Rate Setting Forms Listing

Rate Setting Forms Listing

Rate Setting
County Facility Facility Number ASAM Def 23-24 Rt 22-23 Rt Target Population Tranportation?
Westmoreland County Angel’s Light (Halfway House) 657066 3.1 174.00 Male Only No
Northumberland County Gaudenzia Coal Township 497027 3.7WM 353 342 Pregnant Women Yes
Northumberland County Gaudenzia Coal Township 497027 3.5 265 249 Pregnant Women Yes
Dauphin County Catholic Charities of the Diocese of Harrisburg 227076 3.1 143.00 117.00 Female Only;Pregnant Women Yes
Dauphin County Daystar Center for Spiritual Recovery 227077 3.1 175.00 159.00 Male Only Yes
Dauphin County Gaudenzia Common Ground 227036 3.5 194.00 194.00 Yes
Dauphin County Gaudenzia Common Ground 227036 3.5 Enh 275.00 275.00 Yes
Dauphin County Gaudenzia Harrisburg Concept 90 221159 3.5 174.00 171.00 Yes
Dauphin County Nasr Consultant Group 227098 3.1 102.00 102.00 Female Only Yes
Dauphin County Conewago Place 227065 3.5 255.00 233.00 Pregnant Women Yes
Dauphin County Gaudenzia Common Ground 227036 3.7WM 275.00 275.00 Yes
Mercer County Alpine Springs 437030 3.7WM $431 $398 Yes
Mercer County Resolutions Recovery Center, LLC 437031 3.5 $320 $320 Yes
Dauphin County Gaudenzia Serenity House for Women 227099 3.1 207.00 179.00 Female Only;Pregnant Women Yes
Somerset County Twin Lakes Center for Drug and Alcohol Rehabilitation 561089 3.5 $292.00 $269.00 Yes
Somerset County Twin Lakes Center for Drug and Alcohol Rehabilitation 561089 3.7WM $419.00 $336.00 Yes
Mercer County Resolutions Recovery Center, LLC 437031 3.7WM $300.00 $300.00 Yes
Lawrence County Highland House 377010 3.1 175.00 130.00 Male Only No
Schuylkill County Gaudenzia, Fountain Springs 547013 3.5 273.00 251.00 Female Only;Pregnant Women;Women with Children Yes
Schuylkill County Gaudenzia New Destiny 547023 3.1 230.00 210.00 Female Only;Pregnant Women;Women with Children No
Schuylkill County Conewago Pottsville 547026 3.5 260.00 246.00 Yes
Allegheny County Alpha House 740086 3.5 269.54 269.54 Pregnant Women Yes
Allegheny County Family Links 707147 3.5 283.02 269.54 Pregnant Women Yes
Allegheny County Pennsylvania Organization for Women in Early Recovery 707156 3.1 225 214 Female Only;Pregnant Women Yes
Allegheny County Pyramid Transitions II 707233 3.7 302.51 302.51 Pregnant Women Yes
Allegheny County Pyramid Transitions II 707233 3.7 Enh 355.01 355.01 Pregnant Women Yes
Allegheny County Renewal for Inpatient 707226 3.5 245.04 245.04 Yes
Allegheny County Salvation Army Harbor Light Center 770450 3.5 257.29 257.29 Male Only Yes
Allegheny County Sojourner House 707160 3.5 389 389 Pregnant Women;Women with Children Yes
Allegheny County Pyramid Ridgeview 707235 3.5 312.30 312.30 Yes
Allegheny County Pyramid Transitions II 707233 3.5 Enh 327.44 327.44 Pregnant Women Yes
Allegheny County Pyramid Transitions II 707233 3.5 338.10 338.10 Pregnant Women Yes
Allegheny County Pyramid Transitions II 707233 3.7WM 410.55 391.00 Pregnant Women Yes
Allegheny County Passages to Recovery Inc. West Homestead 027294 3.5 265.00 250.00 Yes
Allegheny County Resources for Human Development 707281 3.5 327.78 327.78 Yes
Allegheny County Teen Challenge of Western Pennsylvania 707087 3.5 220.00 220.00 Male Only Yes
