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Provider Demographic Information - HALLMOORE CORP

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	HALLMOORE CORP
Address:	6969 CEDAR PARK AVE PHILADELPHIA, PA 19138-2001
Phone:	(215) 207-8261
E-mail:	HALLMOORECORP@GMAIL.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:	HALLMOORE CORP
Address:	6969 CEDAR PARK AVE PHILADELPHIA, PA 19138-2001
Phone:	(215) 207-8261

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PROVIDER SERVICES AND RATES Supporting line for group header


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

Behavioral Supports-Level 1-Initial/Ongoing	$22.08 / 15 min.
Behavioral Supports-Level 1-Initial/Ongoing-ECS	Not Set
Behavioral Supports-Level 2-Initial/Ongoing	$23.66 / 15 min.
Behavioral Supports-Level 2-Initial/Ongoing-ECS	Not Set
Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Basic Staff Support) - ECS	Not Set
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 1) - ECS	Not Set
Companion Services (Level 2)	$7.71 / 15 min.
Companion Services (Level 2) - ECS	Not Set
Family/Caregiver Support-Training and Support	Not Set
Family/Caregiver Support-Training and Support-ECS	Not Set
Fmly/Crgvr Spprt-Cnslng-no Participant Present	$13.32 / 15 min.
Fmly/Crgvr Spprt-Cnslng-no Participant Present-ECS	Not Set
Fmly/Crgvr Spprt-Cnslng-w/Participant Present	$13.32 / 15 min.
Fmly/Crgvr Spprt-Cnslng-w/Participant Present-ECS	Not Set
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.
In-Home & Commnty Supprts (Basic)	$4.09 / 15 min.
In-Home & Commnty Supprts (Basic) ECS	Not Set
In-Home & Commnty Supprts (Lvl 1)	$5.76 / 15 min.
In-Home & Commnty Supprts (Lvl 1) ECS	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh)	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) ECS	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) RN	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS	Not Set
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
In-Home & Commnty Supprts (Lvl 2) ECS	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh)	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) ECS	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) LPN	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) RN	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS	Not Set
In-Home & Commnty Supprts (Lvl 3)	$19.83 / 15 min.
In-Home & Commnty Supprts (Lvl 3) ECS	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2	Not Set
Respite-Lic-Day-1 person-NG 3	$855.36 / 1 Day
Respite-Lic-Day-1 person-NG 3-ECS	Not Set
Respite-Lic-Day-1 person-NG 3-Emergency	$855.36 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-1 person-NG 4-ECS	Not Set
Respite-Lic-Day-1 person-NG 4-Emergency	$931.37 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 1-Emergency	$474.70 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 2	$581.17 / 1 Day
Respite-Lic-Day-2 person-NG 2-ECS	Not Set
Respite-Lic-Day-2 person-NG 2-Emergency	$581.17 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 3	$696.86 / 1 Day
Respite-Lic-Day-2 person-NG 3-ECS	Not Set
Respite-Lic-Day-2 person-NG 3-Emergency	$696.86 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 4	$755.65 / 1 Day
Respite-Lic-Day-2 person-NG 4-ECS	Not Set
Respite-Lic-Day-2 person-NG 4-Emergency	$755.65 / 1 Day
Respite-Lic-Day-2 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG1	$474.70 / 1 Day
Respite-Lic-Day-2 person-NG1-ECS	Not Set
Respite-Lic-Day-3 person-NG 1	$348.80 / 1 Day
Respite-Lic-Day-3 person-NG 1-ECS	Not Set
Respite-Lic-Day-3 person-NG 1-Emergency	$348.80 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 2	$395.52 / 1 Day
Respite-Lic-Day-3 person-NG 2-ECS	Not Set
Respite-Lic-Day-3 person-NG 2-Emergency	$395.52 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 3	$495.21 / 1 Day
Respite-Lic-Day-3 person-NG 3-ECS	Not Set
Respite-Lic-Day-3 person-NG 3-Emergency	$495.21 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 4	$538.34 / 1 Day
Respite-Lic-Day-3 person-NG 4-ECS	Not Set
Respite-Lic-Day-3 person-NG 4-Emergency	$538.34 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency-ECS	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$139.56 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$245.13 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$416.93 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$661.90 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$490.11 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$661.90 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$416.93 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Behavioral Supports-Level 1-Initial/Ongoing	$22.08 / 15 min.
Behavioral Supports-Level 1-Initial/Ongoing-ECS	Not Set
Behavioral Supports-Level 2-Initial/Ongoing	$23.66 / 15 min.
Behavioral Supports-Level 2-Initial/Ongoing-ECS	Not Set
Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Basic Staff Support) - ECS	Not Set
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 1) - ECS	Not Set
Companion Services (Level 2)	$7.71 / 15 min.
