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{"sheet":"Background","index":0,"n_rows":56,"n_cols":7,"rows_kept":56,"cut":false,"hidden":false,"merged":[[7,0,7,1],[4,0,4,1],[47,0,54,0],[21,0,21,2],[26,0,26,2],[28,0,36,0],[37,0,46,0]]}
["General Ledger Data Template: FY 2025"]
[]
["All DDA providers who delivered traditional DDA waiver services are required submit cost data annually. "]
["This template should be used for FY 2025: July 1, 2024 to June 30, 2025."]
["The template allows providers to include costs for traditional Medicaid services provided through PCIS2, LTSSMaryland, or a hybrid of the two systems. "]
[]
["Additional resource documents can be found on DDA's website: "]
["https://health.maryland.gov/dda/Pages/LTSSMaryland/RRAG/GL-Data-Collection-Tool.aspx"]
[]
["This template has been updated to reflect feedback from providers. The specific updates are included in the Instructions for Template Completion document on DDA's website. "]
[]
["The data to be collected is for DDA Medicaid funded traditional waiver services, the crosswalk below notes the specific services this includes. "]
["      Self-directed services and state-only services are not included in the template. "]
["Cost category data will be collected for each service type, including the specific cost item(s) and the associated hours and expenses. "]
["Data will be collected by the geographic locations, either the Rest of the State (ROS) or the Geographic Differential area. "]
["The Geographic Differential area includes: Montgomery, Prince George's, Calvert, Charles, and Frederick Counties."]
["All other counties are considered ROS."]
[]
["Evidence that your completed general ledger template reconciles with your audited financial statements IS NOT required to be submitted at this time.  "]
["Your organization is required to complete and sign an attestation that the information provided in this GL template is complete, accurate, and prepared in accordance with the applicable instructions.  "]
[]
["SERVICE TABS AND SERVICE INFORMATION TAB:\nTHE ADDITION OF COLUMNS AND ROWS IS NOT PERMITTED.  \nPLEASE ONLY ENTER NUMBERS IN CELLS THAT REQUIRE HOURS, COSTS, OR PARTICIPANT DATA. \nIF YOU NEED TO ADD A NOTE FOR THE REVIEWER FOR A SPECIFIC COST ITEM, PLEASE DO SO IN COLUMN K. \nIF A COST CATEGORY OR QUESTION DOES NOT APPLY TO YOUR ORGANIZATION OR IS UNKNOWN, PLEASE LEAVE BLANK. \n\nPROVIDERS WILL NEED TO ENABLE MACROS IN ORDER TO USE THE SERVICE INFORMATION TAB. DETAILED INSTRUCTIONS TO ENABLE THESE IN EXCEL ARE PROVIDED IN APPENDIX C OF THE INSTRUCTIONS. "]
[]
["  Questions regarding completing this template should be directed to The Hilltop Institute: dda_rate@hilltop.umbc.edu"]
["   To view the procedure codes that align with the service names, please see the FY 2025 rate transmittal for DDA: https://health.maryland.gov/dda/Documents/PT%2009-25%20FY25%20Rates%20for%20Medicaid%20Waiver%20Programs%20Operated%20by%20the%20DDA.pdf"]
[]
["Crosswalk: Service Types and Their Associated Tabs"]
["General Service Category","Service Name(s) and Billing System(s)","Tab "]
["Residential ","Dedicated Hours and/or Add-On Supports/Hours \n(LTSSMaryland and/or PCIS2)\nOnly use this tab when ALL dedicated hours or add-on supports are able to be broken out at the cost category level for base residential service(s). Cost category data for the associated residential service(s) should not be included in this tab. ","R0-DH"]
[null,"Community Living Enhanced Supports -with Overnight Supervision \n(LTSSMaryland)\n\n","R1-CL.ES"]
[null,"Multiple Community Living Services or Community Living Service(s) AND Supported Living Service(s) AND Dedicated Hours (or Add-On Supports/Hours in PCIS)\n(LTSSMaryland AND/OR PCIS2)\nOnly use this tab if more than one community living service is provided or if community living services(s) AND supported living service(s) are provided and the cost between the multiple residential services are not able to be broken out. If dedicated hours or add-on supports were also provided, those costs should be combined with the base residential services costs on this tab and not R0-DH.","R2-DH.CL"]
[null,"Community Living with Group Home - With Overnight Supervision \n(LTSSMaryland)\n","R3-CL.GHw"]
[null,"Community Living with Group Home - Without Overnight Supervision \n(LTSSMaryland)\n\n","R4-CL.GWwo"]
[null,"Community Living with Group Home in PCIS2 - No Distinction Regarding Overnight Supervision \n(PCIS2)","R5-CL"]
[null,"Shared Living (Levels 1, 2, and 3 - LTSS)\nShared Living - Individual Family (PCIS2)\n\n\n","R6-ShrL"]
[null,"Supported Living - With Overnight Supervision\n(LTSSMaryland)\n\n\n","R7-SLw"]
[null,"Supported Living - Without Overnight Supervision\n(LTSSMaryland)\n","R8-SLwo"]
["Meaningful Day","Career Exploration (CE)  (Facility Based, Small Group, Large Group- LTSS and PCIS2),  Supported Employment (PCIS2), Employment Discovery and Customization (PCIS2)\n\n","M1-CE\n\n\n\n"]
[null,"Community Development Services- 1 to 4 Clients - Staffing Ratios of 1:1 and 2:1; Community Learning Services\n(LTSSMaryland AND/OR PCIS2)  \n","M2-CD"]
[null,"Day Habilitation - Small Groups (2-5), Large Groups (6-10), Staffing Ratios of 1:1 and 2:1\n(LTSSMaryland AND/OR PCIS2)\nThis tab should only be used if more than one staffing ratio and/or group size for day habilitation is provided and the costs between the multiple group sizes are not able to be broken out. \n","M3-DH",null,null,"  "]
[null,"Day Habilitation -Staffing Ratio of 1:1\n(LTSSMaryland AND/OR PCIS2)\n\n","M4-DH.1to1"]
[null,"Day Habilitation -Staffing Ratio of 2:1\n(LTSSMaryland AND/OR PCIS2)\n\n","M5-DH.2to1"]
[null,"Day Habilitation - Small Groups (2-5)\n(LTSSMaryland AND/OR PCIS2)\n","M6-DH.Small"]
[null,"Day Habilitation -  Large Groups (6-10) \n(LTSSMaryland AND/OR PCIS2)\n","M7-DH.Large",null," "]
[null,"Employment Services - Ongoing Job Supports AND Job Development\n(LTSSMaryland)\n","M8-ES"]
[null,"Employment Services: Follow Along Supports \n(LTSSMaryland)","M9-ES.FAS"]
[null,"Employment Services - Discovery Milestones 1-3 AND Customized Self-Employment \n(LTSSMaryland)","M10-ES.DM"]
["Support Services ","Brief Support Services (BSS) -  Brief Support Implementation, Behavioral Consultation, Behavioral Assessment, Behavioral Plan\n(LTSSMaryland AND/OR PCIS2)\n","S1-BSS"]
[null,"Environmental Assessment \n(LTSSMaryland AND/OR PCIS2)\n","S2-EA",null,null," "]
[null,"Housing Support Services \n(LTSSMaryland AND/OR PCIS2)\n","S3-HSS"]
[null,"Personal Supports - Including Enhanced\n(LTSSMaryland)","S4-PS"]
[null,"Nursing Supports (Nurse Case Management and Delegation, Nurse Health Case Management)\n(LTSSMaryland AND/OR PCIS2)","S5-NS",null,null,null," "]
[null,"Respite Care Services - Day \n(LTSSMaryland AND/OR PCIS2)","S6-RC.DAY"]
[null,"Respite Care Services - Hour\n(LTSSMaryland AND/OR PCIS2)","S7-RC.HR"]
[null,"Family and Peer Mentoring \n(LTSSMaryland AND/OR PCIS2)","S8-FAM.PEER"]
["Version Date: August 14, 2025"]