Allegheny County UPMC McKeesport 707299 4.0 723.20 723.20 Yes
Allegheny County UPMC McKeesport 707299 4.0WM 723.20 723.20 Yes
Allegheny County UPMC Mercy Inpatieint Hospital Detox 940170 4.0WM 661.83 661.83 Yes
Forest County Cornell ABRAXAS I 271011 3.5 275.40 275.40 Female Only;Adolescents Yes
Forest County Cornell ABRAXAS I 271011 3.5 252.71 252.71 Male Only;Adolescents Yes
Lehigh County Pyramid Lehigh Valley 397068 3.7WM 416.00 391.00 Female Only;Pregnant Women Yes
Lehigh County Pyramid Lehigh Valley 397068 3.5 326.00 306.00 Female Only;Pregnant Women Yes
Lehigh County Treatment Trends, Keenan House 391124 3.5 258.00 245.00 Yes
Lehigh County Treatment Trends, Halfway Home of Lehigh Valley 391139 3.1 156.00 150.00 Yes
Lehigh County White Deer Run, Lehigh County Center for Recovery (LCCR) 397060 3.7WM 364.00 229.00 Pregnant Women Yes
Lehigh County White Deer Run, Lehigh County Center for Recovery (LCCR) 397060 3.5 280.00 257.00 Pregnant Women Yes
Lehigh County White Deer Run, Lehigh County Center for Recovery (LCCR) 397060 3.5 Enh 313.00 290.00 Pregnant Women Yes
Berks County Teen Challenge Training Center 062579 3.7WM 354.00 354.00 Yes
Berks County Teen Challenge Training Center 062579 3.5 205.00 205.00 Yes
Armstrong County Arc Manor 031056 3.5 279.00 250.00 Pregnant Women Yes
Indiana County Conewago-Indiana 327023 3.5 228.00 228.00 Yes
Indiana County New Way of Life 327030 3.1 143.00 124.00 Male Only Yes
Indiana County Spirit Life 327027 3.7WM 292.00 292.00 Yes
Indiana County Spirit Life 327027 3.5 213.00 213.00 Pregnant Women Yes
Chester County Samara House of CYWA 157041 3.5 212.00 212.00 Female Only;Pregnant Women;Women with Children Yes
Chester County Gaudenzia Kindred House 157039 3.5 345.00 345.00 Female Only;Pregnant Women;Women with Children Yes
Chester County Bowling Green Inn Brandywine 157024 3.5 353.00 353.00 Pregnant Women Yes
Chester County Bowling Green Inn Brandywine 157024 3.7WM 432.00 400.00 Pregnant Women Yes
Chester County Bowling Green Inn Brandywine 157024 3.5 Enh 299.00 272.00 Pregnant Women Yes
Luzerne County James A. Casey House 407055 3.1 $150.00 $150.00 Male Only Yes
Luzerne County Casey Recovery LLC 407075 3.5 $324.00 $324.00 Male Only Yes
Luzerne County Casey Recovery LLC 407075 3.7WM $358.00 $358.00 Male Only Yes
Luzerne County Clearvision Health and Wellness LLC 407078 3.7WM $310.00 $300.00 Bi-Lingual Yes
Luzerne County Clearvision Health and Wellness LLC 407078 3.5 $280.00 $246.00 Bi-Lingual Yes
Luzerne County Clem-Mar House 407043 3.1 $150.00 $150.00 Male Only Yes
Luzerne County Graniteville House of Recovery 407066 3.1 $131.00 $131.00 Female Only Yes
Luzerne County Pyramid Healthcare - Luzerne 407073 3.7WM $416.00 $391.00 Yes
Luzerne County Pyramid Healthcare - Luzerne 407073 3.5 $339.00 $318.00 Yes
Luzerne County Pyramid Healthcare - Luzerne 407073 3.5 Enh $339.00 $339.00 Yes
Luzerne County Pyramid Healthcare - Luzerne 407073 3.7 $380.00 $369.00 Yes
Wyoming County Endless Mountains Extended Care 667072 3.5 $346.00 $321.00 Male Only Yes
Lancaster County The Gatehouse Lititz 361369 3.1 $212.00 $178.00 Male Only Yes
Lancaster County The Gatehouse Mountville 367045 3.1 $209.00 $175.00 Male Only Yes
Lancaster County The GateHouse Marietta 367099 3.1 $204.00 $170.00 Female Only Yes
