• New prices were negotiated for the Amendment #2, please see change number 14.

• Pricing is fixed for the term of the contract

Pennhurst Medical Services SRM Contract 4400001795 - Overview

PRICING HIGHLIGHTS

• All agencies may utilize this contract

• Costars Participation

• External Procurement Activity Participation

Contact Person: Donna Snyder or Len Tokar of AvysionTel: (717) 546-0020Email: Ltokar@avysion.com

Dsnyder@avysion.com

PARTICIPATION PROCESS

Medical Services Contract: Used to procure medical staffingpositions within the Commonwealth for direct and non directcare.

Examples of medical staffing positions are:

Primary Care Physician - Psychiatrist- Psychologist- Dentist-Pharmacist - Neurologist -Audiologist - Podiatrist - DentalHygienist – Social Worker- Dental Assistant- PharmacyTechnician – Medical Coder – Medical records technician –Administrative assistants.

MARKET DESCRIPTION CONTRACT INFONEW SRM ContractOLD SAP Contracts:

44000017954600008714460000871546000087214600008722

Supplier Pennhurst Medical Group, Corp Vendor Number 128032

Validity Dates 11/21/07 – 11/20/08

Commodity Manager Jean Halbleib

Contact Information Tel: (717) 346 3834Jhalbleib@state.pa.us

Contract is within Procurement at http://www.dgs.state.pa.us/

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EXHIBIT A – SPECIAL TERMS AND CONDITIONS

These SPECIAL TERMS AND CONDITIONS shall be a part of the Contract for the provision of Medical Services between the Commonwealth of Pennsylvania (“Commonwealth”), acting through the Department of General Services (“DGS”), and Pennhurst Medical Group, P.C. (“the Contractor”). 1. CONTRACT SCOPE/OVERVIEW: This Contract (identified here and in other documents as the “Contract”) will cover the requirements of Commonwealth agencies for Medical Services, as more fully described in RFP No. CN00011254. 2. ORDER OF PRECEDENCE: These Special Contract Terms and Conditions supplement the Standard Contract Terms and Conditions for Statewide Contracts for Services. To the extent that these Special Contract Terms and Conditions conflict with the Standard Contract Terms and Conditions for Statewide Contracts for Services, these Special Contract Terms and Conditions shall prevail. Further, it is recognized that certain terms contained in the standard contract Terms and Conditions for the statewide contract for services may not be applicable to all the services which may be provided through Department contracts. 3. TERM OF THE CONTRACT: The Contract shall commence on the Effective Date (as defined herein) and expire two years from the effective date of the contract This Contract or any part of the contract may be renewed for three additional one-year terms by mutual agreement between the Commonwealth and the Contractor. In deciding whether to renew, DGS will review the Contractor’s past performance under the Contract. If the Contract is renewed, the same terms and conditions shall apply. The Effective Date shall be fixed by the Issuing Officer after the Contract has been fully executed by the Contractor and all approvals required by Commonwealth contracting procedures have been obtained. The procurement of all Medical Services, regardless of when added to the Contract, will expire at the end of the contract term.

In order to provide for a smooth and orderly transition, contractors are permitted to accept Purchase Orders which require performance extended beyond the Contract Period, however, in no event may the extended performance exceed ninety (90) days after the expiration date of the Contract Period, or as it may be extended pursuant to Paragraph 1 of the Standard Contract Terms and Conditions for Department of General Services Statewide Services Contracts-SAP (GSPUR-12F(SAP) Rev. 05/07/04). 4. OPTION TO EXTEND: The Department of General Services (DGS) reserves the right, upon notice to the Contractor, to extend the Contract or any part of the Contract for a period of time necessary to ensure that there is no lapse in critical contract services coverage with the same terms and conditions. This will be utilized to prevent a lapse in Contract coverage and only for the time necessary to enter into a new contract.

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5. SERVICES TO BE PROVIDED UNDER THIS CONTRACT: A. Implementation Process: A joint implementation team will be formed between the Contractor and DGS. This team will prepare a customized implementation timetable and the objectives to be accomplished through the Contract. All tasks will be assigned due dates. The team will review these tasks at weekly meetings for updates and status until the implementation process is complete. The team will remain in place for at least ninety (90) days after full implementation to monitor and ensure the program’s success. Contractor and DGS shall perform the tasks assigned to them by the due dates established by the timetable.

B. Implementation Plan: Procedures mutually agreed upon by the parties resulting from the Implementation Process shall be documented in writing (the “Implementation Plan”), and will become a material part of this Exhibit and the Contract, without the necessity of any further instrument. The Parties will mutually agree upon an Implementation Plan within 30 days of execution of the contract. The Implementation Plan or any modifications to the Plan shall not become part of the Contract unless and until executed by DGS’s Contracting Officer and the Contractor’s President.

C. Customer Service: Contractor will designate a Commonwealth Account Management Team comprised of a Business Contact and a Technical Contact to oversee this Contract and serve as the single source of accountability. Jeffrey W. Rohrbaugh, President, Pennhurst Medical Group, P.C. will serve as the Business Contact and Donna Snyder, President, Avysion IT will serve as the Technical Contact. Contractor agrees to keep this Team fully dedicated to this project for a minimum of six (6) months.

D. Candidate Request: Contractor will accept requests for medical staffing resources (“Request for Resources”) through one of two processes: 1) a secure website portal and automated workflow for the Pennsylvania Medical Staffing Project; and 2) telephonic submission. First, Commonwealth employees identified by the DGS will be provided with secure passwords to allow secure access to the website portal. This web-enabled technology will allow electronic submission of requests for medical resources and will contain an integrated electronic workflow tracking system that allows for electronic delivery of resumes and scheduling of interviews. Second, Contractor will accept requests for medical staffing resources using a voice-activated response system (“VARS”) and a live-voice assistance telephone system during Contractor’s ordinary business hours. The following work flow and detail provided below supplement the requisition process provided in Contractor’s technical proposal.

1) Change Orders and Request for Additional Job Titles, Classifications

and Descriptions. DGS, End User Agencies and Contractor recognize that certain job titles, classifications and descriptions for medical staffing and healthcare positions may not have been included in the original Lots attached to the Request for Proposal (“RFP”) and that procuring services under this contract may be advantageous to the Commonwealth. The parties hereto recognize that this may generate the need for Change Orders to include additional Job Titles, Classifications and Descriptions within the Contract. To assist the parties in reaching written agreement on a particular Change Order the parties hereby agree as follows:

a. Should the DGS wish to include an additional job title, classification, or

description, the DGS’s Contracting Officer shall notify Contractor in writing of the desire to include an additional job title, classification or description under the terms of the Contract.

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b. Upon written notice of the potential for an additional job title,

classification or description to be included under the terms of the Contract, the DGS and Contractor agree to negotiate in good faith to reach a written agreement on the hourly pricing for the job title, classification and description.

c. Contractor hereby agrees that it will negotiate hourly rates for the agreed to job title that shall not exceed the then current rates listed in the United States General Services Administration’s (“GSA”) Multiple Award Schedule Contract prescribed in the Federal Property Management Regulations, 41 CFR Part 101-26 (Procurement Sources and Programs) and identified as the “Professional and Allied Healthcare Staffing Services Schedule” for long-term professional medical services.

d. No modification under this section shall be effective unless and until a written Change Order is executed by both the DGS Contracting Officer and the Contractor.

2) Commonwealth’s Request for Medical Staffing Resources.

Step 1: End User Agency personnel must obtain all necessary internal approvals from

appropriate Commonwealth personnel prior to requesting a resource for medical services. Each End User Agency must follow the procedure prescribed by the DGS and obtain all approvals prior to moving on to Step 2. The Request for Resource shall be a representation on which Contractor may reasonably rely.

Step 2: Authorized End User Agency personnel may log onto the website portal and complete a Request for Resource for medical staffing resources. End User Agency personnel shall follow the Request for Resource creation procedure as defined by Contractor. End User Agency Personnel will be required to use standard job titles and descriptions, as well as skill categories identified in the Contract or any executed Change Order, to request a medical staffing resource. Each resource shown on the Request for Resource must be identified by its complete material master.

Step 3: The Request for Resource process completed by an authorized Commonwealth

employee will be routed as necessary to a Commonwealth employee serving as a Request for Resource approver. This can vary by individual End User Agency requirements. The request will be reviewed, approved or modified by the End User Agency approver.

Step 4: An authorized End User Agency employee shall finalize the Request for Resource for the medical staffing resource and submit to Contractor using the web-enabled portal or complete a telephone request if Internet access is not available. To maintain security and confidentiality of the website portal, only Commonwealth employees with secure passwords will have authority to access and use the website portal and its electronic workflow database. The Contractor’s web-enabled password protected system and the VARS system shall be an instrument of Contractor’s service to the Commonwealth and Contractor shall retain all common law, statutory and other reserved rights including copyrights to the website portal, workflow database and VARS. The integrated electronic workflow database will not only permit electronic submission of requests but also will allow End User Agencies and DGS to receive confirmations and resumes electronically, schedule interviews, and track the process.

Step 5: Contractor’s Web-Enabled Portal Request for Resource Process: Contractor’s Medical Staffing web-enabled portal generates an automated electronic confirmation

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for receipt of the request for a resource within one (1) hour of receipt. The confirmation shall be delivered to the End User Agency representative.

Step 6: Contractor’s Telephonic Request for Resource Process: For End User Agency field sites that need to use a telephonic process, Contractor will accept telephonic submissions of Requests for Resource. Contractor will supply a voice-activated response system (VARS) and also provide live-voice assistance during Contractor’s ordinary business hours.

Step 7: The VARS system will generate a fax confirmation of receipt of the Request for Resource to the Agency End User within twenty-four (24) hours.

3) Contractor’s Receipt and Response to Requests for Medical Staffing.

Step 8: The End User Agency’s request will include specific information on the resource, role, professional responsibilities, time for hire, and location of the position. Upon entry of the Request for Resource by the End User Agency the request is routed to a member of Contractor’s Pennsylvania Medical Staffing Team, who will review the Request for Resource for completeness and submit any questions seeking clarification of the Request for Resource to the End User Agency.

Step 9: Contractor will review its own medical staffing resources for potential matches with the End User Agency’s Request for Resource. Contractor may also send the Request for Resource to its subcontractors to review the requirements and submit resource resumes to Contractor.

Step 10: Contractor will coordinate final screening and credential validation. Credentialing will be tracked through Contractor’s web-enabled database and will continue during the medical staff professionals engagement with the Commonwealth.

Step 11: Contractor will review the resumes of its employees and those submitted by subcontractors and will select a group of resumes to pass on to the End User Agency based on credentials, licensing, skill, experience, availability, and the End User Agency Work Statement. Contractor will post on the web-enabled portal no less than three (3) resumes for each Request for Resource seeking a long term medical staffing resource.

Step 12: Posting and supply of resumes in response to a Request for Resource for a medical staffing resource.

a. Normal Medical Staffing Positions. Contractor’s Medical Staffing Team will electronically post three (3) or more resumes

within ten (10) business days of the request date seeking a medical staffing resource for a normal medical staffing position. The term “normal medical staffing position” shall mean any position that is not designated by Contractor and DGS as a “Highly Specialized Staffing Position” or an “Urgent Request Staffing Position” as defined below. If Internet access is not available, Contractor will provide copies of resumes to End User Agencies via fax or first class mail once resumes become available to Contractor. Contractor’s obligation to deliver resumes within ten (10) business days or less shall be deemed satisfied upon posting of the resumes electronically.

b Highly Specialized Staffing Positions.

For highly specialized personnel the ten (10) business day time frame set forth in Step

12(a) shall not apply. Contractor must submit a response plan to the End User Agency within

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five (5) business days and regularly communicate with the End User Agency. The Contractor’s plan shall set forth the timeframe in which the Contractor will provide resumes for the specific position requested by the End User Agency. The End User Agency will approve or disapprove the plan providing a written explanation including expectations to the Contractor within twenty-four (24) hours. If the plan is disapproved, the Contractor has twenty-four (24) hours to submit a new plan to the End User Agency. If the Contractor fails to provide a resource resume within the timeframe established in the plan, the End User Agency shall follow the Exception Procedure set forth in Step 20(b) to ensure that an appropriate medical resource is located.

Attached hereto as Attachment 1 and incorporated herein by reference is a chart

designating the Job Titles and Descriptions that the parties agree are highly specialized personnel. The parties hereto recognize that additional Highly Specialized Staffing Positions may arise during administration of the Contract for various reasons including, but not limited to, new classifications requested by the Commonwealth, the geographic location of the End User Agency’s field office, or other factors not currently contemplated by Contractor and DGS. In such instances, DGS and Contractor agree to negotiate in good faith to determine if a request for a specific medical staffing resource is appropriately classified as Highly Specialized Personnel. Should DGS and Contractor be unable to reach agreement on the question of Highly Specialized designation of the particular staffing position, the Contractor shall use the Contract Controversies Provisions of the Contract (Paragraph 21 of Exhibit B) to resolve the matter.

c Urgent or STAT Requests for Staffing Positions.

DGS, End User Agency and Contractor recognize that Urgent or Stat needs will arise

during administration of the Contract. The End User Agency shall be responsible for making Urgent or Stat requests in accordance with Contractor’s administrative requirements. Contractor will work with the requesting End User Agency’s field staff to develop an optimal response on a case-by-case basis. Contractor will make its best business efforts to respond to an Urgent or Stat request with a plan within three (3) business days of the request. If the Contractor fails to respond with a plan within three (3) business days, the End User Agency may follow the Exceptions Procedure set forth in Step 20(a). If the Contractor submits resumes that meet the Minimum Qualifications and the End User Agency is unable to identify an acceptable medical staffing resource, then the End User Agency may follow the Exceptions Procedure set forth in Step 20 (b).

Step 13: Contractor will utilize both its own employees and subcontractors to fulfill the Request for Resource submitted by End User Agencies. All of Contractor’s Subcontractors that provide medical staffing resources will be required to adhere to all procedures, time, credentialing, and other conditions set forth in the Contract between the DGS and Contractor.

Step 14: The End User Agency representative shall review the group of resumes posted or provided by Contractor to determine which candidates the End User Agency wishes to interview and make a determination whether the medical staffing resource resumes presented by Contractor satisfy the minimum objective qualifications for the job classification set forth in the Job Title and Description set forth in the Contract or Change Order. The term Minimum Qualifications are those objective criteria set forth in the Job Titles, and Descriptions for Lots 1-4 contained in the Contract and any new Job Titles and Descriptions agreed to through the written change order procedure described above.

Should the End User Agency determine that none of the medical staffing resource resumes supplied by the Contractor in response to the initial Request for Resource satisfy the Minimum Qualifications, the End User Agency shall notify Contractor in writing within five (5) business days of electronic posting or, if applicable, fax transmission, of the resumes that the

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resources provided do not satisfy Minimum Qualifications. If requested by Contractor, the End User Agency shall clarify its Request for Resource in writing. Within five (5) business days of receipt of written notice or the End User’s written clarification, whichever is later, Contractor shall electronically post or, if applicable, transmit by fax an additional three (3) or more resumes for the End User Agency.

Should the End User Agency determine that the medical staffing resource resumes

received from the Contractor’s second submission fail to satisfy the Minimum Qualifications, the End User Agency may utilize the Exception Procedure set forth in Step 20(a).

Step 15: The End User Agency shall interview and/or conduct skills assessments of candidates supplied by Contractor.

Step 16: The End User Agency notifies Contractor in writing of the selected medical staffing resource.

Step 17: The Contractor Medical Staffing representative will notify the medical staffing resource that a candidate has been selected, and notify the appropriate professional or subcontractor that the candidate was selected. The Contractor Medical Staffing representative will add information on the required steps to take for background checks and other necessary steps prior to the candidate reporting to work for the End User Agency.

Step 18: The Contractor Medical Staffing representative will forward the final hire details including the start date which shall occur within 30 days of selection of the medical staffing resource and the personnel identification number to the End User Agency and, if applicable, to the Subcontractor.

Step 19: The candidate begins work at the End User Agency’s location.

4) Exceptions Procedures

Step 20(a): This Exception Procedure is based upon Contractor’s failure to provide resource resumes satisfying Minimum Qualifications of the job classification reflected in the Contract or written Change Order. In instances where the End User Agency determines that the Contractor supplied two sets of resumes for a normal medical staffing position that fail to include any resource satisfying the minimum objective qualifications for the job classification requested in the Request for Resource, this exception procedure may be enacted to ensure that an appropriate medical resource is located by the End User Agency.

(1): This process is triggered when the End User Agency determines that

Contractor was unable to satisfy its obligations to provide a normal medical staffing resource under Steps 12(a) and 14, or was unable to satisfy its obligations to provide a plan for an urgent or stat medical staffing position under Step 12(c).

(2): The End User Agency shall complete a written waiver request to DGS’s

Contracting Officer seeking to utilize alternate service provider(s) for the medical staffing position.

(3): The DGS’s Contracting Officer shall review the written waiver request and all resources submitted by Contractor in response to the Request for Resource, identify any areas of question/concern, and make a decision whether a waiver is warranted based upon the Contractor’s failure to provide resources with Minimum Qualifications. Upon written request of Contractor, DGS’s Contracting Officer shall provide pertinent

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information on the written waiver request from the End User Agency to Contractor to ensure that any appropriate modifications and adjustments in the resource pool are made in the future.

(4) If the waiver is approved, the End User Agency may procure the medical

staffing resource from an alternate vendor until Contractor can provide the resources. (5) If DGS determines that Contractor has defaulted on the terms of Steps 12(a)

and 14 or defaulted on its obligation to provide a plan under the terms of Step 12(c), Contractor shall be responsible for reimbursing the End User Agency the amount equal to the difference between the actual acquisition price and the Contractor’s contract price for the particular job classification or the Contractor’s contract price plus thirty-five percent (35%), whichever is less. Any penalty is limited to actual hours invoiced by the alternate vendor engaged by the End User Agency to fill the vacant position. Contractor’s reimbursement obligation under this provision shall extend until Contractor finds a viable resource or six months have lapsed from the date of the approved purchase order with the alternate vendor.

Step 20(b): (1) This Exception procedure may be used in the following instances:

(1.1) Where the Contractor has provided three sets of resumes to the End User Agency that satisfy the Minimum Qualifications, the End User Agency has conducted interviews of candidates but the End User Agency cannot identify an acceptable medical staffing resource;

(1.2) Where the Contractor has failed to provide a highly specialized staffing resource under Step 12(b); or

(1.3) Where Contractor has provided a plan in response to a urgent or stat request under Step 12(c) but the End User Agency was unable to identify an acceptable medical staffing resource.

(2) The End User Agency shall complete a written waiver request to the DGS Contracting Officer seeking to utilize an alternate service provider for the position.

(3) The DGS’s Contracting Officer shall review the written waiver request,

identify any areas of question/concern, and make a written decision on the request for waiver within five (5) business days. The DGS Contracting Officer may also request or provide information on the waiver to Contractor to ensure that a waiver is appropriate and to allow Contractor to make appropriate adjustments to the resource pool.

(4) If the waiver is approved by the DGS’s Contracting Officer, the End User

Agency may procure the medical staffing resource from an alternate vendor.

E. Quarterly or Semi-Annual Program Review: Contractor shall provide reports to DGS at the end of each calendar quarter of the contract term. The reports shall include:

1. Performance data 2. Usage data 3. Reporting processes 4. Process improvements and cost saving opportunities 5. Recap current year’s accomplishments

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6. Set goals for following year 7. Other areas as necessary

F. SAP Interface: Contractor will work with the Commonwealth to develop and make available an interface with the Commonwealth’s SAP system to allow for support of a punch-out ordering system. Contractor will also assist in developing material master templates. 6. COSTARS (Cooperative Sourcing to Achieve Reductions in Spend) PROGRAM: Act 57 of May 15, 1998, as amended, permits local public procurement units to participate in those contracts for supplies, services, or construction entered into by the DGS that are made available to local public procurement units. A “local public procurement unit” is defined as: any political subdivision; any public authority; any tax exempt, nonprofit educational or public health institution or organization; any nonprofit fire, rescue or ambulance company; and to the extent provided by law, any other entity, including a council of governments or an area government that expends public funds for the procurement of supplies, services, and construction. Local public procurement units, which elect to participate in the Contract, will order items directly from Contractor and will be responsible for payment directly to Contractor. Those local public procurement units listed above which issue orders under the Contract are intended beneficiaries under the Contract and are real parties in interest with the right to sue and be sued without joining the Commonwealth or DGS as a party. Contractor is required to participate in the Commonwealth’s COSTARS Program and sell the awarded items at the same prices and/or discounts, and in accordance with the contractual terms and conditions, to those political subdivisions, public authorities and local public procurement units that are registered with DGS and elect to participate in the Contract through the COSTARS program. A list of these registered entities will be supplied to Contractor at the commencement of this Contract. All updates will be coordinated between Contractor and Doug Tinkey, COSTARS Systems Coordinator. No other entities may purchase from this Contract, unless registered with DGS. Contractor shall furnish to the DGS COSTARS Division an electronic monthly usage report, preferably in spreadsheet format no later than the last day of the month. Reports shall be e-mailed to dtinkey@state.pa.us. Each report shall indicate the name and address of the Contractor, contract number, and period covered by the report. The following information shall be listed on the report for each order received:

Item No. Material Code Description Quantity Unit Price Total Price Local Public Procurement Unit

Questions regarding the COSTARS program from the Contractor and/or Local Public Procurement Units should be directed to Doug Tinkey, COSTARS Systems Coordinator at 717-772-5131 or 1-866-768-7827.

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7. KEY PERSONNEL: The key personnel identified below shall be assigned to administer this Contract on behalf of the Contractor. These persons shall not be removed from this assignment in the absence of death, retirement, resignation or termination from the Contractor or other unavoidable circumstance. All replacements and additions to key personnel assigned to administer this Contract shall be subject to the written approval of DGS, which approval shall not be unreasonably withheld. (Name) (Title) Jeffrey W. Rohrbaugh President Pennhurst Medical Group, P.C. Donna Synder President Avysion IT 8. CONTRACTING OFFICER: The Contracting Officer for this Contract is: Jean Halbleib Commodity Specialist Department of General Services Bureau of Procurement 555 Forum Place Harrisburg, PA 17101 (717) 346-3834 jhalbleib@state.pa.us Contractor shall direct all notices or inquiries to the Contracting Officer. 9. INVOICES:

Contractor will customize the Commonwealth’s invoices to mirror the Commonwealth’s Purchase Orders. Invoices will be sent directly to the designated Comptroller’s Offices.