{"sheet":"Cost Categories Defined","index":1,"n_rows":108,"n_cols":12,"rows_kept":108,"cut":false,"hidden":false,"merged":[[88,0,106,0],[88,1,104,1],[88,3,89,3],[91,4,106,4],[92,3,96,3],[97,3,98,3],[69,3,70,3],[71,4,76,4],[73,3,75,3],[78,0,86,0],[78,1,86,1],[78,4,86,4],[79,3,80,3],[83,3,85,3],[69,0,76,0],[69,1,76,1],[34,0,46,0],[34,1,45,1],[35,3,36,3],[36,4,46,4],[48,0,67,0],[48,1,67,1],[48,3,49,3],[51,3,54,3],[56,4,67,4],[57,3,58,3],[60,3,64,3],[12,0,32,0],[3,1,9,1],[0,0,1,4],[3,0,10,0],[3,3,7,3],[11,0,11,4],[12,1,29,1],[12,3,16,3],[15,4,32,4],[28,3,29,3]]}
["Cost Category Descriptions"]
[]
["Cost Category ","Additional Information ","Items to Include","Relevant Drop-Down Box - Cost Items ","Items to Exclude"]
["Direct Care Staff","Also called: Direct Support Professional. All staff that directly provide waiver services to participants.  ","1. Salaries for direct support professional for all billable time ","DSP FTE/PTE wages - billable wages ","1. Administrative salaries (these are classified as General and Administrative)"]
[null,null,"a. Direct Support Professional Level I\nDSP-I: Includes DSP's who have completed the basic training level.  ",null,"2. Wages/salaries for essential staff not directly providing a service even if these staff are interacting with clients. These wages/salaries would be included in the Program Support cost category."]
[null,null,"b. Direct Support Professional Level II\nDSP-II or DSP-III: Includes DSP's who have achieved credentialling through the National Alliance for Direct Support Professionals (NADSP) or the Maryland DSP Consortium credential. ",null,"3. Costs incurred by DSP staff while not providing services that is unbillable time (e.g., drive time, which is Transportation)."]
[null,null,"c. Direct Support Professional Level III\nSee DSP II ",null,"4. Fringe/benefits (these are classified as Employment-Related Expenses)"]
[null,null,"2. Direct time portion of wages ",null,"5. Bonuses (these are Employment-Related Expenses)"]
[null,null,"3. Contracted staff providing direct support","DSP temporary/contractual staff wages - billable wages","6. Vacation/holiday/other pay (these are Employment-Related Expenses)"]
[null,null,"4. Brief support services (Tab S1-BSS): Wages for behavioral health (BH) professionals/consultant providing direct participant or consultancy BH care  ","Behavioral health professional wages; Behavioral temporary/contractual staff","7. Exclude the overtime portion of wages (i.e., the overtime portion of the overtime wages is included in Employment-Related Expenses). "]
[null,null,"5. Nursing supports (Tab S5-NS): nursing staff wages for nursing providing direct participant care or consultancy nursing care","Nursing staff wages; Nursing temporary/contractual staff"]
[]
["Employment-Related Expenses","Other costs incurred in employment of all staff","1. Insurance ","Payroll taxes – worker’s compensation insurance, retirement contributions, FICA, FUTA, SUI","1. Salaries/wages (these are in the cost categories of Direct Care Staff or Program Support or General and Administrative) "]
[null,null,"a. FICA ",null,"2. Transportation costs (these are in the cost category Transportation unless it is a transportation cost associated with general and administrative and then it would go in the General and Administrative cost category)."]
[null,null,"b. FUTA/SUTA",null,"3. Training costs (these are in the cost category Training unless it is a transportation cost associated with general and administrative and then it would go in the General and Administrative cost category)."]
[null,null,"c. Unemployment "]
[null,null,"d. Workers compensation "]
[null,null,"e. Medical","Employee Insurance - disability insurance, life insurance, health insurance"]
[null,null,"2. Benefits "]
[null,null,"a. Tuition reimbursement","Employee incentives - staff bonuses, gifts, tuition reimbursement"]
[null,null,"b. Retirement programs","Employee retirement plans - 401(k), 403(b), IRA, Roth IRA, pension plan"]
[null,null,"c. Fringe benefits","Employee insurance - disability insurance, life insurance, health insurance"]
[null,null,"d. Gifts/Staff appreciation","Employee incentives - staff bonuses, gifts; \nEmployee events unrelated to client care - staff picnics, staff meals and entertainment; \nEmployee health and wellness - gym memberships, wellness seminars, employee assistance programs, dependent care assistance"]
[null,null,"3. Vacation/holiday/other pay"]
[null,null,"a. Paid time off (including accrued time)","Paid time off  - vacation pay, sick time, unused leave reimbursement"]
[null,null,"b. Bonuses","Employee incentives - staff bonuses, gifts, tuition reimbursement"]
[null,null,"c. Overtime portion of overtime wages","Employee overtime - overtime portion of overtime wages for all employees"]
[null,null,"4. Hiring expenses "]
[null,null,"a. Finger printing services","Pre-employment screenings - criminal background check, motor vehicle record, credentials verification"]
[null,null,"b. Background checks"]
[null,null,"c. Recruitment (DSPs)","Recruiting (DSP) - advertisements, job fairs for DSP specific positions"]
[null,null,"5. Member dues and fees","Dues and subscriptions - professional or trade association dues, industry magazines/journals/book subscriptions, staff licenses and/or certificates (service-specific licenses and dues required for service delivery)"]
[null,null,"6. Professional fees ","Professional fees - payroll tax professionals, payroll tax processing"]
[]
["Program Support","Cost required to provide service (wages/goods) specific to the program, not directly providing the service","1. Supplies and costs related to the specific service offered","Program expenses - program activity, client activities and outings, client classes, client recreation, food","1. Salaries/hourly wages for Direct Care Staff billable time, these would be included in the Direct Care Staff cost category. "]
[null,null,"2. Salary or hourly wage for Supervisor or Directors of Services","Program support wages - behavioral health professional/consultant, director/manager of activities, nurse/nursing consultant, program supports staff/consultant, residential counselor","2. Salaries/hourly wages for Administrative Staff, these would be included in the General and Administrative cost category. "]
[null,null,"3. Program support wages"]
[null,null,"4. Food related to specific services","Food - participant snacks/food related to specific services "]
[null,null,"5. Activity costs","Program expenses - program activity, client activities and outings, client classes, client recreation"]
[null,null,"6. Contracted services","Contracted services - wages paid to contracted staff "]
[null,null,"7. Quality assurance activities","Quality assurance activities -  wages for staff providing quality oversight of service delivery "]
[null,null,"8. Medical supplies","Client expenses - medical supplies and equipment, medical copays/premiums, client clothing, client housekeeping"]
[null,null,"9. Equipment costs","Equipment - purchase/lease of tools, small appliances/furnacing; Employee uniforms"]
[null,null,"10. IT expenses","Technology/IT -  IT expenses directly to support participants (e.g., program staff computers w/case management software)"]
[null,null,"11. Share of direct care staff documentation time (unbillable time)","DSP wages unbillable - direct care staff wages for documentation time and other unbillable activities (unbillable time)"]
[null,null,"12. Bad debt (client-related) ","Bad debt (client-related) - unrecouped client expenses (i.e., clothing, personal care, housing costs) "]
[null,null,"13. Program supports facility/property costs","Program supports facility/property costs - (participant-service related) office rent/mortgage loan, line of credit, mortgage/loan interest, improvement loans, property depreciation for community-based services that have office-based support needs "]
[]
["Facility ","Costs for running a facility where services are offered","1. Rent (for service facility)","Service facility/property costs - rent/mortgage loan, home equity line of credit, mortgage/loan interest, improvement loans, property depreciation","1. Office costs (these are in the cost categories General and Administrative)"]
[null,null,"2. Mortgage (for service facility)",null,"a. Rent"]
[null,null,"3. Maintenance (for service facility)",null,"b. Mortgage"]
[null,null,"a. Hourly wage or salary for Facilities Manager","Facility staff wages: facility manager, security staff, facilities maintenance staff, facility manager, and janitorial staff - wages for staff at the service location","c. Maintenance"]
[null,null,"b. Hourly wages for maintenance staff",null,"d. Insurance "]
[null,null,"c. Hourly wages for janitorial staff",null,"e. Taxes"]
[null,null,"d. Hourly wages for security staff",null,"f. Utilities "]
[null,null,"e. Hourly wages for DSP staff ","DSP wages unbillable - wages paid to direct care staff for time spent on facility activities (unbillable time) "]
[null,null,"f. Upkeep and repair ","Upkeep and repair - janitorial/fire/safety/security contracts, housekeeping supplies, equipment rental"]
[null,null,"4. Insurance (for service facility)","Taxes and insurance - real estate taxes, building permits, property insurance, renters’ insurance, real property depreciation."]
[null,null,"5. Taxes (for service facility)"]
[null,null,"6. Interest on facility loans ","Service facility/property costs - rent/mortgage loan, home equity line of credit, mortgage/loan interest, improvement loans, property depreciation (including for community-based services that have office-based support needs)"]
[null,null,"7. Utilities (for service facility)","Utilities (for service facility) - electricity, gas, water, sewage, internet, business cell phones, cable, telephone, and trash pickup fees"]
[null,null,"a. Water, electric, etc."]
[null,null,"b. Phone bill"]
[null,null,"c. Cable"]
[null,null,"d. Internet"]
[null,null,"8. Depreciation on real property","Taxes - real estate taxes, building permits, property insurance, renters’ insurance, real property depreciation."]
[null,null,"9. Equipment costs/supplies","Facility furniture - furnishing purchased/leased for participant use in the service location; Residential supplies- groceries (residential facilities)"]
[null,null,"10. Technology/IT","Technology/IT -  IT expenses directly to support participants (e.g., remote monitoring, smart home technology, computers specifically for program participants)"]
[]
["Transportation","Costs incurred by transportation staff, transportation time, other transportation related costs","1. Driver hourly wages/salaries ","Wages - fleet manager, van driver","1. Salaries/hourly wage for Direct Care Staff if they are providing a service during transportation (these would be Direct Care Staff costs)."]
[null,null,"2. Salary or hourly wage for Vehicle Fleet Manager or Driver Manager",null,"2. Staff costs for commute to work/off-the-clock, these would not be included in any cost category. "]
[null,null,"3. Share of Direct Care Staff time and wages driving on the clock (unbillable)","DSP wages unbillable - wages paid to direct care staff for unbillable time "]
[null,null,"4. Staff Mileage reimbursement ","Staff transportation expenses - mileage and/or travel reimbursement"]
[null,null,"5. Vehicle costs/maintenance/insurance","Vehicle related expenses - vehicle maintenance and repair, tolls, fuel and oil,  parking fees, automobile insurance, registration fees, rental lease payments, vehicle depreciation."]
[null,null,"6. Vehicle depreciation "]
[null,null,"7. Tags, titles, and registrations",null,null,null," "]
[null,null,"8. Participant transportation ","Participant transportation - public transportation costs "]
[]
["Training ","Costs related to staff training, certifications, etc.","1. Training "]
[null,null,"a. Training staff hourly wages","Training staff costs - wages and expenditures paid to staff conducting the training"]
[null,null,"b. Third party training costs"]
[null,null,"c. Training supplies ","Training supplies - training materials, cost of printing certificates, staff wages that assist with training documentation (e.g., tracking making, tracking and filing of certificates)"]
[null,null,"2. Conferences/Conventions ","DSP/program staff seminars/conferences - registration fees, conference costs for DSP/Program staff (non-admin); \nDSP/Program Staff training travel - airfare, public transportation, hotel expenses for DSP/program staff to attend training"]
[null,null,"3. Share of direct care staff time","DSP training wages - wages paid to DSP staff while in training (unbillable time)"]
[null,null,"a. New hire training"]
[null,null,"b. Staff development "]
[null,null,"4. Continuing education ","Continued education (DSP) - DSP/Program staff CEU's, certification classes"]
[]
["General and Administrative ","Costs regardless of type of business (i.e., common to all businesses). ","1. Administrative salaries ","Admin wages - salaries or wages for  FTE/PTE/contracted staff who perform administrative duties (e.g., assist in and/or perform tasks such as answering phone calls, sorting mail and maintaining office supplies)","1. Cost related to the specific service offered (these are included with the cost category Program Support).",null,null,null,null,null,null," "]
[null,null,"2. Contracted administrative staff hourly wages",null,"2. Rent/mortgage for service facility (these are included with the cost category Facility)"]
[null,null,"3. DSP wages (unbillable)","DSP wages unbillable - wages paid to direct care staff for unbillable time spent on general and administrative tasks (unbillable time)"]
[null,null,"4. Office rent ","Admin facility expenses –  administrative office rent/mortgage loan, line of credit, mortgage/loan interest, improvement loans, property depreciation"," "]
[null,null,"5. Office utilities ","Utilities (administrative) - electricity, gas, water, sewage, internet, business cell phones, cable, telephone, and trash pickup fees"]
[null,null,"a. Water, electric, etc."]
[null,null,"b. Phone bill"]
[null,null,"c. Cable"]
[null,null,"d. Internet"]
[null,null,"6. Office supplies ","Office expenses and supplies - office furniture, cleaning products, pens, paper, notebooks, stationery, snacks and beverages, printer, printer ink, postage fees, or payments for printing services "]
[null,null,"7, Equipment costs"]
[null,null,"8. Management and executive salaries ","Management wages - salaries for staff that perform managerial or executive agency functions (e.g., management or supervision of staff, daily operations and activities, strategic planning, policy and decision-making, team management, and financial management)"]
[null,null,"9. General insurance","Business insurance - general liability, professional liability, employment practices liability insurance (EPLI)"]
[null,null,"10. Advertising ","Advertising - non-DSP staff recruiting, agency advertising and promotional materials"]
[null,null,"11. Legal and accounting ","Professional service fees – legal services, accounting services (CPAs, financial planning, investment managers), translation services, shredding services"]
[null,null,"12. Member dues and fees","Dues and subscriptions - professional or trade association dues, industry magazines/journals/book subscriptions, staff licenses and/or certificates"]
[null,null,"13. IT expenses","Technology/IT – hardware costs, mobile devices, industry-specific software, software licensing fees and updates, employee training"]
[null,null,"14. Administrative staff expenses","Admin staff expenses - travel, meals and entertainment unrelated to client care, non-client related conference food and travel"]
[null,null,"15. General business expenses ","Bad debt (Admin ) - unrecouped general business expenses; \nBank fees – interest paid on business loans, credit lines, and business credit cards; \nCharitable contribution – monetized charitable donations to other organizations/agencies; Fundraising and lobbying; \nOther taxes and fees - not including payroll or real estate taxes"]
["Version Date August 14, 2025"]