Lancaster County Gaudenzia Vantage House 367044 3.5 $324.00 $292.00 Female Only;Pregnant Women;Women with Children Yes
Lancaster County Nuestra Clinical Residential 367076 3.5 $216.00 $216.00 Male Only;Bi-Lingual Yes
Lancaster County LA CASA/SACA 367091 3.1 $151.00 $132.00 Male Only;Bi-Lingual Yes
Chester County Gaudenzia, West Chester 152089 3.5 221 196 Yes
Cambria County Allegiance Rehabilitation Center Inc. 117065 3.7WM 259.00 311.00 Male Only Yes
Cambria County Allegiance Rehabilitation Center Inc. 117065 3.5 166.00 276.00 Male Only Yes
Luzerne County The Sanctuary House 407077 3.1 $160.00 $160.00 Male Only Yes
Luzerne County Huntington Creek Recovery Center 407061 3.7WM $579.00 $573.00 Adolescents Yes
Luzerne County Huntington Creek Recovery Center 407061 3.5 $472.00 $472.00 Adolescents Yes
Luzerne County Huntington Creek Recovery Center 407061 3.7WM $441.00 $441.00 Yes
Luzerne County Huntington Creek Recovery Center 407061 3.5 $425.00 $425.00 Yes
Mercer County Resolutions Recovery Center, LLC 437031 3.7WM $300.00 $300.00 Yes
Lancaster County White Deer Run, Lancaster 367058 3.7WM $355.00 $327.00 Male Only Yes
Lancaster County White Deer Run, Lancaster 367058 3.5 $323.00 $276.00 Male Only Yes
Lancaster County White Deer Run, Lancaster 367058 3.5 Enh $335.00 $324.00 Male Only Yes
Lancaster County DARS Manos House 36119 3.5 $191.00 $173.00 Male Only;Adolescents Yes
Lebanon County New Perspectives at White Deer Run 387017 3.7WM $344 $276 Pregnant Women No
Lebanon County New Perspectives at White Deer Run 387017 3.5 $262 $233 Pregnant Women No
Lebanon County New Perspectives at White Deer Run 387017 3.5 Enh $283 $255 No
Pike County Foster Hills Wellness Facility 527052 3.7WM 397 Yes
Pike County Foster Hills Wellness Facility 527052 3.5 250 250 Yes
Monroe County Pyramid Healthcare, Hillside 457040 3.7WM 416 391 Male Only Yes
Monroe County Pyramid Healthcare, Hillside 457040 3.5 334 314 Male Only Yes
Monroe County Pyramid Healthcare, Hillside 457040 3.5 Enh 349 328 Male Only Yes
Monroe County Pyramid Healthcare, Hillside 457040 3.7 344 344 Male Only Yes
Monroe County Pyramid Healthcare, Hillside 457040 3.7 Enh 374 374 Male Only Yes
Monroe County Pocono Mountain Recovery Center 457039 3.7WM 435 Yes
Monroe County Pocono Mountain Recovery Center 457039 3.5 395 Yes
Lycoming County Clearvision Health and Wellness LLC 417047 3.5 264.59 Female Only;Pregnant Women;Adolescents Yes
Tioga County Bradford Recovery Center 087028 3.7WM 402.00 401.00 Yes
Tioga County Bradford Recovery Center 087028 3.5 284.00 277.00 Yes
Tioga County Bradford Recovery Center 087028 3.5 Enh 317.00 314.00 Yes
Washington County Gateway/Greenbriar Treatment Center 637056 3.7WM $377.00 $314.00 Pregnant Women Yes
Washington County Gateway/Greenbriar Treatment Center 637056 3.5 $306.00 $306.00 Pregnant Women Yes
Washington County Lighthouse for Men of Greenbriar 637057 3.1 $163.00 $155.00 Male Only Yes
Washington County Lighthouse for Women 637058 3.1 $155.00 $155.00 Female Only;Pregnant Women Yes
Franklin County Roxbury 287017 3.5 $254.00 $254.00 Yes
Washington County Abstinent Living at the Turning Point Of 637023 3.1 $139.00 $139.00 Female Only;Pregnant Women No
Franklin County Roxbury 287017 3.7WM $283.00 $283.00 Yes