10. NOTICE OF DELAYS: Whenever the Contractor encounters any difficulty which is delaying or threatens to delay the timely performance of this Contract or any PO issued under this Contract (including actual or potential labor disputes), the Contractor shall immediately give notice thereof in writing to the DGS Contract Monitor and Contact Person indicated on the PO with all relevant information with respect thereto. Such notice shall not in any way constitute a basis for an extension of the delivery schedule or be construed as a waiver by the Commonwealth of the Issuing Agency of any rights or remedies to which it is entitled by law or pursuant to provisions of this Contract. Failure to give such notice, however, may be grounds for denial of any request for an extension of the delivery schedule because of such delay. 11. ACT 13 APPLICATION TO CONTRACTOR Contractor shall be required to submit with their bid information obtained within the preceding one-year period for any personnel who will have or may have direct contact with residents from the facility or unsupervised access to their personal living quarters in accordance with the following:

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Pursuant to 18 Pa.C.S. Ch. 91(relating to criminal history record information) a report of criminal history information from the Pennsylvania State Police or a statement from the State Police that their central repository contains no such information relating to that person. The criminal history record information shall be limited to that which is disseminated pursuant to 18 Pa.C.S. 9121(b)(2) (relating to general regulations). Where the applicant is not, and for the two years immediately preceding the date of application has not been a resident of this Commonwealth, the Commonwealth shall require the applicant to submit with the application a report of Federal criminal history record information pursuant to the Federal Bureau of Investigation’s under Department of State, Justice, and Commerce, the Judiciary, and Related Agencies Appropriation Act, 1973 (Public Law 92-544, 86 Stat. 1109). For the purpose of this paragraph, the applicant shall submit a full set of fingerprints to the State Police, which shall forward them to the Federal Bureau of Investigation for a national criminal history check. The information obtained from the criminal record check shall be used by the Commonwealth to determine the applicant’s eligibility. The Commonwealth shall insure confidentially of the information. The Pennsylvania State Police may charge the applicant a fee of not more than $10 to conduct the criminal record check required under subsection 1. The State Police may charge a fee of not more than the established charge by the Federal Bureau of Investigation for the criminal history record check required under subsection 2. The Contractor shall apply for clearance using the State Police Background Check (SP4164) at their own expense. The forms are available from any State Police Substation. When the State Police Criminal History Background Report is received, it must be forwarded to the Department. State Police Criminal History Background Reports not received within sixty (60) days may result in cancellation of the contract. 12. BACKGROUND CHECKS: The Contractor must, at its expense, arrange for a background check for each of its employees, as well as the employees of any of its subcontractors, who will have access to Commonwealth facilities, either through on-site access or through remote access. Background checks are to be conducted via the Request for Criminal Record Check form and procedure found at http://www.psp.state.pa.us/psp/lib/psp/sp4-164.pdf. The background check must be conducted prior to initial access and on an annual basis thereafter. See section entitled Act 13. Before the Issuing Agency will permit access to the Contractor, the Contractor must provide written confirmation that the criminal background checks have been conducted. If, at any time, it is discovered that a Contractor employee has a criminal record that includes a felony or misdemeanor involving terroristic behavior, violence, use of a lethal weapon, or breach of trust/fiduciary responsibility or which raises concerns about building, system or personal security or is otherwise job-related, the Contractor shall not assign that employee to any Commonwealth facility, shall remove any access privileges already given to the employee and shall not permit that employee remote access unless the Issuing Agency consents to the access, in writing, prior to the access. The Issuing Agency may withhold its consent in its complete discretion. Failure of the Contractor to comply with the terms of this paragraph on more than one occasion or Contractor’s failure to appropriately address any single failure to the satisfaction of the Issuing Agency may result in default of the Contractor under its Contract or under the PO. The Commonwealth specifically reserves the right of the Issuing Agency to conduct its own criminal background check over and above that described herein.

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13. CONFIDENTIALITY: The Contractor agrees to protect the confidentiality of the Commonwealth’s information. The Commonwealth agrees to protect the confidentiality of Contractor’s confidential information. In order for information to be deemed to be confidential, the party claiming confidentiality must designate the information as “confidential” in such a way as to give notice to the other party. The parties agree that such confidential information shall not be copied, in whole or in part, except when essential for authorized use under this Contract. Each copy of such confidential information shall be marked by the party making the copy with all notices appearing in the original. Upon termination or cancellation of this Contract or any license granted hereunder, the receiving party will return to the disclosing party all copies of the confidential information in the receiving party’s possession, other than one copy, which may be maintained for archival purposes only. Both parties agree that a material breach of these requirements may, after failure to cure within the time frame specified in this Contract, and at the discretion of the non-breaching party, result in termination for default.

The obligations stated in this Section do not apply to information:

i. already known to the recipient at the time of disclosure; ii. independently generated by the recipient and not derived from the information

supplied by the disclosing party; iii. known or available to the public, except where such knowledge or availability is the

result of unauthorized disclosure by the recipient of the proprietary information; iv. disclosed to the recipient without a similar restriction by a third party who has the right

to make such disclosure; or v. required to be disclosed by the recipient by law, regulation, court order, or other legal

process. 14. OFFSET PROVISION FOR COMMONWEALTH CONTRACTS: The Contractor agrees that the Commonwealth may set off the amount of any state tax liability or other obligation of the Contractor or its subsidiaries to the Commonwealth against any payments due the Contractor under any contract with the Commonwealth. 15. SENSITIVE INFORMATION: The Contractor shall not publish or otherwise disclose, except to the Commonwealth and except matters of public record, any information or data obtained hereunder from private individuals, organizations, or public agencies, in a publication whereby the information or data furnished by or about any particular person or establishment can be identified, except with the consent of such person or establishment. The parties shall not use or disclose any information about a recipient receiving services from, or otherwise enrolled in, a Commonwealth program affected by or benefiting from services under this Contract for any purpose not connected with the parties’ Contract responsibilities except with the written consent of such recipient, recipient’s attorney, or recipient’s parent or guardian pursuant to applicable state and federal law and regulations.

Contractor will comply with all federal or state laws related to the use of information that constitutes personal health information (PHI) as defined by the Health Insurance Portability and Accountability Act (HIPAA). Further, in order to address the provision of PHI to the Contract, by signing this Contract, the Contractor agrees to the terms of the Business Associates Agreement, which is incorporated into this Contract as Attachment 2. If the Issuing Agency is a Covered Entity as defined in HIPAA, it will fill in the blanks in Attachment 2 as part of the PO. It is understood that Attachment 2 is only applicable if PHI is provided to the Contractor.

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16. INDEPENDENT CAPACITY OF CONTRACTOR: 1) The parties to this Contract agree that the services performed by the Contractor under the

terms of this Contract are performed as an independent Contractor. The services performed by the Contractor are performed neither as an employee of the Commonwealth of Pennsylvania nor as a partnership or joint venture between the Commonwealth and the Contractor.

2) Except as otherwise provided by the terms of this Contract, the Commonwealth shall have no control over the manner in which the contractual services are performed by the Contractor, or any subcontractor. Any job specifications or standards of work attached to or incorporated into this Contract or any subcontracting restrictions contained in this Contract shall not be construed as the Commonwealth’s direction or control over the manner of the performance of services provided by the Contractor.

17. DEMAND Due to rightsizing of the target facility populations, the Commonwealth anticipates that its need for certain positions may decrease or increase during the life of this contract. The Commonwealth reserves the sole right to decrease or increase the number of hours required for any position or to eliminate any position. Contractors will be provided a new Purchase Order for additional positions needed. The Commonwealth will attempt to give the Contractor as much notice as possible for significant increases or decreases. 18. CREDENTIALING The Prime Contractor must be able to provide any and/or all of the following documentation as required by each agency for each certified/licensed Resource that is deployed to a location:

- Current/valid unrestricted Pennsylvania license (signed) or applicable certification - License/certification in good standing - Verification of current professional CPR certificate - Listing of Continuing Education courses, including title of course, date attended and

number of CME hours earned for the prior year - DEA number (all applicable licensed professionals) - Verification of Board Certification (physicians) - Valid Medicare/Medicaid ID number (if applicable) - Evidence of malpractice or applicable insurance - Other as deemed necessary by the end requestor

19. PAYMENT The Prime Contractor shall supply a copy of the invoice documentation to verify service hours provided by Prime Contractor’s professional(s) placed at each facility to the Project Officer, the facility CEO, or designee, and to the DGS Contracting Officer. The original invoice must be sent to the Bill To Comptroller location on the Purchase order. Documentation shall include use of a time sheet created by the Commonwealth. An on-line reporting system will be developed in the near future. Payment shall be made after services are actually rendered by the Prime Contractor.

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Actual hours of service shall include hours worked at the facility and those hours worked outside the worksites so long as such hours are directly related to providing services under this RFP and as long as such hours have received the prior approval of the Commonwealth. Meal periods shall not be considered actual hours of service. Travel costs incurred at the request of the Commonwealth will be reimbursed in accordance with Commonwealth Travel Rates per Rider R with documentation of actual expenses. Actual hours of service shall be computed to the nearest one-quarter hour, to be determined to the benefit of the Commonwealth. Contractor must provide the Commonwealth with annual reports of all IRS reportable compensation for each Resource. 20. SECURITY The Commonwealth, by and through the facility, reserves the right to immediately ban, either temporarily or permanently, any of the Prime Contractor’s employees, agents or independent contractors and Subcontracting Entities from any and all facilities for any reason of security or for the good operational order of the facility. The Commonwealth may deny access to its facilities to any of the Prime Contractor’s employees or Independent Contractors. Both Prime Contractor and Resource will be notified in writing of such denial. Contractor will be responsible for ensuring that all personnel, equipment, tools, keys and supplies/materials comply with any and all rules, regulations, and procedures of each Commonwealth agency, building and facility. The individual building’s or facility’s rules, regulations and procedures governing the entry and conduct of staff working inside the building/facility will be made available and explained at the point of entry. All contractor personnel entering a Commonwealth building or facility will be subject to a search of their person and personal items. Such searches may be frisk searches, searches by metal detectors or searches by narcotics detection canines.

All equipment, tools, supplies and materials will be subject to search or inventory at any time. Tools and materials must be carefully controlled at all times and locked when not in use.

No person who appears to be under the influence of drugs or alcohol or who is otherwise impaired will be allowed entry into a Commonwealth building or facility.

Each agency reserves the right to deny entrance to anyone who is suspected of a breach of security or for failure to follow published rules, regulations or procedures.

All contractor personnel must be in possession of a valid identification with a recent, clear photo in order to enter a Commonwealth building or facility.

All employees of the Contractor who work inside a security perimeter must submit to a background investigation conducted by the specific agency. The Contractor must submit the name, social security number, driver’s license number, and date of birth for each and every employee providing services at a secure facility. The personnel background investigations will be processed at no cost to the Contractor.

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21. SUBCONTRACTING The Commonwealth requires that Prime Contractor enter into written contracts with its Subcontracting Entities and that those subcontracts be subject to the Commonwealth’s advance written approval for the purposes of this contract. 22. HIRING COMMONWEALTH EMPLOYEES Contractor is prohibited from hiring or sub-contracting with a current Commonwealth employee and placing them as a resource at any Commonwealth facility. 23. CERTIFICATION AND LICENSING Contractor agrees to obtain all licenses, certifications and permits from Federal, State and Local authorities permitting it or their employees or sub-contractors to carry on its activities under this contract. 24. PROGRAM SERVICES Definitions of service, eligibility of recipients of service and other limitations in this contract are subject to modification by amendments to Federal, State, and Local laws and regulations/program requirements without further notice to the Contractor hereunder. 25. CHILD PROTECTIVE SERVICE LAWS In the event that the contract calls for services to minors, the contractor shall comply with the provisions of the Child Protective Services Law (Act of November 26, 1975, P.L. 438, No. 124; 23 P.S. SS 6301-6384, as amended by Act of July 1, 1985, P.L. 124, No. 33) and all regulations promulgated thereunder (55Pa. Code, chapter 3490). 26. PRO-CHILDREN ACT OF 1994 The Contractor agrees to comply with the requirements of the Pro-Children Act of 1994; Public Law 103-277, Part C-Environment Tobacco Smoke (also known as the Pro-Children Act of 1994) requires that smoking not be permitted in any portion of any indoor facility owned or leased or contracted by an entity and used routinely or regularly for the provision of health care services, day care and education to children under the age of 18, if the services are funded by Federal programs whether directly or through State and Local governments. Federal programs include grants, cooperative agreements, loans or loan guarantees and contracts. The law does not apply to children’s services provided in private residences, facilities funded solely by Medicare or Medicaid funds, and portions of facilities used for impatient drug and alcohol treatment. 27. MEDICARE/MEDICAID REIMBURSEMENT

1. To the extent that services are furnished by contractors, subcontractors, or organizations related to the contractor/subcontractor and such services may in whole or in part be claimed by the Commonwealth for Medicare/Medicaid reimbursements, contractor/subcontractor agrees to comply with 42 C.F.R.,Part 420, including:

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a. Preservation of books, documents and records until the expiration of four (4) years after the services are furnished under the contract.

b. Full and free access to (i) the Commonwealth, (ii) the U.S. Comptroller General, (iii)

the U.S. Department of Health and Human Services, and their authorized representatives.

2. Your signature on the proposal certifies under penalty of law that you have not been

suspended/terminated from the Medicare/Medicaid Program and will notify the contracting DPW Facility or DPW Program Office immediately should a suspension/termination occur during the contract period.

28. TRAVEL AND PER DIEM EXPENSES Contractor shall not be allowed or paid travel or per diem expenses except as provided for in Contractor’s Budget and included in the contract amount. Any reimbursement to the Contractor for travel, lodging or meals under this contract shall be at or below state rates as provided in Rider R, Commonwealth Travel Rates, attached hereto and incorporated herein, unless the Contractor has higher rates which have been established by its offices/officials, and published prior to entering into this contract. Higher rates must be supported by a copy of the minutes or other official documents, and submitted to the Department. Documentation in support of travel and per diem expenses will be the same as required of state employees. 29. INSURANCE

1. The contractor shall accept full responsibility for the payment of premiums for Workers’

Compensation, Unemployment Compensation, Social Security, and all income tax deductions required by law for its employees who are performing services under this contract. As required by law, an independent contractor is responsible for Malpractice Insurance for health care personnel. Contractor shall provide insurance Policy Number and Provider'’ Name, or a copy of the policy with all renewals for the entire contract period.

2. The contractor shall, at its expense, procure and maintain during the term of the contract,

the following types of insurance, issued by companies acceptable to the Commonwealth and authorized to conduct such business under the laws of the Commonwealth of Pennsylvania:

a. Worker’s Compensation Insurance for all of the Contractor’s employees and those of any

subcontractor, engaged in work at the site of the project as required by law.

b. Public liability and property damage insurance to protect the Commonwealth, the Contractor, and any and all subcontractors from claim for damages for personal injury (including bodily injury), sickness or disease, accidental death and damage to property, including loss of use resulting from any property damage, which may arise from the activities performed under this contract or the failure to perform under this contract whether such performance or nonperformance be by the contractor, by any subcontractor, or by anyone directly or indirectly employed by either. The limits of such insurance shall be in an amount not less than $500,000 each person and $2,000,000 each occurrence, personal injury and property damage combined. In the alternative, the Contractor may choose to provide a single limit liability policy with a minimum amount of $2,000,000 in coverage. Such policies shall be occurrence rather than claims-made policies and shall name the Commonwealth of Pennsylvania as an additional insured. The insurance shall not contain any endorsements or any other form designated to limit

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or restrict any action by the Commonwealth, as an additional insured, against the insurance coverage in regard to work performed for the Commonwealth.

Prior to commencement of the work under the contract and during the term of the contract, the Contractor shall provide the Commonwealth with current certificates of insurance. These certificates shall contain a provision that the coverages afforded under the policies will not be cancelled or changed until at least thirty (30) days’ written notice has been given to the Commonwealth. 30. PROPERTY AND SUPPLIES 1. Title to all property furnished in-kind by the Commonwealth shall remain with the

Commonwealth. 2. Commonwealth property shall, unless otherwise approved in writing by the Commonwealth,

be used only for the performance of this contract. 31. DISASTERS If, during the terms of this contract, the Commonwealth’s premises are so damaged by flood, fire or other Acts of God as to render them unfit for use; then the Issuing Agency shall be under no liability or obligation to the contractor hereunder during the period of time there is no need for the services provided by the contractor except to render compensation which the contractor was entitled to under this agreement prior to such damage. 32. SUSPENSION OR DEBARMENT In the event of suspension or debarment, the Commonwealth Procurement Code, as it may be amended, shall apply. 33. COVENANT AGAINST CONTINGENT FEES The contractor warrants that no person or selling agency has been employed or retained to solicit or secure this contract upon an agreement or understanding for a commission, percentage, brokerage or contingent fee (excepting bona fide employees or bona fide established commercial or selling agencies maintained by the contractor for the purpose of securing business). For breach or violation of this warranty, the Commonwealth shall have the right to annul this contract without liability or, in its discretion, to deduct from the consideration otherwise due under the contract, or otherwise recover, the full amount of such commission, percentage, and brokerage or contingent fee. 34. CONTRACTOR’S CONFLICT OF INTEREST The contractor hereby assures that it presently has no interest and will not acquire any interest, direct or indirect, which would conflict in any manner or degree with the performance of its services hereunder. The contractor further assures that in the performance of this contract, it will not knowingly employ any person having such interest. Contractor hereby certifies that no member of the Board of the contractor or any of its officers or directors has such an adverse interest.

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35. INTEREST OF THE COMMONWEALTH AND OTHERS No officer, member or employee of the Commonwealth and no member of its General Assembly, who exercises any functions or responsibilities under this contract, shall participate in any decision relating to this contract which affects his personal interest or the interest of any corporation, partnership or association in which he is, directly or indirectly, interested; nor shall any such officer, member or employee of the Commonwealth or member of its General Assembly have interest, direct or indirect, in this contract or the proceeds thereof. 36. CONTRACTOR RESPONSIBILITY TO EMPLOY WELFARE CLIENTS (DPW Contracts

Only) (Applicable to contracts $25,000 or more)

(1) The successful contractor, within 10 days of receiving the notice to proceed, shall contact the Employment Unit Coordinator in the County Assistance Office in the county where the contractor delivers the service to present, for review and approval, contractor’s plan for recruiting and hiring of public assistance recipients for employment under this contract. Contractors which provide services through the contract to more than one county shall present their plan for review and approval to the Central Office of Employment and Training. Such plan shall be submitted on Form PA 778. A copy of the contractor’s approved plan shall be returned with 30 days of notice to proceed to the initiating office/facility.

(2) Pursuant to the approved plan, the contractor shall make a good faith effort to fill at least 25% of the new or vacant jobs created under this contract with qualified recipients referred by the County Assistance Office Employment Unit Coordinator.

(3) Hiring under the approved plan shall be verified by Quarterly Contract Reports on Form PA 1540 to the Employment Unit Coordinator or to the Central Office of Employment and Training for plans covering more than one county. Such reports shall be made in the format approved by the Commonwealth.

(4) The Commonwealth may cancel this contract upon thirty (30) days written notice in the event of contractor’s failure to implement or abide by an approved plan.

37. TUBERCULOSIS CONTROL As recommended by the Centers for Disease Control and the Occupational Safety and Health Administration, effective August 9, 1996, all full-time and part-time employees (temporary and permanent), including contract service providers, having direct patient contact or providing service in patient care areas, are to be tested serially with PPD by two-step Mantoux skin tests. If the contract service provider has written proof of a PPD by a two-step Mantoux method within the last six months, the Commonwealth agency will accept this documentation in lieu of administration of a repeat test. In addition, documented results of a PPD by two-step Mantoux method will be accepted by the Commonwealth agency. In the event that a resource is unwilling to submit to the test due to previous positive reading, allergy to PPD material or refusal, the risk assessment questionnaire must be completed. If a resource refuses to be tested in accordance with this new policy, the agency will not be able to contract with this resource and the Offeror will need provide another resource to the agency.

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38. LOBBYING CERTIFICATION AND DISCLOSURE (applicable to contracts $100,000 or more) Commonwealth agencies will not contract with outside firms or individuals to perform lobbying services, regardless of the source of funds. With respect to an award of a federal contract, grant, or cooperative agreement exceeding $100,000 or an award of a federal loan or a commitment providing for the United States to insure or guarantee a loan exceeding $150,000 all recipients must certify that they will not use federal funds for lobbying and must disclose the use of non-federal funds for lobbying by filing required documentation. The contractor will be required to complete and return the attached “Lobbying Certification Form” and a “Disclosure of Lobbying Activities form” with their signed contract, which forms are attached hereto in Attachment 3 and incorporated herein. 39. AUDIT CLAUSE (applicable to contracts $100,000 or more) This contract is subject to audit in accordance with the applicable Audit Clause provided in Attachment 4, attached hereto and incorporated herein.

CONTRACT PAGE 1

CONTRACTOR LIST The contractor(s) identified by an "X" in the Act 57 column has agreed to sell the awarded item(s) at the same prices and/or discounts, and in accordance with the contractual terms and conditions, to local public procurement units which elect to participate in the contract. A "local public procurement unit" is defined as: any political subdivision; public authority; educational, health, or other institution; and to the extent provided by law, any other entity, including a council of governments or an area government; nonprofit fire, rescue, or ambulance company; and any nonprofit corporation operating a charitable hospital. Unless otherwise specified below, payment terms are Net 30 days.

ACT 57

CONTRACTOR NAME/ADDRESS TELEPHONE NO. FAX NO. CONTACT PERSON

X Pennhurst Medical Group P.C. 300 N. Pottstown Pike, Ste. 250 Exton, Pa 19341 Vendor # 128032

(610) 524-2400 (610) 524-2401

Jeffrey Rohrbaugh, President Jwr@PennhurstGroup.com

INFORMATION SHEET Pennhurst Medical Group is the awarded Supplier for the Medical Services Contract for all 4 lots. Their sub-contractor, Avysion will be processing all requests from Facilities for Medical Service positions. Specific details for requesting positions are currently being implemented and will be posted shortly. The information below is only to be used for general contact information and for creating purchase orders (what vendor number to use) and for billing questions, and in no way authorizes the positions to be utilized without adhering to Union Labor Laws and the terms and conditions of any current contract in place for your Facility. AVYSION Healthcare Services is located at 29 South Union Street, Middletown, PA 17057. The contact information for them will be as follows: Contact Loretta for all questions and position requests first If no answer, then contact Donna. 1) MAIN CONTACT Loretta Allen email = Lallen@avysion.com 2) ALTERNATE CONTACT Donna Snyder email = Dsnyder@avysion.com Avysion Phone# (717) 546-0020 On all purchase orders the following vendor numbers will be used OA- Ordering Address 128032 (Pennhurst) VN- Vendor Address 128032 (Pennhurst) PI – Invoice presented by 128032 (Pennhurst) Invoicing/Billing Questions Contact Pennhurst Medical Group Primary - Sharon Clarke (610)-524-2400 X19; email: sclarke@pennhurstgroup.com Secondary - Leslie Fishel (610)-524-2400 X14; email: lfishel@pennhurstgroup.com Their toll free number is 1-800-872-8626 ext 19 for Sharon and ext 14 for Leslie.

