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Provider Demographic Information - RELIANCE FAMILY CARE SERVICES

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	RELIANCE FAMILY CARE SERVICES
Address:	1700 S 60TH ST PHILADELPHIA, PA 19142-1404
Phone:	(267) 519-0672
Fax:	(267) 519-0824
E-mail:	RATAMAN@RFCSERVICE.COM
Web Site:	N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header

Click here to view Provider Certification Information

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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header


Type:	Corporate Office
Name:	Reliance Family Care Services inc.
Address:	1700 S 60TH ST PHILADELPHIA, PA 19142-1404
Phone:	(267) 519-0672
Fax:	(267) 519-0824


Type:	Regional/Field Office	Counties Served:
Name:	Reliance Family Care Services inc.
Address:	1700 S 60TH ST PHILADELPHIA, PA 19142-1404
Phone:	(267) 239-5636
Fax:	(267) 519-0824

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PROVIDER SERVICES AND RATES Supporting line for group header


County : Berks
\|Service Name / Level	\|Rate

Companion Services (Level 1)	$4.77 / 15 min.
Companion Services (Level 2)	$8.33 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
Res Hab-1 Person-NG 1-Elig	$523.00 - $554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 - $433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$606.92 - $643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 - $545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$924.89 - $980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 - $790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,118.74 - $1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$822.23 - $871.56 / 1 Day
Res Hab-1 Person-NG5-Elig	$1,754.51 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports	$1,341.85 / 1 Day
Res Hab-2 Person-NG 1-Elig	$523.00 - $554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 - $433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$606.92 - $643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 - $545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$685.68 - $726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 - $668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$820.15 - $869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 - $730.86 / 1 Day
Res Hab-2 Person-NG5-Elig	$1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports	$1,215.16 / 1 Day
Res Hab-3 Person-NG 1-Elig	$387.76 - $411.03 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$294.49 - $312.16 / 1 Day
Res Hab-3 Person-NG 2-Elig	$441.87 - $468.38 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$341.21 - $361.68 / 1 Day
Res Hab-3 Person-NG 3-Elig	$514.20 - $545.05 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 - $467.35 / 1 Day
Res Hab-3 Person-NG 4-Elig	$624.74 - $662.22 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 - $513.07 / 1 Day
Res Hab-4 Person-NG 1-Elig-w/Day Supports	$232.07 - $245.99 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports	$268.22 - $284.31 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports	$341.91 - $362.42 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports	$376.12 - $398.69 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$54.05 - $57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig	$41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1	$322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2	$367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3	$425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4	$510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig	$31.91 / 1 Day
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Supplemental Habilitation 1:1 - 15 min	$5.77 - $6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

County : Bucks
\|Service Name / Level	\|Rate

Companion Services (Level 1)	$4.77 / 15 min.
Companion Services (Level 2)	$8.33 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
Res Hab-1 Person-NG 1-Elig	$523.00 - $554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 - $433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$606.92 - $643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 - $545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$924.89 - $980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 - $790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,118.74 - $1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$822.23 - $871.56 / 1 Day
Res Hab-1 Person-NG5-Elig	$1,754.51 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports	$1,341.85 / 1 Day
Res Hab-2 Person-NG 1-Elig	$523.00 - $554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 - $433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$606.92 - $643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 - $545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-2 Person-NG5-Elig	$1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports	$1,215.16 / 1 Day
Res Hab-3 Person-NG 1-Elig	$387.76 - $411.03 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$294.49 - $312.16 / 1 Day
Res Hab-3 Person-NG 2-Elig	$441.87 - $468.38 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$341.21 - $361.68 / 1 Day
Res Hab-3 Person-NG 3-Elig	$514.20 - $545.05 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 - $467.35 / 1 Day
Res Hab-3 Person-NG 4-Elig	$624.74 - $662.22 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 - $513.07 / 1 Day
Res Hab-4 Person-NG 1-Elig-w/Day Supports	$232.07 - $245.99 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports	$268.22 - $284.31 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports	$341.91 - $362.42 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports	$376.12 - $398.69 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig	$41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1	$322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2	$367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3	$425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4	$510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig	$31.91 / 1 Day
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