{"sheet":"Crosswalk Cost Items","index":2,"n_rows":76,"n_cols":2,"rows_kept":76,"cut":false,"hidden":false,"merged":[[45,0,51,0],[52,0,57,0],[58,0,73,0],[0,0,0,1],[2,0,8,0],[9,0,21,0],[32,0,44,0],[22,0,31,0]]}
["Crosswalk Cost Items by Cost Category"]
["Cost Category ","Cost Item "]
["Direct Care Staff","Behavioral health professional wages - behavioral health (BH) professionals/consultant providing direct participant care (tab S1-BSS only) "]
[null,"Behavioral temporary/contractual staff providing direct care (tab S1-BSS only)   "]
[null,"DSP FTE/PTE Staff Wages - all billable DSP wages "]
[null,"DSP temporary/contractual staff wages"]
[null,"Nursing staff wages- nursing staff wages for nursing professional providing direct care (tab S5-NS only) "]
[null,"Nursing temporary/contractual staff  providing direct care (tab S5-NS only) "]
[null,"Other Direct Care Staff"]
["Employment Related Expenses - items apply to all employees.","Dues and subscriptions - professional or trade association dues, industry magazines/journals/book subscriptions, staff licenses and/or certificates (service-specific licenses and dues required for service delivery)"]
[null,"Employee health and wellness - gym memberships, wellness seminars, employee assistance programs, dependent care assistance"]
[null,"Employee incentives - staff bonuses, gifts, tuition reimbursement"]
[null,"Employee events unrelated to client care - staff picnics, staff meals, and entertainment"]
[null,"Employee insurance  - disability insurance, life insurance, health insurance"]
[null,"Employee overtime - overtime portion of overtime wages for all employees"]
[null,"Employee retirement plans – 401(k), 403(b), IRA, Roth IRA, pension plan"]
[null,"Paid time off – vacation pay, sick time, unused leave reimbursement"]
[null,"Payroll taxes – worker’s compensation insurance, retirement contributions, FICA, FUTA, SUI"]
[null,"Pre-employment screening – criminal background check, motor vehicle record, credentials verification"]
[null,"Professional fees  -  payroll tax professionals, payroll tax processing"]
[null,"Recruiting (DSP) - advertisements, job fairs for DSP specific positions"]
[null,"Other ERE"]
["Facility","DSP wages unbillable - wages paid to direct care staff for time spent on facility activities (unbillable time)"]
[null,"Facility furniture - furnishing purchased/leased for participant use in the service location"]
[null,"Facility staff wages - security staff, facilities maintenance staff, facility manager, and janitorial staff - wages for staff at the service location"]
[null,"Residential supplies - groceries (residential facilities)"]
[null,"Service facility/property costs - rent/mortgage loan, home equity line of credit, mortgage/loan interest, improvement loans, property depreciation (including for community-based services that have office-based support needs)"]
[null,"Taxes and insurance – real estate taxes, building permits, property insurance, renters’ insurance, real property depreciation."]
[null,"Technology/IT - IT expenses directly to support participants (e.g., remote monitoring, smart home technology, computers specifically for program participants)"]
[null,"Upkeep and repair - janitorial/fire/safety/security contracts, housekeeping supplies, equipment rental"]
[null,"Utilities (service location) - electricity, gas, water, sewage, internet, business cell phones, cable, telephone, and trash pickup fees"]
[null,"Other Facility"]
["Program Support (items directly related to the provision of the service)","Bad Debt (client related) - unrecouped client expenses (i.e., clothing, personal care, housing costs)"]
[null,"Client expenses - medical supplies and equipment, medical copays/premiums, client clothing, client housekeeping"]
[null,"Contracted services - wages paid to contracted staff "]
[null,"DSP wages unbillable - direct care staff wages for documentation time and other unbillable activities (unbillable time)"]
[null,"Employee uniforms - employer provided uniforms, boots, hats"]
[null,"Equipment - purchase/lease of tools, small appliances/furnacing"]
[null,"Food - participant snacks/food related to specific services "]
[null,"Program expenses - program activity, client activities and outings, client classes, client recreation"]
[null,"Program support wages - behavioral health professional/consultant, director/manager of activities, nurse/nursing consultant, program supports staff/consultant, residential counselor"]
[null,"Program supports facility/property costs - (participant-service related) office rent/mortgage loan, line of credit, mortgage/loan interest, improvement loans, property depreciation for community-based services that have office-based support needs "]
[null,"Quality assurance activities - wages for staff providing quality oversight of service delivery"]
[null,"Technology/IT - IT expenses directly to support participants (e.g., program staff computers w/case management software)"]
[null,"Other Program Supports"]
["Training ","Continued education (DSP) - DSP/Program Staff CEU's, certification classes"]
[null,"DSP wages unbillable - wages paid to DSP staff while in training (unbillable time)"]
[null,"DSP/program staff seminars/conferences - registration fees, conference costs for DSP/Program staff (non-admin)"]
[null,"DSP/program staff training travel - airfare, public transportation, hotel expenses for DSP/program staff to attend training"]
[null,"Training supplies - contracted training costs, training materials, cost of printing certificates, staff wages that assist with training documentation (e.g., tracking attendance, filing of certificates)"]
[null,"Training staff costs - wages and expenditures paid to staff conducting the training"]
[null,"Other Training"]
["Transportation","DSP wages unbillable - wages paid to direct care staff for unbillable time on transportation tasks "]
[null,"Participant transportation - public transportation costs "]
[null,"Staff transportation expenses - mileage and/or travel reimbursement"]
[null,"Vehicle related expenses - vehicle maintenance and repair, tolls, fuel and oil, parking fees, automobile insurance, registration fees, rental lease payments, vehicle depreciation."]
[null,"Transportation wages - fleet manager wages, van driver wages"]
[null,"Other Transportation"]
["General and Administrative","Admin wages - salaries or wages for  FTE/PTE/contracted staff who perform administrative duties (e.g., assist in and/or perform tasks such as answering phone calls, sorting mail and maintaining office supplies)"]
[null,"Admin facility expenses - administrative office rent/mortgage loan, line of credit, mortgage/loan interest, improvement loans, property depreciation"]
[null,"Admin staff expenses - travel, meals and entertainment unrelated to client care, non-client related conference food and travel"]
[null,"Advertising - non-DSP staff recruiting, agency advertising and promotional materials"]
[null,"Bad debt (admin related) - unrecouped general business expenses"]
[null,"Bank fees – interest paid on business loans, credit lines, and business credit cards"]
[null,"Business insurance - general liability, professional liability, employment practices liability insurance (EPLI)"]
[null,"Charitable contribution – monetized charitable donations to other organizations/agencies, fundraising and lobbying"]
[null,"DSP wages unbillable - wages paid to direct care staff for unbillable time spent on general and administrative tasks (unbillable time)"]
[null,"Dues and subscriptions - professional or trade association dues, industry magazines/journals/book subscriptions, staff licenses and/or certificates, membership dues and subscriptions (for staff not providing participant services)"]
[null,"Management Wages - management and executive salaries - for staff that perform managerial or executive agency functions (e.g., management or supervision of staff, daily operations and activities, strategic planning, policy and decision-making, team management, and financial management)"]
[null,"Office expenses and supplies - office furniture, cleaning products, pens, paper, notebooks, stationery, snacks and beverages, printer, printer ink, postage fees, or payments for printing services "]
[null,"Other taxes and fees - not including payroll or real estate taxes"]
[null,"Professional service fees – legal services, accounting services (CPAs, financial planning, investment managers), translation services, shredding services"]
[null,"Technology/IT – hardware costs, mobile devices, industry-specific software, software licensing fees and updates, employee training"]
[null,"Utilities (administrative) - electricity, gas, water, sewage, internet, business cell phones, cable, telephone, and trash pickup fees"]
[null,"Other G&A"]
["Version Date: August 14, 2025"]

