3-PRICE CERTIFICATION FORM FOR IN HOME SERVICES 2026.docx

DOCX document 28 KB Posted

Attached to
Personal Emergency Response System (PERS) Services
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.

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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 .