County : Chester
\|Service Name / Level	\|Rate

Companion Services (Level 1)	$4.77 / 15 min.
Companion Services (Level 2)	$8.33 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
Res Hab-1 Person-NG 1-Elig	$523.00 - $554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 - $433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$606.92 - $643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 - $545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$924.89 - $980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 - $790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,118.74 - $1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$822.23 - $871.56 / 1 Day
Res Hab-1 Person-NG5-Elig	$1,754.51 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports	$1,341.85 / 1 Day
Res Hab-2 Person-NG 1-Elig	$523.00 - $554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 - $433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$606.92 - $643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 - $545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-2 Person-NG5-Elig	$1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports	$1,215.16 / 1 Day
Res Hab-3 Person-NG 1-Elig	$387.76 - $411.03 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$294.49 - $312.16 / 1 Day
Res Hab-3 Person-NG 2-Elig	$441.87 - $468.38 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$341.21 - $361.68 / 1 Day
Res Hab-3 Person-NG 3-Elig	$514.20 - $545.05 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 - $467.35 / 1 Day
Res Hab-3 Person-NG 4-Elig	$624.74 - $662.22 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 - $513.07 / 1 Day
Res Hab-4 Person-NG 1-Elig-w/Day Supports	$232.07 - $245.99 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports	$268.22 - $284.31 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports	$341.91 - $362.42 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports	$376.12 - $398.69 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig	$41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1	$322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2	$367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3	$425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4	$510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig	$31.91 / 1 Day
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

County : Delaware
\|Service Name / Level	\|Rate

Companion Services (Level 1)	$4.77 / 15 min.
Companion Services (Level 2)	$8.33 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
Res Hab-1 Person-NG 1-Elig	$523.00 - $554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 - $433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$606.92 - $643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 - $545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$924.89 - $980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 - $790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,118.74 - $1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$822.23 - $871.56 / 1 Day
Res Hab-1 Person-NG5-Elig	$1,754.51 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports	$1,341.85 / 1 Day
Res Hab-2 Person-NG 1-Elig	$523.00 - $554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 - $433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$606.92 - $643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 - $545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-2 Person-NG5-Elig	$1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports	$1,215.16 / 1 Day
Res Hab-3 Person-NG 1-Elig	$387.76 - $411.03 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$294.49 - $312.16 / 1 Day
Res Hab-3 Person-NG 2-Elig	$441.87 - $468.38 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$341.21 - $361.68 / 1 Day
Res Hab-3 Person-NG 3-Elig	$514.20 - $545.05 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 - $467.35 / 1 Day
Res Hab-3 Person-NG 4-Elig	$624.74 - $662.22 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 - $513.07 / 1 Day
Res Hab-4 Person-NG 1-Elig-w/Day Supports	$232.07 - $245.99 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports	$268.22 - $284.31 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports	$341.91 - $362.42 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports	$376.12 - $398.69 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig	$41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1	$322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2	$367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3	$425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4	$510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig	$31.91 / 1 Day
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

County : Lehigh
\|Service Name / Level	\|Rate

Res Hab-1 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$871.56 / 1 Day
Res Hab-1 Person-NG5-Elig	$1,754.51 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports	$1,341.85 / 1 Day
Res Hab-2 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-2 Person-NG5-Elig	$1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports	$1,215.16 / 1 Day
Res Hab-3 Person-NG 1-Elig	$411.03 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$312.16 / 1 Day
Res Hab-3 Person-NG 2-Elig	$468.38 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$361.68 / 1 Day
Res Hab-3 Person-NG 3-Elig	$545.05 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$467.35 / 1 Day
Res Hab-3 Person-NG 4-Elig	$662.22 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$513.07 / 1 Day
Res Hab-4 Person-NG 1-Elig-w/Day Supports	$245.99 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports	$284.31 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports	$362.42 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports	$398.69 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig	$41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1	$322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2	$367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3	$425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4	$510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig	$31.91 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