Legend information_______ WE = Weekend WD = Weekday OT/WD = Overtime Weekday OT/WE = Overtime Weekend PCP = Primary Care Physician CNA = Certified Nursing Assistant RN = Registered Nurse LPN = Licensed Practical Nurse LOT 1 LOT 1: DIRECT CARE NURSING and ANCILLARY SUPPORT STAFF L1-R1 = Lot 1 Region 1 Agreement # 4600008714 L1-R2 = Lot 1 Region 2 L1-R3 = Lot 1 Region 3 L1-R4 = Lot 1 Region 4 L1-R5 = Lot 1 Region 5 LOT 2 LOT 2: DIRECT CARE MEDICAL STAFF INCLUDING PSYCHOLOGISTS L2-R1 = Lot 2 Region 1 Agreement # 4600008715 L2-R2 = Lot 2 Region 2 L2-R3 = Lot 2 Region 3 L2-R4 = Lot 2 Region 4 L2-R5 = Lot 2 Region 5 LOT 3 LOT 3: NON-DIRECT CARE NURSING and ANCILLARY SUPPORT STAFF L3-R1 = Lot 3 Region 1 Agreement# 4600008721 L3-R2 = Lot 3 Region 2 L3-R3 = Lot 3 Region 3 L3-R4 = Lot 3 Region 4 L3-R5 = Lot 3 Region 5 LOT 4 LOT 4: NON-DIRECT CARE MEDICAL STAFF AND QUALITY IMPROVEMENT L4-R1 = Lot 4 Region 1 Agreement # 4600008722 L4-R2 = Lot 4 Region 2 L4-R3 = Lot 4 Region 3 L4-R4 = Lot 4 Region 4 L4-R5 = Lot 4 Region 5 Jean Halbleib Commodity Specialist-Medical Services Department of General Services Bureau of Procurement 555 Walnut Street Forum Place, 6th Floor Harrisburg, PA 17101-1914 (T) 717-346-3834 (F) 717-346-3819

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Attachment D - Job Titles and Descriptions

LOT 1: DIRECT CARE NURSING and ANCILLARY SUPPORT

STAFF The Prime Contractor must be able to provide any and/or all of the following documentation as required by each agency for each certified/licensed Resource that is deployed to a location:

- Current/valid unrestricted Pennsylvania license (signed) or applicable certification - License/certification in good standing - Verification of current professional CPR certificate - Listing of Continuing Education courses, including title of course, date attended and

number of CME hours earned for the prior year - DEA number (all applicable licensed professionals) - Verification of Board Certification (physicians) - Valid Medicare/Medicaid ID number (if applicable) - Evidence of malpractice or applicable insurance - Other as deemed necessary by the end requestor

Lot 1 - Registered Nurse

Minimum Qualifications

Possession of a current license to practice as a registered nurse issued by the Pennsylvania State Board of Nursing; or possession of a non-renewable temporary practice permit issued by the Pennsylvania State Board of Nursing

Role Description Resource performs as a charge nurse, staff nurse or an assessment coordinator providing nursing care and treatment services in a Commonwealth facility for individuals with a mental or physical injury or illness, dysfunctional behavior and/or a developmental disability. As charge nurse, the resource directs and coordinates the delivery of nursing care and treatment for individuals in patient or resident care and treatment area(s), ward(s), unit(s) or living area(s), usually on the evening or night shift. Charge nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse supervises paraprofessional and/or non-professional nursing direct care personnel assigned to their patient or resident care and treatment area(s), ward(s), unit(s) or living area(s); and ensures that the coordination of services, coverage of services, and maintenance of records is accomplished. The assessment coordinator develops, implements, and evaluates individualized nursing care and treatment plans for residents; directs, evaluates and coordinates the delivery of nursing care and treatment with members of the nursing staff and interdisciplinary teams; meets with family and residents to assess residents' condition and completes documentation as required by federal and state regulations. The staff nurse is responsible for providing professional nursing care and treatment services in a patient or resident care area; or may be responsible for a nursing specialty care area, such as, infection control or quality assurance/improvement/risk management activities. Work assignments are received in the form of oral or written instructions and resources exercise independent judgment in the application of professional nursing practices. Work is reviewed and evaluated by a Registered Nurse Supervisor, physician or dentist through observation, review of reports and conferences for quality and adherence

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to established standards in the application of professional nursing practices. Work may be administratively reviewed by another professional supervisor.

Lot 1 - Licensed Practical Nurse Minimum Qualifications

Requires current Pennsylvania License for Practical Nurse or is eligible to sit for the Practical Nurse Licensure Examination.

Role Description: This is practical nursing work in the care and treatment of individuals with a mental or physical injury or illness and/or developmental disability or the care of individuals having difficulty meeting their daily living activities at a Commonwealth facility. A resource implements nursing care plans by performing a variety of practical nursing and individual/patient/resident/inmate care duties including preparing, administering, and recording medications and treatments prescribed by the physician and observing and reporting changes in the physical and emotional behavior of individuals/patients/residents/inmates with a mental or physical injury or illness and/or developmental disability or individuals having difficulty meeting their daily living activities. Work also includes taking and recording vital signs, collecting specimens and preparing and maintaining progress notes and other administrative reports as required. Work also involves participation in carrying out the total treatment program to include habilitation and rehabilitation programs as established by the interdisciplinary treatment team and include daily living and leisure time activities. Work may also involve charge responsibility for a living or patient care area, including responsibility for maintenance of prescribed treatment and therapeutic regimens; overseeing unlicensed personnel; and requesting professional evaluation, treatment or emergency care, as needed. Work is performed in accordance with established laws, rules, and regulations, and appropriate practical nursing standards and nursing procedures. Supervision may be received from a Licensed Practical Nurse Supervisor however, by law, nursing duties which require licensure are performed under the direction of a Registered Nurse or a Physician who reviews the work in progress, through reports and by ward or living area inspections and observations.

Lot 1 - Certified Nursing Assistant Minimum Qualifications

Six months of experience as an Aide Trainee; or one year of paid experience in the care and treatment of geriatric or physically ill patients/residents; and graduation from high school or equivalent. Resources assigned to these positions in a Long Term Care Unit must be registered and certified by the Pennsylvania Department of Health as having met the competency requirements for performing nurse aide work.

Role Description: This is non-professional nursing work in the care of patients/residents and their quarters in a hospital, infirmary, and long term care unit, or a domiciliary care unit. A resource performs non-professional nursing services in the direct and daily care and rehabilitation of ambulatory and non-ambulatory patients/residents and the maintenance of their quarters. Nurse aide duties are of limited scope and are performed in accordance with established rules and regulations and under specific instructions from registered nurses and/or physicians. Resources

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participate in on the job, in service and formal training in nursing care procedures to update and maintain non-professional nursing care expertise. The work includes assisting and encouraging patients/residents to participate in prescribed rehabilitative and recreational activities as individuals and as members of a group. Work is performed under the close supervision of a licensed professional supervisor who reviews work through reports, ward inspections, and observation, but resources are expected to perform the more routine duties independently.

Lot 1 - Certified Registered Nurse Practitioner (CRNP)

Minimum Qualifications

Current certification as a Registered Nurse Practitioner by the State Board of Nursing in any Adult Care specialty area, or Emergency Care, Family Care, Gerontology, or Primary Care.

Role Description This resource is responsible for a broad range of health care services including medical assessment and prescription of therapeutic measures, promotion and maintenance of health, prevention of illness and disability, care during phases of illness, guidance and counseling of individuals and families, and referral to other health care providers and community resources. Work is performed under the direction of a licensed physician and is received in the form of oral and written instructions, standing orders and protocols. Supervision of medically-related activities is received from a licensed physician who reviews work through conferences, record audits, and reports for effectiveness, compliance with standards, and adherence to the Certified Registered Nurse Practitioners Regulations and advanced nursing practices. General supervision is received from a facility administrator.

Lot 1 - Executive Nurse Consultant Minimum Qualifications

Advanced degree in Nursing or Health Services Administration from an accredited school, or equivalent experience to be determined by the requestor. Current/valid license to practice as Registered Nurse issued by Pennsylvania Board of Nursing. Minimum three (3) years experience in clinical nursing. Minimum three (3) years experience in nursing or other administration with responsibility for direct nurse oversight, quality management and risk management responsibilities. Significant experience within the past five (5) years in the supervision or provision of direct nursing care of persons who have developmental disabilities or chronic illness or equivalent experience to be determined by the requestor.

Role Description Provide clinical oversight of nursing and related health services in order to assure high quality of primary, habilitative and preventative nursing and health care. Administrative actions involving discipline and performance evaluations of Commonwealth employed personnel will be recommended to the facility director or designee. The administrative action may be carried out as appropriate by the individual or in conjunction with the facility director or designee. A person in the Executive Nurse Consultant role may coordinate nursing services, assure that each nurse completes relevant duties and responsibilities, identifies training needs for nursing staff, attends regular meetings with licensed nursing staff, provides consultation to nurses on an as-needed basis and review a minimum of ten (10)

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records each month to evaluate quality of nursing care and documentation.

Lot 1 - Nurse Practitioner (Gynecology) Minimum Qualifications

Current/valid unrestricted license as a Nurse Practitioner in the Commonwealth of Pennsylvania. Successful completion of an approved OB-GYN practitioner Program or equivalent experience. Recent report from the National (State) Practitioner Data Bank (within the last 12 months).

Role Description Resource will provide comprehensive gynecological examinations of individuals, review examinee’s medication profile and treatment programs and provide recommendations on treatment programs for individuals with gynecological disorders. Provides training and in-service for facility staff on gynecological issues.

Lot 1 - Licensed Occupational Therapist 2 Minimum Qualifications

Successful completion of an approved residency training program in occupational therapy with 3 years experience as a licensed occupational therapist. Current/valid unrestricted license to practice occupational therapy in the Commonwealth of Pennsylvania. Significant experience treating people with developmental disabilities or chronic illness or equivalent experience.

Role Description: Responsible for completion of screenings; and, as necessary, full evaluations using standardized instruments in order to make recommendations regarding neuro and sensory motor development, postural reflexes, or sensory integration in relation to the completion of daily living activities for assigned individuals. Provide leadership in the design of therapeutic adaptations to enhance functional independence, maintain wellness, and/or deter loss of skills for assigned individuals.

Lot 1 - Licensed Occupational Therapist 1 Minimum Qualifications

Possession of a license to practice occupational therapy as issued by the Pennsylvania State Board of Occupational Therapy Education and Licensure.

Role Description: This is work in the field of occupational therapy at a Commonwealth facility for those with mental or physical illnesses or handicaps. A resource designs, implements, and evaluates occupational therapy segments of individual program plans to further the comprehensive treatment/habilitation of patients/residents. The resource conducts medically, developmentally and/or psychologically focused occupational therapy programs to determine current skill levels and assist patients/residents in developing basic functional skills or retain or strengthen existing skills. The diverse modalities used in these programs may include arts and crafts, audio-visual media, physical restorative activities, and adaptive equipment and devices, and are chosen for their ability to contribute toward reaching individual patient/resident goals. Program objectives may be directed toward activities of daily living, group interaction, sensory stimulation and training, physical conditioning, reflex inhibition, or neuro-muscular facilitation in order to stimulate/alter the neuro-physiological or psychosocial development of the patient/resident and to provide a context for normal living. Formal assessments of patient/resident functioning levels, strengths, and needs

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are made and methods for responding to assessed needs are formulated and presented to a multi-disciplinary team responsible for individual patient'/resident's comprehensive program plans. An important aspect of the work is the on-going review and evaluation of patient/resident needs and progress toward achieving program goals. Work is performed independently under general supervision and is reviewed by a higher level licensed therapist or other professional supervisor for quality and achievement of occupational therapy program goals through observation, conferences and reports.

Lot 1 - Pharmacist Minimum Qualifications

Possession of a license to practice pharmacy as issued by the Pennsylvania State Board of Pharmacy.

Role Description: This is professional pharmaceutical work of a staff or clinical nature at a state-operated facility. A resource compounds and dispenses physicians' prescriptions, including a variety of ointments, powders, solutions, medicines, drugs, and other pharmaceutical supplies used in the facility. Work includes the filling of ward requisitions for narcotics, solutions and drug supplies, and the maintenance of accurate records of narcotics, depressant and stimulant drugs and alcohol dispensed. Resources review the medication records of patients and report potential adverse drug interactions. Work may include participating with doctors, nurses and other professional personnel as a member of an inter-disciplinary treatment team charged with the responsibility of developing a comprehensive treatment plan for each patient/resident at the facility. The resource may direct the work of pharmacy assistants and custodial or non-technical personnel. Work is performed under the general supervision of a higher level pharmacist who reviews work periodically for accuracy and adherence to facility policies and procedures and professional standards.

Lot 1 - Pharmacist Technician Minimum Qualifications

One year of experience assisting a licensed pharmacist in the preparation and dispensing of medications in a hospital pharmacy or any equivalent combination of experience and training

Role Description: This resource will perform work in the pharmacy of a state facility. A resource in this position performs a variety of non-professional pharmacy tasks under supervision of a registered pharmacist. Work includes assisting in the preparation of various pharmaceutical preparations, including the packaging and labeling of individual or bulk prescriptions. Work also includes the maintenance of pharmaceutical supply stocks and the performance of related housekeeping duties. Supervision is received from a professional pharmacist who reviews all work in accordance with prescribed practices and procedures.

Lot 1 - Physical Therapy Aide Minimum Qualification

One year of paid experience as an aide or comparable type work in the physical therapy of persons with physical disabilities; and graduation from high school or equivalent or Any equivalent combination of experience and training.

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Role Description: This resource performs work in the field of physical therapy at a Commonwealth

facility for the mentally or physically ill or retarded, or physically handicapped. A resource will provide assistance under the direct, on-premise supervision of a licensed Physical Therapist, to patients/residents having physical disabilities and who are engaged in a prescribed physical therapy program. Work involves preparing patients/residents for treatment, assisting patients/residents during therapy to prevent injury or harm, and carrying out prescribed treatments as delegated by and under the direct, on-premise supervision of a licensed Physical Therapist. Supervision is received from a licensed Physical Therapist, who reviews the work in progress and upon completion for quality and adherence to prescribed physical therapy programs and procedures.

Lot 1 - Licensed Physical Therapist 2 Minimum Qualifications

Possession of a license to practice physical therapy issued by the Pennsylvania State Board of Physical Therapy with three (3) years of experience in physical therapy.

Role Description: This resource works in the field of physical therapy at a Commonwealth facility for patients/individuals with a mental or physical illness and/or developmental disability, some of whom may have additional disabilities. A resource administers medically prescribed physical therapy treatments to patients/individuals with physical disabilities, injuries, and diseases by the application of a wide variety of accepted treatment modalities of therapeutic and rehabilitative value, such as heat, light, water, electricity, massage, therapeutic exercise, diagnostic testing, orthotic and prosthetic training and supportive therapy. In a Commonwealth facility for patients/ individuals with a mental or physical illness and/or developmental disability, some of whom may have additional disabilities, resources provide a variety of direct services to patients/individuals and/or monitor and evaluate physical therapy services being provided by contractor personnel. Resources may assist a Chief Physical Therapist in providing, directing, coordinating and monitoring the various and intensive physical therapy treatment and rehabilitative services, and in the treatment planning, implementation, and evaluation process. Supervision may be exercised over Physical Therapy Aides, Registered Physical Therapist Assistants, Adaptive Equipment Technicians, students, volunteers and lower level therapists. A considerable degree of initiative and independent judgment is exercised in planning, organizing, and administering physical therapy treatment programs, evaluating their effectiveness, and interpreting patients'/individuals' reaction and progress to physical therapy treatments and services received. Work is performed under the general supervision of a higher level licensed therapist, physician or other professional staff and is reviewed for quality and achievement of prescribed treatments and physical therapy goals for each assigned patient/individual through conferences, reports and observation of patients'/individuals' progress and response to treatments and services provided.

Lot 1 - Licensed Physical Therapist 1 Minimum Qualifications

Possession of a temporary license to practice physical therapy issued by the Pennsylvania State Board of Physical Therapy. Persons holding a temporary license must attain full licensure within six months of the issuance of a

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temporary license.

Role Description: This is introductory professional work in the field of physical therapy at a Commonwealth facility for patients/individuals with a mental or physical illness and/or developmental disability, some of whom may have additional disabilities. A resource observes demonstrations of techniques and receives on-the-job training designed to develop technical skills and professional competency in administering medically prescribed physical therapy treatments to patients/individuals with physical disabilities, and/or injuries and diseases. Work involves the use of accepted modalities such as heat, light, water, electricity, massage, therapeutic exercise, diagnostic testing, orthotic and prosthetic training and supportive therapy. The resource may provide direct services of limited scope and complexity to patients/individuals in a Commonwealth facility for patients/individuals with a mental or physical illness, and/or a developmental disability, some of whom may have additional disabilities, or accompanies a higher level therapist in making home visits or attending consultative conferences in public health districts. Work involves the performance of increasingly difficult duties and assumption of greater responsibilities as technical proficiency and experience are acquired. Work is performed under the immediate supervision of a higher level licensed therapist who assigns caseloads, gives preliminary instructions and reviews work in progress and upon completion for quality and achievement of treatment goals through conferences, reports and observation of patients'/individuals' progress and response to treatments and services provided.

Lot 1 - Speech Therapy Minimum Qualifications

Completion of all requirements for a Master’s Degree, excluding a thesis, in the field of communicology or a related area, including or supplemented by not less than 24 credit hours in speech pathology and/or audiology earned at either the graduate or undergraduate level. Possession of a certificate of clinical competence from the Council of Professional Standards of the American Speech-Language and Hearing Association and/or licensure as required by state law or regulation for professional employment in public schools or approved private schools.

Role Description: This is professional work in the field of speech, language and hearing. A resource in the position provides testing and diagnostic services and plans a treatment program of individual or group therapy for persons with auditory, speech, language and related disabilities at a state operated facility. The resource functions as an independent clinician in diagnosis, treatment, and research in the field of auditory, speech and language disabilities. Work involves the application of principles, methodology, and technical skills employed in the treatment of persons having speech, language, hearing and related disabilities. Work is performed under the general direction of a professional or administrative supervisor who outlines scope and content of programs and reviews work through conferences and reports.

Lot 1 - Dental Hygienist Minimum Possession of a license to practice as a dental hygienist as issued by the

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Qualification Pennsylvania State Board of Dentistry. Role Description: This is technical work in performing dental prophylaxis and providing general

assistance to dentists. Resource participates in institution dental clinic services by performing dental prophylaxis, giving instruction in the care and brushing of teeth, and assisting dentists performing professional services for patients. Work is performed under the supervision of a dentist in accordance with accepted practices and established rules and regulations of the institutions and agency and is reviewed through observation, evaluation of results obtained, and periodic reports.

Lot 1 - Dental Assistant Minimum Qualifications

Graduation from high school and one year of experience in a dental office or clinic

Role Description: This is routine, non-professional work in assisting a dentist at chairside during the examination and treatment of patients and in related dental clinic work. A resource is responsible for assisting in a dental clinic by maintaining records and dental equipment and supplies; scheduling and maintaining appointment lists; performing clerical duties; performing minor dental laboratory procedures, such as assisting in the construction of dentures and models of the teeth and mouth; managing housekeeping details; and performing other minor dental laboratory procedures which can be learned through experience on the job. A resource may be required to take and process patient dental x-rays. Resources work under the close supervision of a dentist and work is carefully reviewed in process and upon completion.

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LOT 2: DIRECT CARE MEDICAL STAFF INCLUDING

PSYCHOLOGISTS The Prime Contractor must be able to provide any and/or all of the following documentation as required by each agency for each certified/licensed Resource that is deployed to a location:

- Current/valid unrestricted Pennsylvania license (signed) or applicable certification - License/certification in good standing - Verification of current professional CPR certificate - Listing of Continuing Education courses, including title of course, date attended and

number of CME hours earned for the prior year - DEA number (all applicable licensed professionals) - Verification of Board Certification (physicians) - Valid Medicare/Medicaid ID number (if applicable) - Evidence of malpractice or applicable insurance - Other as deemed necessary by the end requestor

Lot 2 - Chief Medical Officer Minimum Qualifications

Three years of experience in the administration of a major clinical services program in the psychiatric or medical care and treatment of individuals with mental illness, in a psychiatric hospital, community psychiatric program, forensic treatment center or similar setting; and certification in psychiatry or other recognized medical specialty by the American Medical Board or American Osteopathic Board; or three years of experience in the supervision of licensed physicians in a major clinical services program in the psychiatric or medical care and treatment of individuals with mental illness, in a psychiatric hospital, community psychiatric program, forensic treatment center or similar setting; and certification in psychiatry or other recognized medical specialty by the American Medical Board or American Osteopathic Board. Possession of a current and unrestricted license to practice medicine in the Commonwealth of Pennsylvania issued by the State Board of Medicine or the State Board of Osteopathic Medicine.

Role Description: This is professional medical and administrative work in the field of clinical services in a state mental hospital or in a forensic treatment center at a state correctional institution. A resource is responsible for the administration and coordination of hospital psychiatric and medical services, and provides direction and consultation on clinical matters to nursing and other services. Work includes participation in the formulation of treatment and administrative procedures for clinical services and insuring their coordination with the social and rehabilitative programs of the hospital or forensic treatment center. Resources maintain standards of professional services and participate in the recruitment and selection of principal clinical services staff. Work is performed under the general direction of the hospital superintendent or deputy superintendent for forensic services and is reviewed for conformance to broad departmental and hospital or institutional policies and established procedures through conferences, reports, and evaluation of results.

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Lot 2 - Chief of Psychiatry Minimum Qualifications

Two years of experience in psychiatry, including one year in a supervisory, administrative, or consultative capacity; and completion of a residency or training program in psychiatry which meets the certification requirements of the American Board of Psychiatry and Neurology or the American Osteopathic Board of Neurology and Psychiatry. Possession of a license to practice medicine in the Commonwealth of Pennsylvania as issued by the State Board of Medical Education and Licensure, or the State Board of Osteopathic Examiners.

Role Description: This is professional work in the management of the total psychiatric services at a state facility. A resource has facility wide responsibility for the planning, management, coordination, evaluation and integration of psychiatric services to further comprehensive patient treatment. The resource may develop policies and procedures regulating the conduct of all psychiatric services, continuously evaluating their effectiveness and promoting staff improvement. Supervision is normally exercised over subordinate psychiatrists, physicians, and/or resident physicians in the implementation of facility wide psychiatric services.

Lot 2 - Dentist Minimum Qualifications

Graduation from an accredited school of dentistry. Possession of a license to practice dentistry issued by the Pennsylvania State Board of Dentistry.

Role Description: This is professional dental work involving the dental care and treatment of patients, clients or inmates at a state facility. A resource in this position performs responsible professional dental work in the examination, treatment and complete dental care of patients, clients or inmates in a dental clinic. Work may include the supervision of a dental clinic and its subordinate nonprofessional staff. Work may also include the coordination of on-site contractual dental services. Work is performed under the general supervision of a higher level dentist, medical or administrative supervisor.

Lot 2 - Primary Care Physician Minimum Qualifications

Graduation with a degree of doctor of medicine or osteopathy from a medical school approved or recognized by the Pennsylvania Medical Licensing Board or the Pennsylvania Osteopathic Licensing Board and completion of an approved U.S. residency training program in the allopathic medical specialties of family medicine, pediatrics, internal medicine, or certification in the osteopathic field of general practice. Annual successful completion of 50 hours of continuing medical education approved by the American Medical Association or the American Osteopathic Association as appropriate, in the previous 12 months, and three years post-residency experience with substantial emphasis on primary care. Possession of a current license to practice medicine in Pennsylvania issued by the Pennsylvania Medical Licensing Board, or Osteopathic Medicine Licensing Board and possession of a current certificate to prescribe medication from the U.S. Drug Enforcement Agency.