Companion Services (Level 2) - ECS	Not Set
Family/Caregiver Support-Training and Support	Not Set
Family/Caregiver Support-Training and Support-ECS	Not Set
Fmly/Crgvr Spprt-Cnslng-no Participant Present	$13.32 / 15 min.
Fmly/Crgvr Spprt-Cnslng-no Participant Present-ECS	Not Set
Fmly/Crgvr Spprt-Cnslng-w/Participant Present	$13.32 / 15 min.
Fmly/Crgvr Spprt-Cnslng-w/Participant Present-ECS	Not Set
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.
In-Home & Commnty Supprts (Basic)	$4.09 / 15 min.
In-Home & Commnty Supprts (Basic) ECS	Not Set
In-Home & Commnty Supprts (Lvl 1)	$5.76 / 15 min.
In-Home & Commnty Supprts (Lvl 1) ECS	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh)	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) ECS	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) RN	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS	Not Set
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
In-Home & Commnty Supprts (Lvl 2) ECS	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh)	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) ECS	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) LPN	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) RN	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS	Not Set
In-Home & Commnty Supprts (Lvl 3)	$19.83 / 15 min.
In-Home & Commnty Supprts (Lvl 3) ECS	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2	Not Set
Respite-Lic-Day-1 person-NG 3	$855.36 / 1 Day
Respite-Lic-Day-1 person-NG 3-ECS	Not Set
Respite-Lic-Day-1 person-NG 3-Emergency	$855.36 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-1 person-NG 4-ECS	Not Set
Respite-Lic-Day-1 person-NG 4-Emergency	$931.37 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 1-Emergency	$474.70 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 2	$581.17 / 1 Day
Respite-Lic-Day-2 person-NG 2-ECS	Not Set
Respite-Lic-Day-2 person-NG 2-Emergency	$581.17 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 3	$696.86 / 1 Day
Respite-Lic-Day-2 person-NG 3-ECS	Not Set
Respite-Lic-Day-2 person-NG 3-Emergency	$696.86 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 4	$755.65 / 1 Day
Respite-Lic-Day-2 person-NG 4-ECS	Not Set
Respite-Lic-Day-2 person-NG 4-Emergency	$755.65 / 1 Day
Respite-Lic-Day-2 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG1	$474.70 / 1 Day
Respite-Lic-Day-2 person-NG1-ECS	Not Set
Respite-Lic-Day-3 person-NG 1	$348.80 / 1 Day
Respite-Lic-Day-3 person-NG 1-ECS	Not Set
Respite-Lic-Day-3 person-NG 1-Emergency	$348.80 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 2	$395.52 / 1 Day
Respite-Lic-Day-3 person-NG 2-ECS	Not Set
Respite-Lic-Day-3 person-NG 2-Emergency	$395.52 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 3	$495.21 / 1 Day
Respite-Lic-Day-3 person-NG 3-ECS	Not Set
Respite-Lic-Day-3 person-NG 3-Emergency	$495.21 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 4	$538.34 / 1 Day
Respite-Lic-Day-3 person-NG 4-ECS	Not Set
Respite-Lic-Day-3 person-NG 4-Emergency	$538.34 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency-ECS	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$139.56 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$245.13 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$416.93 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$661.90 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$490.11 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$661.90 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$416.93 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Behavioral Supports-Level 1-Initial/Ongoing	$22.08 / 15 min.
Behavioral Supports-Level 1-Initial/Ongoing-ECS	Not Set
Behavioral Supports-Level 2-Initial/Ongoing	$23.66 / 15 min.
Behavioral Supports-Level 2-Initial/Ongoing-ECS	Not Set
Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Basic Staff Support) - ECS	Not Set
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 1) - ECS	Not Set
Companion Services (Level 2)	$7.71 / 15 min.
Companion Services (Level 2) - ECS	Not Set
Family/Caregiver Support-Training and Support	Not Set
Family/Caregiver Support-Training and Support-ECS	Not Set
Fmly/Crgvr Spprt-Cnslng-no Participant Present	$13.32 / 15 min.
Fmly/Crgvr Spprt-Cnslng-no Participant Present-ECS	Not Set
Fmly/Crgvr Spprt-Cnslng-w/Participant Present	$13.32 / 15 min.
Fmly/Crgvr Spprt-Cnslng-w/Participant Present-ECS	Not Set
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.
In-Home & Commnty Supprts (Basic)	$4.09 / 15 min.
In-Home & Commnty Supprts (Basic) ECS	Not Set
In-Home & Commnty Supprts (Lvl 1)	$5.76 / 15 min.
