3-PRICE CERTIFICATION FORM FOR IN HOME SERVICES 2026.docx
DOCX document 28 KB Posted
- Solicitation number
- 26-08
- Issued by
- Montgomery County, Pennsylvania
About this file
This is a Price Certification Form for In-Home Services issued by the Montgomery County Office of Aging Services for the fiscal year 2026/2027. The form establishes reimbursement rates for providers offering services through the OPTIONS program to older adults in Montgomery County, Pennsylvania. The two primary services specified are Personal Care at $27 per hour (unit basis) under an agency model, and Personal Emergency Response Systems (PERS) at $30 per month, which includes fall detection sensors, cell or landline connectivity, installation, and maintenance. Providers must submit this certification form with a copy of their license and obtain authorization from a representative to validate that the stated rates will be used to determine actual reimbursement for each service code offered.
The pricing structure establishes fixed reimbursement rates for the fiscal year rather than allowing variable bidding, with providers accepting these rates as the basis for compensation under the OPTIONS program. No specific contract term, renewal options, or response deadline is indicated on the certification form itself, though the revised date of January 2026 suggests these rates became effective at the start of fiscal year 2026/2027. The form requires provider licensing documentation but does not specify particular set-asides, incumbent vendor information, or funding source details. This certification approach allows Montgomery County to standardize reimbursement across qualified providers while maintaining service consistency for eligible older adult residents requiring personal care and emergency response support.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 6-Grant Addendum TCs (13).pdf | ||
| 8-Instructions to Bidders Template.docx | DOCX document | |
| 5-Contract Cover and Signature Page (SAMPLE).doc | DOC document | |
| 4-RFP 26-08 Personal Emergency Response System (PERS) Services.docx | DOCX document | |
| 1-Appendix A document.docx | DOCX document | |
| 7-Exhibit A - HHS Standard Terms and Condition for Services revised 6-3-24.pdf | ||
| 2-Agency Profile Contact Sheet PDF version 2025.pdf |
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Text version
MONTGOMERY COUNTY OFFICE OF AGING SERVICES
PRICE CERTIFICATION FORM
IN HOME SERVICES (OPTIONS SERVICES)
Provider Name:________________________________________________________________________
REIMBURSEMENT RATES
SERVICE
RATE
FY: 2026/2027
PERSONAL CARE
(unit=I HOUR, AGENCY MODEL)
$27/HOUR
PERSONAL EMERGENCY RESPONSE SYSTEMS
(ALL INCLUSIVE – FALL DETECTION SENSOR, CELL OR LAND LINE, INSTALLATION AND MAINTENANCE)
$30/MONTH
INCLUDE A COPY OF YOUR LICENSE WITH THIS PRICE CERTIFICATION
I understand the above rates will be used to determine the actual reimbursement rate for the provider herein, subject to each Service Code.
Signature of Authorized Representative Title Date
Revised 1/2026
File details come from the government source that posted it. Updated .