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Role Description: This is professional medical work in the primary medical care and treatment of

individuals with developmental disabilities. A resource may serve as a primary care practitioner providing medical care and treatment services in a Commonwealth facility for individuals with a mental or physical injury or illness, dysfunctional behavior and/or a developmental disability. Work includes responsibility for maintaining the continuity of the health care and medical treatments and guiding individuals and their interdisciplinary habilitative treatment team members in formulating and implementing comprehensive individual habilitative care and treatment program plans. A resource may oversee clinical operations and may assign and direct the work of other professionals and nonprofessional nursing care staff. Work is generally performed with limited or no direct professional supervision but is subject to review by a clinical and/or administrative supervisor through consultation, review of individual case histories, staff reports and personal inspections.

Lot 2 - Medical Director Minimum Qualifications

Current/valid unrestricted license to practice medicine in the Commonwealth of Pennsylvania. Minimum of two (2) years of experience in medical administration with responsibility for direct physician oversight or supervision, quality management and risk management responsibilities. Successful completion of an approved residency training program in family medicine, internal medicine or pediatrics. Current/valid unrestricted D.E.A. Certificate. Three (3) years post-residency clinical practice experience with a substantial emphasis on primary care.

Role Description: Provide clinical supervision to all physicians in the health services department. Administrative actions involving discipline and performance evaluations of Commonwealth employed physicians will be recommend to the designated person. The administrative action may be carried out as appropriate by the individual or in conjunction with the Facility Director or designee.

Lot 2 - Neurologist Minimum Qualifications

Three (3) years post-residency clinical practice experience with a substantial emphasis on neurology. Successful completion of an approved residency training program in Neurology. Current/valid unrestricted license to practice medicine in the Commonwealth of Pennsylvania. Current/valid unrestricted D.E.A certificate. Recent report from the National Practitioner Data Bank (within the past 12 months). Recent report from the American Medial Association (within the past 12 months). Recent report from the Federation of State Medical Boards (within the past 12 months). Document number of hours of Category I CME that are required within the past three (3) years. Three (3) years post residency clinical experience in the practice of neurology.

Role Description: Function as the neurological consultant; responsible for providing neurological leadership and direction as an integral member of an Interdisciplinary Team; responsible for providing quality care in a Commonwealth facility for individuals with a mental or physical injury or illness, dysfunctional behavior and/or a developmental disability.

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Lot 2 - Psychiatrist Minimum Qualifications

Completion of a residency or training program in psychiatry which meets the certification requirements of the American Board of Psychiatry and Neurology or the American Osteopathic Board of Neurology and Psychiatry. Possession of a license to practice medicine in the Commonwealth of Pennsylvania as issued by the State Board of Medical Education and Licensure, or the State Board of Osteopathic Examiners. Certain positions in children's and adolescent facilities require completion of a residency program in child psychiatry which meets the certification requirements of the American Board of Psychiatry and Neurology, or the American Osteopathic Board of Neurology and Psychiatry.

Role Description: This is professional medical work in the field of psychiatry or child psychiatry. A resource is responsible for the care and treatment in a Commonwealth facility for individuals with a mental or physical injury or illness, dysfunctional behavior and/or a developmental disability. Duties include full professional responsibility for the diagnosis, determination of treatment methods and leadership in the implementation of treatment plans. Work is performed under general direction of a higher level psychiatrist for clinical supervision or other administrative supervisor for administrative issues and is reviewed for conformance to current, accepted psychiatric and medical principles and techniques through staff conferences, case report observation during performance, and evaluation of results.

Lot 2 - Psychologist Minimum Qualifications

Possession of a current license to practice psychology as issued by the Pennsylvania State Board of Psychology.

Role Description: This is practitioner level professional work in the field of psychology. Resources perform independent and specialized work in clinical, vocational, rehabilitation, educational, counseling, or research areas of a psychological services program. Work includes the diagnosis of the individual client/youth needs; the planning, development and implementation of client/youth therapies; the evaluation of individual client/youth progress and the formulation of individual client/youth prognosis. Important aspects of this work include the selection and application of psycho-therapeutic treatments including the frequency, intensity and duration of applied therapies. Work includes the development of treatment procedures and the implementation of policies regarding the delivery of psychological services to individual client/youth served. Clinical supervision may be exercised over psychological services personnel. Work is performed under the general supervision of a licensed psychologist or program administrator and is subject to review through consultation and evaluation of work performed.

Lot 2 - Supervisory Physician Minimum Qualifications

Graduation with a degree of Doctor of Medicine or Osteopathy from a medical school approved or recognized by the Pennsylvania State Board of Medicine or

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the Pennsylvania State Board of Osteopathic Medicine and completion of an approved US residency-training program in the allopathic medical specialty of family practice, general practice, internal medicine or occupational medicine. Annual successful completion of 50 hours of continuing medical education approved by the American Medical Association or the American Osteopathic Association in the previous 12 months. Resource must possess four years of post-residency experience in the practice of medicine, of which one of the last three years must have included one full year in an administrative, consultative or supervisory capacity over physicians assigned a direct primary care caseload, supplemented by successful completion of 75 hours of post graduate education or training in health services administration or related management topics within the last five years. Board Certification by the American Boards of Medical Specialists or the American Osteopathic Medical Specialist Boards, as appropriate in family practice, general practice, internal medicine, or occupational medicine. Possession of a current unrestricted license to practice medicine in the Commonwealth of Pennsylvania issued by the Pennsylvania State Board of Medicine or the Pennsylvania State Board of Osteopathic Medicine and possession of a current certification to prescribe medication from the US Drug Enforcement Agency.

Role Description: This is medical and supervisory work in the care and treatment of patients/individuals with a physical or mental illness, injury and/or developmental disability. A resource will perform professional medical care and supervisory work in a state facility, hospital, clinic, community program or in a specialized rehabilitation/habilitation program. Resources provide medical advice and consultation to professional or lay members of departments where programs require medical considerations. Resources are responsible for the medical care, treatment and supervision of patients/individuals admitted at state facility wards, buildings, cottages or clinics. A resource supervises staff physicians or physician specialists and interns, and directs the issuance of standing orders for nursing and interdisciplinary direct care and treatment staff to implement the prescribed medial regime. Resources may assign and review the work of other physicians, interns, registered nurses and other professional and non-professional direct care and treatment personnel. Work is performed independently, subject to review by a physician of a higher level or another administrative supervisor through consultation, review of case histories, staff reports and personal inspection.

Lot 2 - Podiatrist Minimum Qualifications

Graduation from an approved school of podiatry. Possession of a current license to practice podiatry in the Commonwealth of Pennsylvania as issued by the State Board of Podiatry.

Role Description: This is professional medical work in the field of Podiatry. A resource is responsible for the examination, diagnosis and treatment of ailments and deformities of the foot involving medical, mechanical and/or surgical care and treatment. Resources either independently or in collaboration with other

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medical and professional staff, recommend or initiate the care and treatment of patient musculoskeletal diseases such as Gout and Rheumatoid Arthritis, and manifestations of systemic diseases such as diabetes, neurologic and peripheral vascular diseases and deformities of the foot and those anatomical structures of the leg governing the function of the foot; and instruct patients and staff on methods and techniques of proper footcare. Work requires the exercise of independent medical judgment based upon training and experience in podiatric medicine; and making appropriate referrals for care and treatment as necessary. Work is performed independently in accordance with professional standards and is subject to review by a higher level physician or administrative supervisor through consultations, reports and results achieved.

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LOT 3: NON-DIRECT CARE NURSING and ANCILLARY

SUPPORT STAFF The Prime Contractor must be able to provide any and/or all of the following documentation as required by each agency for each certified/licensed Resource that is deployed to a location:

- Current/valid unrestricted Pennsylvania license (signed) or applicable certification - License/certification in good standing - Verification of current professional CPR certificate - Listing of Continuing Education courses, including title of course, date attended and

number of CME hours earned for the prior year - DEA number (all applicable licensed professionals) - Verification of Board Certification (physicians) - Valid Medicare/Medicaid ID number (if applicable) - Evidence of malpractice or applicable insurance - Other as deemed necessary by the end requestor

Lot 3 - Administrative Assistant Minimum Qualifications

Must have office administrative skills (e.g. filing, copying, phone communications, composing correspondence, etc.). Incumbent should be knowledgeable and proficient in the use of office equipment, standard software packages and maintenance. Experience should include data entry and word processing.

Role Description: This position is responsible for providing administrative support for various agencies throughout the Commonwealth.

Lot 3 - Certified Medical Coder Minimum Qualifications

Must be a certified medical coder.

Role Description: Resources provide support with conducting reviews and crosswalks of national, regional, and local health care codes including but not limited to diagnoses; procedures; medical and surgical supplier and equipment, and pharmacological agents. Resource will complete review of coding project and accompanying documentation and discuss it with the appropriate staff within the requesting agency.

Lot 3 Fiscal Assistant Minimum Qualifications

Fiscal Assistant should have knowledge and/or experience with Medical Assistance Programs/coverage in Long Term Care, as well as, the billing process of nursing facilities. Experience in telephone work is desired.

Role Description: Analyzes claims to the 180-day exception regulations to determine if the claims meet the exception criteria and process them accordingly. Conducts hearings for denied claims. Operates the Inquiry line. Assist the teams, nursing

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facilities’ billing staff and administrators, and providers with Minimum Data Set and billing questions.

Lot 3 - Financial Representative Minimum Qualifications

Must possess a bachelor degree. A combination of education and experience will be considered. The skills that are needed include the ability to develop bid and contract language, review contract invoices, analyze contract project status reports and conduct contract site monitoring visits. Resource must also assist in evaluating, monitoring and analyzing the effectiveness of special program initiatives assigned to the unit. The staff must also assist with project development tasks on new and untested projects assigned to the unit. Technical computer software skills are required. Familiarity with budgeting, budget analysis and the use of spreadsheet software in budgeting are required. Familiarity with survey tools and survey technique is needed. Workgroup attendance and team participation activities are required for the unit’s assigned projects. General research and on-line computer research skills are required. Resource needs to be knowledgeable and experienced in general budgeting and accounting principles. Resource also needs to understand and be familiar with the operation of human service governmental operations at the federal, state, county and local levels. Project Troubleshooting and problem solving skills are required.

Role Description: The Fiscal Representative staff provides the unit with knowledge and field experience gained from working in administrative capacities as well as human services administration. Assigned projects are diverse and varied, short and long term, and require flexible and adaptive working proficiency. Project staff assists in gathering and organizing diverse program and technical long term care information for Department of Public Welfare executive staff to use in public forums and answer questions for other states, other Commonwealth agencies, and the legislature.

Lot 3 - Pharmacist Minimum Qualifications

Graduate of an approved pharmacy school. Licensed by the State Board of Pharmacy or accredited by the American Council on Pharmaceutical Education; knowledgeable of the composition of drugs, their chemical and physical properties and their manufacturer and uses as well as how products are tested for purity and strength. Resource must understand the activity of a drug and how it will work within the body, demonstrate an understanding of the utilization review processes and possess basic computer skills, including familiarity with MS Office programs.

Role Description: Through the retrospective review of pharmacy and other records on the dispensing of controlled substances to medical assistance recipients, the

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Resource will provide the Department of Public Welfare, Bureau of Program Integrity with consultation related to potential compliance issues by pharmacy providers. The Resource will use applicable medical assistance regulations, State Pharmacy Board regulations, and the Pharmacy Act in making review determinations. Travel as required for on-site reviews.

Lot 3 – Pharmacy Director Minimum Qualifications

Graduate of an approved pharmacy school. Be a licensed Clinical Pharmacist (preferably a PharmD) by the State Board of Pharmacy or accredited by the American Council on Pharmaceutical Education. Have knowledge of federal and state legislation policies and regulations governing pharmaceutical programs. Be experienced in the creation of clinical pharmaceutical programs. Demonstrate an understanding of utilization review processes. Possess basic computer skills, including familiarity with Microsoft Office programs

Role Description: Manage the development of the operations design for the Fee For Service Pharmacy program. Manage the development of Request for Proposals (RFP’s) for the procurement of private sector contractors to operate the program. Manage the procurement process for any pharmaceutical contract(s), including chair the pre-proposal conference, respond to potential bidder’s questions, chair the Evaluation Committee and make recommendations for contract award. Manage the negotiation and renewals of pharmacy contracts, including identifying key components of new and renewal contracts and assuring contractual time frames are met. Develop program policies and procedures to ensure compliance with all applicable federal and state regulations and requirements. Develop and have oversight of approved federal waivers and State Plan Amendments necessary to implement and operate a pharmacy program. Develop budgetary support of program and maintain oversight of all financial components including rate negotiations, payment to contractors, cost effectiveness and guaranteed cost savings. Develop and maintain oversight of information and claims systems support and determine necessary upgrades and modifications. Establish management and operational reports. Oversee the collection of data. Set performance benchmarks and goals for measurement and analysis of pharmacy data. Serve as Pharmacy liaison to other divisions to assist with the coordination of care. Work collaboratively with clinical staff in support of disease management and special needs through quality improvement. Develop and chair Pharmacy and Therapeutics Committee. Oversee all quality initiatives including the development of quality measures, collection of data, analysis, and quality improvement activities. Determine ongoing individual and program needs. Develop and provide necessary technical assistance regarding program operations. Evaluate and revise program objectives. Analyze and revise policies as necessary. Serve as a lead in the development of new pharmacy initiatives. Represent pharmacy in public forums. Prepare speeches and briefing materials for senior Department of Public Welfare staff. Oversee all aspects of provider, consumer, legislator, departmental and federal government staff education. Coordinate regularly with other Bureau Directors and Division Chiefs as required.

Lot 3 - Provider Relations/Network Specialist

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Minimum Qualifications

Possess a documented work history of two or more years of experience performing provider relations/network management and administration within the previous five years and possess basic computer skills, including familiarity with Microsoft Office programs.

Role Description: Resource will provide managerial leadership and oversight to project and processes for the Department. Resource will be assigned to represent the Department of Public Welfare on management workgroups and project teams. Assignments will consist of a combination of on-going process responsibilities, standing work group participation and time-limited projects related to the management and operations of all aspects of the Pennsylvania Medicaid program.

Lot 3 - Registered Nurse Minimum Qualifications

Three years of professional experience with medical assistance, health care services, or human services or any equivalent combination of experience and training. Possession of a current license to practice as a Registered Nurse issued by the Pennsylvania State Board of Nursing; or possession of a non-renewable temporary practice permit issued by the Pennsylvania State Board of Nursing. Resources possessing non-renewable temporary practice permits must obtain licensure as a Registered Nurse within the one (1) year period as defined by the Pennsylvania State Board of Nursing.

Role Description: This is work in the review and evaluation of the medical necessity, appropriateness, quality, quantity, adequacy, and compensability of medical care and services rendered by service providers under the Medical Assistance Program. A resource is responsible for the review and evaluation of medical information and examination of medical records and other documentation to assure that eligible medical assistance recipients receive appropriate and quality medical care, that the Medical Assistance Program is properly billed, and that provider and/or recipient fraud and abuse of the Medical Assistance Program is detected and corrected. Work involves the analysis and evaluation of documentation submitted by Medical Assistance Program service providers and generated through PROMISe™ in order to make professional medical judgments regarding the appropriate care and services provided to eligible recipients under the Medical Assistance Program. Reviews may be conducted in central office with the Medical Assistance Program service provider furnishing the necessary medical records, on site at the facility, or information may be provided over the telephone for hospital services requiring pre/post admission certification and for any service that may require prior authorization. Work may include serving as a team leader on reviews requiring more than one staff member organizing and coordinating the review process. Resources also provide advisory and consultative services to boards and staff designed to improve the services or administrative procedures in support of medical assistance patients. Judgment and discretion are required in conferring with advisory boards, facility officials, providers, and staffs. Work is performed under the supervision of an administrative superior and is reviewed through conferences and reports.

Lot 3 - Registered Nurse - Case Manager Nurse

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Minimum Qualifications

Possess an active Pennsylvania nursing license. Possess Case Management Society of America recognized certification as a Care/Case Manager, including the Commission for Case Manger Certification, National Academy of Certified Care Mangers, or American Nurses Credentialing Center; or Currently working towards this certification with documented experience with the intent of receiving certification through examination at the next possible date, currently June of 2005. Continued service would be conditional on candidate obtaining certification at said time. Possess a documented work history of two or more years of experience in care management; and possess basic computer skills, including familiarity with Microsoft Office programs.

Role Description: Resource will provide managerial leadership and oversight to project and processes. Resource will be assigned to workgroups and project teams. Assignments will consist of a combination of on-going process responsibilities, standing work group participation and time-limited projects related to the management and operations of all aspects of the Pennsylvania Medicaid program, including but not limited to:

• Develop policy and procedure to support a special needs/case management unit based on the Case Management Society of America guidelines;

• Train staff on the principles of case management and the availability of community and state resources;

• Develop a listing of community and state resources for use by the case/care manager;

• Collaborate with other bureaus/contractors which address special needs to assure continuity of services;

• Maintain oversight of the case management process and assist in developing staff to qualify for case/care manager certification;

• Collaborate with the Enhanced Primary Care Case Management and disease management vendor as necessary;

• Evaluation of currents processes and implementation of recommended process improvements;

• Consult with senior staff to outline major operational issues and develop resolutions based on sound data analysis;

• Act as liaison between the Department of Public Welfare and external stakeholders (individuals and/or groups);

• Assist in determining if any changes should be made to criteria or regulations to better serve their clients; and

• Interface with Providers.

Lot 3 - Registered Nurse - Prior Authorization Nurse Minimum Qualifications

Possess an active Pennsylvania nursing license. Possess a documented work history of five or more years of utilization review experience. Possess a comprehensive knowledge of utilization review processes. Possess experience utilizing criteria sets for review completion. Possess experience with Utilization Review performance monitoring/production standards; and Possess basic computer skills, including familiarity with Microsoft Office programs.

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Role Description: Resource will provide managerial leadership and oversight to project and

processes. Resource will be assigned to management workgroups and project teams. Assignments will consist of a combination of on-going process responsibilities, standing work group participation and time-limited projects related to the management and operations of all aspects of the Pennsylvania Medicaid program, including but not limited to:

• Evaluation and implementation of system enhancements for provider enrollment, provider inquiry, prior authorization and medical review;

• Evaluation of currents processes and implementation of recommended process improvements;

• Consult with senior staff to outline major operational issues and develop resolutions based on sound data analysis;

• Act as liaison between the Department of Public Welfare and external stakeholders (individuals and/or groups);

• Assist in the development of in-house training programs related to prior authorization, claims review and processing;

• Assist in determining if any changes should be made to criteria or regulations to better serve their clients;

• Provide operational input for claims processing decisions; and • Interface with Providers having billing / claims problems.

Lot 3 - Registered Nurse - Claims Review Management Nurse Minimum Qualifications

Possess an active Pennsylvania nursing license. Possess a documented work history of two or more years of experience with claims review/processing; and Possess basic computer skills, including familiarity with Microsoft Office programs.

Role Description: Resource will provide managerial leadership and oversight to project and processes. Resource will be assigned to management workgroups and project teams. Assignments will consist of a combination of on-going process responsibilities, standing work group participation and time-limited projects related to the management and operations of all aspects of the Pennsylvania Medicaid program, including but not limited to:

• Evaluation and implementation of system enhancements for provider enrollment, provider inquiry, and medical review;

• Evaluation of currents processes and implementation of recommended process improvements;

• Consult with senior staff to outline major operational issues and develop resolutions based on sound data analysis;

• Act as liaison between the Department of Public Welfare and external stakeholders (individuals and/or groups);

• Assist in the development of in-house training programs related to claims review and processing;

• Assist in determining if any changes should be made to criteria or regulations to better serve their clients;

• Learn and be a resource for how claims process through the PROMISe™

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system;

• Assist with coding and procedure code groupings; • Provide operational input for claims processing decisions; and • Interface with Providers having billing / claims problems.

Lot 3 - Social Worker Minimum Qualifications

Bachelor of Social Work from an Accredited Social Work Program

Role Description: Provide support services in areas such as conducting on-site reviews of organizations for the Bureau of Long Term Care and working on issues related to medical and financial eligibility of individuals. Travel required where necessary.

Lot 3 - Medical Records Assistant Minimum Qualifications

One year of clerical experience in a medical records department of a hospital, or ambulatory acute medical care setting or a licensed nursing facility, which has included six months of experience under the general direction or oversight by a registered Medical Records Technician or Administrator; and graduation from high school; or graduation from a medical secretarial or medical records program; or any equivalent combination of experience and training.

Role Description: This is specialized clerical work in the preparation, classification, and abstracting of medical reports. Resources assist in the initiation and maintenance of medical records by preparing and typing medical reports, abstracts, and summaries, and reviewing and processing medical records to insure their accuracy and completeness. Work includes the coding of physicians' diagnoses using standardized codes such as in the International Classification of Diseases classification system. Work requires a high degree of accuracy and proficiency within the framework of standard methods and procedures. Work is performed under the supervision of a Medical Records Technician, Medical Records Director, Cancer Registry Specialist, or a Cancer Registry Administrator.

Lot 3 - Medical Records Technician Minimum Qualifications

Accreditation as a Medical Records Technician by the American Health Information Management Association. Candidates having the higher level Medical Records Administrator certification may substitute this accreditation for the Medical Records Technician, or candidates who are eligible and have completed an accredited Medical Records Technician Program will be accepted for service pending accreditation which must occur within 12 months after commencement.

Role Description: This is technical and supervisory work in the operation of a medical records department in a state facility. A resource organizes and performs the technical work of a medical records department where case histories of all patients are classified and maintained. Important aspects of the work include maintenance of adequate patient, disease, surgery, and physician indices, analysis of medical records for completeness and accuracy to insure their applicability for patient

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treatment, research, and case study, and supervision of a clerical staff engaged in medical records maintenance functions for compliance with facility, departmental, state and federal accrediting/certifying agency requirements. Work is performed under the direction of an administrative supervisor and is reviewed for compliance to departmental and facility policies and procedures through reports, conferences, and inspections.

Lot 3 - Medical Records Director Minimum Qualifications

Registration as a Medical Records Administrator with the American Health Information Management Association; or two years of experience as a Medical Records Technician; and registration as a Medical Records Technician with the American Health Information Management Association; or four years of experience in the preparation, classification and abstracting of medical reports in a medical records department; and registration as a Medical Records Technician with the American Health Information Management Association.

Role Description: This is administrative work planning and directing the operations of the medical records department in a state facility. A resource directs the facility department that is responsible for the establishment, classification and maintenance of medical records and documents. This resource develops and implements facility policies and procedures required to ensure proper medical records completion and maintenance and compliance with accrediting/certifying agencies' requirements. Work requires a high degree of accuracy due to the frequency of multiple classification or cross references in a single case. Duties include supervision of a clerical/technical staff engaged in the maintenance of complex medical case histories. Work is performed under the direction of an administrative supervisor and is reviewed for compliance to departmental and facility polices and procedures through reports, conferences and inspections.