In-Home & Commnty Supprts (Lvl 1) ECS	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh)	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) ECS	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) RN	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS	Not Set
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
In-Home & Commnty Supprts (Lvl 2) ECS	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh)	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) ECS	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) LPN	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) RN	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS	Not Set
In-Home & Commnty Supprts (Lvl 3)	$19.83 / 15 min.
In-Home & Commnty Supprts (Lvl 3) ECS	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2	Not Set
Respite-Lic-Day-1 person-NG 3	$855.36 / 1 Day
Respite-Lic-Day-1 person-NG 3-ECS	Not Set
Respite-Lic-Day-1 person-NG 3-Emergency	$855.36 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-1 person-NG 4-ECS	Not Set
Respite-Lic-Day-1 person-NG 4-Emergency	$931.37 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 1-Emergency	$474.70 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 2	$581.17 / 1 Day
Respite-Lic-Day-2 person-NG 2-ECS	Not Set
Respite-Lic-Day-2 person-NG 2-Emergency	$581.17 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 3	$696.86 / 1 Day
Respite-Lic-Day-2 person-NG 3-ECS	Not Set
Respite-Lic-Day-2 person-NG 3-Emergency	$696.86 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 4	$755.65 / 1 Day
Respite-Lic-Day-2 person-NG 4-ECS	Not Set
Respite-Lic-Day-2 person-NG 4-Emergency	$755.65 / 1 Day
Respite-Lic-Day-2 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG1	$474.70 / 1 Day
Respite-Lic-Day-2 person-NG1-ECS	Not Set
Respite-Lic-Day-3 person-NG 1	$348.80 / 1 Day
Respite-Lic-Day-3 person-NG 1-ECS	Not Set
Respite-Lic-Day-3 person-NG 1-Emergency	$348.80 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 2	$395.52 / 1 Day
Respite-Lic-Day-3 person-NG 2-ECS	Not Set
Respite-Lic-Day-3 person-NG 2-Emergency	$395.52 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 3	$495.21 / 1 Day
Respite-Lic-Day-3 person-NG 3-ECS	Not Set
Respite-Lic-Day-3 person-NG 3-Emergency	$495.21 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 4	$538.34 / 1 Day
Respite-Lic-Day-3 person-NG 4-ECS	Not Set
Respite-Lic-Day-3 person-NG 4-Emergency	$538.34 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency-ECS	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$139.56 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$245.13 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$416.93 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$661.90 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$490.11 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$661.90 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$416.93 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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

Behavioral Supports-Level 1-Initial/Ongoing	$22.08 / 15 min.
Behavioral Supports-Level 1-Initial/Ongoing-ECS	Not Set
Behavioral Supports-Level 2-Initial/Ongoing	$23.66 / 15 min.
Behavioral Supports-Level 2-Initial/Ongoing-ECS	Not Set
Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Basic Staff Support) - ECS	Not Set
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 1) - ECS	Not Set
Companion Services (Level 2)	$7.71 / 15 min.
Companion Services (Level 2) - ECS	Not Set
Family/Caregiver Support-Training and Support	Not Set
Family/Caregiver Support-Training and Support-ECS	Not Set
Fmly/Crgvr Spprt-Cnslng-no Participant Present	$13.32 / 15 min.
Fmly/Crgvr Spprt-Cnslng-no Participant Present-ECS	Not Set
Fmly/Crgvr Spprt-Cnslng-w/Participant Present	$13.32 / 15 min.
Fmly/Crgvr Spprt-Cnslng-w/Participant Present-ECS	Not Set
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.
In-Home & Commnty Supprts (Basic)	$4.09 / 15 min.
In-Home & Commnty Supprts (Basic) ECS	Not Set
In-Home & Commnty Supprts (Lvl 1)	$5.76 / 15 min.
In-Home & Commnty Supprts (Lvl 1) ECS	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh)	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) ECS	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) LPN-ECS	Not Set
In-Home & Commnty Supprts (Lvl 2 Enh) RN	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) RN-ECS	Not Set
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
In-Home & Commnty Supprts (Lvl 2) ECS	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh)	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) ECS	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) LPN	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) LPN-ECS	Not Set
In-Home & Commnty Supprts (Lvl 3 Enh) RN	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) RN-ECS	Not Set
In-Home & Commnty Supprts (Lvl 3)	$19.83 / 15 min.