{"sheet":"Provider Information","index":3,"n_rows":52,"n_cols":3,"rows_kept":52,"cut":false,"hidden":false,"merged":[[17,2,23,2],[48,0,48,2],[26,0,26,2],[36,0,36,2],[0,0,1,2],[3,0,3,2],[9,0,9,2],[13,0,13,2],[16,0,16,2],[27,0,27,2],[30,2,31,2]]}
["Please provide the information in the cells below.  "]
[]
["Item ","Response ","Clarifying Notes"]
["Provider Organization Information "]
["Provider Organization Name"," "]
["Provider Medicaid Number(s)",null,"This is the 9 digit number used to bill Medicaid. It is different from one's DDA provider number. "]
["LTSSMaryland Medicaid Number "]
["PCIS2 Medicaid Number "]
["Provider FEIN Number ",null," "]
["Person Completing Template Information  "]
["Name of Person Completing Template "," ","Last name, first name "]
["Email Address of this Person "]
["Phone Number of this person "," "]
["Additional Information "]
["Date Template Completed "," "]
["Internal Accounting System Used for Tracking "]
["Cost Allocation Methodology For Each Cost Category"]
["Direct Care Staff"," ","Please provide your cost allocation methodologies for each of the cost categories being captured in the GL Template. Cost allocation methodologies may include, but are not  limited to, square footage based, attendance based, time-based, etc... "]
["Employment Related Expenses"," "]
["Program Support"," "]
["Facility"," "]
["Transportation"]
["Training"," "]
["General & Administrative"]
["If your organization delivered dedicated hours and/or add-on supports for residential services, are they included with the base residential service costs? "]
["Please indicate any clarifying or additional details regarding your completion of the template. "]
["Direct Support Professional Levels AND Wages for DSP's Only "]
["Below enter the numeric number of direct service professionals (DSPs) employed by credentialed level at the end of FY 2025. "]
["Number of DSP Staff Employed at the End of the FY",null,"DSP: No NADSP credential level. Completed basic DDA training. "]
["Number of DSP-I Staff Employed at the End of the FY",null,"DSP-I: Includes DSP's who have completed the basic training level.  "]
["Number of DSP-II Staff Employed at the End of the FY",null,"DSP-II or DSP-III: Includes DSP's who have achieved credentialling through the National Alliance for Direct Support Professionals (NADSP) or the Maryland DSP Consortium credential. "]
["Number of DSP-III Staff Employed at the End of the FY"]
["Average DSP Hourly Wage",null,"Please enter the average hourly wage for your DSP employees"]
["Average DSP-I Hourly Wage",null,"Please enter the average hourly wage for your DSP-I employees"]
["Average DSP-II Hourly Wage",null,"Please enter the average hourly wage for your DSP-II employees"]
["Average DSP-III Hourly Wage",null,"Please enter the average hourly wage for your DSP-III employees"]
["Direct Support Professional Staffing Patterns "]
["Please enter the minimum number of hours per week a DSP needs to work to be considered a full-time employee (FTE).",null,"Indicate the minimum number of hours per week a DSP (at any credentialed level) needs to work to be considered a full-time employee (FTE) rather than a part-time employee (PTE)."]
["Average number of hours a full-time (FT) DSP works per week",null,"Include the average number of hours a full-time DSP works per week "]
["Average number of hours a part-time (PT) DSP works per week",null,"Include the average number of hours a part-time DSP works per week "]
["Number of FT DSPs at the Beginning of the FY ",null,"Include the number (numeric) of full-time (FT) DSPs as of the beginning of the fiscal year (FY) i.e., July 1, 2024."]
["Number of FT DSPs at the End of the FY",null,"Include the number of FT DSPs as of the end of the FY, i.e., June 30, 2025. If this number differs from the total of departures and positions filled (i.e. positions were added or eliminated) please add a note in cell C50. "]
["Number of FT DSPs Departures During the FY",null,"Include the number of FT DSPs who departed during the FY, include both resignations and terminations."]
["Number of FT DSPs Vacancies Filled During the FY",null,"Include the number of FT DSP vacancies filled during the FY. "]
["Number of PT DSPs at the Beginning of the FY ",null,"Include the number (numeric) of part-time (PT) DSPs as of the beginning of the fiscal year (FY) i.e., July 1, 2024."]
["Number of PT DSPs at the End of the FY",null,"Include the number of PT DSPs as of the end of the FY, i.e., June 30, 2025. If this number differs from the total of departures and positions filled (i.e. positions were added or eliminated) please add a note in cell C50. "]
["Number of PT DSPs Departures During the FY",null,"Include the number of PT DSPs who departed during the FY, including both resignations and terminations."]
["Number of PT DSPs Vacancies Filled During the FY",null,"Include the number of PT DSP vacancies filled during the FY. "]
["Provider Feedback"]
["Please use the space given to provide any feedback on the template."," "]
["Please use the space given to provide any information on data points that are not being collected that you believe should be collected in the future. "," "]
["Version Date: August 14, 2025"]