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LOT 4: NON-DIRECT CARE MEDICAL STAFF AND

QUALITY IMPROVEMENT

NOTE: For Lot 4 positions (except Quality Improvement positions) may be requested

as either Project/Long-Term or Academic. The definitions of these positions are as

follows:

• Project/Long-Term: Resources will be required for either a defined period of time or for

greater than a six-month period.

• Academic: Services will be provided by an associate professor level practitioner(s) supplied

by in-state or out-of state academic centers subcontracted by the Offeror to provide various

specialty consultants on an as needed basis. This may include telephonic consultation as

well as face-to-face consultations. Duration of the consultations is typically for a limited

number of hours.

The Prime Contractor must be able to provide any and/or all of the following documentation as required by each agency for each certified/licensed Resource that is deployed to a location:

- Current/valid unrestricted Pennsylvania license (signed) or applicable certification - License/certification in good standing - Verification of current professional CPR certificate - Listing of Continuing Education courses, including title of course, date attended and

number of CME hours earned for the prior year - DEA number (all applicable licensed professionals) - Verification of Board Certification (physicians) - Valid Medicare/Medicaid ID number (if applicable) - Evidence of malpractice or applicable insurance - Other as deemed necessary by the end requestor

Lot 4 - Dentist Minimum Qualifications

Possess a current active dental license. Possess a documented work history of two or more years of experience performing dental management and administration within the previous five years. Demonstrate an understanding of utilization review processes. Possess basic computer skills, including familiarity with Microsoft Office programs

Role Description: Resource will provide utilization and quality reviews of services for the Department of Public Welfare. As directed by the Department of Public Welfare, resource will also provide clinical input into projects including the development of systems and process associated needed to operate an efficient and effective dental services delivery system including prior authorization and network development activities. Resource will provide dental and managerial leadership and oversight to project and processes. Resource will be assigned to management workgroups and project teams. Assignments will consist of a

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combination of on-going process responsibilities, standing work group participation and time-limited projects related to the management and operations of all aspects of the Pennsylvania Medicaid program. Resource will conduct prospective, concurrent and retrospective review of any assigned adult and pediatric dental cases covered by the Department including, but not limited to: procedures performed in a dental office, Short Procedure Unit or Ambulatory Surgical Center; dental supplies; and/or diagnostic studies or procedures. Resource shall be responsible for making determinations regarding the medical necessity, place of service, appropriateness, compensability, and/or quality of care of dental services prescribed for and provided to Medicaid recipients. It will be the Resource’s responsibility to review all requests thoroughly and make a qualified determination in accordance with Medical Assistance regulations and criteria. Depending on the type of case reviewed, Resource will be required to compile case findings, prepare summaries of case findings; make recommendations for case disposition, identify program violations; prepare appealed cases for hearings; and/or be available to testify at administrative hearings for cases under appeal. The Resource will submit the above information to the Department using formats specified by each individual Bureau. Resource, when requested, will assist in the development of in-house training programs, medically necessary criteria, and quality of care indicators. Resource may be asked to help the Department in determining if any changes should be made to criteria or regulations to better serve their clients.

Lot 4 - Orthodontist Minimum Qualifications

Board Certification in the field of Orthodontics. Possess basic computer skills and an understanding of utilization review processes.

Role Description: Resource in this position will serve as an Orthodontic Reviewer for the Department of Public Welfare. Resource will be responsible for making determinations regarding the medical necessity and /or quality of orthodontic care provided to Medicaid recipients. Resource will review all requests for orthodontic services and make a qualified determination in accordance with Medical Assistance Programs regulations and criteria. Resource will identify program violations, prepare appealed cases for hearings and be available to testify at administrative hearings for cases under appeal. Resource will assist in the development of in-house training programs, medically necessary criteria, and quality of care indicators. Resource will assist the Department in determining any changes that should be made to criteria or regulations to better service Medical Assistance recipients.

Lot 4 - Primary Care Physician Minimum Qualifications

Be board certified in family practice medicine. Possess an active Pennsylvania medical license. If feasible, be in active clinical practice in the area in which

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the Resource is board certified at least sixteen (16) hours per month. Demonstrate an understanding of utilization review processes. Possess basic computer skills, including familiarity with Microsoft Office programs

Role Description: Resource will provide utilization and quality reviews of services for the Department. Resource will conduct prospective, concurrent and retrospective review of any assigned adult and pediatric inpatient and outpatient medical cases covered by the Department including, but not limited to: inpatient admissions; procedures performed in a physician’s office, Short Procedure Unit or Ambulatory Surgical Center; home health services, medical supplies, and/or diagnostic studies or procedures. Resource shall be responsible for making determinations regarding the medical necessity, place of service, appropriateness, compensability, and/or quality of care of services prescribed for and provided to Medicaid recipients. It will be the Resource’s responsibility to review all requests thoroughly and make a qualified determination in accordance with Medical Assistance regulations and criteria. Depending on the type of case reviewed, Resource will be required to compile case findings, prepare summaries of case findings; make recommendations for case disposition, identify program violations; prepare appealed cases for hearings; and/or be available to testify at administrative hearings for cases under appeal. The Resource will submit the above information to the Department using formats specified by each individual Bureau. Resource, when requested, will assist in the development of in-house training programs, medically necessary criteria, and quality of care indicators. Resource may be asked to help the Department in determining if any changes should be made to criteria or regulations to better serve Medical Assistance recipients.

Lot 4 – Psychiatrist (Adult, Adolescent and/or Child) Minimum Qualifications

Be board certified in Adult, Adolescent and/or Child psychiatry as requested for position. Possess an active Pennsylvania medical license. Be in active clinical practice in the area in which the Resource is board certified at least sixteen (16) hours per month. Demonstrate an understanding of utilization review processes. Possess basic computer skills, including familiarity with Microsoft Office programs

Role Description: Resource in this position will serve as a physician reviewer for the Department of Public Welfare. Resource will provide utilization and quality reviews of services for the Department. Resource will conduct prospective, concurrent and retrospective review of any assigned adolescent and adult inpatient and outpatient psychiatric and drug and alcohol cases covered by the Department including, but not limited to: inpatient admissions; outpatient treatment services; home health services; medical supplies; and/or diagnostic studies or procedures. Resource shall be responsible for making determinations regarding the medical necessity, place of service, appropriateness, compensability, and/or quality of care of services prescribed for and provided to Medicaid recipients. It will be the Resource’s responsibility to review all requests thoroughly and make a qualified determination in accordance with Medical Assistance regulations and

26

criteria. Depending on the type of case reviewed, Resource will be required to compile case findings, prepare summaries of case findings; make recommendations for case disposition, identify program violations; prepare appealed cases for hearings; and/or be available to testify at administrative hearings for cases under appeal. The Resource will submit the above information to the Department using formats specified by each individual Bureau. Resource, when requested, will assist in the development of in-house training programs, medically necessary criteria, and quality of care indicators. Resource may be asked to help the Department in determining if any changes should be made to criteria or regulations to better serve their clients.

Lot 4 - Surgeon Minimum Qualifications

Be board certified in surgery. Possess an active Pennsylvania medical license. Be in active clinical practice in the area in which the Resource is board certified at least twenty (20) hours per month. Demonstrate an understanding of utilization review processes. Possess basic computer skills, including familiarity with Microsoft Office programs.

Role Description: Resource in this position will serve as a physician reviewer for the Department of Public Welfare. Resource will provide utilization and quality reviews of services for the Department. Resource will conduct prospective, concurrent and retrospective review of any assigned adult and pediatric inpatient and outpatient surgical cases covered by the Department including, but not limited to: inpatient admissions; procedures performed in a physician’s office, Short Procedure Unit or Ambulatory Surgical Center; home health services; medical supplies; and/or diagnostic studies or procedures. Resource shall be responsible for making determinations regarding the medical necessity, place of service, appropriateness, compensability, and/or quality of care of services prescribed for and provided to Medicaid recipients. It will be the Resources responsibility to review all requests thoroughly and make a qualified determination in accordance with Medical Assistance regulations and criteria. Depending on the type of case reviewed, Resource will be required to compile case findings, prepare summaries of case findings; make recommendations for case disposition, identify program violations; prepare appealed cases for hearings; and/or be available to testify at administrative hearings for cases under appeal. The Resource will submit the above information to the Department using formats specified by each individual Bureau. Resource, when requested, will assist in the development of in-house training programs, medically necessary criteria, and quality of care indicators. Resource may be asked to help the Department in determining if any changes should be made to criteria or regulations to better serve their clients

Lot 4 - Physician Specialist

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Minimum Qualifications

Be board certified in the requested specialty. Possess an active Pennsylvania medical license. Be in active clinical practice in the area in which the Resource is board certified at least twenty (20) hours per month. Demonstrate an understanding of utilization review processes. Possess basic computer skills, including familiarity with Microsoft Office programs.

Role Description: Resource in this position will serve as a physician reviewer for the Department of Public Welfare. Resource will provide utilization and quality reviews of services for the Department. Resource will conduct prospective, concurrent and retrospective review of any assigned adult inpatient and outpatient medical cases covered by the Department including, but not limited to: inpatient admissions; procedures performed in a physician’s office, Short Procedure Unit or Ambulatory Surgical Center; home health services; medical supplies; and/or diagnostic studies or procedures. Resource shall be responsible for making determinations regarding the medical necessity, place of service, appropriateness, compensability, and/or quality of care of services prescribed for and provided to Medicaid recipients. It will be the Resource’s responsibility to review all requests thoroughly and make a qualified determination in accordance with Medical Assistance regulations and criteria. Depending on the type of case reviewed, Resource will be required to compile case findings, prepare summaries of case findings; make recommendations for case disposition, identify program violations; prepare appealed cases for hearings; and/or be available to testify at administrative hearings for cases under appeal. The Resource will submit the above information to the Department using formats specified by each individual Bureau. Resource, when requested, will assist in the development of in-house training programs, medically necessary criteria, and quality of care indicators. Resource may be asked to help the Department in determining if any changes should be made to criteria or regulations to better serve their clients.

Lot 4 - Quality Improvement Coordinator Minimum Qualifications

Current/valid Pennsylvania Nursing License, or equivalent alternative Pennsylvania professional licensure to be determined by the Department of Public Welfare. Minimum three (3) years professional clinical experience. Minimum (2) years quality improvement experience in multi-faceted formal quality management program. Computer expertise including a working knowledge of word processing functions, and data base utilization, maintenance and management.

Role Description: Participates in analysis of Quality Management Program reports, with recommendations for corrective actions. Performs Quality Management reviews, coordinates, and manages other staff in doing audits. Provides leadership and in-service training for medical and non-medical staff relating to Quality Management, audit methodologies and related plans of correction. Liaison and coordinator with physicians and nurses to implement/support Quality Management Program. Maintain and upgrade skills by attending meetings, training sessions, and seminars and by reviewing current literature. Participates in committee assignments as necessary.

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Lot 4 - Quality Improvement Information Specialist Minimum Qualifications

Bachelor’s degree or equivalent. Significant experience managing input and manipulation of information using information systems and data management software.

Role Description: Full-time on-site liaison with contractor and department’s staff who works with development and implementation of a variety of Information Systems as part of Contractor’s Clinical Information System development and support team. Performs on-going technical maintenance of Bureau’s Quality Management Program including implementation. Coordinates data entry into a variety of information systems. Provides analysis of information and implements reports from information systems to support the Quality Management Program. Liaison with contractor’s Clinical Information System development and support team. Maintain and upgrade skills by attending meetings, training sessions, and seminars and by reviewing current literature.

Lot 4 - Quality Improvement Manager Minimum Qualifications

Master’s Degree in Health Services Administration or equivalent field or equivalent experience to be determined by the Department of Public Welfare. Minimum of three (3) years quality management experience in a multi – faceted formal quality management program. Computer expertise including a working knowledge of database utilization, maintenance and management.

Role Description: Liaison with contractor’s corporate Quality Improvement Team. Liaison with facility management to implement/support organization’s framework for Quality Management. Lead responsibility for implementation and maintenance of the worksite’s Quality Management Program. Advises Facility Director in all aspects of quality management issues, including quality planning, quality control and measurement activities and quality improvement initiatives. Maintain and upgrade skills by attending meetings, training sessions, and seminars and by reviewing current literature. Fulfill Committee assignments including the Quality Improvement Council, the Risk Management Committee and any others as assigned.

LOT Description 1 Shift Region 1 Region 2 Region 3 Region 4 Region 51 Registered Nurse Weekday RN 7-3:30 $44.00 $44.00 $44.00 $42.00 $46.001 Registered Nurse Weekday RN 3-11:30 $44.00 $44.00 $44.00 $42.00 $46.001 Registered Nurse Weekday RN 11-7:30 $44.00 $44.00 $44.00 $42.00 $46.001 Registered Nurse Overtime Weekday RN 7-3 $59.40 $59.40 $59.40 $56.70 $62.101 Registered Nurse Overtime Weekday RN 3-11 $59.40 $59.40 $59.40 $56.70 $62.101 Registered Nurse Overtime Weekday RN 11-7 $59.40 $59.40 $59.40 $56.70 $62.101 Registered Nurse Weekend RN 7-3:30 $45.00 $45.00 $45.00 $44.00 $50.001 Registered Nurse Weekend RN 3-11:30 $45.00 $45.00 $45.00 $44.00 $50.001 Registered Nurse Weekend RN 11-7:30 $45.00 $45.00 $45.00 $44.00 $50.001 Registered Nurse Weekend - Overtime 1st Shift $63.00 $63.00 $63.00 $61.00 $70.001 Registered Nurse Weekend - Overtime 2nd Shift $63.00 $63.00 $63.00 $61.00 $70.001 Registered Nurse Weekend - Overtime 3rd Shift $63.00 $63.00 $63.00 $61.00 $70.001 Registered Nurse Holiday RN 7-3:30 $66.00 $66.00 $66.00 $64.40 $75.001 Registered Nurse Holiday RN 3-11:30 $66.00 $66.00 $66.00 $64.40 $75.001 Registered Nurse Holiday RN 11-7:30 $66.00 $66.00 $66.00 $64.40 $75.001 Registered Nurse Weekday LPN 7-3:30 $35.00 $35.00 $35.00 $33.00 $36.001 Registered Nurse Weekday LPN 3-11:30 $35.00 $35.00 $35.00 $33.00 $36.001 Registered Nurse Weekday LPN11-7:30 $35.00 $35.00 $35.00 $33.00 $36.001 Registered Nurse Overtime Weekday LPN 7-3 $47.25 $47.25 $47.25 $47.25 $48.601 Registered Nurse Overtime Weekday 2nd Shift $47.25 $47.25 $47.25 $47.25 $48.601 Registered Nurse Overtime Weekday 3rd Shift $47.25 $47.25 $47.25 $47.25 $48.601 Registered Nurse Weekend LPN 7-3:30 $36.00 $36.00 $36.00 $35.00 $38.001 Registered Nurse Weekend LPN 3-11:30 $36.00 $36.00 $36.00 $35.00 $38.001 Registered Nurse Weekend LPN 11-7:30 $36.00 $36.00 $36.00 $35.00 $38.001 Registered Nurse Overtime Weekend LPN 7-3 $50.40 $50.40 $50.40 $49.00 $53.201 Registered Nurse Overtime Weekend LPN 3-11 $50.40 $50.40 $50.40 $49.00 $53.201 Registered Nurse Overtime Weekend LPN 11-7 $50.40 $50.40 $50.40 $49.00 $53.201 Registered Nurse Holiday LPN 7-3:30 $52.50 $52.50 $52.50 $49.50 $55.501 Registered Nurse Holiday LPN 3-11:30 $52.50 $52.50 $52.50 $49.50 $57.001 Registered Nurse Holiday LPN 11-7:30 $52.50 $52.50 $52.50 $49.50 $58.501 Registered Nurse Weekday CNA 7-3:30 $18.00 $18.00 $18.00 $17.50 $18.001 Registered Nurse Weekday CNA 3-11:30 $18.00 $18.00 $18.00 $17.50 $18.001 Registered Nurse Weekday CNA11-7:30 $18.00 $18.00 $18.00 $17.50 $18.001 Registered Nurse Overtime Weekday CNA 7-3 $24.30 $24.30 $24.30 $23.63 $24.301 Registered Nurse Overtime Weekday CNA 3-11 $24.30 $24.30 $24.30 $23.63 $24.301 Registered Nurse Overtime Weekday CNA 11-7 $24.30 $24.30 $24.30 $23.63 $24.301 Registered Nurse Weekend CNA 7-3:30 $20.00 $20.00 $20.00 $19.40 $28.001 Registered Nurse Weekend CNA 3-11:30 $20.00 $20.00 $20.00 $19.40 $28.001 Registered Nurse Weekend CNA 11-7:30 $20.00 $20.00 $20.00 $19.40 $28.001 Registered Nurse Overtime Weekend CNA 7-3 $28.00 $28.00 $28.00 $27.16 $27.001 Registered Nurse Overtime Weekend CNA 3-11 $28.00 $28.00 $28.00 $27.16 $27.001 Registered Nurse Overtime Weekend CNA 11-7 $28.00 $28.00 $28.00 $27.16 $27.001 Registered Nurse Holiday CNA 7-3:30 $27.00 $27.00 $27.00 $26.25 $27.001 Registered Nurse Holiday CNA 3-11:30 $27.00 $27.00 $27.00 $26.25 $27.00

Rates

LOT Description 1 Shift Region 1 Region 2 Region 3 Region 4 Region 51 Registered Nurse Holiday CNA 11-7:30 $27.00 $27.00 $27.00 $26.25 $27.001 Certified Registered Nurse Practitioner $51.90 $48.06 $51.99 $50.64 $58.751 Nurse - Executive $46.90 $43.35 $46.91 $45.68 $53.001 Nurse Practioner- Gynecology $51.90 $48.06 $51.99 $50.64 $58.751 Licensed Occupational Therapist 1 $47.70 $44.17 $47.79 $46.64 $54.001 Licensed Occupational Therapist 2 $49.70 $46.17 $49.79 $48.64 $56.001 Pharmacist $53.90 $53.90 $53.99 $64.00 $64.001 Pharmacist Technician $24.80 $22.90 $24.78 $24.13 $28.001 Physical Therapist Aide $34.50 $31.90 $34.52 $36.61 $39.001 Licensed Physical Therapist 1 $50.40 $46.63 $50.45 $49.13 $57.001 Licensed Physical Therapist 2 $51.40 $47.63 $51.45 $50.13 $58.001 Speech Therapy $51.30 $47.44 $51.33 $57.00 $58.001 Dental Hygienist $33.60 $31.08 $33.63 $32.75 $38.001 Dental Assistant $21.20 $19.63 $21.24 $20.68 $24.002 Chief Medical Officer $133.00 $123.50 $133.60 $130.16 $151.002 Chief of Psychiatry $151.00 $156.00 $154.00 $158.00 $159.002 Dentist $95.50 $88.34 $95.58 $93.09 $108.002 Primary Care Physician Regular $98.00 $97.00 $98.00 $98.00 $112.002 Primary Care Physician On-call $11.00 $11.00 $11.00 $11.00 $12.002 Primary Care Physician Locum Tenen $106.00 $104.00 $106.20 $103.44 $120.002 Medical Director Regular $124.00 $114.00 $124.00 $121.00 $142.002 Medical Director On-call $11.00 $11.00 $11.00 $11.00 $12.002 Neurology $111.00 $103.10 $111.50 $108.61 $126.002 Psychiatrist Regular $113.00 $119.00 $113.30 $119.00 $128.002 Psychiatrist On-call $17.70 $16.36 $17.70 $17.24 $20.002 Psychiatrist Locum Tenen $140.00 $129.20 $139.80 $136.19 $158.002 Psychologists $65.00 $65.00 $65.00 $65.00 $65.002 Physician Supervisory $112.00 $103.90 $112.40 $109.47 $127.002 Podiatrist $97.20 $89.98 $97.45 $94.82 $110.003 Administrative Assistant $11.00 $11.50 $12.00 $12.00 $12.003 Certified Medical Coder $39.24 $39.66 $38.24 $47.18 $52.443 Fiscal Assistant $13.30 $12.27 $13.28 $12.93 $15.003 Financial Representative $24.75 $22.95 $24.83 $24.17 $28.053 Pharmacist $71.00 $70.00 $71.00 $73.00 $74.003 Pharmacist Director $74.00 $75.00 $76.00 $79.00 $79.003 Provider Relations $59.50 $55.76 $60.31 $58.63 $67.383 Registered Nurse $34.00 $34.00 $34.00 $34.00 $36.00

3Registered Nurse - Case Manager Nurse $58.70 $56.75 $57.66 $60.81 $65.02

3Registered Nurse - Claims Review Management $60.40 $60.54 $61.44 $69.21 $74.39

3 Social Worker $25.00 $25.00 $25.00 $25.00 $25.003 Medical Records Assistant $12.40 $12.50 $12.39 $13.00 $13.903 Medical Records Technician $14.10 $13.09 $14.16 $14.25 $16.00

LOT Description 1 Shift Region 1 Region 2 Region 3 Region 4 Region 53 Medical Records Director $44.20 $40.90 $44.25 $43.10 $50.004 Dentist Academic $85.00 $84.00 $87.00 $85.60 $100.004 Dentist Long Term Care $103.20 $95.54 $103.38 $100.67 $116.804 Orthodontist Academic $95.50 $88.34 $95.58 $93.09 $108.004 Orthodontist Long Term Care $115.50 $108.34 $115.58 $113.09 $128.004 Primary Care Physician Academic $94.00 $96.00 $97.00 $98.00 $112.004 Primary Care Physician Long Term Care $117.60 $117.60 $117.60 $121.20 $135.604 Psychiatrist Academic $137.00 $127.00 $137.00 $134.00 $155.004 Psychiatrist Long Term Care $157.00 $147.00 $157.00 $184.00 $205.004 Surgeon Academic $159.00 $147.20 $159.30 $155.16 $180.004 Surgeon Long Term Care $149.50 $138.90 $149.60 $145.77 $167.004 Physician Specialist Academic $116.00 $109.60 $118.60 $115.50 $134.004 Physician Specialist Long Term Care $139.65 $126.42 $126.00 $120.23 $138.604 Quality Improvement Coordinator $54.00 $51.30 $55.10 $60.81 $62.934 Quality Improvement Information Specialist $38.00 $35.17 $38.06 $37.06 $43.004 Quality Improvement Manager $61.90 $57.26 $61.95 $60.34 $60.00

Contract Reference Number: 9985-43 Collective Number: CN00011254 Change Number: 01 Change Effective Date: November 21, 2005

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF GENERAL SERVICES

HARRISBURG For: ALL USING COMMONWEALTH AGENCIES Subject: Medical Services Contract Contract Period: Effective date of 11/21/05 and Expiration date of 11/20/2007 Buyer Name: XF6 Jean Halbleib 717-346-3834 Jhalbleib@state.pa.us CHANGE SUMMARY: In Accordance with the special terms and conditions of the Medical Services Contract, the following position has been added. Pharmacy Technologist Coordinator 1, Non-direct care, Lot# 3. You can view the job description on agreement number 4600008721. Pricing for the above position is $35.00 dollars for Region #1 through #4 and $ 36.00 dollars for Region #5. ALL OTHER TERMS AND CONDITIONS OF THIS AGREEMENT NOT CHANGED BY THIS CHANGE NOTICE REMAIN AS ORGINALLY WRITTEN.