In-Home & Commnty Supprts (Lvl 3) ECS	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 2 Enh-TE U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TD U2	Not Set
Respite Base-Emerg Lic 6400 24 Hrs Lvl 3 Enh-TE U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Basic-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 1-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 2-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3 Enh-U2	Not Set
Respite, Base-Emerg Licen 6400 24 Hrs Lvl 3-U2	Not Set
Respite-Base Out-of-Home 24 Hours (Basic)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 1)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TD	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2 Enh)-TE	Not Set
Respite-Base Out-of-Home 24 Hours (Level 2)-Day	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TD	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3 Enh)-TE	Not Set
Respite-Base Out-of-Home 24 Hours (Level 3)	Not Set
Respite-Lic-Day-1 person-NG 3	$855.36 / 1 Day
Respite-Lic-Day-1 person-NG 3-ECS	Not Set
Respite-Lic-Day-1 person-NG 3-Emergency	$855.36 / 1 Day
Respite-Lic-Day-1 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-1 person-NG 4	$931.37 / 1 Day
Respite-Lic-Day-1 person-NG 4-ECS	Not Set
Respite-Lic-Day-1 person-NG 4-Emergency	$931.37 / 1 Day
Respite-Lic-Day-1 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 1-Emergency	$474.70 / 1 Day
Respite-Lic-Day-2 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 2	$581.17 / 1 Day
Respite-Lic-Day-2 person-NG 2-ECS	Not Set
Respite-Lic-Day-2 person-NG 2-Emergency	$581.17 / 1 Day
Respite-Lic-Day-2 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 3	$696.86 / 1 Day
Respite-Lic-Day-2 person-NG 3-ECS	Not Set
Respite-Lic-Day-2 person-NG 3-Emergency	$696.86 / 1 Day
Respite-Lic-Day-2 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG 4	$755.65 / 1 Day
Respite-Lic-Day-2 person-NG 4-ECS	Not Set
Respite-Lic-Day-2 person-NG 4-Emergency	$755.65 / 1 Day
Respite-Lic-Day-2 person-NG 4-Emergency-ECS	Not Set
Respite-Lic-Day-2 person-NG1	$474.70 / 1 Day
Respite-Lic-Day-2 person-NG1-ECS	Not Set
Respite-Lic-Day-3 person-NG 1	$348.80 / 1 Day
Respite-Lic-Day-3 person-NG 1-ECS	Not Set
Respite-Lic-Day-3 person-NG 1-Emergency	$348.80 / 1 Day
Respite-Lic-Day-3 person-NG 1-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 2	$395.52 / 1 Day
Respite-Lic-Day-3 person-NG 2-ECS	Not Set
Respite-Lic-Day-3 person-NG 2-Emergency	$395.52 / 1 Day
Respite-Lic-Day-3 person-NG 2-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 3	$495.21 / 1 Day
Respite-Lic-Day-3 person-NG 3-ECS	Not Set
Respite-Lic-Day-3 person-NG 3-Emergency	$495.21 / 1 Day
Respite-Lic-Day-3 person-NG 3-Emergency-ECS	Not Set
Respite-Lic-Day-3 person-NG 4	$538.34 / 1 Day
Respite-Lic-Day-3 person-NG 4-ECS	Not Set
Respite-Lic-Day-3 person-NG 4-Emergency	$538.34 / 1 Day
Respite-Lic-Day-3 person-NG 4-Emergency-ECS	Not Set
Respite-Life Sharing-Day (Level 2, 1:2) In-Home	$139.56 / 1 Day
Respite-Life Sharing-Day (Level 2, 1:2)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$245.13 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$416.93 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1 Enh)In-Home	$661.90 / 1 Day
Respite-Life Sharing-Day (Level 4, 2:1) In-Home	$490.11 / 1 Day
Respite-Life Sharing-Day(Level 4, 2:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Level 4,2:1 Enh)InHome-RN	$661.90 / 1 Day
Respite-Life Sharing-Day(Lvl 3, 1:1 Enh)InHome LPN	$416.93 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl 4,2:1 Enh)In-Home-ECS	Not Set
Respite-Life Sharing-Day(Lvl3,1:1 Enh)InHomeECS-RN	Not Set
Respite-Life Sharing-Day(Lvl4,2:1Enh)InHome-ECS RN	Not Set
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$317.80 / 1 Day
Support (Medical Environment) (Basic)-15 Mins	Not Set
Support (Medical Environment) (Level 1)-15 Mins	Not Set
Support (Medical Environment) (Level 2)-15 Mins	Not Set
Support (Medical Environment) (Level 3 Enh)	Not Set
Support (Medical Environment) (Level 3 Enh)-TD	Not Set
Support (Medical Environment) (Level 3 Enh)-TE	Not Set
Support (Medical Environment) (Level 3)-15 Mins	Not Set
Support (Medical Environment) (Level 4 Enh)	Not Set
Support (Medical Environment) (Level 4 Enh)-TD	Not Set
Support (Medical Environment) (Level 4 Enh)-TE	Not Set
Support (Medical Environment) (Level 4)-15 Mins	Not Set

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