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Provider Demographic Information - NOT FORGOTTEN HOME & COMMUNITY SERVICES

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	NOT FORGOTTEN HOME & COMMUNITY SERVICES
Address:	101 W MAIN ST CARNEGIE, PA 15106-2427
Phone:	(412) 464-5900
E-mail:	jwilliams@nfhcs.org
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:	NOT FORGOTTEN HOME AND COMMUNITY SERVICES
Address:	225 COMMONWEALTH AVE WEST MIFFLIN, PA 15122-1927
Phone:	(412) 330-7652

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PROVIDER SERVICES AND RATES Supporting line for group header


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

Behavioral Supports-Level 1-Initial/Ongoing	$22.08 / 15 min.
CPS Community 1:1	$12.81 / 15 min.
Comm 9+ Indiv Home (6400 Inelig)	Not Set
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.
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 Enh)	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) RN	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh)	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) LPN	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) RN	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$19.83 / 15 min.
Nursing - (1:1) LPN-15 minutes	$13.77 / 15 min.
Res Hab-1 Person-NG 1-Elig	$523.00 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
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 2	$347.00 / 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
Resid Hab-Unlic 2-Indiv Home (Inelig)	$13.16 / 1 Day
Respite-Base Out-of-Home 24 Hours (Level 1)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2)-Day	$245.13 - $474.70 / 1 Day
Respite-Lic-Day-1 person-NG 3	$855.36 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency	$855.36 / 1 Day
Respite-Lic-Day-1 person-NG 4	$931.37 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$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 1-Emergency	$348.80 / 1 Day
Respite-Lic-Day-3 person-NG 2	$395.52 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency	$395.52 / 1 Day
Respite-Lic-Day-3 person-NG 3	$495.21 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency	$495.21 / 1 Day
Respite-Lic-Day-3 person-NG 4	$538.34 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency	$538.34 / 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-Unlic- 15-min (Basic 1:4)	$2.26 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$12.30 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$12.30 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$12.30 / 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)In-Home	$7.95 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home	$7.95 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$20.13 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$20.13 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$20.13 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1) Out of Home	$15.77 / 15 min.
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$90.59 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) In-Home	$119.11 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$119.11 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) In-Home	$176.17 / 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 Enh)Out-of-Hme -TD	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) In-Home	$317.80 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$317.80 / 1 Day
Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home	$805.07 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) Out-of-Home	$630.98 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD	$805.07 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE	$805.07 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home	$805.07 / 1 Day
Small Group Employment (Base)-15 min	$2.30 / 15 min.
Small Group Employment (Level 1)-15 min	$3.54 / 15 min.
Small Group Employment (Level 2)-15 min	$6.96 / 15 min.
Small Group Employment (Level 3)-15 Mins	$13.15 / 15 min.
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set
Supported Emplymnt-Career Assessment	$17.91 / 15 min.
Supported Emplymnt-Job Finding/Job Development	$17.91 / 15 min.
Supported Emplymnt-Job Support - 1:1	$17.91 / 15 min.

County : Armstrong/Indiana
\|Service Name / Level	\|Rate

Behavioral Supports-Level 1-Initial/Ongoing	$22.08 / 15 min.
Comm 9+ Indiv Home (6400 Inelig)	Not Set
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.
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 Enh)	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
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 3-Elig	$514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig	$624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 / 1 Day
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Res Hab-Lic-3 Person-Inelig	$33.46 / 1 Day
Respite-Lic-Day-1 person-NG 3	$855.36 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency	$855.36 / 1 Day
Respite-Lic-Day-1 person-NG 4	$931.37 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$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-Unlic- 15-min (Basic 1:4)	$2.26 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$12.30 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$12.30 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$12.30 / 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-15-min(Level 4, 2:1 Enh) - TD	$20.13 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$20.13 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$20.13 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1) Out of Home	$15.77 / 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 Enh)Out-of-Hme -TD	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$317.80 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) Out-of-Home	$630.98 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD	$805.07 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE	$805.07 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home	$805.07 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set
Supported Emplymnt-Career Assessment	$17.91 / 15 min.
Supported Emplymnt-Job Finding/Job Development	$17.91 / 15 min.