{"sheet":"Service Information","index":4,"n_rows":30,"n_cols":6,"rows_kept":30,"cut":false,"hidden":false,"merged":[[0,0,0,5]]}
["Please check the box for the services which you provided, and select billing system and region for the services \nONCE A SERVICE IS CHECKED, THE TAB FOR THAT SERVICE WILL APPEAR TO THE RIGHT.  \nIf a service can be billed in only one billing system, column C will auto populate. If it can be billed in either system, please use the drop down menu in column C. \n"]
["Service Tab","Check","Billing System","Region","Service Name","Service Category"]
["R0-DH",null,null,null,"Dedicated Hours and/or Add-On Supports/Hours\nOnly use this tab when ALL dedicated hours or add-on supports are able to be broken out at the cost category level for base residential service(s). Cost category data for the associated residential service(s) should not be included in this tab.  ","Residential "]
["R1-CL.ES",null,null,null,"Community Living Enhanced Supports -with Overnight Supervision ","Residential "]
["R2-DH.CL",null,null,null," Multiple Community Living Services or Community Living Service(s) AND Supported Living Service(s) AND Dedicated Hours (or Add-On Supports/Hours in PCIS)\n(LTSSMaryland AND/OR PCIS2)\nOnly use this tab if more than one community living service is provided or if community living services(s) AND supported living service(s) are provided and the cost between the multiple residential services are not able to be broken out. If dedicated hours or add-on supports were also provided, those costs should be combined with the base residential services costs on this tab and not R0-DH.","Residential "]
["R3-CL.GHw",null,null,null,"Community Living with Group Home - With Overnight Supervision ","Residential "]
["R4-CL.GWwo",null,null,null,"Community Living with Group Home - Without Overnight Supervision ","Residential "]
["R5-CL",null,null,null,"Community Living with Group Home in PCIS2 - No Distinction Regarding Overnight Supervision ","Residential "]
["R6-ShrL",null,null,null,"Shared Living , Shared Living - Individual Family ","Residential "]
["R7-SLw",null,null,null,"Supported Living - With Overnight Supervision","Residential "]
["R8-SLwo",null,null,null,"Supported Living - Without Overnight Supervision","Residential "]
["M1-CE",null,null,null,"Career Exploration (CE) ,  Supported Employment , Employment Discovery and Customization ","Meaningful Day"]
["M2-CD",null,null,null,"Community Development Services- 1 to 4 Clients - Staffing Ratios of 1:1 and 2:1; Community Learning Services","Meaningful Day"]
["M3-DH",null,null,null,"Day Habilitation - Small Groups (2-5), Large Groups (6-10) - Staffing Ratios of 1:1 and 2:1\nThis tab should only be used if more than one staffing ratio and/or group size for day habilitation is provided and the costs between the multiple group sizes are not able to be broken out. ","Meaningful Day"]
["M4-DH.1to1",null,null,null,"Day Habilitation -Staffing Ratio of 1:1","Meaningful Day"]
["M5-DH.2to1",null,null,null,"Day Habilitation -Staffing Ratio of 2:1","Meaningful Day"]
["M6-DH.Small",null,null,null,"Day Habilitation - Small Groups (2-5)","Meaningful Day"]
["M7-DH.Large",null,null,null,"Day Habilitation -  Large Groups (6-10) ","Meaningful Day"]
["M8-ES",null,null,null,"Employment Services - Ongoing Job Supports AND Job Development","Meaningful Day"]
["M9-ES.FAS",null,null,null,"Employment Services: Follow Along Supports ","Meaningful Day"]
["M10-ES.DM",null,null,null,"Employment Services - Discovery Milestones 1-3 AND Customized Self-Employment ","Meaningful Day"]
["S1-BSS",null,null,null,"Brief Support Services (BSS) -  Brief Support Implementation, Behavioral Consultation, Behavioral Assessment, Behavioral Plan","Support Services "]
["S2-EA",null,null,null,"Environmental Assessment ","Support Services "]
["S3-HSS",null,null,null,"Housing Support Services ","Support Services "]
["S4-PS",null,null,null,"Personal Supports - Including Enhanced","Support Services "]
["S5-NS",null,null,null,"Nursing Supports (Nurse Case Management and Delegation, Nurse Health Case Management)","Support Services "]
["S6-RC.DAY",null,null,null,"Respite Care Services - Day ","Support Services "]
["S7-RC.HR",null,null,null,"Respite Care Services - Hour","Support Services "]
["S8-FAM-PEER.LTSS",null,null,null,"Family and Peer Mentoring ","Support Services "]
["Version Date: August 14, 2025"]

{"sheet":"Input","index":5,"n_rows":73,"n_cols":6,"rows_kept":73,"cut":false,"hidden":true,"merged":[]}
["Direct Care Staff","Locked",null,"Region",null,"Lockeditem"]
["Behavioral health professional wages","N",null,"Rest of State",null,"Dues and subscriptions "]
["Behavioral temporary/contractual staff","N",null,"Geographic Differential",null,"Employee health and wellness "]
["DSP temporary/contractual staff wages","N",null,"Both",null,"Employee incentives "]
["DSP FTE/PTE wages","N",null,null,null,"Employee events unrelated to client care "]
["Nursing staff wages","N",null,"Billing System",null,"Employee insurance  "]
["Nursing temporary/contractual staff","N",null,"LTSSMaryland",null,"Employee retirement plans"]
["Employer Related Expenses",null,null,"PCIS2",null,"Paid time off"]
["Dues and subscriptions ","Y",null,"Both",null,"Payroll taxes"]
["Employee health and wellness ","Y",null,null,null,"Pre-employment screening"]
["Employee incentives ","Y",null,null,null,"Professional fees  "]
["Employee events unrelated to client care ","Y",null,null,null,"Recruiting (DSP) "]
["Employee insurance  ","Y",null,null,null,"Facility furniture "]
["Employee overtime","N",null,null,null,"Facility staff wages"]
["Employee retirement plans","Y",null,null,null,"Residential supplies"]
["Paid time off","Y",null,null,null,"Service facility/property costs "]
["Payroll taxes","Y",null,null,null,"Taxes and insurance"]
["Pre-employment screening","Y",null,null,null,"Technology/IT "]
["Professional fees  ","Y",null,null,null,"Upkeep and repair "]
["Recruiting (DSP) ","Y",null,null,null,"Utilities (service location) "]
["Facility",null,null,null,null,"Bad Debt (client related) "]
["DSP wages unbillable","N",null,null,null,"Client expenses "]
["Facility furniture ","Y",null,null,null,"Contracted services "]
["Facility staff wages","Y",null,null,null,"Employee uniforms "]
["Residential supplies","Y",null,null,null,"Equipment "]
["Service facility/property costs ","Y",null,null,null,"Food "]
["Taxes and insurance","Y",null,null,null,"Program expenses "]
["Technology/IT ","Y",null,null,null,"Program support wages"]
["Upkeep and repair ","Y",null,null,null,"Quality assurance activities "]
["Utilities (service location) ","Y",null,null,null,"Technology/IT "]
["Program Support",null,null,null,null,"Staff transportation expenses "]
["Bad Debt (client related) ","Y",null,null,null,"Vehicle related expenses "]
["Client expenses ","Y",null,null,null,"Transportation Wages"]
["Contracted services ","Y",null,null,null,"Continued education (DSP) "]
["DSP wages unbillable","N",null,null,null,"DSP/program staff seminars/conferences "]
["Employee uniforms ","Y",null,null,null,"DSP/program staff training travel "]
["Equipment ","Y",null,null,null,"Training supplies "]
["Food ","Y",null,null,null,"Training staff "]
["Program expenses ","Y",null,null,null,"Admin wages "]
["Program supports facility/property costs","Y",null,null,null,"Admin facility expenses "]
["Program support wages","Y",null,null,null,"Admin staff expenses "]
["Quality assurance activities ","Y",null,null,null,"Program supports facility/property costs"]
["Technology/IT ","Y",null,null,null,"Advertising "]
["Transportation",null,null,null,null,"Bad debt (admin related) "]
["DSP wages unbillable ","N",null,null,null,"Bank fees"]
["Participant transportation ","N",null,null,null,"Business insurance "]
["Staff transportation expenses ","Y",null,null,null,"Charitable contribution"]
["Vehicle related expenses ","Y",null,null,null,"Dues and subscriptions "]
["Transportation Wages","Y",null,null,null,"Management wages"]
["Training",null,null,null,null,"Office expenses and supplies "]
["Continued education (DSP) ","Y",null,null,null,"Other taxes and fees "]
["DSP wages unbillable","N",null,null,null,"Professional service fees"]
["DSP/program staff seminars/conferences ","Y",null,null,null,"Technology and IT"]
["DSP/program staff training travel ","Y",null,null,null,"Utilities (administrative) "]
["Training supplies ","Y"]
["Training staff costs","Y"]
["General and Administrative"]
["Admin wages ","Y"]
["Admin facility expenses ","Y"]
["Admin staff expenses ","Y"]
["Advertising ","Y"]
["Bad debt (admin related) ","Y"]
["Bank fees","Y"]
["Business insurance ","Y"]
["Charitable contribution","Y"]
["DSP wages unbillable","N"]
["Dues and subscriptions ","Y"]
["Management wages","Y"]
["Office expenses and supplies ","Y"]
["Other taxes and fees ","Y"]
["Professional service fees","Y"]
["Technology/IT ","Y"]
["Utilities (administrative) ","Y"]

{"sheet":"R0-DH","index":6,"n_rows":95,"n_cols":17,"rows_kept":95,"cut":false,"hidden":true,"merged":[[3,12,3,14],[3,2,3,5],[3,6,3,9],[4,6,4,7],[4,8,4,9],[4,2,4,3],[4,4,4,5],[3,10,5,10],[66,0,74,0],[75,0,94,0],[6,0,11,0],[12,0,27,0],[28,0,40,0],[41,0,55,0],[56,0,65,0]]}
["RESIDENTIAL SERVICES"]
["DEDICATED HOURS AND/OR ADD-ON SUPPORTS "]
[]
[null,null,"LTSSMaryland",null,null,null,"PCIS2",null,null,null,"Notes to the Reviewer",null,"Group Homes ",null,null,null,"Total Number of Unduplicated Participants Served Annually, for all Sized Homes "]
[null,null,"Rest of State",null,"Geographic Differential",null,"Rest of State",null,"Geographic Differential",null,null,null,"Size of Group Home ","Number of Sites ","Number of Unduplicated Participants Served Annually  "]
["Cost Category","Cost Item","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount",null,null,"1 person"]
["Direct Care Staff ",null,null,null,null,null,null,null,null,null,null,null,"2 person"]
[null,null,null,null,null,null,null,null,null,null,null,null,"3 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"4 person"]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"5 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"6 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"7 person "]
["Employment Related Expenses",null,null,null,null,null,null,null,null,null,null,null,"8 person "]
[null,null,null,null,null,null,null,null,null,null,null,null,"Other "]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Facility "]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Program Support"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Training"]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Transportation"]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["General and Administrative"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]

