Individual Consumer Purchase of Service Application Form and Agreement Sample Contracts

Individual Consumer Purchase of Service Application Form and Agreement FY23
Individual Consumer Purchase of Service Application Form and Agreement • April 28th, 2022

Service Provider Rate NEI3A Maximum Rate Chore $20 per hour Homemaker $26 per hour Nutrition Counseling $35 per hour Personal Care/Home Health Aide $38 per hour Personal Care/Skilled Nursing Visit $125 per hour Respite Care/In Home $26 per hour Personal Emergency Response Installation $50 maximum Personal Emergency Response Monthly Service $40 maximum Personal Emergency Response Medication Management Monthly Service $45 maximum Material Aid/Assistive Devices Per quote Material Aid/Home Repair/Adaptations Per quote Assisted Transportation Variable per one way ride

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