|
County : Bradford/Sullivan |
|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.
|
Chore, Permanent - 1 Hour |
$22.73 / 1 hr.
|
Chore, Temporary - 1 Hour |
$22.73 / 1 hr.
|
Companion Services (Basic Staff Support) |
$3.19 / 15 min.
|
Companion Services (Level 1) |
$4.42 / 15 min.
|
Companion Services (Level 2) |
$7.71 / 15 min.
|
Family Aide (Base) - 15 Minutes |
Not Set
|
Family Aide (Level 1) - 15 Minutes |
Not Set
|
Family Aide (Level 2) - 15 Minutes |
Not Set
|
Family Aide (Level 3 Enh)-15 Mins-TE |
Not Set
|
Family Aide (Level 3)-15 Mins |
$7.95 / 15 min.
|
Homemaker, Permanent - 1 Hour |
$22.73 / 1 hr.
|
Homemaker, Temporary - 1 Hour |
$22.73 / 1 hr.
|
Housing Transition/Tenancy Sustaining services |
$20.24 / 15 min.
|
In-Home & Commnty Supprts (Basic) |
$4.09 / 15 min.
|
In-Home & Commnty Supprts (Lvl 1) |
$5.76 / 15 min.
|
In-Home & Commnty Supprts (Lvl 2) |
$10.28 / 15 min.
|
In-Home & Commnty Supprts (Lvl 3) |
$19.83 / 15 min.
|
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 person-Elig-NG 1 > 30 Hrs |
$171.35 / 1 Day
|
Life Sharing-1 person-Elig-NG 2 > 30 Hrs |
$204.29 / 1 Day
|
Life Sharing-1 person-Elig-NG 3 > 30 Hrs |
$279.58 / 1 Day
|
Life Sharing-1 person-Elig-NG 4 > 30 Hrs |
$355.61 / 1 Day
|
Life Sharing-2 per-Elig-Unlic < 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 2 > 30 Hrs |
$144.84 / 1 Day
|
Life Sharing-2 person-Elig-NG 3 > 30 Hrs |
$197.06 / 1 Day
|
Life Sharing-2 person-Elig-NG 4 > 30 Hrs |
$237.16 / 1 Day
|
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-ECS |
Not Set
|
Res Hab-1 Person-NG 4-Elig-w/Day Supports |
$822.23 / 1 Day
|
Res Hab-1 Person-NG 4-Elig-w/Day Supports-ECS |
Not Set
|
Res Hab-2 Person-NG 1-Elig |
$523.00 / 1 Day
|
Res Hab-2 Person-NG 1-Elig-w/Day Supports |
$408.54 / 1 Day
|
Res Hab-2 Person-NG 2-Elig |
$606.92 / 1 Day
|
Res Hab-2 Person-NG 2-Elig-w/Day Supports |
$515.01 / 1 Day
|
Res Hab-2 Person-NG 3-Elig |
$685.68 / 1 Day
|
Res Hab-2 Person-NG 3-Elig-w/Day Supports |
$630.70 / 1 Day
|
Res Hab-2 Person-NG 4-Elig |
$820.15 / 1 Day
|
Res Hab-2 Person-NG 4-Elig-w/Day Supports |
$689.49 / 1 Day
|
Res Hab-3 Person-NG 1-Elig |
$387.76 / 1 Day
|
Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$294.49 / 1 Day
|
Res Hab-3 Person-NG 2-Elig |
$441.87 / 1 Day
|
Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$341.21 / 1 Day
|
Res Hab-3 Person-NG 3-Elig |
$514.20 / 1 Day
|
Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$440.90 / 1 Day
|
Res Hab-3 Person-NG 4-Elig |
$624.74 / 1 Day
|
Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$484.03 / 1 Day
|
Res Hab-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 / 1 Day
|
Res Hab-Lic-2 Person-Inelig |
$47.38 / 1 Day
|
Res Hab-Lic-3 Person-Inelig |
$33.46 / 1 Day
|
Res Hab-Lic-4 Person-Elig-NG 1 |
$304.14 / 1 Day
|
Res Hab-Lic-4 Person-Elig-NG 2 |
$347.00 / 1 Day
|
Res Hab-Lic-4 Person-Elig-NG 3 |
$401.47 / 1 Day
|
Res Hab-Lic-4 Person-Elig-NG 4 |
$481.66 / 1 Day
|
Res Hab-Lic-4 Person-Inelig |
$25.61 / 1 Day
|
Resid Hab-Unlic 1-Indiv Home (Eligible) |
$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
|
Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2 |
Not Set
|
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2 |
Not Set
|
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2 |
Not Set
|
Respite-Base Out-of-Home 24 Hours (Basic)-Day |
Not Set
|
Respite-Base Out-of-Home 24 Hours (Level 1)-Day |
$317.80 / 1 Day
|
Respite-Base Out-of-Home 24 Hours (Level 2 Enh) |
Not Set
|
Respite-Base Out-of-Home 24 Hours (Level 2)-Day |
Not Set
|
Respite-Base Out-of-Home 24 Hours (Level 3) |
Not Set
|