{"sheet":"R1-CL.ES","index":7,"n_rows":95,"n_cols":17,"rows_kept":95,"cut":false,"hidden":true,"merged":[[3,12,3,14],[3,2,3,5],[3,6,3,9],[4,2,4,3],[4,4,4,5],[4,6,4,7],[4,8,4,9],[3,10,5,10],[56,0,65,0],[0,0,0,3],[1,0,1,3],[66,0,74,0],[75,0,94,0],[6,0,11,0],[12,0,27,0],[28,0,40,0],[41,0,55,0]]}
["RESIDENTIAL SERVICES"]
["COMMUNITY LIVING  - ENHANCED SUPPORTS  - WITH OVERNIGHT SUPERVISION"]
[]
[null,null,"LTSSMaryland",null,null,null,"PCIS2",null,null,null,"Notes to the Reviewer",null,"Group Homes ",null,null,null,"Total Number of Unduplicated Participants Served Annually, for all Sized Homes "]
[null,null,"Rest of State",null,"Geographic Differential",null,"Rest of State",null,"Geographic Differential",null,null,null,"Size of Group Home ","Number of Sites ","Number of Unduplicated Participants Served Annually  "]
["Cost Category","Cost Item","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount",null,null,"1 person"]
["Direct Care Staff ",null,null,null,null,null,null,null,null,null,null,null,"2 person"]
[null,null,null,null,null,null,null,null,null,null,null,null,"3 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"4 person"]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"5 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"6 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"7 person "]
["Employment Related Expenses",null,null,null,null,null,null,null,null,null,null,null,"8 person "]
[null,null,null,null,null,null,null,null,null,null,null,null,"Other "]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Facility "]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Program Support"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Training"]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Transportation"]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["General and Administrative"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]

{"sheet":"R2-DH.CL","index":8,"n_rows":95,"n_cols":17,"rows_kept":95,"cut":false,"hidden":true,"merged":[[6,0,11,0],[3,10,5,10],[3,12,3,14],[3,2,3,5],[3,6,3,9],[4,2,4,3],[4,4,4,5],[4,6,4,7],[4,8,4,9],[75,0,94,0],[12,0,27,0],[28,0,40,0],[41,0,55,0],[56,0,65,0],[66,0,74,0]]}
["RESIDENTIAL SERVICES"]
["MULTIPLE COMMUNITY LIVING SERVICES OR COMMUNITY LIVING SERVICE(S) AND SUPPORTED LIVING SERVICE(S) AND DEDICATED HOURS (OR ADD ON SUPPORTS/HOURS IN PCIS2)"]
[]
[null,null,"LTSSMaryland",null,null,null,"PCIS2",null,null,null,"Notes to the Reviewer",null,"Group Homes ",null,null,null,"Total Number of Unduplicated Participants Served Annually, for all Sized Homes "]
[null,null,"Rest of State",null,"Geographic Differential",null,"Rest of State",null,"Geographic Differential",null,null,null,"Size of Group Home ","Number of Sites ","Number of Unduplicated Participants Served Annually  "]
["Cost Category","Cost Item","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount",null,null,"1 person "]
["Direct Care Staff ",null,null,null,null,null,null,null,null,null,null,null,"2 person "]
[null,null,null,null,null,null,null,null,null,null,null,null,"3 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"4 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"5 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"6 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"7 person "]
["Employment Related Expenses",null,null,null,null,null,null,null,null,null,null,null,"8 person "]
[null,null,null,null,null,null,null,null,null,null,null,null,"Other "]
[null,null,null,null,null,null,null,null,null,null,null,null," "]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Facility "]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Program Support"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Training"]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Transportation"]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["General and Administrative"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]

{"sheet":"R3-CL.GHw","index":9,"n_rows":95,"n_cols":17,"rows_kept":95,"cut":false,"hidden":true,"merged":[[28,0,40,0],[41,0,55,0],[56,0,65,0],[66,0,74,0],[75,0,94,0],[6,0,11,0],[3,10,5,10],[12,0,27,0],[3,12,3,14],[3,2,3,5],[3,6,3,9],[4,2,4,3],[4,4,4,5],[4,6,4,7],[4,8,4,9]]}
["RESIDENTIAL SERVICES"]
["COMMUNITY LIVING WITH GROUP HOME - WITH OVERNIGHT SUPERVISION"]
[]
[null,null,"LTSSMaryland",null,null,null,"PCIS2",null,null,null,"Notes to the Reviewer",null,"Group Homes ",null,null,null,"Total Number of Unduplicated Participants Served Annually, for all Sized Homes "]
[null,null,"Rest of State",null,"Geographic Differential",null,"Rest of State",null,"Geographic Differential",null,null,null,"Size of Group Home ","Number of Sites ","Number of Unduplicated Participants Served Annually  "]
["Cost Category","Cost Item","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount",null,null,"1 person"]
["Direct Care Staff ",null,null,null,null,null,null,null,null,null,null,null,"2 person"]
[null,null,null,null,null,null,null,null,null,null,null,null,"3 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"4 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"5 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"6 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"7 person "]
["Employment Related Expenses",null,null,null,null,null,null,null,null,null,null,null,"8 person "]
[null,null,null,null,null,null,null,null,null,null,null,null,"Other "]
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[]
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[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Facility "]
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[]
[]
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[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Program Support"]
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[]
[]
[]
[]
[]
[]
[]
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[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Training"]
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[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Transportation"]
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[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["General and Administrative"]
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[]
[]
[]
[]
[]
[]
[]
[]
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[]
[]
[]
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[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]

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["RESIDENTIAL SERVICES"]
["COMMUNITY LIVING WITH GROUP HOME - WITHOUT OVERNIGHT SUPERVISION"]
[]
[null,null,"LTSSMaryland",null,null,null,"PCIS2",null,null,null,"Notes to the Reviewer",null,"Group Homes ",null,null,null,"Total Number of Unduplicated Participants Served Annually, for all Sized Homes "]
[null,null,"Rest of State",null,"Geographic Differential",null,"Rest of State",null,"Geographic Differential",null,null,null,"Size of Group Home ","Number of Sites ","Number of Unduplicated Participants Served Annually  "]
["Cost Category","Cost Item","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount",null,null,"1 person "]
["Direct Care Staff ",null,null,null,null,null,null,null,null,null,null,null,"2 person"]
[null,null,null,null,null,null,null,null,null,null,null,null,"3 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"4 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"5 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"6 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"7 person "]
["Employment Related Expenses",null,null,null,null,null,null,null,null,null,null,null,"8 person "]
[null,null,null,null,null,null,null,null,null,null,null,null,"Other "]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Facility "]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Program Support"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Training"]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Transportation"]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["General and Administrative"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]

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["RESIDENTIAL SERVICES"]
["COMMUNITY LIVING WITH GROUP HOME  IN PCIS2 - NO DISTINCTION REGARDING OVERNGIHT  SUPERVISION"]
[]
[null,null,"LTSSMaryland",null,null,null,"PCIS2",null,null,null,"Notes to the Reviewer",null,"Group Homes ",null,null,null,"Total Number of Unduplicated Participants Served Annually, for all Sized Homes "]
[null,null,"Rest of State",null,"Geographic Differential",null,"Rest of State",null,"Geographic Differential",null,null,null,"Size of Group Home ","Number of Sites ","Number of Unduplicated Participants Served Annually  "]
["Cost Category","Cost Item","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount",null,null,"1 person "]
["Direct Care Staff ",null,null,null,null,null,null,null,null,null,null,null,"2 person"]
[null,null,null,null,null,null,null,null,null,null,null,null,"3 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"4 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"5 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"6 person "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"7 person "]
["Employment Related Expenses",null,null,null,null,null,null,null,null,null,null,null,"8 person "]
[null,null,null,null,null,null,null,null,null,null,null,null,"Other "]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Facility "]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Program Support"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Training"]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Transportation"]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["General and Administrative"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]

{"sheet":"R6-ShrL","index":12,"n_rows":95,"n_cols":13,"rows_kept":95,"cut":false,"hidden":true,"merged":[[56,0,65,0],[66,0,74,0],[75,0,94,0],[3,10,5,10],[6,0,11,0],[3,2,3,5],[3,6,3,9],[4,2,4,3],[4,4,4,5],[4,6,4,7],[4,8,4,9],[12,0,27,0],[28,0,40,0],[41,0,55,0]]}
["RESIDENTIAL SERVICES"]
["SHARED LIVING"]
[]
[null,null,"LTSSMaryland",null,null,null,"PCIS2",null,null,null,"Notes to the Reviewer",null,"Total Number of Unduplicated Participants Served Annually"]
[null,null,"Rest of State",null,"Geographic Differential",null,"Rest of State",null,"Geographic Differential"]
["Cost Category","Cost Item","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount"]
["Direct Care Staff "]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Employment Related Expenses"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Facility "]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Program Support"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Training"]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Transportation"]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["General and Administrative"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]