Washington County Abstinent Living at the Turning Point Women with Children 637039 3.1 $242.00 $242.00 Female Only;Pregnant Women;Women with Children No
Franklin County Roxbury 287017 3.5 Enh $281.00 $264.00 Yes
Crawford County Alpine Springs 207020 3.5 294.00 270.00 Pregnant Women Yes
Blair County Cove Forge Behavioral Health System 077009 3.7WM 344.00 324.00 Pregnant Women Yes
Blair County Cove Forge Behavioral Health System 077009 3.5 284.00 270.00 Pregnant Women Yes
Blair County Cove Forge Behavioral Health System 077009 3.5 Enh 338.00 322.00 Pregnant Women Yes
Blair County Phoenix Domus, LLC 077037 3.1 141.00 141.00 Male Only No
Westmoreland County Clear Day Treatment of Westmoreland 657061 3.5 237.00 237.00 Yes
Westmoreland County Clear Day Treatment of Westmoreland (Detox) 657060 3.7WM $447.00 $447.00 Yes
Westmoreland County Gateway Mt. Pleasant 657055 3.7WM $402.00 $379.00 Yes
Westmoreland County Gateway Mt. Pleasant 657055 3.5 $399.00 $373.00 Yes
Westmoreland County Pathway to Recovery 657038 3.5 $359.00 $290.00 Male Only;Adolescents Yes
Bucks County Gaudenzia Lower Bucks 097104 3.5 362.00 317.00 Yes
Bucks County Gaudenzia Lower Bucks 097104 3.7WM 419.00 390.00 Yes
Bucks County Good Friends 093259 3.1 151.00 138.00 Male Only Yes
Bucks County Libertae Family House 097074 3.5 339.00 234.00 Pregnant Women;Women with Children No
Bucks County Libertae Family House 097074 3.1 225.00 143.00 Pregnant Women;Women with Children No
Bucks County Livengrin Foundation 093121 3.5 330.00 330.00 Yes
Bucks County Livengrin Foundation 093121 3.7WM 372.00 372.00 Yes
Bucks County Pyramid Langhorne 097101 3.5 351.00 330.00 Yes
Bucks County Pyramid Langhorne 097101 3.7WM 416.00 390.00 Yes
Bucks County Pyramid, Quakertown 097055 3.5 320.00 300.00 Male Only Yes
Bucks County Pyramid, Quakertown 097055 3.5 Enh 335.00 Male Only Yes
Lehigh County Pyramid Lehigh Valley 397068 3.5 Enh 358.00 Female Only;Pregnant Women Yes
McKean County Maple Manor - Alcohol and Drug Abuse Services 427038 3.5 233.00 205.00 Pregnant Women Yes
Erie County Gage House 257063 3.5 362.00 362.00 Pregnant Women Yes
Delaware County Harwood House 232156 3.1 201.00 Male Only No
Erie County Gateway Erie 257067 3.5 184.00 184.00 Male Only Yes
Bucks County Penn Foundation for Mental Health 097053 3.5 273.00 245.00 Yes
Bucks County Penn Foundation for Mental Health 097053 3.7 303.00 Yes
Bucks County Penn Foundation for Mental Health 097053 3.7WM 416.00 340.00 Yes
Bucks County Penn Foundation for Mental Health 097053 3.5 Enh 446.00 336.00 Yes
Snyder County Conewago Snyder 557054 3.1 $151.00 $151.00 Male Only Yes
Snyder County Conewago Snyder 557054 3.5 $235.00 $220.00 Yes
Snyder County Conewago Snyder 557054 3.7WM $395.00 $395.00 Yes
Union County White Deer Run, Allenwood 601031 3.5 Enh $323.00 $303.00 Yes
Union County White Deer Run, Allenwood 601031 3.5 $310.00 $299.00 Yes
Union County White Deer Run, Allenwood 601031 3.7WM $360.00 $345.00 Yes
Lackawanna County Marworth 357019 3.5 419.00 397.00 No
Lackawanna County Marworth 357019 3.7WM 432.00 398.00 Male Only;Female Only No
Lackawanna County Marworth 357019 3.5 419.00 397.00 Male Only;Female Only No
Lackawanna County The Retreat at White Birch 357241 3.1 115.00 115.00 No