Attachment 1 Adding a Job Description

1. Job Description Title: Pharmacy Coordinator

2. Minimum Qualifications:

• Licensure/Certification requirements: Hold an Associate Degree in a healthcare-related field, i.e. Medical Assistant; or a certification as a Pharmacy Technician; or Have experience working for a Pharmacy Benefit Management (PBM) company or health plan in a managed care pharmacy department. Possess excellent organization, planning, communications, and interpersonal skills.

• Experience required: • Have a working knowledge of retail pharmacy third party prescription

processing; • • Have knowledge of drug categories, brand and generic names including

pronunciation and spelling; • • Have knowledge of utilization management tools used for controlling

pharmacy costs – i.e. quantity limits, prior authorization, step therapy, generic programs, etc;

• • Have the ability to have a professional dialogue with a physician or a

physician’s staff; 3. Basic Job Duties:

1. Process prior authorization requests. Issue prior authorizations as appropriate through established protocols, policies and procedures. Communicate with the physicians and pharmacies approvals and denials by phone and/or letter as needed. 2. Answer questions/requests and resolve issues from providers, pharmacists and staff. The incumbent will field questions regarding pharmacy benefit issues and communicate details of service through telephonic responses to physicians, pharmacists and Commonwealth staff. Issues addressed include prescription benefits, formulary issues, prescription claim processing, and prior authorizations. The incumbent ensures documentation of actions. 3. Resolve routine provider pharmacy concerns. This includes answering questions from various sources (a member, physician, staff, etc) regarding specific provider issues and as appropriate deciding on plans of action to resolve routine issues.

4. Provide administrative support to the pharmacy team. This involves preparation and distribution of Policies & Procedures, committee agendas and minutes, and other correspondence as required. 5. Document all communications appropriately. This includes documentation through DPW’s telephone call tracking system.

4. Supervisor: OMAP

Contract Reference Number: 9985-43 Collective Number: CN00011254 Change Number: 02 Change Effective Date: November 21, 2005

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF GENERAL SERVICES

HARRISBURG For: ALL USING COMMONWEALTH AGENCIES Subject: Medical Services Contract Contract Period: Effective date of 11/21/05 and Expiration date of 11/20/2007 Buyer Name: XF6 Jean Halbleib 717-346-3834 Jhalbleib@state.pa.us CHANGE SUMMARY: In Accordance with the special terms and conditions of the Medical Services Contract, the following position has been added. Medical Economist, Non-direct care, Lot# 3. You can view the job description on agreement number 4600008721. It will be located on the attachment tab. Pricing for the above position is $105.00 dollars for Region #1 through #4 and $ 108.00 dollars for Region #5. ALL OTHER TERMS AND CONDITIONS OF THIS AGREEMENT NOT CHANGED BY THIS CHANGE NOTICE REMAIN AS ORGINALLY WRITTEN.

Attachment 1 Adding a Job Description

1. Job Description Title: Medical Economist

2. Minimum Qualifications:

• Licensure/Certification requirements: Master's Degree • Experience required: Current experience and knowledge of Medical

Economics 3. Basic Job Duties:

• Be available approximately thirty-seven and one-half (37.5) hours per week. • Provide the Department with high level executive work, through consultation, in defining, developing and providing information and analysis to drive Agencies decision-making processes and support business operations and reporting and controlling medical assistance cost of services. • Manage the production and analysis of medical costs information used to formulate effective network contracting and management strategies. • Conduct cost benefit analyses such as projecting the impact of new provider contracts on the “per member per month” costs for the affected market. • Analyze cost trends by geography, services and provider, place of service and other factors to discover patterns and suggest action plans if warranted. • Lead a team within Agency that will analyze and reduce costs related to Hospital Based Physicians and monitor the outcome. • Possess basic computer skills, including familiarity with Microsoft Office programs.

4. Supervisor: Agency

Contract Reference Number: 9985-43 Collective Number: CN00011254 Change Number: 03 Change Effective Date: November 21, 2005

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF GENERAL SERVICES

HARRISBURG For: ALL USING COMMONWEALTH AGENCIES Subject: Medical Services Contract Contract Period: Effective date of 11/21/05 and Expiration date of 11/20/2007 Buyer Name: XF6 Jean Halbleib 717-346-3834 Jhalbleib@state.pa.us CHANGE SUMMARY: In Accordance with the special terms and conditions of the Medical Services Contract, the following position has been added. Audiologist, Direct care, Lot# 2. You can view the job description on agreement number 4600008715. Pricing for the above position is $59.25 for Region #1 through #4 and $60.75 for Region #5. ALL OTHER TERMS AND CONDITIONS OF THIS AGREEMENT NOT CHANGED BY THIS CHANGE NOTICE REMAIN AS ORGINALLY WRITTEN.

Page 1 of 1

Lot 2 (TITLE/POSITION) Audiologist Minimum Qualifications To include any licenses required

Audiologist to maintain a current Professional License issued by the Pennsylvania Department of State Bureau of Professional and Occupational Affairs. The Pennsylvania Code, Chapter 45. State Board of examiners in Speech-Language and Hearing for Audiologist is made a part of this contract. The Audiologist is to have a Certificate of Clinical Competence (CCC) from the American Speech-Language-Hearing Association (ASHA) or have a PhD or AuD in Audiology that is recognized by the U. S. Department of Education (USDE).

Role Description

1. Audiologist to provide services in an environment where American Sign

Language may be the first language. The Agency, if required, will provide a Certified Sign Language Interpreter.

2. Provide a comprehensive hearing evaluation using a diagnostic audiometer, impedance bridge, calibrated noise generators and sound toys to assess hearing in a manner appropriate to the age and ability of the client. 3. Assist and instruct clients, family members, and or staff members in

matters concerning Audiology including the following: hearing testing, hearing aid use and maintenance and the use of group amplification systems/auditory trainers and cochlear implant devices. Provide assessment and follow-up services for individuals with cochlear implants.

4. Obtain, maintain, evaluate case history, etiologic information about referrals to Audiology, analyze collected information and make appropriate referral, when warranted. Maintain records on all referrals to and service provided to client. 5. Provide counseling to parents, students and family, staff and clients in the

audiologic areas of hearing loss, hearing aids, cochlear implant devices, communication and the ramification of deafness.

6. Maintain all Audiology test equipment, hearing aids, cochlear implant devices,

and arrange for all calibration of test equipment with Agency personnel. Fashion earmolds, make minor repairs to hearing aids and devices. Fitting of devices is extremely important in the Auditory Program.

8. Conduct programs of aural rehabilitation; this may be in conjuction with a

Speech and Language Pathologist. 9. Accurately document testing, observations, intervention and evaluations pertaining to student care management and services provided in accordance with school policy and procedures on the day services is rendered and provide documentation in a timely manner. 10. Attend and participate in staff development programs/ meetings, etc as required

acting as a consultant to parents, staff and the contract Administrator.

Contract Reference Number: 9985-43 Collective Number: CN00011254 Change Number: 04 Change Effective Date: November 21, 2005

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF GENERAL SERVICES

HARRISBURG For: ALL USING COMMONWEALTH AGENCIES Subject: Medical Services Contract Contract Period: Effective date of 11/21/05 and Expiration date of 11/20/2007 Buyer Name: XF6 Jean Halbleib 717-346-3834 Jhalbleib@state.pa.us CHANGE SUMMARY: In Accordance with the special terms and conditions of the Medical Services Contract, the following position has been added. Autism Spectrum Disorder Consultant, Non Direct care, Lot# 3. You can view the job description on agreement number 4600008721. Pricing for the above position is $67.00 for Region #1 through #4 and $68.50 for Region #5. ALL OTHER TERMS AND CONDITIONS OF THIS AGREEMENT NOT CHANGED BY THIS CHANGE NOTICE REMAIN AS ORGINALLY WRITTEN.

Attachment 1 Adding a Job Description

1. Job Description Title: Autism Director

2. Minimum Qualifications:

• Licensure/Certification requirements: Master's Degree • Experience required: Has current experience and knowledge in the treatment

of ASD. 3. Basic Job Duties:

1. Serve as the Department’s subject matter expert on all issues related to ASD. 2. Collaborate with other Commonwealth agencies to identify services, processes, and products that can be re-engineered through collaborative management to serve people with autism. 3. Develop and implement autism-specific Medicaid Waiver to allow for greater flexibility and creativity in providing services for people with autism. 4. Use electronic government network technologies to create entirely new business processes. 5. Use technology to improve service delivery to people with autism by integrating policy and management within the Department. 6. Remove government barriers to develop regional autism centers across the Commonwealth to provide high quality services to individuals with autism; train professionals to assess and evaluate the needs of people living with autism and provide education and supports to families. 7. Develop coordinated and collaborated mechanisms across funding streams.

4. Supervisor: Agency

Contract Reference Number: 9985-43 Collective Number: CN00011254 Change Number: 05 Change Effective Date: November 21, 2005

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF GENERAL SERVICES

HARRISBURG For: ALL USING COMMONWEALTH AGENCIES Subject: Medical Services Contract Contract Period: Effective date of 11/21/05 and Expiration date of 11/20/2007 Buyer Name: XF6 Jean Halbleib 717-346-3834 Jhalbleib@state.pa.us CHANGE SUMMARY: In Accordance with the special terms and conditions of the Medical Services Contract, the following position has been added. Dental Hygienist, Non Direct care, Lot# 3. You can view the job description on agreement number 4600008721. Pricing for the above position is $53.00 for Region #1 through #4 and $54.50 for Region #5. ALL OTHER TERMS AND CONDITIONS OF THIS AGREEMENT NOT CHANGED BY THIS CHANGE NOTICE REMAIN AS ORGINALLY WRITTEN.

Attachment 1 Adding a Job Description

1. Job Description Title: Dental Hygienist

2. Minimum Qualifications:

• Licensure/Certification requirements: Posess a current active Dental Hygienist license.

• Experience required: Demonstrate an understanding of utilization review processes; and Possess basic computer skills, including familiarity with Microsoft Office programs.

3. Basic Job Duties: 4. • Process dental prior authorization and program exception requests that

require technical decisions by researching, analyzing, interpreting and applying program regulations, policies and internal procedures, independently or in concert with consultants;

5. • Make determinations regarding medical necessity, place of service, appropriateness, compensability, and quality of dental services prescribed for and provided to recipients;

6. • Represent the Department at face-to-face and telephone appeal hearings of a regulatory nature by researching and organizing case materials in order to defend the Department’s decision;

7. • Respond to inquiries from providers concerning the Prior Authorization program in order to resolve problems;

8. • Educate providers how to properly complete prior authorization forms; 9. • Electronically Input administrative decisions; 10. • Prepare routine statistical reports; 11. • Attend relevant meetings as necessary to keep abreast of program changes; 12. • Keep relevant personnel informed of daily work flow issues and program

needs to ensure efficient program operation.

13. Supervisor: Agency

Contract Reference Number: 9985-43 Collective Number: CN00011254 Change Number: 06 Change Effective Date: December 15, 2005

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF GENERAL SERVICES

HARRISBURG For: ALL USING COMMONWEALTH AGENCIES Subject: Medical Services Contract Contract Period: Effective date of 11/21/05 and Expiration date of 11/20/2007 Buyer Name: XF6 Jean Halbleib 717-346-3834 Jhalbleib@state.pa.us CHANGE SUMMARY: In Accordance with the special terms and conditions of the Medical Services Contract, the following position has been added. Behavioral Analyst, Non Direct care, Lot# 3. You can view the job description on agreement number 4600008721. Pricing for the above position is $100.00 per hour for Region 1 through 4 and $102.00 per hour for Region 5. ALL OTHER TERMS AND CONDITIONS OF THIS AGREEMENT NOT CHANGED BY THIS CHANGE NOTICE REMAIN AS ORGINALLY WRITTEN.

Attachment 1 Adding a Job Description

1. Job Description Title: Behavioral Analyst

2. Minimum Qualifications:

• Licensure/Certification requirements: At a minimum, a master’s degree in social work or education with an emphasis on behavioral disorders

• Experience required: has current experience and knowledge in the treatment of Autism Spectrum Disorder (ASD)

3. Basic Job Duties:

Consultant will provide the Department with consultation in developing a plan to improve the organization, financing and delivery of services to people with autism in Pennsylvania. The consultant will: Serve as the Department’s subject matter expert /clinical lead on all issues related to ASD. Provide clinical support to Departmant staff and program offices specific to existing and new programs designed to meet the needs of individuals with ASD; Provide training to Department staff concerning the science interventions for individuals with ASD; Consult with families, persons with ASD, county and regional Department staff, and service providers to ascertain the needs in varios geographic regions; Work with Department staff and focus groups to develop Regional Training Collaboratives/ Autism Centers of Excellence; Train staff at all levels to use research based interventions with outcome measures that match the needs of persons with ASD and their families; Assist Department staff with the development of statewide standards regarding diagnosis, assessment, treatment and support to Pennsylvanians with ASD; Work on initiatives in close collaboration with the Autism Affairs Director.

4. Supervisor:

Contract Reference Number: 9985-43 Collective Number: CN00011254 Change Number: 07 Change Effective Date: March 10, 2006

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF GENERAL SERVICES

HARRISBURG For: ALL USING COMMONWEALTH AGENCIES Subject: Medical Services Contract Contract Period: Effective date of 11/21/05 and Expiration date of 11/20/2007 Buyer Name: XF6 Jean Halbleib 717-346-3834 Jhalbleib@state.pa.us CHANGE SUMMARY: In Accordance with the special terms and conditions of the Medical Services Contract, the following positions have been added. Chief Medical Officer and Lead Medical Director, Non Direct care, Lot# 4. You can view the job descriptions and pricing on agreement number 4600008722. The following processes have been finalized and should be referenced when utilizing the Medical Services contract.

1) Adding a job description (new positions) 2) Problems with contract 3) Process for adding a new position 4) Process for adding a resource 5) Staffing/Resource request 6) Timesheet process 7) Information sheet

ALL OTHER TERMS AND CONDITIONS OF THIS AGREEMENT NOT CHANGED BY THIS CHANGE NOTICE REMAIN AS ORGINALLY WRITTEN.

Attachment 1 Adding a Job Description

1. Job Description Title: Chief Medical Officer

2. Minimum Qualifications:

• Licensure/Certification requirements: Possess a Master’s Degree in Public Administration,, Public Health or Business Administration;

• Be board certified in internal medicine, pediatrics, or family medicine; • Possess an active Pennsylvania medical license; • • Experience required: Possess prior experience as a Medical Director; and • Possess basic computer skills, including familiarity with Microsoft Office

programs. 3. Basic Job Duties:

Consultant Policy functions include: • Advising the Deputy Secretary on general policies and procedures, with particular emphasis on health issues and delivery of care; • Provide technical support to Medical Assistance Advisory Committee's (MAAC) and planning committee’s; • Provide technical support to staff in the development and implementation of health related policies and procedures; • Serve as the Deputy Secretary’s liaison to other agencies for issues involving health related policies and procedures; • Develop, implement and evaluate clinical policies, procedures and regulations to increase the continuity, cost-effectiveness and quality of health care services provided through the Department’s voluntary and mandatory managed care, fee for-service and long term care programs Provider interface functions include: • Serve as the Deputy Secretary’s chief liaison to the medical provider community; • Oversee the on-going development and implementation of programs to enhance the number and scope of providers caring for the special needs population served by OMAP; • Serve as Chief Clinical Monitor for DPW’s managed care organizations (MCO) and Fee-For-Service Programs (FFSP) . Oversee clinical quality management programs for MCO’s and FFSP vendor’s contracting with DPW. • Function as Chairperson for all MCO Medical Director Meetings within OMAP; • Function as Chair of the Technology Assessment Group (TAG) and Peer Review Committee;

• Provide clinical leadership for the Pharmacy and Therapeutics Committee; • Oversee all clinical Consultants, which includes but is not limited to: Medical Directors, Psychiatrists, Psychologists, Nurses, Dentists, Dental Hygienists, Orthodontists, Pharmacists, Behavioral Analysts and any other position that is considered part of the Clinical Consultant Contract(s); • Consultation with DPW Executive Staff, managers and clinical staff regarding health care practices and clinical services such as: treatment, licensure, certification, accreditation program management reviews and program related issues. • Establish and implement standards of care and clinical quality and risk management mechanisms Additional Duties include: • Public and provider relations on behalf of the Secretary of Welfare and Deputy Secretary; • Serve on executive staff of Deputy Secretary; • Direct subordinate staff; • Related duties as assignedServe as the Department’s subject matter expert on all issues related to ASD. 2. Collaborate with other Commonwealth agencies to identify services, processes, and products that can be re-engineered through collaborative management to serve people with autism. 3. Develop and implement autism-specific Medicaid Waiver to allow for greater flexibility and creativity in providing services for people with autism. 4. Use electronic government network technologies to create entirely new business processes. 5. Use technology to improve service delivery to people with autism by integrating policy and management within the Department. 6. Remove government barriers to develop regional autism centers across the Commonwealth to provide high quality services to individuals with autism; train professionals to assess and evaluate the needs of people living with autism and provide education and supports to families. 7. Develop coordinated and collaborated mechanisms across funding streams.

4. Supervisor: Deputy Secretary

Attachment 1 Adding a Job Description

1. Job Description Title: Lead Medical Director

2. Minimum Qualifications:

• Licensure/Certification requirements: Be board certified in a Primary Care Specialty; Possess an active Pennsylvania medical license;

• • Experience required: Possess prior experience as a Medical Director and/or

lead physician and • Possess basic computer skills, including familiarity with Microsoft Office

programs. 3. Basic Job Duties:

Consultant will: • Supervise and help perform all the tasks as described in Primary Care

Physician Work Statement • Participate in researching and reviewing new technologies and procedures,

reviewing pertinent medical literature and presenting findings and recommendations to appropriate entities.

• Participate and assist in developing and revising MA policies and procedures.

• Participate and assist in developing projects to improve delivery of care to MA recipients.

• Participate and assist in educating MA providers relative to MA regulations, policies and procedures.

• Participate and assist in evaluating and selecting medication(s) for use in PDL’s.

• Participate and assist in developing new workflows and processes to increase efficiency in daily work.

• Interact with and participate with Quality Assurance activities, including but not limited to inter-rater reliability, blinded reviews, etc.

• Assist in and participate with staff evaluation processes. • Act as an assistant to the Chief Medical Officer.

4. Supervisor: Chief Medical Officer

Addressing Problems with Contract

Contact Information:

• Agency Representative: _________________________

• DGS Commodity Specialist: Jean Halbleib jhalbleib@state.pa.us 717-346-3834 • Pennhurst Contact: Jeff Rohrbaugh jwr@pennhurstgroup.com 610-524-2400 x 180

(Executive Project Manager) • Staffing and Recruitment Issues:

(Operations Manager) Len Tokar ltokar@avysion.com 717-546-0020 (Project Specialists) Lorna Salame lsalame@avysion.com

Sheila Cushman scushman@avysion.com

Potential Issues Immediate Contact Follow-up

Personnel: 1.Non-compliance with Administrative

Policies/Procedures

2.Non-adherence to clinical practice guidelines and standards of care

3.Avoidable adverse events and other patient

safety issues (Note: Site internal policies and procedures should be followed first, prior to contacting Pennhurst)

1.Project Specialist (PS)

2.Project Specialist (PS) or Operations Mgr. (OM)

3.Executive Project

Manager (EPM)/Quality Assurance Director/field site Supervisor

1.PS will work with agency to ensure issue resolution

2.PS/OM will work in conjunction with agency rep to

develop a training plan/monitoring plan 3.EPM will work with agency to develop appropriate

interventions

Invoicing Project Specialist (PS) Discussion for resolution Emergency Replacement Project Specialist (PS) or

Operations Manager (OM) PS/OM to work with Agency with plan

Unresolved Contract Issues • Unresponsive to calls • Website problems

DGS Commodity Specialist (DGS)

DGS to work with Agency and possibly vendor to resolve issue

DGS Statewide Contract Issues

DGS Commodity Specialist (DGS)

DGS to resolve

v1.1 2006-02-3

Adding a New Position Description to Contract

Agency Responsibility:

Review Contract on DGS website to see if a position exists; If no existing position is applicable, (ie, if request is for a non-direct care and a

description exists in the direct care lot(s), Agency may request new pricing in the new non-direct care lot) preparing a detailed position description using Adding a Job Description (New Positions)

Obtain Labor Relations release for new position; Submit The Detailed Position Description to Jean Halbleib, Commodity

Specialist, DGS at jhalbleib@state.pa.us DGS Responsibility:

DGS will determine/review appropriate request for Lot submission; • If needed, DGS will generic “ize” the request for all agency use;

DGS will send request to Pennhurst for pricing and “Highly specialized” (H/S) categorizing.

Contractor Responsibility:

Contractor will submit pricing and gsa pricing comparison and backup documentation back to DGS within 5 business days of request from DGS

DGS Responsibility:

DGS approves/rejects/negotiates pricing and H/S; DGS assigns position SAP material group if necessary; DGS adds position/pricing to the Outline Agreement in SAP and post a change

notice to the DGS Contract on the website; DGS notifies requesting agency of approval/addition to the Outline Agreement.

Agency Responsibility:

Agency will create a Purchase Order from the Outline Agreement.

Process for Requesting a Resource

Agency Responsibility: • Insure all Agency requirements are met:

o Agency/Department approval (ie, budget, if required ) o Labor Relations release

• Identify position description and item/line number from Contract

Using Pennhurst Portal (when available- to be rolled out in near future for those having internet access):

o Agency Rep to login to Web-based Portal (future site will be housed at: www.pamedstaff.net

o Rep will sort by agreement number and choose position title that fits need. Multiple requests can be made at the same time, however, each position will have a separate details area that will need to be filled out.

o Rep will complete details including a work statement for each position;

o Email confirmation of request received within one hour ( from Portal)

Email/ Fax users:

o Identify position/ job description from Contract o Complete work statement template o Fax/email work statement template

• Fax #: (717) 930-0846 • Email: pamedstaff@avysion.com

o Fax/email confirmation of request received within 24 hours Contractor Responsibility:

• Contractor will submit resumes of qualified applicants who meet the minimum specifications outlined in the work statement within the timeframes indicated below via the portal website and/or fax/email:

Position Type # of Resumes/ Action # of Days

Normal Medical Staffing Position

Minimum of 3 10 business days

Urgent/STAT request for Staffing Position

Respond by telephone with optimal plan ------------------------------- Develop a mutually acceptable solution

1 business day -------------------------------- 3 business days

Highly Specialized Staffing Position**

Submission of Plan 5 days

** Contractor will identify highly specialized requests and present supporting documentation to DGS for approval ** DGS will notify Agency/Contractor of decision on all highly specialized requests.