Respite-Lic-Day-1 person-NG 3 |
$855.36 / 1 Day
|
Respite-Lic-Day-1 person-NG 4 |
$931.37 / 1 Day
|
Respite-Lic-Day-2 person-NG 1-Emergency |
$474.70 / 1 Day
|
Respite-Lic-Day-2 person-NG 2 |
$581.17 / 1 Day
|
Respite-Lic-Day-2 person-NG 2-Emergency |
$581.17 / 1 Day
|
Respite-Lic-Day-2 person-NG 3 |
$696.86 / 1 Day
|
Respite-Lic-Day-2 person-NG 3-Emergency |
$696.86 / 1 Day
|
Respite-Lic-Day-2 person-NG 4 |
$755.65 / 1 Day
|
Respite-Lic-Day-2 person-NG 4-Emergency |
$755.65 / 1 Day
|
Respite-Lic-Day-2 person-NG1 |
$474.70 / 1 Day
|
Respite-Lic-Day-3 person-NG 1 |
$348.80 / 1 Day
|
Respite-Lic-Day-3 person-NG 2 |
$395.52 / 1 Day
|
Respite-Lic-Day-3 person-NG 3 |
$495.21 / 1 Day
|
Respite-Lic-Day-3 person-NG 4 |
$538.34 / 1 Day
|
Respite-Lic-Day-4 person-NG 1 |
$278.56 / 1 Day
|
Respite-Lic-Day-4 person-NG 1-Emergency |
$278.56 / 1 Day
|
Respite-Lic-Day-4 person-NG 2 |
$314.71 / 1 Day
|
Respite-Lic-Day-4 person-NG 2-Emergency |
$314.71 / 1 Day
|
Respite-Lic-Day-4 person-NG 3 |
$388.40 / 1 Day
|
Respite-Lic-Day-4 person-NG 3-Emergency |
$388.40 / 1 Day
|
Respite-Lic-Day-4 person-NG 4 |
$422.61 / 1 Day
|
Respite-Lic-Day-4 person-NG 4-Emergency |
$422.61 / 1 Day
|
Respite-Life Sharing-Day (Level 2, 1:2)Out-of-Home |
$139.56 / 1 Day
|
Respite-Life Sharing-Day (Level 3, 1:1)Out-of-Home |
$245.13 / 1 Day
|
Respite-Unlic- 15-min (Basic 1:4) |
$2.26 / 15 min.
|
Respite-Unlic-15-min(Level 1, 1:3) Out-of-Home |
$2.98 / 15 min.
|
Respite-Unlic-15-min(Level 2, 1:2)Out-of-Home |
$4.40 / 15 min.
|
Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home |
$7.95 / 15 min.
|
Respite-Unlic-Day (Basic 1:4) Out-of-Home |
$90.59 / 1 Day
|
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home |
$119.11 / 1 Day
|
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home |
$176.17 / 1 Day
|
Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home |
$491.89 / 1 Day
|
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home |
$317.80 / 1 Day
|
Supplemental Habilitation 1:1 - 15 min |
$5.77 / 15 min.
|
Supplemental Habilitation 2:1 - 15 min |
$11.53 / 15 min.
|
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-NG3 |
$338.62 / 1 Day
|
Supported Living-2 Person-NG4 |
$543.72 / 1 Day
|
|
County : Lackawanna/Susquehanna |
|Service Name / Level |
|Rate |
|
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-4 Person-Elig-NG 3 |
$401.47 / 1 Day
|
Res Hab-Lic-4 Person-Elig-NG 4 |
$481.66 / 1 Day
|
Res Hab-Lic-4 Person-Inelig |
$25.61 / 1 Day
|
|
County : Lehigh |
|Service Name / Level |
|Rate |
|
Res Hab-3 Person-NG 1-Elig |
$387.76 / 1 Day
|
Res Hab-3 Person-NG 1-Elig-w/Day Supports |
$294.49 / 1 Day
|
Res Hab-3 Person-NG 2-Elig |
$441.87 / 1 Day
|
Res Hab-3 Person-NG 2-Elig-w/Day Supports |
$341.21 / 1 Day
|
Res Hab-3 Person-NG 3-Elig |
$514.20 / 1 Day
|
Res Hab-3 Person-NG 3-Elig-w/Day Supports |
$440.90 / 1 Day
|
Res Hab-3 Person-NG 4-Elig |
$624.74 / 1 Day
|
Res Hab-3 Person-NG 4-Elig-w/Day Supports |
$484.03 / 1 Day
|
Res Hab-Lic-3 Person-Inelig |
$33.46 / 1 Day
|
Res Hab-Lic-4 Person-Elig-NG 4 |
$481.66 / 1 Day
|
Supplemental Habilitation 1:1 - 15 min |
$5.77 / 15 min.
|
|
County : Lycoming/Clinton |
|Service Name / Level |
|Rate |
|
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
|
|
County : Tioga |
|Service Name / Level |
|Rate |
|
Life Sharing (Base Only) |
Not Set
|
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
|
Res Hab-4 Person-NG 4-Elig-w/Day Supports |
$376.12 / 1 Day
|
Res Hab-Lic-4 Person-Elig-NG 4 |
$481.66 / 1 Day
|
Res Hab-Lic-4 Person-Inelig |
$25.61 / 1 Day
|
Supplemental Habilitation 1:1 - 15 min |
$5.77 / 15 min.
|