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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	Pleasant Vine Home Care llc
Address:	1340 Dekalb St Unit 2 Norristown, PA 19401-3434
Phone:	(610) 226-2121
E-mail:	info@pleasantvinehc.com
Web Site:	N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header

Click here to view Provider Certification Information

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


Type:	Corporate Office
Name:	Pleasant Vine Home Care LLC
Address:	1340 Dekalb St Unit 2 Norristown, PA 19401
Phone:	(610) 226-2121
Fax:	(610) 206-3565

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PROVIDER SERVICES AND RATES Supporting line for group header


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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.
Res Hab-1 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$871.56 / 1 Day
Res Hab-2 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 - $24.55 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 - $24.55 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 - $3.45 / 15 min.
Companion Services (Level 1)	$4.42 - $4.77 / 15 min.
Companion Services (Level 2)	$7.71 - $8.33 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 - $24.55 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 - $24.55 / 1 hr.
In-Home & Commnty Supprts (Basic)	$4.42 / 15 min.
In-Home & Commnty Supprts (Lvl 1)	$6.22 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
Res Hab-1 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$871.56 / 1 Day
Res Hab-2 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day
Respite-Lic-Day-1 person-NG 3	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 4	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5	$800.99 / 1 Day

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.
Res Hab-1 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$871.56 / 1 Day
Res Hab-2 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 - $24.55 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 - $24.55 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 - $3.45 / 15 min.
Companion Services (Level 1)	$4.42 - $4.77 / 15 min.
Companion Services (Level 2)	$7.71 - $8.33 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 - $24.55 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 - $24.55 / 1 hr.
In-Home & Commnty Supprts (Basic)	$4.42 / 15 min.
In-Home & Commnty Supprts (Lvl 1)	$6.22 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
Res Hab-1 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$871.56 / 1 Day
Res Hab-2 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day
Respite-Lic-Day-1 person-NG 3	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 4	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5	$800.99 / 1 Day

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 - $24.55 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 - $24.55 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 - $3.45 / 15 min.
Companion Services (Level 1)	$4.42 - $4.77 / 15 min.
Companion Services (Level 2)	$7.71 - $8.33 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 - $24.55 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 - $24.55 / 1 hr.
In-Home & Commnty Supprts (Basic)	$4.42 / 15 min.
In-Home & Commnty Supprts (Lvl 1)	$6.22 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
Res Hab-1 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$871.56 / 1 Day
Res Hab-2 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day
Respite-Lic-Day-1 person-NG 3	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 4	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5	$800.99 / 1 Day

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.
Res Hab-1 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$871.56 / 1 Day
Res Hab-2 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.
Res Hab-1 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$871.56 / 1 Day
Res Hab-2 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 - $24.55 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 - $24.55 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 - $3.45 / 15 min.
Companion Services (Level 1)	$4.42 - $4.77 / 15 min.
Companion Services (Level 2)	$7.71 - $8.33 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 - $24.55 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 - $24.55 / 1 hr.
In-Home & Commnty Supprts (Basic)	$4.42 / 15 min.
In-Home & Commnty Supprts (Lvl 1)	$6.22 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
Res Hab-1 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$871.56 / 1 Day
Res Hab-2 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day
Respite-Lic-Day-1 person-NG 3	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 4	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5	$800.99 / 1 Day

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.
Res Hab-1 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$871.56 / 1 Day
Res Hab-2 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 - $24.55 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 - $24.55 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 - $3.45 / 15 min.
Companion Services (Level 1)	$4.42 - $4.77 / 15 min.
Companion Services (Level 2)	$7.71 - $8.33 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 - $24.55 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 - $24.55 / 1 hr.
In-Home & Commnty Supprts (Basic)	$4.42 / 15 min.
In-Home & Commnty Supprts (Lvl 1)	$6.22 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$11.10 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$21.42 / 15 min.
Res Hab-1 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$871.56 / 1 Day
Res Hab-2 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day
Respite-Lic-Day-1 person-NG 3	$906.68 / 1 Day
Respite-Lic-Day-1 person-NG 4	$987.25 / 1 Day
Respite-Lic-Day-1 person-NG5	$987.25 / 1 Day
Respite-Lic-Day-2 person-NG 2	$616.04 / 1 Day
Respite-Lic-Day-2 person-NG 3	$738.67 / 1 Day
Respite-Lic-Day-2 person-NG 4	$800.99 / 1 Day
Respite-Lic-Day-2 person-NG5	$800.99 / 1 Day

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.
Res Hab-1 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig	$980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$871.56 / 1 Day
Res Hab-2 Person-NG 1-Elig	$554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig	$643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig	$726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig	$869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$730.86 / 1 Day
Res Hab-Lic-1 Person-Inelig	$105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig	$57.29 / 1 Day

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.

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