197.06 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs |
$237.16 / 1 Day
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$147.63 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$147.63 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| NEA - Supported Living - No Day - NG5 |
Not Set
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allow. (NEA)-Supported Living NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
$0.01 - $1,701.49 / 1 Day
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
$0.01 - $2,586.11 / 1 Day
|
| Needs Excptn Allowance (NEA)-Supported Living-524 |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| 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-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-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-Lic-1 Person-Inelig |
$88.34 - $99.10 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$47.38 - $54.05 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$33.46 - $38.74 / 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 - $30.10 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$23.74 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.16 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
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-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$5.77 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$11.53 / 15 min.
|
| Transportation(Zone 1)-Trip |
$33.83 / Trip
|
| Transportation(Zone 2)-Trip |
$60.91 / Trip
|
| Transportation(Zone 3)-Trip |
$69.19 / Trip
|
| |
| County : Cameron/Elk |
| |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: Community OnCall/Remote Support |
$1.64 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$20.24 / 15 min.
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$171.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$204.29 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$279.58 / 1 Day
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$147.63 / 1 Day
|
| 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-1 person-Elig-NG5 > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs |
$120.79 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 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 2-By Relative>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 3-By Relative>30 Hrs |
$197.06 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs |
$237.16 / 1 Day
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$147.63 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$147.63 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| NEA - Supported Living - No Day - NG5 |
Not Set
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allow. (NEA)-Supported Living NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
$0.01 - $1,701.49 / 1 Day
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
$0.01 - $2,586.11 / 1 Day
|
| Needs Excptn Allowance (NEA)-Supported Living-524 |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| 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-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-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-Lic-1 Person-Inelig |
$88.34 - $99.10 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$47.38 - $54.05 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$33.46 - $38.74 / 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 - $30.10 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$23.74 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.16 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
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-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$5.77 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$11.53 / 15 min.
|
| Transportation(Zone 1)-Trip |
$33.83 / Trip
|
| Transportation(Zone 2)-Trip |
$60.91 / Trip
|
| Transportation(Zone 3)-Trip |
$69.19 / Trip
|
| |
| County : Carbon/Monroe/Pike |
| |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: Community OnCall/Remote Support |
$1.64 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$20.24 / 15 min.
|
| In-Home & Commnty Supprts (Lvl 2) |
$10.28 / 15 min.
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$171.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$204.29 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$279.58 / 1 Day
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$147.63 / 1 Day
|
| 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-1 person-Elig-NG5 > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs |
$120.79 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 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 2-By Relative>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 3-By Relative>30 Hrs |
$197.06 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs |
$237.16 / 1 Day
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$147.63 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$147.63 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| NEA - Supported Living - No Day - NG5 |
Not Set
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allow. (NEA)-Supported Living NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
$0.01 - $1,701.49 / 1 Day
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
$0.01 - $2,586.11 / 1 Day
|
| Needs Excptn Allowance (NEA)-Supported Living-524 |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| 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-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-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-Lic-1 Person-Inelig |
$88.34 - $99.10 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$47.38 - $54.05 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$33.46 - $38.74 / 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 - $30.10 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$23.74 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.16 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
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-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$5.77 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$11.53 / 15 min.
|
| Supported Living-1 Person-NG1 |
$151.12 / 1 Day
|
| Supported Living-1 Person-NG2 |
$253.26 / 1 Day
|
| Supported Living-1 Person-NG3 |
$404.38 / 1 Day
|
| Supported Living-1 Person-NG4 |
$543.72 / 1 Day
|
| Supported Living-2 Person-NG1 |
$105.79 / 1 Day
|
| Supported Living-2 Person-NG2 |
$202.61 / 1 Day
|
| Supported Living-2 Person-NG3 |
$338.62 / 1 Day
|
| Supported Living-2 Person-NG4 |
$543.72 / 1 Day
|
| Supported Living-3 Person-NG1 |
$75.56 / 1 Day
|
| Supported Living-3 Person-NG2 |
$134.19 / 1 Day
|
| Supported Living-3 Person-NG3 |
$235.07 / 1 Day
|
| Supported Living-3 Person-NG4 |
$378.48 / 1 Day
|
| Transportation(Zone 1)-Trip |
$33.83 / Trip
|
| Transportation(Zone 2)-Trip |
$60.91 / Trip
|
| Transportation(Zone 3)-Trip |
$69.19 / Trip
|
| |
| County : Centre |
| |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: Community OnCall/Remote Support |
$1.64 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$20.24 / 15 min.