County : Montgomery
\|Service Name / Level	\|Rate

Companion Services (Level 1)	$4.77 / 15 min.
Companion Services (Level 2)	$8.33 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
Res Hab-1 Person-NG 1-Elig	$523.00 - $554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 - $433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$606.92 - $643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 - $545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$924.89 - $980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 - $790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,118.74 - $1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$822.23 - $871.56 / 1 Day
Res Hab-1 Person-NG5-Elig	$1,754.51 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports	$1,341.85 / 1 Day
Res Hab-2 Person-NG 1-Elig	$523.00 - $554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 - $433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$606.92 - $643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 - $545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-2 Person-NG5-Elig	$1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports	$1,215.16 / 1 Day
Res Hab-3 Person-NG 1-Elig	$387.76 - $411.03 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$294.49 - $312.16 / 1 Day
Res Hab-3 Person-NG 2-Elig	$441.87 - $468.38 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$341.21 - $361.68 / 1 Day
Res Hab-3 Person-NG 3-Elig	$514.20 - $545.05 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 - $467.35 / 1 Day
Res Hab-3 Person-NG 4-Elig	$624.74 - $662.22 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 - $513.07 / 1 Day
Res Hab-4 Person-NG 1-Elig-w/Day Supports	$232.07 - $245.99 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports	$268.22 - $284.31 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports	$341.91 - $362.42 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports	$376.12 - $398.69 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig	$41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1	$322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2	$367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3	$425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4	$510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig	$31.91 / 1 Day
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

County : Philadelphia
\|Service Name / Level	\|Rate

Companion Services (Level 1)	$4.77 / 15 min.
Companion Services (Level 2)	$8.33 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
Res Hab-1 Person-NG 1-Elig	$523.00 - $554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 - $433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$606.92 - $643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 - $545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$924.89 - $980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 - $790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,118.74 - $1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$822.23 - $871.56 / 1 Day
Res Hab-1 Person-NG5-Elig	$1,754.51 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports	$1,341.85 / 1 Day
Res Hab-2 Person-NG 1-Elig	$523.00 - $554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 - $433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$606.92 - $643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 - $545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$685.68 - $726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 - $668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$820.15 - $869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 - $730.86 / 1 Day
Res Hab-2 Person-NG5-Elig	$1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports	$1,215.16 / 1 Day
Res Hab-3 Person-NG 1-Elig	$387.76 - $411.03 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$294.49 - $312.16 / 1 Day
Res Hab-3 Person-NG 2-Elig	$441.87 - $468.38 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$341.21 - $361.68 / 1 Day
Res Hab-3 Person-NG 3-Elig	$514.20 - $545.05 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 - $467.35 / 1 Day
Res Hab-3 Person-NG 4-Elig	$624.74 - $662.22 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 - $513.07 / 1 Day
Res Hab-4 Person-NG 1-Elig-w/Day Supports	$232.07 - $245.99 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports	$268.22 - $284.31 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports	$341.91 - $362.42 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports	$376.12 - $398.69 / 1 Day
Res Hab-Lic-1 Person-Inelig	$99.10 - $105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$54.05 - $57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig	$38.74 - $41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1	$322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2	$367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3	$425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4	$510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig	$30.10 - $31.91 / 1 Day
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

County : York/Adams
\|Service Name / Level	\|Rate

Res Hab-1 Person-NG 1-Elig	$523.00 - $554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 - $433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$606.92 - $643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 - $545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$924.89 - $980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 - $790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,118.74 - $1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$822.23 - $871.56 / 1 Day
Res Hab-1 Person-NG5-Elig	$1,754.51 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports	$1,341.85 / 1 Day
Res Hab-2 Person-NG 1-Elig	$523.00 - $554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 - $433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$606.92 - $643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 - $545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-3 Person-NG 1-Elig	$387.76 - $411.03 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$294.49 - $312.16 / 1 Day
Res Hab-3 Person-NG 2-Elig	$441.87 - $468.38 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$341.21 - $361.68 / 1 Day
Res Hab-3 Person-NG 3-Elig	$514.20 - $545.05 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 - $467.35 / 1 Day
Res Hab-3 Person-NG 4-Elig	$624.74 - $662.22 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 - $513.07 / 1 Day
Res Hab-4 Person-NG 1-Elig-w/Day Supports	$232.07 - $245.99 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports	$268.22 - $284.31 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports	$341.91 - $362.42 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports	$376.12 - $398.69 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig	$41.06 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$12.22 / 15 min.

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