Interview Process: • Each Agency will be responsible for developing individual interview process

plans. Selection/non-selection of Resource:

• Agency will notify Contractor via the website portal or via email/fax decision of selection/non-selection for each candidate submitted.

o For selected resources: Agency will notify Contractor of selection; Agency and Contractor will agree upon an appropriate start date

based on the original request. Contractor will supply all required documentations, certifications,

licensures and background clearances, etc. as requested

o For non-selected resources: Agency must supply comments for reasons of non-selection. Pennhurst will supply additional resumes/resources per the terms

and conditions of the Contract.

Staffing Request/Request of a Resource (For use for requests by email or fax)

1. Title of Position:

• Contract #/Outline Agreement # :

Item # from contract

2. Anticipated Start Date:

3. Anticipated End Date:

4. Length of time needed:

• If less than 90 days, explain:

5. Number of hours per week:

6. Will you require specific days/hours per week? Yes No

• If yes, please specify days/hours:

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

# of Hours:

per day per day per day per day per day per day per day

7. Location of Position:

8. Description of Work/Duties:

9. Requestor:

10. Requestor Phone Number

Timesheet Process Information

Weekly Timesheet shall be Submitted to Pennhurst by Tuesday of the following week. • Sunday 0001(12:01 am) – Saturday 2400 (12:00 am) • Times will be entered in Military time or standard time • Lunch times must be entered as time taken or ----- if no lunch was taken (subject to

agency approved lunch schedules) • Travel expenses must be entered within the same timeframe of the timesheet • Timesheets are the responsibility of the contracted employee to complete (timely) • Timesheets will not be attached to invoices that Pennhurst submits for payment.

o The facility should be signing off on timesheets before submitting to Pennhurst.

INFORMATION SHEET

Page 1 v1.1 2006-02-3

Pennhurst Medical Group is the awarded Supplier for the Medical Services Contract for all 4 lots. Their sub-contractor, Avysion will be processing all requests from Facilities for Medical Service positions. Specific details for requesting positions are currently being implemented and will be posted shortly. The information below is only to be used for general contact information and for creating purchase orders (what vendor number to use) and for billing questions, and in no way authorizes the positions to be utilized without adhering to Union Labor Laws and the terms and conditions of any current contract in place for your Facility. AVYSION Healthcare Services is located at 29 South Union Street, Middletown, PA 17057. The contact information for them will be as follows: Contact the Project Specialist (PS) for all questions and position requests first If no answer, then contact the Operations Manager (OM). 1) MAIN CONTACTS (Project Specialists):

Lorna Salame (lsalame@avysion.com) and Sheila Cushman (scushman@avysion.com). Staffing requests should be sent to the group mail box of pamedstaff@avysion.com

2) ALTERNATE CONTACT (Operations Manager):

Len Tokar (ltokar@avysion.com) Avysion Phone#: (866) 823-9536; (717) 546-0020 On all purchase orders the following vendor numbers will be used OA- Ordering Address 128032 (Pennhurst) VN- Vendor Address 128032 (Pennhurst) PI – Invoice presented by 128032 (Pennhurst) Invoicing/Billing Questions Contact Pennhurst Medical Group Primary - Sharon Clarke (610)-524-2400 X190; email: sclarke@pennhurstgroup.com Secondary - Leslie Fishel (610)-524-2400 X140; email: lfishel@pennhurstgroup.com Their toll free number is 1-800-872-8626 ext 190 for Sharon and ext 140 for Leslie. Legend information__(Continued on Following Page)_____ WE = Weekend WD = Weekday OT/WD = Overtime Weekday OT/WE = Overtime Weekend PCP = Primary Care Physician CNA = Certified Nursing Assistant RN = Registered Nurse LPN = Licensed Practical Nurse

INFORMATION SHEET

Page 2 v1.1 2006-02-3

LOT 1 LOT 1: DIRECT CARE NURSING and ANCILLARY SUPPORT STAFFL1-R1 = Lot 1 Region 1 Agreement # 4600008714 L1-R2 = Lot 1 Region 2 L1-R3 = Lot 1 Region 3 L1-R4 = Lot 1 Region 4 L1-R5 = Lot 1 Region 5 LOT 2 LOT 2: DIRECT CARE MEDICAL STAFF INCLUDING PSYCHOLOGISTS L2-R1 = Lot 2 Region 1 Agreement # 4600008715 L2-R2 = Lot 2 Region 2 L2-R3 = Lot 2 Region 3 L2-R4 = Lot 2 Region 4 L2-R5 = Lot 2 Region 5 LOT 3 LOT 3: NON-DIRECT CARE NURSING and ANCILLARY SUPPORT STAFF L3-R1 = Lot 3 Region 1 Agreement# 4600008721 L3-R2 = Lot 3 Region 2 L3-R3 = Lot 3 Region 3 L3-R4 = Lot 3 Region 4 L3-R5 = Lot 3 Region 5 LOT 4 LOT 4: NON-DIRECT CARE MEDICAL STAFF AND QUALITY IMPROVEMENT L4-R1 = Lot 4 Region 1 Agreement # 4600008722 L4-R2 = Lot 4 Region 2 L4-R3 = Lot 4 Region 3 L4-R4 = Lot 4 Region 4 L4-R5 = Lot 4 Region 5 Jean Halbleib Commodity Specialist-Medical Services Department of General Services Bureau of Procurement 555 Walnut Street Forum Place, 6th Floor Harrisburg, PA 17101-1914 (T) 717-346-3834 (F) 717-346-3819

Contract Reference Number: 9985-43 Collective Number: CN00011254 Change Number: 08 Change Effective Date: June 29, 2006

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF GENERAL SERVICES

HARRISBURG For: ALL USING COMMONWEALTH AGENCIES Subject: Medical Services Contract Contract Period: Effective date of 11/21/05 and Expiration date of 11/20/2007 Buyer Name: XF6 Jean Halbleib 717-346-3834 Jhalbleib@state.pa.us CHANGE SUMMARY: In Accordance with the special terms and conditions of the Medical Services Contract, the following positions have been added: Prior Authorization Nurse Lot 3 Outline agreement number 4600008721, Pricing is as follows: Region 1 $$60.40 - Region 2 $60.54 - Region 3 $61.44 - Region 4 $69.21 and Region 5 $74.39 You can view the job description in SAP or the DGS website. Medical Assistant Lot 3 Outline Agreement number 4600008721. Pricing is as follows: Region 1 $25.75 - Region 2 $25.75 - Region 3 $26.75 - Region 4 $26.00 and Region 5 $29.00 You can view the job description in SAP or the DGS website. An updated contact list has also been submitted to DGS from Pennhurst and can be viewed as change #8 ALL OTHER TERMS AND CONDITIONS OF THIS AGREEMENT NOT CHANGED BY THIS CHANGE NOTICE REMAIN AS ORGINALLY WRITTEN.

Attachment 1 Adding a Job Description

1. Job Description Title: Medical Assistant

2. Minimum Qualifications:

• Licensure/Certification requirements: Possess certification or completion of a medical terminology or coding course.

• Experience required: Demonstrate an understanding of basic medical terminology, possess basic computer skills, including familiarity with Microsoft Office Programs.

3. Basic Job Duties:

• Attends, maintains and distributes file notes for Department meetings. Maintains file notes for division meetings.

• Maintains Departmental Reports ensuring timeliness by tracking completion dates.

• Monitors Quality Improvement Plan ensuring adherence. • Reviews and approves new and revised policies and procedures related to the

Quality Improvement Plan. • Monitors Provider hotline tracking call time and service outcome in a

database. Reports Provider hotline tracking to the supervisor. • Tracks the ongoing monitoring system for contracts ensuring monitoring

function is current and reports status to supervisor. • Tracks staff monitoring of ACCESS Plus Enrollee Hotline by tracking the

completion of reviews. Including monthly reports to supervisor and contractor if required. Tracks corrective action plan if necessary.

• Answers Department internal hotline calls by responding to the calls, directing callers, making referrals and maintaining a log of call outcomes in the database. Reports monthly to the supervisor.

• Completes monthly Bureau of Fee-for-Service report by compiling statistical information, data entering on the report grid and summarizing division activities/goals/outcomes/plans. Submits report to supervisor for final review.

• Supports the Healthy Beginnings Plus (HBP) program: completes HBP correspondence, credentials providers for participation, evaluates and scores applications, maintains program indicators in the system, answers calls from providers and directs callers, assists with quarterly news letters, maintains and updates providers in the database.

• Oversees PCP terminations and reassignments for ACCESS Plus by reviewing requests from PCP, approving or denying requests and tracking terminations. Reviews revisions to policies and procedures related to the process.

• Oversees quality of care complaints by reviewing issues, researching and submitting if necessary to Departments peer review committee.

• Utilizes Excel/ACCESS to create warehouse for data storage and querying

ability. • Completes the monthly ACCESS Plus Administrative Financial Invoice by

retrieving reports from the system, completing the worksheet and submitting to supervisor for review.

• Completes data entry into the authorization system for services requests and appeal adjudication.

• Completes medical record chart requests. • Files and maintains medical records. • Purges medical records for filing and records retention. • Maintains logs of cases requiring physician teleconference. • Receives and distributes Departmental faxes. • Completes report regarding cases requiring authorization that have not yet

been completed. Submits report to supervisor and distributes to staff. • Distributes cases for medical review to assigned staff. • Completes prior authorization notices regarding cases determination as

needed.

4. Supervisor: Agency

Lot 3 - Registered Nurse - Prior Authorization Nurse

Minimum Qualifications

Possess an active Pennsylvania nursing license. Possess a documented work history of five or more years of utilization review experience. Possess a comprehensive knowledge of utilization review processes. Possess experience utilizing criteria sets for review completion. Possess experience with Utilization Review performance monitoring/production standards; and Possess basic computer skills, including familiarity with Microsoft Office programs.

Role Description: Resource will provide managerial leadership and oversight to project and processes. Resource will be assigned to management workgroups and project teams. Assignments will consist of a combination of on-going process responsibilities, standing work group participation and time-limited projects related to the management and operations of all aspects of the Pennsylvania Medicaid program, including but not limited to:

• Evaluation and implementation of system enhancements for provider enrollment, provider inquiry, prior authorization and medical review;

• Evaluation of currents processes and implementation of recommended process improvements;

• Consult with senior staff to outline major operational issues and develop resolutions based on sound data analysis;

• Act as liaison between the Department of Public Welfare and external stakeholders (individuals and/or groups);

• Assist in the development of in-house training programs related to prior authorization, claims review and processing;

• Assist in determining if any changes should be made to criteria or regulations to better serve their clients;

• Provide operational input for claims processing decisions; and • Interface with Providers having billing / claims problems.

717-546-0020 IMMEDIATELY

PA Medical Staffing ContractPennhurst/Avysion Contact Directory

7-Jun-06

IF YOU ENCOUNTER ANY PROBLEMS OR DELAYS WITH YOUR STAFFINGREQUESTS, PLEASE NOTIFY LEN TOKAR, (LTOKAR@AVYSION.COM)

Note: The first point of contact for staffing requests is Sheila Cushman, Project Specialist at scushman@avysion.com. All initial staffing requests should be mailed to : pamedstaff@avysion.com.

Middletown, PA OfficeToll Free# 866-823-9536Office # 717-546-0020Fax # 717-930-0846

Name Position Ext. Mobile E-mailSheila Cushman Lead Project Specialist 16 717-679-2769 scushman@avysion.comLen Tokar Operations Manager 12 717-554-7517 ltokar@avysion.comKimberly Laughman HR Coordinator-Project Specialist 19 717-608-2946 klaughman@avysion.comDonna Snyder Project Manager 13 717-649-4465 dsnyder@avysion.comKit Gorton Medical Director N/A 717-533-8910 kitgorton@comcast.netBruce Darney Facility Roll-out Consultant N/A 717-503-2240 brucedarney@verizon.comBobbi Jo Lear Administrative Assistant 15 N/A blear@avysion.comAthar Aziz Technical Project Manager 10 717-649-5787 aaziz@avysion.com

Exton, PA OfficeToll Free # 800-872-8626Office # 610-524-2400Fax # 610-524-0953

Name Position Ext. Mobile E-mailBob Plunkett Recruiter/Back-up Project Specialist 160 N/A bp@pennhurstmedical.comGeorge Langdon Facility Roll-out Consultant N/A 609-234-0849 glangdon@pennhurstmedical.comJeff Rohrbach Executive Project Manager 180 610-513-8231 jwr@pennhurstmedical.comDonna Walsh Invoice and Billing Specialist 170 N/A dwalsh@pennhurstmedical.comSharon Clarke Invoice and Billing Manager 190 N/A sclarke@pennhurstmedical.comDr. Joseph Nowoslawski Contracts 150 610-322-7847 jfn@pennhurstgroup.comJim Hollen Asst. Recruiter 502 N/A jhollen@pennhurstgroup.com

Contract Reference Number: 9985-43 Collective Number: CN00011254

Change Number: 09 Change Effective Date: July 17, 2006

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF GENERAL SERVICES

HARRISBURG

For: ALL USING COMMONWEALTH AGENCIES Subject: Medical Services Contract Contract Period: Effective date of 11/21/05 and Expiration date of 11/20/2007 Buyer Name: XF6 Jean Halbleib 717-346-3834 Jhalbleib@state.pa.us

CHANGE SUMMARY: In Accordance with the special terms and conditions of the Medical Services Contract, Amendment #1 has been approved and is effective 7/17/2006. The following rate adjustments have been made to the selected lines of agreement # 4600008722 as part of Amendment #1

Lot Description Region 1 Region 2 Region 3 Region 4 Region 5 Line Item Number

295246 295247 295248 295249 295250

4 OLD RATE Primary Care Physician Long Term $117.60 $117.60 $117.60 $121.20 $135.60 NEW RATE $111.60 $111.60 $111.60 $115.20 $129.00

Line Item Number

295282 295283 295284 295285 295286

4 OLD RATE Psychiatrist Long Term $157.00 $147.00 $157.00 $184.00 $205.00 NEW RATE $153.00 $143.00 $153.00 $172.00 $195.00

Line Item Number

295220 295221 295222 295223 295224

4 OLD RATE Physician Specialist Long Term $139.65 $126.42 $126.00 $120.23 $138.60 NEW RATE $141.25 $131.90 $131.90 $135.23 $150.60

Amendment #1 can be viewed by clicking on “Amendment #1” under change # 9

ALL OTHER TERMS AND CONDITIONS OF THIS AGREEMENT NOT CHANGED BY THIS CHANGE NOTICE REMAIN AS ORGINALLY WRITTEN.

Contract Reference Number: 9985-43 Collective Number: CN00011254 Change Number: 10 Change Effective Date: March 8, 2007

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF GENERAL SERVICES

HARRISBURG For: ALL USING COMMONWEALTH AGENCIES Subject: Medical Services Contract Contract Period: Effective date of 11/21/05 and Expiration date of 11/20/2007 Buyer Name: XF6 Jean Halbleib 717-346-3834 Jhalbleib@state.pa.us CHANGE SUMMARY: In Accordance with the special terms and conditions of the Medical Services Contract, the following position has been added. Psychologist, Non Direct Care, Lot # 4 Region 4. You can view the job description on agreement number 4600008722. Pricing for the above position is $87.75 per hour for Region 4. Pennhurst has changed their address in SAP to: Pennhurst Medical Group PC 1 N Bacton Hill Rd Ste 105 Frazer, Pa. 19355-1302 The vendor number remains the same: 128032 Avysion, the subcontractor partnering with Pennhurst has added a DBA name for the purpose of the Medical Services contract and will be known as: Avysion Healthcare Services. Information is as follows: InfoTechSolutions Inc. 29 South Union Street, Middletown Pa, 17057-1446 is DBA Avysion Healthcare Services. (VN 196035) ALL OTHER TERMS AND CONDITIONS OF THIS AGREEMENT NOT CHANGED BY THIS CHANGE NOTICE REMAIN AS ORGINALLY WRITTEN.

Contract Reference Number: 9985-43 Collective Number: CN00011254 Change Number: 11 Change Effective Date: August 15, 2007

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF GENERAL SERVICES

HARRISBURG For: ALL USING COMMONWEALTH AGENCIES Subject: Medical Services Contract Contract Period: Effective date of 11/21/05 and Expiration date of 11/20/2007 Buyer Name: XF6 Jean Halbleib 717-346-3834 Jhalbleib@state.pa.us CHANGE SUMMARY: Pennhurst has changed their address in SAP to: Pennhurst Medical Group, Corp. 939 Radnor Road Suite C Wayne, Pennsylvania 19087 The vendor number remains the same: 128032 The contact list, information sheet and issues with contract contact sheet have been updated. ALL OTHER TERMS AND CONDITIONS OF THIS AGREEMENT NOT CHANGED BY THIS CHANGE NOTICE REMAIN AS ORGINALLY WRITTEN.

INFORMATION SHEET

Page 1 v1.2 2007-08-17

Pennhurst Medical Group is the awarded Supplier for the Medical Services Contract for all 4 lots. Their sub-contractor, Avysion will be processing all requests from Facilities for Medical Service positions. The information below is only to be used for general contact information and for creating purchase orders (what vendor number to use) and for billing questions, and in no way authorizes the positions to be utilized without adhering to Union Labor Laws and the terms and conditions of any current contract in place for your Facility. AVYSION Healthcare Services is located at 29 South Union Street, Middletown, PA 17057. The contact information for them will be as follows: Contact the Project Specialist (PS) for all questions and position requests first If no answer, then contact the Operations Manager (OM). 1) MAIN CONTACTS (Project Specialists):

Sheila Cushman (scushman@avysion.com) and Manning Smith (wmsmith@avysion.com). Staffing requests from facilities not able to utilize the Pennhurst Portal should be sent to the group mail box of pamedstaff@avysion.com

2) ALTERNATE CONTACT (Operations Manager):

Leonard Tokar (ltokar@avysion.com) Avysion Phone#: (866) 823-9536; (717) 546-0020 On all purchase orders the following vendor numbers will be used OA- Ordering Address 128032 (Pennhurst) VN- Vendor Address 128032 (Pennhurst) PI – Invoice presented by 128032 (Pennhurst) Invoicing/Billing Questions Contact Pennhurst Medical Group Primary – Donna Walsh (610)-251-2597 X140; email: dwalshl@pennhurstgroup.com Secondary – Michael Haywood (866) 823-9536; (717)-546-0020; email: mhaywood@avysion.com Legend information__(Continued on Following Page)_____ WE = Weekend WD = Weekday OT/WD = Overtime Weekday OT/WE = Overtime Weekend PCP = Primary Care Physician CNA = Certified Nursing Assistant RN = Registered Nurse LPN = Licensed Practical Nurse

INFORMATION SHEET

Page 2 v1.2 2007-08-17

LOT 1 LOT 1: DIRECT CARE NURSING and ANCILLARY SUPPORT STAFFL1-R1 = Lot 1 Region 1 Agreement # 4600008714 L1-R2 = Lot 1 Region 2 L1-R3 = Lot 1 Region 3 L1-R4 = Lot 1 Region 4 L1-R5 = Lot 1 Region 5 LOT 2 LOT 2: DIRECT CARE MEDICAL STAFF INCLUDING PSYCHOLOGISTS L2-R1 = Lot 2 Region 1 Agreement # 4600008715 L2-R2 = Lot 2 Region 2 L2-R3 = Lot 2 Region 3 L2-R4 = Lot 2 Region 4 L2-R5 = Lot 2 Region 5 LOT 3 LOT 3: NON-DIRECT CARE NURSING and ANCILLARY SUPPORT STAFF L3-R1 = Lot 3 Region 1 Agreement# 4600008721 L3-R2 = Lot 3 Region 2 L3-R3 = Lot 3 Region 3 L3-R4 = Lot 3 Region 4 L3-R5 = Lot 3 Region 5 LOT 4 LOT 4: NON-DIRECT CARE MEDICAL STAFF AND QUALITY IMPROVEMENT L4-R1 = Lot 4 Region 1 Agreement # 4600008722 L4-R2 = Lot 4 Region 2 L4-R3 = Lot 4 Region 3 L4-R4 = Lot 4 Region 4 L4-R5 = Lot 4 Region 5 Jean Halbleib Commodity Specialist-Medical Services Department of General Services Bureau of Procurement 555 Walnut Street Forum Place, 6th Floor Harrisburg, PA 17101-1914 (T) 717-346-3834 (F) 717-346-3819

Addressing Issues with Contract

Contact Information:

• Agency Representative: _________________________

• DGS Commodity Specialist: Jean Halbleib jhalbleib@state.pa.us 717-346-3834 • Pennhurst Contact: Donna Snyder dsnyder@avysion.com 717-546-0020

(Executive Project Manager) • Staffing and Recruitment Issues:

(Operations Manager) Leonard Tokar ltokar@avysion.com 717-546-0020 (Project Specialists) Sheila Cushman scushman@avysion.com

Complaints: All complaints must be submitted via the staffing portal under the “Contact Us/Formal Complaints” Tab or the following link: http://www.avysion.net/pames/FormalComplaint.aspx. Users without portal access should fax the completed complaint form to 717-930-0846.

Potential Issues Immediate Contact Follow-up Personnel:

1.Non-compliance with Administrative Policies/Procedures

2.Non-adherence to clinical practice guidelines

and standards of care

3.Avoidable adverse events and other patient safety issues

(Note: Site internal policies and procedures should be followed first, prior to contacting Pennhurst)

1.Project Specialist (PS)

2.Project Specialist (PS) or Operations Mgr. (OM)

3.Executive Project

Manager (EPM)/Quality Assurance Director/field site Supervisor

1.PS will work with agency to ensure issue resolution

2.PS/OM will work in conjunction with agency rep to

develop a training plan/monitoring plan 3.EPM will work with agency to develop appropriate

interventions

Invoicing Project Specialist (PS) Discussion for resolution Emergency Replacement Project Specialist (PS) or

Operations Manager (OM) PS/OM to work with Agency with plan

Unresolved Contract Issues • Unresponsive to calls • Website problems

DGS Commodity Specialist (DGS)

DGS to work with Agency and possibly vendor to resolve issue

DGS Statewide Contract Issues

DGS Commodity Specialist (DGS)

DGS to resolve

v1.3 2007-08-28

717-546-0020 IMMEDIATELY

PA Medical Staffing ContractPennhurst/Avysion Contact Directory

17-Aug-07

IF YOU ENCOUNTER ANY PROBLEMS OR DELAYS WITH YOUR STAFFINGREQUESTS, PLEASE NOTIFY LEN TOKAR, (LTOKAR@AVYSION.COM)

Note: The first point of contact for staffing requests is Sheila Cushman, Project Specialist at scushman@avysion.com. All initial staffing requests should be mailed to : pamedstaff@avysion.com.