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Respite-Lic-Day-1 person-NG 3	$855.36 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency	$855.36 / 1 Day
Respite-Lic-Day-1 person-NG 4	$931.37 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$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-Unlic- 15-min (Basic 1:4)	$2.26 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$12.30 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$12.30 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$12.30 / 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-15-min(Level 4, 2:1 Enh) - TD	$20.13 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$20.13 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$20.13 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1) Out of Home	$15.77 / 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 Enh)Out-of-Hme -TD	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$317.80 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) Out-of-Home	$630.98 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD	$805.07 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE	$805.07 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home	$805.07 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

County : Bedford/Somerset
\|Service Name / Level	\|Rate

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

County : Bradford/Sullivan
\|Service Name / Level	\|Rate

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Companion Services (Level 2)	$7.71 / 15 min.
In-Home & Commnty Supprts (Lvl 1)	$5.76 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

County : Cameron/Elk
\|Service Name / Level	\|Rate

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

County : Carbon/Monroe/Pike
\|Service Name / Level	\|Rate

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

County : Clearfield/Jefferson
\|Service Name / Level	\|Rate

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

County : Columbia/Montour/Snyder/Union
\|Service Name / Level	\|Rate

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

County : Cumberland/Perry
\|Service Name / Level	\|Rate

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Companion Services (Level 2)	$7.71 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
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 3-Elig	$514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig	$624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 / 1 Day
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Res Hab-Lic-3 Person-Inelig	$33.46 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Respite-Lic-Day-1 person-NG 3	$855.36 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency	$855.36 / 1 Day
Respite-Lic-Day-1 person-NG 4	$931.37 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$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-Unlic- 15-min (Basic 1:4)	$2.26 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$12.30 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$12.30 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$12.30 / 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-15-min(Level 4, 2:1 Enh) - TD	$20.13 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$20.13 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$20.13 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1) Out of Home	$15.77 / 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 Enh)Out-of-Hme -TD	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$317.80 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) Out-of-Home	$630.98 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD	$805.07 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE	$805.07 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home	$805.07 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

County : Forest/Warren
\|Service Name / Level	\|Rate

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

County : Franklin/Fulton
\|Service Name / Level	\|Rate

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

County : Huntingdon/Mifflin/Juniata
\|Service Name / Level	\|Rate

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

County : Lackawanna/Susquehanna
\|Service Name / Level	\|Rate

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Companion Services (Level 2)	$7.71 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
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 3-Elig	$514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig	$624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 / 1 Day
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Res Hab-Lic-3 Person-Inelig	$33.46 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

County : Luzerne/Wyoming
\|Service Name / Level	\|Rate

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

County : Lycoming/Clinton
\|Service Name / Level	\|Rate

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
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.
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 Enh)	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$19.83 / 15 min.
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Respite-Lic-Day-1 person-NG 3	$855.36 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency	$855.36 / 1 Day
Respite-Lic-Day-1 person-NG 4	$931.37 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$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-Unlic- 15-min (Basic 1:4)	$2.26 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$12.30 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$12.30 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$12.30 / 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-15-min(Level 4, 2:1 Enh) - TD	$20.13 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$20.13 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$20.13 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1) Out of Home	$15.77 / 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 Enh)Out-of-Hme -TD	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$317.80 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) Out-of-Home	$630.98 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD	$805.07 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE	$805.07 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home	$805.07 / 1 Day
Small Group Employment (Base)-15 min	$2.30 / 15 min.
Small Group Employment (Level 1)-15 min	$3.54 / 15 min.
Small Group Employment (Level 2)-15 min	$6.96 / 15 min.
Small Group Employment (Level 3)-15 Mins	$13.15 / 15 min.
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set
Supported Emplymnt-Career Assessment	$17.91 / 15 min.
Supported Emplymnt-Job Finding/Job Development	$17.91 / 15 min.
Supported Emplymnt-Job Support - 1:1	$17.91 / 15 min.
Supported Emplymnt-Job Support-1:2	$10.72 / 15 min.

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set

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

Behavioral Supports-Level 1-Initial/Ongoing	$22.08 / 15 min.
Comm 9+ Indiv Home (6400 Inelig)	Not Set
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.
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.
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS	Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS	Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
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-ECS	Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS	Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS	Not Set
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	Not Set
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Respite-Lic-Day-1 person-NG 3	$855.36 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency	$855.36 / 1 Day
Respite-Lic-Day-1 person-NG 4	$931.37 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency	$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-Unlic- 15-min (Basic 1:4)	$2.26 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$12.30 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$12.30 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$12.30 / 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-15-min(Level 4, 2:1 Enh) - TD	$20.13 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$20.13 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$20.13 / 15 min.
Respite-Unlic-15min(Lvl 4,2:1) Out of Home	$15.77 / 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 Enh)Out-of-Hme -TD	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh)Out-of-Hme -TE	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$317.80 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) Out-of-Home	$630.98 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TD	$805.07 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enh) Out-of-Home-TE	$805.07 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home	$805.07 / 1 Day
Small Group Employment (Base)-15 min	$2.30 / 15 min.
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS	Not Set
Supported Emplymnt-Career Assessment	$17.91 / 15 min.
Supported Emplymnt-Job Finding/Job Development	$17.91 / 15 min.
Supported Emplymnt-Job Support - 1:1	$17.91 / 15 min.
Supported Emplymnt-Job Support-1:2	$10.72 / 15 min.

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

Comm 9+ Indiv Home (6400 Inelig)	Not Set
In-Home & Commnty Supprts (Lvl 1)	$5.76 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS