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Provider Demographic Information - LILLY OF THE VALLEY LLC

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	LILLY OF THE VALLEY LLC
Address:	751 VANDENBURG RD APT 4206 KING OF PRUSSIA, PA 19406-1687
Phone:	(267) 902-2343
E-mail:	sjenkins645@yahoo.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:	LILLY OF THE VALLEY LLC
Address:	5651 WOODCREST AVE PHILADELPHIA, PA 19131-1303
Phone:	(267) 902-2343

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PROVIDER SERVICES AND RATES Supporting line for group header


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

Needs Exception Allowance (NEA)-Adult Res (6400)	$0.01 - $1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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 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-2 Person-Inelig	$54.05 / 1 Day
Res Hab-Lic-3 Person-Inelig	$38.74 / 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 : Armstrong/Indiana
\|Service Name / Level	\|Rate

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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 : Beaver
\|Service Name / Level	\|Rate

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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 : Berks
\|Service Name / Level	\|Rate

Needs Exception Allowance (NEA)-Adult Res (6400)	$0.01 - $1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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 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-2 Person-Inelig	$54.05 / 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 : Blair
\|Service Name / Level	\|Rate

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$0.01 - $1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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 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-2 Person-Inelig	$54.05 / 1 Day
Res Hab-Lic-3 Person-Inelig	$33.46 - $38.74 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 1 Day
Res Hab-Lic-3 Person-Inelig	$38.74 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$0.01 - $1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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 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-2 Person-Inelig	$54.05 / 1 Day
Res Hab-Lic-3 Person-Inelig	$33.46 - $38.74 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-w/Day Supports	$294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 / 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-2 Person-Inelig	$54.05 / 1 Day
Res Hab-Lic-3 Person-Inelig	$38.74 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-w/Day Supports	$294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 / 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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$0.01 - $1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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 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-2 Person-Inelig	$54.05 / 1 Day
Res Hab-Lic-3 Person-Inelig	$33.46 - $38.74 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-w/Day Supports	$294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 / 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-2 Person-Inelig	$54.05 / 1 Day
Res Hab-Lic-3 Person-Inelig	$38.74 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-w/Day Supports	$294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 / 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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$0.01 - $1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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 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-2 Person-Inelig	$54.05 / 1 Day
Res Hab-Lic-3 Person-Inelig	$38.74 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 1 Day
Res Hab-Lic-3 Person-Inelig	$38.74 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-w/Day Supports	$294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 / 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-2 Person-Inelig	$54.05 / 1 Day
Res Hab-Lic-3 Person-Inelig	$38.74 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$0.01 - $1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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 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-2 Person-Inelig	$54.05 / 1 Day
Res Hab-Lic-3 Person-Inelig	$33.46 - $38.74 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$0.01 - $1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$0.01 - $1,165.12 / 1 Day
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 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-2 Person-Inelig	$54.05 / 1 Day
Res Hab-Lic-3 Person-Inelig	$33.46 - $38.74 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$0.01 - $1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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 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-2 Person-Inelig	$54.05 / 1 Day
Res Hab-Lic-3 Person-Inelig	$33.46 - $38.74 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$0.01 - $1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$0.01 - $1,165.12 / 1 Day
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 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-2 Person-Inelig	$54.05 / 1 Day
Res Hab-Lic-3 Person-Inelig	$33.46 - $38.74 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$0.01 - $1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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 2-Elig	$441.87 / 1 Day
Res Hab-3 Person-NG 3-Elig	$514.20 / 1 Day
Res Hab-3 Person-NG 4-Elig	$624.74 / 1 Day
Res Hab-Lic-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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 : Wayne
\|Service Name / Level	\|Rate

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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 : York/Adams
\|Service Name / Level	\|Rate

Needs Exception Allowance (NEA)-Adult Res (6400)	$1,024.41 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,165.12 / 1 Day
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-2 Person-Inelig	$54.05 / 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

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