Lackawanna County Beyond Addiction Recovery and Treatment Center 357254 3.5 297.00 297.00 Female Only No
Montgomery County Avenues Recovery Medical Center at Valley Forge 467152 3.5 429.00 389.00 No
Montgomery County Avenues Recovery Medical Center at Valley Forge 467152 3.7 495.00 450.00 Yes
Montgomery County Avenues Recovery Medical Center at Valley Forge 467152 3.7WM 500.00 418.00 Yes
Montgomery County Eagleville Hospital 461031 3.5 429.00 389.00 Yes
Montgomery County Eagleville Hospital 461031 3.7WM 500.00 418.00 Yes
Montgomery County Eagleville Hospital 461031 3.7 495.00 450.00 Yes
Montgomery County Eagleville Hospital 461031 3.7 Enh 525.00 525.00 Yes
Montgomery County Malvern Institute 467125 3.5 360.00 332.00 Yes
Montgomery County Malvern Institute 467125 3.7 417.00 376.00 Yes
Montgomery County Malvern Institute 467125 3.7WM 401.00 357.00 Yes
Montgomery County Eagleville Hospital 461031 4.0 525.81 525.81 Yes
Montgomery County Eagleville Hospital 461031 4.0WM 525.81 525.81 Yes
Butler County Summit Academy 107029 3.5 $415.00 $407.16 Male Only;Adolescents Yes
Butler County Ellen O'Brien Gaiser Addiction Center 101064 3.5 $268.00 $252.00 Pregnant Women Yes
Erie County Gaudenzia Erie 251086 3.7WM 399.00 Pregnant Women Yes
Erie County Gaudenzia Erie 251086 3.5 236.00 236.00 Pregnant Women Yes
Erie County Gaudenzia Erie 251086 3.7 319.00 319.00 Pregnant Women Yes
Erie County Gaudenzia Erie, House of Healing 257087 3.5 469.00 364.00 Female Only;Pregnant Women;Women with Children Yes
Erie County Gaudenzia Erie, Community House 257046 3.1 215.00 215.00 Female Only;Pregnant Women;Women with Children Yes
Erie County Gaudenzia Erie, Dr. Daniel S. Snow 257048 3.1 151.00 145.00 Male Only Yes
Beaver County Gateway Rehabilitation Center 041091 3.7WM $527.00 $474.00 Yes
Beaver County Gateway Rehabilitation Center 041091 3.5 $271.00 $240.00 Yes
Beaver County Gateway Rehabilitation Center 041091 3.7 $387.00 n/a Yes
Beaver County Gateway Midland 047060 3.5 $276.00 $240.00 Female Only Yes
Beaver County Moffett House 047043 3.1 $113.00 $113.00 Male Only Yes
Beaver County Matrix Treatment Center 047057 3.7WM $322.00 $322.00 Female Only Yes
Beaver County Matrix Treatment Center 047057 3.5 $224.00 $224.00 Female Only;Pregnant Women Yes
Crawford County Stepping Stones at Meadville Medical Center 207007 4.0 603.20 580.00 Pregnant Women No
Crawford County Stepping Stones at Meadville Medical Center 207007 4.0WM 633.36 603.20 Pregnant Women No
Blair County Pyramid Healthcare, Pine Manor 077026 3.1 146.00 125.00 Male Only Yes
Blair County Pyramid Healthcare Gratitude House 077014 3.1 157.00 133.00 Male Only Yes
Blair County Pyramid Healthcare Tradition House 077018 3.1 143.00 122.00 Female Only Yes
Butler County Davis Archway House 107036 3.1 $122.00 $122.00 Male Only Yes
Blair County Pyramid Healthcare Duncansville 077019 3.7WM 364.00 322.00 Pregnant Women Yes
Blair County Pyramid Healthcare Duncansville 077019 3.5 319.00 258.00 Pregnant Women Yes
Blair County Pyramid Healthcare Duncansville 077019 3.5 Enh 329.00 286.00 Pregnant Women Yes
Blair County Pyramid Healthcare Duncansville 077019 3.7 339.00 284.00 Pregnant Women Yes
Blair County Pyramid Healthcare Duncansville 077019 3.7 Enh 360.00 312.00 Pregnant Women No
Fayette County Angel's Light Addiction Specialists 267025 3.7WM $370.00 $370.00 Yes
