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Provider Demographic Information - BETTER OUTCOMES LIVING DIVERSELY

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	BETTER OUTCOMES LIVING DIVERSELY
Address:	219 N UNION ST APT 3 MIDDLETOWN, PA 17057-1496
Phone:	(717) 385-2810
E-mail:	KBOLDEN@BOLDINC.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:	BETTER OUTCOMES LIVING DIVERSELY
Address:	2595 INTERSTATE DR STE 104 HARRISBURG, PA 17110-9378
Phone:	(717) 906-1701
Fax:	(717) 412-7958

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PROVIDER SERVICES AND RATES Supporting line for group header


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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day
Life Sharing-1 person-Elig-NG 1 > 30 Hrs	$171.35 / 1 Day
Life Sharing-1 person-Elig-NG 2 > 30 Hrs	$204.29 / 1 Day
Life Sharing-1 person-Elig-NG 3 > 30 Hrs	$279.58 / 1 Day
Life Sharing-1 person-Elig-NG 4 > 30 Hrs	$355.61 / 1 Day
Life Sharing-2 person-Elig-NG 1 > 30 Hrs	$120.79 / 1 Day
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$120.79 / 1 Day
Life Sharing-2 person-Elig-NG 2 > 30 Hrs	$144.84 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$144.84 / 1 Day
Life Sharing-2 person-Elig-NG 3 > 30 Hrs	$197.06 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$197.06 / 1 Day
Life Sharing-2 person-Elig-NG 4 > 30 Hrs	$237.16 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$237.16 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Housing Transition/Tenancy Sustaining services	$20.24 / 15 min.
In-Home & Commnty Supprts (Basic)	$4.09 / 15 min.
In-Home & Commnty Supprts (Lvl 1)	$5.76 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh)	$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)	$19.83 / 15 min.
Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs	$171.35 / 1 Day
Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs	$204.29 / 1 Day
Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs	$279.58 / 1 Day
Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs	$355.61 / 1 Day
Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day
Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs	$147.63 / 1 Day
Life Sharing-1 person-Elig-NG 1 > 30 Hrs	$171.35 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$90.59 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$119.11 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$176.17 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$317.80 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) Out-of-Home	$630.98 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home	$805.07 / 1 Day
Supported Living-1 Person-NG1	$151.12 / 1 Day
Supported Living-1 Person-NG2	$253.26 / 1 Day
Supported Living-1 Person-NG3	$404.38 / 1 Day
Supported Living-1 Person-NG4	$543.72 / 1 Day

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

Housing Transition/Tenancy Sustaining services	$20.24 / 15 min.
In-Home & Commnty Supprts (Basic)	$4.09 / 15 min.
In-Home & Commnty Supprts (Lvl 1)	$5.76 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh)	$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)	$19.83 / 15 min.
Life Sharing-1 Person-Elig-NG 1-by Relative >30Hrs	$171.35 / 1 Day
Life Sharing-1 per-Elig-NG 2-by Relative > 30 Hrs	$204.29 / 1 Day
Life Sharing-1 per-Elig-NG 3-By Relative > 30 Hrs	$279.58 / 1 Day
Life Sharing-1 per-Elig-NG 4-by Relative > 30 Hrs	$355.61 / 1 Day
Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day
Life Sharing-1 person-Elig-NG 1 > 30 Hrs	$171.35 / 1 Day
Life Sharing-1 person-Elig-NG 2 > 30 Hrs	$204.29 / 1 Day
Life Sharing-1 person-Elig-NG 3 > 30 Hrs	$279.58 / 1 Day
Life Sharing-1 person-Elig-NG 4 > 30 Hrs	$355.61 / 1 Day
Life Sharing-2 person-Elig-NG 1 > 30 Hrs	$120.79 / 1 Day
Life Sharing-2 person-Elig-NG 2 > 30 Hrs	$144.84 / 1 Day
Life Sharing-2 person-Elig-NG 3 > 30 Hrs	$197.06 / 1 Day
Life Sharing-2 person-Elig-NG 4 > 30 Hrs	$237.16 / 1 Day
Res Hab-2 Person-NG 1-Elig	$523.00 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$90.59 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$119.11 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$176.17 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$317.80 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) Out-of-Home	$630.98 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home	$805.07 / 1 Day
Supported Living-1 Person-NG1	$151.12 / 1 Day
Supported Living-1 Person-NG2	$253.26 / 1 Day
Supported Living-1 Person-NG3	$404.38 / 1 Day
Supported Living-1 Person-NG4	$543.72 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

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.
In-Home & Commnty Supprts (Lvl 3 Enh)	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$19.83 / 15 min.
Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day
Respite-Unlic-Day (Basic 1:4) Out-of-Home	$90.59 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) Out-of-Home	$119.11 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) Out-of-Home	$176.17 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) Out-of-Home	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$317.80 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) Out-of-Home	$630.98 / 1 Day
Respite-Unlic-Day(Level 4, 2:1 Enhcd) Out-of-Home	$805.07 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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

Housing Transition/Tenancy Sustaining services	$20.24 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
Respite Only Home-2 People-Lic-Day-NG 1	$541.71 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 2	$663.22 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 3	$795.25 / 1 Day
Respite Only Home-2 People-Lic-Day-NG 4	$862.33 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 1	$398.05 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 2	$451.36 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 3	$565.12 / 1 Day
Respite Only Home-3 People-Lic-Day-NG 4	$614.34 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 1	$317.88 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 2	$359.14 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 3	$443.23 / 1 Day
Respite Only Home-4 People-Lic-Day-NG 4	$482.27 / 1 Day

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