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$171.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$204.29 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$279.58 / 1 Day
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$147.63 / 1 Day
|
| 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-1 person-Elig-NG5 > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs |
$120.79 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 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 2-By Relative>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 3-By Relative>30 Hrs |
$197.06 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs |
$237.16 / 1 Day
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$147.63 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$147.63 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| NEA - Supported Living - No Day - NG5 |
Not Set
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allow. (NEA)-Supported Living NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
$0.01 - $1,701.49 / 1 Day
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
$0.01 - $2,586.11 / 1 Day
|
| Needs Excptn Allowance (NEA)-Supported Living-524 |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| 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-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-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-Lic-1 Person-Inelig |
$88.34 - $99.10 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$47.38 - $54.05 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$33.46 - $38.74 / 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 - $30.10 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$23.74 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.16 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
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-3 person-NG 1 |
Not Set
|
| Respite-Lic-Day-3 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 2 |
Not Set
|
| Respite-Lic-Day-3 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 3 |
Not Set
|
| Respite-Lic-Day-3 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-3 person-NG 4 |
Not Set
|
| Respite-Lic-Day-3 person-NG 4-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 1 |
Not Set
|
| Respite-Lic-Day-4 person-NG 1-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 2 |
Not Set
|
| Respite-Lic-Day-4 person-NG 2-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 3 |
Not Set
|
| Respite-Lic-Day-4 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-4 person-NG 4 |
Not Set
|
| Respite-Lic-Day-4 person-NG 4-Emergency |
Not Set
|
| Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day (Level 4, 2:1)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 3,1:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl 4,2:1 Enh)Out-of-Home |
Not Set
|
| Respite-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome-RN |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD |
Not Set
|
| Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD |
Not Set
|
| Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE |
Not Set
|
| Respite-Unlic-15min(Lvl 4,2:1) Out of Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TD |
Not Set
|
| Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE |
Not Set
|
| Respite-Unlic-Day (Level 4, 2:1) Out-of-Home |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE |
Not Set
|
| Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home |
Not Set
|
| Supplemental Habilitation 1:1 - 15 min |
$5.77 / 15 min.
|
| Supplemental Habilitation 2:1 - 15 min |
$11.53 / 15 min.
|
| Transportation(Zone 1)-Trip |
$33.83 / Trip
|
| Transportation(Zone 2)-Trip |
$60.91 / Trip
|
| Transportation(Zone 3)-Trip |
$69.19 / Trip
|
| |
| County : Chester |
| |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: Community OnCall/Remote Support |
$1.64 / 15 min.
|
| Housing Transition/Tenancy Sustaining services |
$20.24 / 15 min.
|
| Life Sharing (Base Only) |
Not Set
|
| Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs |
$171.35 / 1 Day
|
| Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs |
$204.29 / 1 Day
|
| Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs |
$279.58 / 1 Day
|
| Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-LPN < 30 Hrs |
$147.63 / 1 Day
|
| Life Sharing-1 per-Elig-Unlic-RN <30 Hrs |
$147.63 / 1 Day
|
| 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-1 person-Elig-NG5 > 30 Hrs |
$355.61 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-LPN-byRelative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-RN-by Relative<30Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs |
$105.13 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1 > 30 Hrs |
$120.79 / 1 Day
|
| Life Sharing-2 person-Elig-NG 1-ByRelative> 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 2-By Relative>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 3-By Relative>30 Hrs |
$197.06 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4 > 30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs |
$237.16 / 1 Day
|
| Life Sharing-2 person-Elig-NG5 > 30 Hrs |
$237.16 / 1 Day
|
| LifeSharin-1 per-Elig-Unlic-LPN-byRelativ<30 Hrs |
$147.63 / 1 Day
|
| LifeSharing-1 per-Elig-Unlic-RN-ECS-byRelativ<30hr |
$147.63 / 1 Day
|
| NEA - Adult Res (6400) - No Day - NG5 |
Not Set
|
| NEA - Life Sharing(6500) - No Day - NG5 |
Not Set
|
| NEA - Supported Living - No Day - NG5 |
Not Set
|
| Needs Except. Allowance (NEA)-Adult Res (6400) NG5 |
Not Set
|
| Needs Exception Allow (NEA)-Life Sharing(6500) NG5 |
Not Set
|
| Needs Exception Allow. (NEA)-Supported Living NG5 |
Not Set
|
| Needs Exception Allowance (NEA)-Adult Res (6400) |
$0.01 - $1,701.49 / 1 Day
|
| Needs Exception Allowance (NEA)-Life Sharing(6500) |
Not Set
|
| Needs Excptn Allowance (NEA)-Adult Res (6400)-521 |
$0.01 - $2,586.11 / 1 Day
|
| Needs Excptn Allowance (NEA)-Supported Living-524 |
Not Set
|
| Needs Excptn Allwance (NEA)-Life Sharing(6500)-522 |
Not Set
|
| 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-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-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-Lic-1 Person-Inelig |
$88.34 - $99.10 / 1 Day
|
| Res Hab-Lic-2 Person-Inelig |
$47.38 - $54.05 / 1 Day
|
| Res Hab-Lic-3 Person-Inelig |
$33.46 - $38.74 / 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 - $30.10 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TD |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Eligible) - TE |
$132.49 / 1 Day
|
| Resid Hab-Unlic 1-Indiv Home (Inelig) |
$23.74 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TD |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Eligible) - TE |
$83.20 / 1 Day
|
| Resid Hab-Unlic 2-Indiv Home (Inelig) |
$13.16 / 1 Day
|
| Respit-Life Sharing-Day(Lvl3,1:1 Enh)OutOfHome-LPN |
Not Set
|
| Respit-Life Sharing-Day(Lvl4,2:1 Enh)OutOfHome LPN |
Not Set
|
| Respite-Lic-Day-1 person-NG 3 |
Not Set
|
| Respite-Lic-Day-1 person-NG 3-Emergency |
Not Set
|
| Respite-Lic-Day-1 person-NG 4 |
Not Set
|
| Respite-Lic-Day-1 person-NG 4-Emergency |
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 |
N |
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