Fayette County Angel's Light Addiction Specialists 267025 3.5 $255.00 $255.00 Yes
Fayette County Wellness Recovery, LLC 267024 3.7WM $265.00 $265.00 Yes
Fayette County Wellness Recovery, LLC 267024 3.5 $225.00 $225.00 Yes
Fayette County Good Works Life Recovery House 267017 3.1 $100.00 $100.00 Yes
Fayette County Another Way (Mens) 267013 3.1 $138.00 $138.00 Male Only Yes
Montgomery County Eagleville Hospital 461031 3.5 Enh 452.00 413.00 Yes
Mifflin County Pyramid Healthcare, Bellville 447027 3.5 290.00 247.00 Male Only Yes
Montgomery County Malvern Institute-Willow Grove 467125 3.5 Enh 378.00 355.00 Male Only;Female Only Yes
Montgomery County RHD Womanspace 807366 467055 3.5 250.00 250.00 Female Only;Pregnant Women No
Montgomery County Resources for Human Development 467038 3.5 429.00 332.00 Female Only;Pregnant Women Yes
York County Colonial House Woodberry Rd 671099 3.5 122 122 Male Only Yes
York County Colonial House - Market Street 677089 3.5 145 145 Male Only Yes
York County Gaudenzia Integrity House 677080 3.1 177 177 Male Only Yes
York County Pyramid-York 677095 3.7WM 329 300 Male Only Yes
York County Pyramid-York 677095 3.5 311 284 Male Only Yes
York County White Deer Run of York, Davies 677069 3.7WM 425 354 Female Only Yes
York County White Deer Run of York, Davies 677069 3.5 Enh 418 381 Female Only Yes
York County White Deer Run of York, Davies 677069 3.5 343 298 Female Only Yes
York County White Deer Run of York, Zion 677086 3.7WM 315 309 Male Only Yes
York County White Deer Run of York, Zion 677086 3.5 244 240 Male Only Yes
York County White Deer Run of York, Zion 677086 3.5 Enh 275 269 Male Only Yes
Erie County Millcreek Community Hospital 257049 3.7WM 409.90 350.00 No
Erie County Millcreek Community Hospital 257049 4.0WM 925.20 869.00 Pregnant Women No
Lancaster County DARS Supervised Independant Living 367074 3.5 $185.00 $185.00 Male Only;Adolescents Yes
Chester County Malvern Institute 151131 3.5 362.00 326 Pregnant Women Yes
Chester County Malvern Institute 151131 3.5 Enh 378.00 Pregnant Women Yes
Chester County Malvern Institute 151131 3.7 Enh 368.00 Pregnant Women Yes
Chester County Malvern Institute 151131 3.7WM 382.00 374.00 Yes
Montgomery County Avenues Recovery Medical Center at Valley Forge 467152 4.0 589.37 589.37 Male Only;Pregnant Women Yes
Montgomery County Avenues Recovery Medical Center at Valley Forge 467152 4.0WM 589.37 589.37 Male Only;Female Only;Pregnant Women Yes
Montgomery County Eagleville Hospital 461031 4.0 525.81 525.81 Male Only;Female Only;Pregnant Women Yes
Montgomery County Eagleville Hospital 461031 4.0WM 525.81 525.81 Male Only;Female Only;Pregnant Women Yes
Fayette County Genesis House 267027 3.1 $174.00 $125.00 Male Only Yes
Delaware County UHS Recovery Foundation 237042 3.7WM 360.00 245.00 Pregnant Women No
Delaware County UHS Recovery Foundation 237042 3.5 368.00 368.00 Pregnant Women No
Delaware County UHS Recovery Foundation 237042 3.5 Enh 364.00 327.00 Pregnant Women No
Delaware County UHS Recovery Foundation 237042 3.7 377.00 No
Delaware County UHS Recovery Foundation 237042 3.7 Enh 394.00 No
Greene County Greenbriar Treatment Center (Greene) 637015 3.5 237.00 237.00 Male Only;Female Only;Pregnant Women Yes