{"sheet":"R7-SLw","index":13,"n_rows":95,"n_cols":13,"rows_kept":95,"cut":false,"hidden":true,"merged":[[56,0,65,0],[66,0,74,0],[75,0,94,0],[3,10,5,10],[6,0,11,0],[3,2,3,5],[3,6,3,9],[4,2,4,3],[4,4,4,5],[4,6,4,7],[4,8,4,9],[12,0,27,0],[28,0,40,0],[41,0,55,0]]}
["RESIDENTIAL SERVICES"]
["SUPPORTED LIVING - WITH OVERNIGHT SUPERVISION "]
[]
[null,null,"LTSSMaryland",null,null,null,"PCIS2",null,null,null,"Notes to the Reviewer",null,"Total Number of Unduplicated Participants Served Annually"]
[null,null,"Rest of State",null,"Geographic Differential",null,"Rest of State",null,"Geographic Differential"]
["Cost Category","Cost Item","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount"]
["Direct Care Staff "]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Employment Related Expenses"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Facility "]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Program Support"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Training"]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Transportation"]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["General and Administrative"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]

{"sheet":"R8-SLwo","index":14,"n_rows":95,"n_cols":13,"rows_kept":95,"cut":false,"hidden":true,"merged":[[6,0,11,0],[3,10,5,10],[3,2,3,5],[3,6,3,9],[4,2,4,3],[4,4,4,5],[4,6,4,7],[4,8,4,9],[75,0,94,0],[12,0,27,0],[28,0,40,0],[41,0,55,0],[56,0,65,0],[66,0,74,0]]}
["RESIDENTIAL SERVICES"]
["SUPPORTED LIVING - WITHOUT OVERNIGHT SUPERVISION "]
[]
[null,null,"LTSSMaryland",null,null,null,"PCIS2",null,null,null,"Notes to the Reviewer",null,"Total Number of Unduplicated Participants Served Annually"]
[null,null,"Rest of State",null,"Geographic Differential",null,"Rest of State",null,"Geographic Differential"]
["Cost Category","Cost Item","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount"]
["Direct Care Staff "]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Employment Related Expenses"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Facility "]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Program Support"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Training"]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Transportation"]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["General and Administrative"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]

{"sheet":"M1-CE","index":15,"n_rows":95,"n_cols":13,"rows_kept":95,"cut":false,"hidden":true,"merged":[[6,0,11,0],[3,10,5,10],[3,2,3,5],[3,6,3,9],[4,2,4,3],[4,4,4,5],[4,6,4,7],[4,8,4,9],[75,0,94,0],[12,0,27,0],[28,0,40,0],[41,0,55,0],[56,0,65,0],[66,0,74,0]]}
["MEANINGFUL DAY SERVICES"]
["CAREER EXPLORATION (SMALL GROUP, LARGE GROUP, FACILITY BASED), SUPPORTED EMPLOYMENT, EMPLOYMENT DISCOVERY AND CUSTOMIZATION "]
[]
[null,null,"LTSSMaryland",null,null,null,"PCIS2",null,null,null,"Notes to the Reviewer",null,"Number of Unduplicated Participants Served Annually  "]
[null,null,"Rest of State",null,"Geographic Differential",null,"Rest of State",null,"Geographic Differential"]
["Cost Category","Cost Item","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount"]
["Direct Care Staff "]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Employment Related Expenses"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Facility "]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Program Support"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Training"]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Transportation"]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["General and Administrative"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]

{"sheet":"M2-CD","index":16,"n_rows":95,"n_cols":16,"rows_kept":95,"cut":false,"hidden":true,"merged":[[9,12,9,14],[11,12,17,12],[3,2,3,5],[3,6,3,9],[4,2,4,3],[4,4,4,5],[4,6,4,7],[4,8,4,9],[3,10,5,10],[66,0,74,0],[75,0,94,0],[6,0,11,0],[12,0,27,0],[28,0,40,0],[41,0,55,0],[56,0,65,0]]}
["MEANINGFUL DAY SERVICES"]
["COMMUNITY DEVELOPMENT SERVICES - 1 TO 4 CLIENTS - STAFFING RATIOS OF 1:1 AND 2:1; COMMUNITY LEARNING SERVICES"]
[]
[null,null,"LTSSMaryland",null,null,null,"PCIS2",null,null,null,"Notes to the Reviewer",null,"Staffing Ratio/Group Size ","Number of Unduplicated Participants Served Annually  ","Average Number of Participants Served per Staffing Ratio/Group Size ","Total Number of Unduplicated Participants Served Annually, for all Staffing Ratio/Group Sizes"]
[null,null,"Rest of State",null,"Geographic Differential",null,"Rest of State",null,"Geographic Differential",null,null,null,"1:1 Staffing Ratio"]
["Cost Category","Cost Item","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount",null,null,"2:1 Staffing Ratio"]
["Direct Care Staff ",null,null,null,null,null,null,null,null,null,null,null,"Group Size: 1 to 4"]
[]
[null,"Other_________________"]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"Average Number of Participants Served by Group Size and Day of the Week "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"Group Size/Staffing Ratio ","Day of the Week ","Average Number of Participants Served per Staffing Ratio/Group Size"]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"Small Group Size (1 to 5)","Sunday"]
["Employment Related Expenses",null,null,null,null,null,null,null,null,null,null,null,null,"Monday "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Tuesday "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Wednesday "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Thursday "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Friday "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Saturday"]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Facility "]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Program Support"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Training"]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Transportation"]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["General and Administrative"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]

{"sheet":"M3-DH","index":17,"n_rows":95,"n_cols":16,"rows_kept":95,"cut":false,"hidden":true,"merged":[[3,10,5,10],[3,2,3,5],[3,6,3,9],[4,2,4,3],[4,4,4,5],[4,6,4,7],[4,8,4,9],[28,0,40,0],[41,0,55,0],[56,0,65,0],[66,0,74,0],[75,0,94,0],[9,12,9,14],[11,12,17,12],[19,12,25,12],[6,0,11,0],[12,0,27,0]]}
["MEANINGFUL DAY SERVICES"]
["DAY HABILITATION - SMALL GROUPS (2-5), LARGE GROUPS (6-10) - STAFFING RATIOS OF 1:1 AND 2:1"]
[]
[null,null,"LTSSMaryland",null,null,null,"PCIS2",null,null,null,"Notes to the Reviewer",null,"Staffing Ratio/Group Size ","Number of Unduplicated Participants Served Annually  ","Average Number of Participants Served per Staffing Ratio/Group Size ","Total Number of Unduplicated Participants Served Annually, for all Staffing Ratio/Group Sizes"]
[null,null,"Rest of State",null,"Geographic Differential",null,"Rest of State",null,"Geographic Differential",null,null,null,"1:1 Staffing Ratio"]
["Cost Category","Cost Item","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount",null,null,"2:1 Staffing Ratio"]
["Direct Care Staff ",null,null,null,null,null,null,null,null,null,null,null,"Small Group Size (1 to 5)"]
[null,null,null,null,null,null,null,null,null,null,null,null,"Large Group Size (6 to 10)"]
[null,"Other_________________"]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"Average Number of Participants Served by Group Size and Day of the Week "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"Group Size/Staffing Ratio ","Day of the Week ","Average Number of Participants Served per Staffing Ratio/Group Size"]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"Small Group Size (1 to 5)","Sunday"]
["Employment Related Expenses",null,null,null,null,null,null,null,null,null,null,null,null,"Monday "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Tuesday "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Wednesday "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Thursday "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Friday "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Saturday"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"Large Group Size (6 to 10)","Sunday"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Monday "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Tuesday "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Wednesday "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Thursday "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,null,"Friday "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,null,"Saturday"]
[null,"Other_________________"]
[null,"Other_________________"]
["Facility "]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Program Support"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Training"]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Transportation"]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["General and Administrative"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]

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["MEANINGFUL DAY SERVICES"]
["DAY HABILITATION - STAFFING RATIO OF 1:1"]
[]
[null,null,"LTSSMaryland",null,null,null,"PCIS2",null,null,null,"Notes to the Reviewer",null,"Staffing Ratio/Group Size ","Number of Unduplicated Participants Served Annually  ","Average Number of Participants Served per Staffing Ratio/Group Size ","Total Number of Unduplicated Participants Served Annually, for all Staffing Ratio/Group Sizes"]
[null,null,"Rest of State",null,"Geographic Differential",null,"Rest of State",null,"Geographic Differential",null,null,null,"1:1 Staffing Ratio"]
["Cost Category","Cost Item","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount"]
["Direct Care Staff ",null,null,null,null,null,null,null,null,null,null,null,"Average Number of Participants Served by Day of the Week "]
[null,null,null,null,null,null,null,null,null,null,null,null,"Group Size/Staffing Ratio ","Day of the Week ","Average Number of Participants Served per Staffing Ratio/Group Size"]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"1:1 Staffing Ratio","Sunday"]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,null,"Monday "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,null,"Tuesday "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,null,"Wednesday "]
["Employment Related Expenses",null,null,null,null,null,null,null,null,null,null,null,null,"Thursday "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Friday "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Saturday"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Facility "]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Program Support"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Training"]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Transportation"]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["General and Administrative"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]

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["MEANINGFUL DAY SERVICES"]
["DAY HABILITATION - STAFFING RATIO OF 2:1"]
[]
[null,null,"LTSSMaryland",null,null,null,"PCIS2",null,null,null,"Notes to the Reviewer",null,"Staffing Ratio/Group Size ","Number of Unduplicated Participants Served Annually  ","Average Number of Participants Served per Staffing Ratio/Group Size ","Total Number of Unduplicated Participants Served Annually, for all Staffing Ratio/Group Sizes"]
[null,null,"Rest of State",null,"Geographic Differential",null,"Rest of State",null,"Geographic Differential",null,null,null,"2:1 Staffing Ratio"]
["Cost Category","Cost Item","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount"]
["Direct Care Staff ",null,null,null,null,null,null,null,null,null,null,null,"Average Number of Participants Served by Day of the Week "]
[null,null,null,null,null,null,null,null,null,null,null,null,"Group Size/Staffing Ratio ","Day of the Week ","Average Number of Participants Served per Staffing Ratio/Group Size"]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"2:1 Staffing Ratio","Sunday"]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,null,"Monday "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,null,"Tuesday "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,null,"Wednesday "]
["Employment Related Expenses",null,null,null,null,null,null,null,null,null,null,null,null,"Thursday "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Friday "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Saturday"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Facility "]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Program Support"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Training"]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Transportation"]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["General and Administrative"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]

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["MEANINGFUL DAY SERVICES"]
["DAY HABILITATION - SMALL GROUPS (2-5)"]
[]
[null,null,"LTSSMaryland",null,null,null,"PCIS2",null,null,null,"Notes to the Reviewer",null,"Staffing Ratio/Group Size ","Number of Unduplicated Participants Served Annually  ","Average Number of Participants Served per Staffing Ratio/Group Size ","Total Number of Unduplicated Participants Served Annually, for all Staffing Ratio/Group Sizes"]
[null,null,"Rest of State",null,"Geographic Differential",null,"Rest of State",null,"Geographic Differential",null,null,null,"Small Group (2 to 5)"]
["Cost Category","Cost Item","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount"]
["Direct Care Staff ",null,null,null,null,null,null,null,null,null,null,null,"Average Number of Participants Served by Day of the Week "]
[null,null,null,null,null,null,null,null,null,null,null,null,"Group Size/Staffing Ratio ","Day of the Week ","Average Number of Participants Served per Staffing Ratio/Group Size"]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"Small Group (2 to 5)","Sunday"]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,null,"Monday "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,null,"Tuesday "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,null,"Wednesday "]
["Employment Related Expenses",null,null,null,null,null,null,null,null,null,null,null,null,"Thursday "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Friday "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Saturday"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Facility "]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Program Support"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Training"]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Transportation"]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["General and Administrative"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]

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["MEANINGFUL DAY SERVICES"]
["DAY HABILITATION - LARGE GROUPS (6-10) "]
[]
[null,null,"LTSSMaryland",null,null,null,"PCIS2",null,null,null,"Notes to the Reviewer",null,"Staffing Ratio/Group Size ","Number of Unduplicated Participants Served Annually  ","Average Number of Participants Served per Staffing Ratio/Group Size ","Total Number of Unduplicated Participants Served Annually, for all Staffing Ratio/Group Sizes"]
[null,null,"Rest of State",null,"Geographic Differential",null,"Rest of State",null,"Geographic Differential",null,null,null,"Large Group (6 to 10)"]
["Cost Category","Cost Item","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount"]
["Direct Care Staff ",null,null,null,null,null,null,null,null,null,null,null,"Average Number of Participants Served by Day of the Week "]
[null,null,null,null,null,null,null,null,null,null,null,null,"Group Size/Staffing Ratio ","Day of the Week ","Average Number of Participants Served per Staffing Ratio/Group Size"]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,"Large Group (6 to 10)","Sunday"]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,null,"Monday "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,null,"Tuesday "]
[null,"Other_________________",null,null,null,null,null,null,null,null,null,null,null,"Wednesday "]
["Employment Related Expenses",null,null,null,null,null,null,null,null,null,null,null,null,"Thursday "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Friday "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Saturday"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Facility "]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Program Support"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Training"]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Transportation"]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["General and Administrative"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]

{"sheet":"M8-ES","index":22,"n_rows":95,"n_cols":13,"rows_kept":95,"cut":false,"hidden":true,"merged":[[6,0,11,0],[3,10,5,10],[3,2,3,5],[3,6,3,9],[4,2,4,3],[4,4,4,5],[4,6,4,7],[4,8,4,9],[75,0,94,0],[12,0,27,0],[28,0,40,0],[41,0,55,0],[56,0,65,0],[66,0,74,0]]}
["MEANINGFUL DAY SERVICES"]
["EMPLOYMENT SERVICES - ONGOING JOB SUPPORTS AND JOB DEVELOPMENT"]
[]
[null,null,"LTSSMaryland",null,null,null,"PCIS2",null,null,null,"Notes to the Reviewer",null,"Number of Unduplicated Participants Served Annually  "]
[null,null,"Rest of State",null,"Geographic Differential",null,"Rest of State",null,"Geographic Differential"]
["Cost Category","Cost Item","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount"]
["Direct Care Staff "]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Employment Related Expenses"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Facility "]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Program Support"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Training"]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Transportation"]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["General and Administrative"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]

{"sheet":"M9-ES.FAS","index":23,"n_rows":95,"n_cols":13,"rows_kept":95,"cut":false,"hidden":true,"merged":[[6,0,11,0],[3,10,5,10],[3,2,3,5],[3,6,3,9],[4,2,4,3],[4,4,4,5],[4,6,4,7],[4,8,4,9],[75,0,94,0],[12,0,27,0],[28,0,40,0],[41,0,55,0],[56,0,65,0],[66,0,74,0]]}
["MEANINGFUL DAY SERVICES"]
["EMPLOYMENT SERVICES: FOLLOW ALONG SUPPORTS AND CO-WORKER EMPLOYMENT SERVICES"]
[]
[null,null,"LTSSMaryland",null,null,null,"PCIS2",null,null,null,"Notes to the Reviewer",null,"Number of Unduplicated Participants Served Annually  "]
[null,null,"Rest of State",null,"Geographic Differential",null,"Rest of State",null,"Geographic Differential"]
["Cost Category","Cost Item","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount"]
["Direct Care Staff "]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Employment Related Expenses"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Facility "]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Program Support"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Training"]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Transportation"]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["General and Administrative"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]

{"sheet":"M10-ES.DM","index":24,"n_rows":95,"n_cols":13,"rows_kept":95,"cut":false,"hidden":true,"merged":[[6,0,11,0],[3,10,5,10],[3,2,3,5],[3,6,3,9],[4,2,4,3],[4,4,4,5],[4,6,4,7],[4,8,4,9],[75,0,94,0],[12,0,27,0],[28,0,40,0],[41,0,55,0],[56,0,65,0],[66,0,74,0]]}
["MEANINGFUL DAY SERVICES"]
["EMPLOYMENT SERVICES - DISCOVERY MILESTONES 1-3 AND CUSTOMIZED SELF-EMPLOYMENT"]
[]
[null,null,"LTSSMaryland",null,null,null,"PCIS2",null,null,null,"Notes to the Reviewer",null,"Number of Unduplicated Participants Served Annually  "]
[null,null,"Rest of State",null,"Geographic Differential",null,"Rest of State",null,"Geographic Differential"]
["Cost Category","Cost Item","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount"]
["Direct Care Staff "]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Employment Related Expenses"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Facility "]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Program Support"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Training"]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Transportation"]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["General and Administrative"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]

{"sheet":"S1-BSS","index":25,"n_rows":95,"n_cols":13,"rows_kept":95,"cut":false,"hidden":true,"merged":[[3,10,5,10],[3,2,3,5],[3,6,3,9],[4,2,4,3],[4,4,4,5],[4,6,4,7],[4,8,4,9],[66,0,74,0],[75,0,94,0],[6,0,11,0],[12,0,27,0],[28,0,40,0],[41,0,55,0],[56,0,65,0]]}
["SUPPORT SERVICES"]
["BRIEF SUPPORT SERVICES - BRIEF SUPPORT IMPLEMENTATION, BEHAVIORAL CONSULTATION, BEHAVIORAL ASSESSMENT, BEHAVIORAL PLAN"]
[]
[null,null,"LTSSMaryland",null,null,null,"PCIS2",null,null,null,"Notes to the Reviewer",null,"Number of Unduplicated Participants Served Annually  "]
[null,null,"Rest of State",null,"Geographic Differential",null,"Rest of State",null,"Geographic Differential"]
["Cost Category","Cost Item","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount","Hours","Expense Amount"]
["Direct Care Staff "]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Employment Related Expenses"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Facility "]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Program Support"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
["Training"]
[]
[]
[]
[]
[]
[null,"Other_________________"]
[null,"Other_________________"]
[null,"Other_________________"]
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