Middletown, PA OfficeToll Free# 866-823-9536Office # 717-546-0020Fax # 717-930-0846

Name Position Ext. Mobile E-mailSheila Cushman Lead Project Specialist 16 717-679-2769 scushman@avysion.comLen Tokar Operations Manager 12 717-554-7517 ltokar@avysion.comJessica Brown HR Coordinator-Project Specialist 19 717-608-2946 jbrown@avysion.comDonna Snyder Project Manager 13 717-649-4465 dsnyder@avysion.comBruce Darney Facility Roll-out Consultant N/A 717-503-2240 bdarney@avysion.comBabette Lehew Administrative Assistant 15 N/A blehew@avysion.comAthar Aziz Technical Project Manager 10 717-649-5787 aaziz@avysion.com

Exton, PA OfficeToll Free # 800-872-8626Office # 610-524-2400Fax # 610-524-0953

Name Position Ext. Mobile E-mailBob Plunkett Recruiter/Back-up Project Specialist 160 N/A bp@pennhurstmedical.comDonna Walsh Invoice and Billing Specialist 170 N/A dwalsh@pennhurstmedical.comSharon Clarke Invoice and Billing Manager 190 N/A sclarke@pennhurstmedical.com

Contract Reference Number: 9985-43 Collective Number: CN00011254 SAP Contract Numbers: 4600008714, 4600008715, 4600008721, 4600008722 Change Number: 12 Change Effective Date: 11/21/2007

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF GENERAL SERVICES

HARRISBURG For: ALL USING COMMONWEALTH AGENCIES Subject: Pennhurst Medical Group, Corp. Contract Period: Effective date of November 21, 2005 and Termination date of November 20,

2007(Renewed through November 20, 2008) Buyer Name: XF6/Jean Halbleib 717-346-3834 CHANGE SUMMARY: In accordance with the option to renew clause and by mutual consent of the awarded Contractor the Commonwealth has hereby renewed the above named contract for the first of (3) one year renewal options effective November 21, 2007 through November 20, 2008 Contact Person: Donna Snyder Phone 717-546-0020 Dsnyder@avysion.com ALL OTHER TERMS AND CONDITIONS OF THIS AGREEMENT WHICH ARE NOT CHANGED BY THIS AMENDMENT REMAIN IN FULL FORCE AND EFFECT.

Contract Reference Number: 9985-43 Collective Number: CN000011254 SRM Contract Number: None SAP contract # 4600008714, 4600008715 4600008721, 4600008722 Change Number: 13 Change Effective Date: 12/01/2007

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF GENERAL SERVICES

HARRISBURG For: ALL USING COMMONWEALTH AGENCIES Subject: Pennhurst Medical Group, Corp. Contract Period: Effective date of November 21, 2005 and Termination date of November 20,

2007(Renewed through November 20, 2008) Buyer Name: XF6/Jean Halbleib 717-346-3834 CHANGE SUMMARY: The highly specialized list has been updated. Please review change #13 attachment listing the updated positions labeled as Highly Specialized. Agencies requesting highly specialized positions will need to be aware of the timeframes in accordance with the contract special terms and conditions under “Highly Specialized”. Pennhurst shall submit plans for highly specialized to the Agencies with a copy to the DGS Contracting Officer. Summary of all HS positions(newly added are in red): Lot 1 Nurse, Executive: Region 1-2-3-4-5 Nurse Practitioner,Gyn: Region 1-2-3-4-5 Licensed Physical Therapist 1: Region 1-2-3-4-5 Licensed Physical Therapist 2: Region 1-2-3-4-5 Lot 2 Chief Medical Officer: Region 1-2-3-4-5 Chief of Psychiatry: Region 1-2-3-4-5 Dentist: Region 2 and 3 only Medical Director: Region 2 and 3 only Neurology: Region 2 and 3 only Psychologist: Region 2 and 3 only

Lot 3 None Lot 4 Dentist, Academic: Region 1-2-3-4-5 Orthodontist, Academic: Region 1-2-3-4-5 Primary Care Physician, Academic: Region 1-2-3 only Psychiatrist, Academic: Region 1-2-3 only Surgeon, Academic: Region 1-2-3-4-5 Physician, Specialty, Academic: Region 1-2-3 only Physician, Specialty, Long Term: Region 4 only Quality Improvement Manager: Region 1-2-3 only ALL OTHER TERMS AND CONDITIONS OF THIS AGREEMENT WHICH ARE NOT CHANGED BY THIS AMENDMENT REMAIN IN FULL FORCE AND EFFECT.

Pennhurst HS list 2007

Lot 1: Direct Care Nursing and Ancillary Support Staff

Job Title Job CodeREGION 1

Bill Rate ($) per hour

REGION 2 Bill Rate ($)

per hour

REGION 3 Bill Rate ($)

per hour

REGION 4 Bill Rate ($)

per hour

REGION 5Bill Rate ($)

per hourRegistered Nurse

Weekday1st Shift2nd Shift3rd Shift

Weekday - Overtime1st Shift2nd Shift3rd Shift

Weekend1st Shift2nd Shift3rd Shift

Weekend - Overtime1st Shift2nd Shift3rd Shift

Holiday1st Shift2nd Shift3rd Shift

License Practical NurseWeekday

1st Shift2nd Shift3rd Shift

Weekday - Overtime1st Shift2nd Shift3rd Shift

Weekend1st Shift2nd Shift3rd Shift

Weekend - Overtime1st Shift2nd Shift3rd Shift

Holiday1st Shift2nd Shift3rd Shift

Certified Nursing AssistantWeekday

1st Shift2nd Shift3rd Shift

Weekday - Overtime1st Shift2nd Shift3rd Shift

Weekend1st Shift2nd Shift3rd Shift

Weekend - Overtime1st Shift2nd Shift3rd Shift

Holiday1st Shift2nd Shift3rd Shift

Certified Registered Nurse PractitionerNurse - Executive hs hs hs hs hsNurse Practitioner - Gynecology hs hs hs hs hsLicensed Occupational Therapist 1Licensed Occupational Therapist 2PharmacistPharmacist TechnicianPhysical Therapy AideLicensed Physical Therapist 1 hs hs hs hs hsLicensed Physical Therapist 2 hs hs hs hs hsSpeech TherapyDental HygienistDental Assistant

LOT 1: Direct Care Nursing and Ancillary Support Staff

1

Pennhurst HS list 2007

For estimating demand by Job Title please refer to Attachment J Estimated Future Volume

Lot 2: Direct Care Medical Staff including Psychologists

Job TitleREGION 1

Bill Rate ($) per hour

REGION 2 Bill Rate ($)

per hour

REGION 3 Bill Rate ($)

per hour

REGION 4 Bill Rate ($)

per hour

REGION 5Bill Rate ($)

per hourChief Medical Officer hs hs hs hs hsChief of Psychiatry hs hs hs hs hsDentist hs hs Primary Care Physician

Regular On-call

Locum TenenMedical Director

Regular hs hsOn-call

Neurology hs hsPsychiatrist

Regular On-call

Locum TenenPsychologist hs hsPhysician SupervisoryPodiatrist

LOT 2: Direct Care Medical Staff including Psychologists

2

Pennhurst HS list 2007

For estimating demand by Job Title please refer to Attachment J Estimated Future Volume

Job TitleREGION 1

Bill Rate ($) per hour

REGION 2 Bill Rate ($)

per hour

REGION 3 Bill Rate ($)

per hour

REGION 4 Bill Rate ($)

per hour

REGION 5Bill Rate ($)

per hourAdministrative AssistantCertified Medical CoderFiscal AssistantFinancial RepresentativePharmacistPharmacist DirectorProvider RelationsRegistered Nurse

Registered Nurse - Case Manager NurseRegistered Nurse - Prior Authorization Nurse Registered Nurse - Claims Review Management Social WorkerMedical Records AssistantMedical Records TechnicianMedical Records DirectorPharmacy TechnicianMedical Assistant

Lot 3: Non-Direct Care - Nursing and Ancillary Staff

LOT 3: Non-Direct Care Nursing and Ancillary Support Staff

3

Pennhurst HS list 2007

For estimating demand by Job Title please refer to Attachment J Estimated Future Volume

Job TitleREGION 1

Bill Rate ($) per hour

REGION 2 Bill Rate ($)

per hour

REGION 3 Bill Rate ($)

per hour

REGION 4 Bill Rate ($)

per hour

REGION 5Bill Rate ($)

per hourDentist

Academic hs hs hs hs hsLong-term/Project

OrthodontistAcademic hs hs hs hs hsLong-term/Project

Primary Care PhysicianAcademic hs hs hsLong-term/Project

PsychiatristAcademic hs hs hsLong-term/Project

SurgeonAcademic hs hs hs hs hsLong-term/Project

Physician-SpecialtyAcademic hs hs hsLong-term/Project HS

Quality Improvement CoordinatorQuality Improvement Information SpecialistQuality Improvement Manager hs hs hs

Lot 4: Non-Direct Care Medical Staff and QI

LOT 4: Non-Direct Care Medical Staff including Quality Improvement

4

Contract Reference Number: 9985-43 Collective Number: CN000011254 SRM Contract Number: 4400001795 SAP contract # 4600008714, 4600008715 4600008721, 4600008722 Change Number: 14 Change Effective Date: 02/08/2008

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF GENERAL SERVICES

HARRISBURG For: ALL USING COMMONWEALTH AGENCIES Subject: Pennhurst Medical Group, Corp. Contract Period: Effective date of November 21, 2005 and Termination date of November 20,

2007(Renewed through November 20, 2008) Buyer Name: XF6/Jean Halbleib 717-346-3834 CHANGE SUMMARY: NEW CONTRACT#: 4400001795. (All new PO’s must be created from this contract) Amendment #2: was recently approved and is effective from February 8, 2008 through November 20, 2008. Amendment #2 includes rate increases; special terms and conditions revised language, additions of service level agreements (SLA’s) and the addition of three (3) tiers of RN on Lot 3. As a result of these new rates the SAP contracts 4600008714, 4600008715, 4600008721 and 4600008722 are being replaced by SRM contract 4400001795. March 1, 2008 is the deadline to have new PO’s in place. SAP P.O’s that were created from contracts 4600008714/4600008715/4600008721 or 4600008722 need to be changed to include hours only until the new PO is approved and in place. Please take in consideration that G.R’s will have to keep being input for processing of the invoices.

• You may begin creating new purchase orders with a valid date to begin February 8, 2008. The timeframes to process the PO’s, taking into consideration that some facilities may or may not begin with shopping carts will vary, however, the timeframe allowed should be sufficient for the approval process. Any purchase orders not created and approved before the March 1 deadline, the Agency will be responsible to pay the supplier at the new rate.

The previous SAP Pennhurst contracts shall not be utilized effective February 8, 2008 However, invoices and goods receipts will be able to be processed for services rendered until the date of the new PO or March 1, whichever is sooner. You will be able to view the new Pennhurst SRM contract (4400001795) on the DGS website once it is posted February 8, 2008 ALL OTHER TERMS AND CONDITIONS OF THIS AGREEMENT WHICH ARE NOT CHANGED BY THIS AMENDMENT REMAIN IN FULL FORCE AND EFFECT.

All using Agencies of the Commonwealth, Participating Political

Subdivision, Authorities, Private Colleges and Universities

FULLY EXECUTEDContract Number: 4400001795

Contract Effective Date: 01/24/2008 Valid From: 02/08/2008 To: 11/20/2008

Page 1 of 2

Your SAP Vendor Number with us: 128032

Supplier Name/Address: PENNHURST MEDICAL GROUP CORP 939 Radnor Rd Wayne PA 19087 US

Supplier Phone Number: 717-546-0025

Supplier Fax Number: 717-930-0846

Please Deliver To:

To be determined at the time of the Purchase Order unless specified below.

Purchasing AgentName: Halbleib Jean

Phone: 717-346-3834

Fax: 717 346-3820

Payment Terms NET 30

Solicitation No.: Issuance Date:

Supplier Bid or Proposal No. (if applicable): Solicitation Submission Date:

Contract Name: 15 Pennhurst Medical Services Contract

Information:

Item Material/ServiceDesc

Qty UOM Price PerUnit

Total

1 Nurse 0.000 0.00 1 0.00

------------------------------- ------------------------------- ----------------------------------------- ------------------------------- ------------------

2 Occupational Therapist 1 & 2 0.000 0.00 1 0.00

------------------------------- ------------------------------- ----------------------------------------- ------------------------------- ------------------

3 Physical Therapy 1 & 2 and Aide 0.000 0.00 1 0.00

------------------------------- ------------------------------- ----------------------------------------- ------------------------------- ------------------

4 Pharmacist and Pharmacist Aide 0.000 0.00 1 0.00

------------------------------- ------------------------------- ----------------------------------------- ------------------------------- ------------------

5 Speech Therapy 0.000 0.00 1 0.00

------------------------------- ------------------------------- ----------------------------------------- ------------------------------- ------------------

6 Dental Hygienist 0.000 0.00 1 0.00

------------------------------- ------------------------------- ----------------------------------------- ------------------------------- ------------------

This contract is comprised of: The above referenced Solicitation, the Supplier's Bid or Proposal, and any documentsattached to this Contract or incorporated by reference.

Supplier's Signature _________________________________

Printed Name _________________________________

Title ____________________________________

Date _____________________

Integrated Environment Systems Form Name: ZM_SFRM_STD_MMCOSRM_L, Version 1.0, Created on 06/27/2006, Last changed on 03/29/2005.

FULLY EXECUTEDContract Number: 4400001795

Contract Effective Date: 01/24/2008 Valid From: 02/08/2008 To: 11/20/2008

Supplier Name:PENNHURST MEDICAL GROUP CORP

Page 2 of 2

Information:

Item Material/ServiceDesc

Qty UOM Price PerUnit

Total

7 Dental Assistant 0.000 0.00 1 0.00

------------------------------- ------------------------------- ----------------------------------------- ------------------------------- ------------------

8 Medical Doctors Specialty 0.000 0.00 1 0.00

------------------------------- ------------------------------- ----------------------------------------- ------------------------------- ------------------

9 Psychiatrists Services 0.000 0.00 1 0.00

------------------------------- ------------------------------- ----------------------------------------- ------------------------------- ------------------

10 Dentist Services 0.000 0.00 1 0.00

------------------------------- ------------------------------- ----------------------------------------- ------------------------------- ------------------

11 Primary Care Physician 0.000 0.00 1 0.00

------------------------------- ------------------------------- ----------------------------------------- ------------------------------- ------------------

12 Neurologist 0.000 0.00 1 0.00

------------------------------- ------------------------------- ----------------------------------------- ------------------------------- ------------------

13 Psychologist Services 0.000 0.00 1 0.00

------------------------------- ------------------------------- ----------------------------------------- ------------------------------- ------------------

14 Podiatrist Services 0.000 0.00 1 0.00

------------------------------- ------------------------------- ----------------------------------------- ------------------------------- ------------------

15 Administrator Services 0.000 0.00 1 0.00

------------------------------- ------------------------------- ----------------------------------------- ------------------------------- ------------------

16 Social Worker 0.000 0.00 1 0.00

------------------------------- ------------------------------- ----------------------------------------- ------------------------------- ------------------

17 Orthodontist Services 0.000 0.00 1 0.00

------------------------------- ------------------------------- ----------------------------------------- ------------------------------- ------------------

18 Travel, Food and Lodging 0.000 0.00 1 0.00

------------------------------- ------------------------------- ----------------------------------------- ------------------------------- ------------------

General Requirements for all Items:

No further information for this Contract

Integrated Environment Systems Form Name: ZM_SFRM_STD_MMCOSRM_L, Version 1.0, Created on 06/27/2006, Last changed on 03/29/2005.

ATTACHMENT A TO AMENDMENT NO. 2

Performance Metric Supplier Goal Performance Target Description Calculation Frequency of Review

Resume Posting Response Time for Accepted Normal Medical

Staffing Position 15 business days 92%

Measures the average time for the supplier to electronically post three (3) or more resumes for a normal medical

staffing position via the portal or via fax or email for users with no internet

access.

The difference of the total number of SR’s greater

than 15 business days and the total number of staffing requests received divided

by the total SR’s.

Quarterly

Submission of Response Plan for Highly Specialized Personnel 5 business days 92%

Measures the average time for the supplier to submit a response plan to

the end user agency and DGS.

The difference of the total number of plans greater

than 5 business days and the total number of

response plans received divided by the total

response plans required.

Quarterly

Submission of Response Plan for Highly Specialized Personnel if

original Response Plan is Disapproved

2 business days 92%

Measures the average time for the supplier to submit an additional

response plan if the original response plan is disapproved.

The difference of the total number of plans greater

than 2 business days and the total number of

additional response plans received divided by the

total number of additional response plans required

Quarterly

Submission of Response Plan for an Urgent or Stat request 3 business days 90%

Measures the average time for the supplier to submit a response plan to

the end user agency and DGS.

The difference of the total number of plans greater

than 3 business days and the total number of

response plans received divided by the total number of response plans required

Quarterly

ATTACHMENT A TO AMENDMENT NO. 2

Response time in which supplier electronically posted or, if

applicable, transmitted by fax, an additional three (3) or more

resumes for the End User Agency. This is after receipt of written notice

or the End User’s written clarification indicating that none of

the medical staffing resource resumes supplied by the supplier in response to the initial Request for

Resource satisfy the Minimum Qualifications.

5 business days 92%

Measures the average response time in which supplier electronically posted or, if applicable, transmitted by fax an additional three (3) or more resumes

for the End User Agency

The difference of the total number of second round requests greater than 5

business days and the total number of staffing requests

received for a second round of resumes divided

by the total number of staffing requests received

for a second round of resumes

Quarterly

Attrition rate N/A 15%

Measures resource turnover due to unplanned situations which are not caused by CWOPA, not including inadequate performance, death,

serious illness, etc. Does not include performance removal data.

Number of unplanned turnovers/total number of

resources working on contract. Reasons must be

included in the report.

Quarterly

Performance Removal N/A 10% Measures resource turnover due to inadequate resource performance. Does not include attrition rate data.

Number of turnovers /total number of resources

Quarterly

Staffing Request acceptance (in portal or by fax/email) 1 business day 99% Measure acceptance of staffing

requests submitted by Agencies.

The number of SR’s accepted within 1 business

day divided by the total number of staffing requests

received

Quarterly

Attachment B to Amendment 2-Pennhurst Contract

• Tier 1: Office of Long Term Living • Tier 2: Bureau of Program Integrity and Bureau of Fee For Service • Tier 3: Bureau of Program Integrity – extensive travel nurses only

OFFICE MEDICAL ASSISTANCE PROGRAMS (OMAP)

MINIMUM EXPERIENCE AND TRAINING FOR REGISTERED NURSES

OFFICE OF LONG TERM LIVING (OLTL) ROLE DESCRIPTION: This is work in the review and evaluation of the medical necessity, appropriateness, quality, quantity, adequacy, and compensability of medical care and services rendered by service providers under the Medical Assistance Program. A resource is responsible for the review and evaluation of medical information and examination of medical records and other documentation to assure that eligible medical assistance recipients receive appropriate and quality medical care that the Medical Assistance Program is properly billed, and that provider and/or recipient fraud and abuse of the Medical Assistance Program is detected and corrected. Work involves the analysis and evaluation of documentation submitted by Medical Assistance Program service providers and generated through PROMISe™ in order to make professional medical judgments regarding the appropriate care and services provided to eligible recipients under the Medical Assistance Program. Reviews may be conducted in central office with the Medical Assistance Program service provider furnishing the necessary medical records, on site at the facility, or information may be provided over the telephone for any service that may require prior authorization. Work may include serving as a team leader on reviews requiring more than one staff member organizing and coordinating the review process. Resources also provide advisory and consultative services to boards and staff designed to improve the services or administrative procedures in support of medical assistance patients. Work may also involve the resource representing the Department in an official capacity during an appeal process. Judgment and discretion are required in conferring with advisory boards, facility officials, providers, and staffs. Work is performed under the supervision of an administrative superior and is reviewed through conferences and reports. REQUIRED KNOWLEDGE AND SKILLS

Attachment B to Amendment 2-Pennhurst Contract

• Proficient writing and familiarity with computer skills including the use of

Microsoft Office Products. • Three years of professional experience with medical assistance (MA), health

care services, or human services; or • An equivalent combination of experience and training in the field of medical

assistance (MA), health care services, human services, long term care, utilization review, or knowledge of home care.

• Possession of a current license to practice as a Registered Nurse issued by

the Pennsylvania State Board of Nursing; or • Possession of a non-renewable temporary practice permit issued by the

Pennsylvania State Board of Nursing. Resources possessing non-renewable temporary practice permits must obtain licensure as a Registered Nurse within the one year period as defined by the Pennsylvania State Board of Nursing.

ESSENTIAL JOB FUNCTIONS* 1. Ability to prepare correspondence and reports. 2. Ability to comprehend/apply regulations, policies and standards. 3. Ability to maintain effective working relationships. 4. Ability to carry out instructions and complete assignments. 5. Ability to conduct field work (includes overnight stays). 6. Ability to travel, in order to attend training and meetings as needed, across

the State. 7. Ability to communicate effectively (verbally and in writing) with coworkers,

management, other agencies, and nursing facility staff. 8. Ability to physically traverse stairs; lift laptop, printer and related equipment;

walk long distances.

Attachment B to Amendment 2-Pennhurst Contract

____________ *Essential Job Function: A necessary and fundamental job duty associated with the position. BUREAU OF PROGRAM INTEGRITY (BPI) (INPATIENT BEHAVIORAL HEALTH) ROLE DESCRIPTION: This is work in the review and evaluation of the medical necessity, appropriateness, quality, quantity, adequacy, and compensability of medical care and services rendered by service providers under the Medical Assistance Program. A resource is responsible for the review and evaluation of medical information and examination of medical records and other documentation to assure that eligible medical assistance recipients receive appropriate and quality medical care that the Medical Assistance Program is properly billed, and that provider and/or recipient fraud and abuse of the Medical Assistance Program is detected and corrected. Work involves the analysis and evaluation of documentation submitted by Medical Assistance Program service providers and generated through PROMISe™ in order to make professional medical judgments regarding the appropriate care and services provided to eligible recipients under the Medical Assistance Program. Reviews may be conducted in central office with the Medical Assistance Program service provider furnishing the necessary medical records, on site at the facility, or information may be provided over the telephone for hospital services requiring pre/post admission certification and for any service that may require prior authorization. Work may include serving as a team leader on reviews requiring more than one staff member organizing and coordinating the review process. Resources also provide advisory and consultative services to boards and staff designed to improve the services or administrative procedures in support of medical assistance patients. Work may also involve the resource representing the Department in an official capacity during an appeal process. Judgment and discretion are required in conferring with advisory boards, facility officials, providers, and staffs. Work is performed under the supervision of an administrative superior and is reviewed through conferences and reports. REQUIRED KNOWLEDGE AND SKILLS • Proficient writing and basic computer skills, including the use of Microsoft

Office Products • Possession of a current license to practice as a Registered Nurse issued by

the Pennsylvania State Board of Nursing; or possession of a non-renewable temporary practice permit issued by the Pennsylvania State Board of Nursing.

Attachment B to Amendment 2-Pennhurst Contract

Resources possessing non-renewable temporary practice permits must obtain licensure as a Registered Nurse within the one (1) year period as defined by the Pennsylvania State Board of Nursing.

• Possess a minimum of two years Behavioral Health (BH) experience (within

the last five years) with emphasis on psychiatric care, drug and alcohol treatment; treatment of teens and/or adolescents (e.g. school nurse).

• Ability to assess and avoid escalated situations when interviewing mental

health recipients and/or touring the facility.

• Ability to use professional judgment in determining the appropriate action to be taken in response to reportable incidents and referrals from other Bureaus and Program offices.

ESSENTIAL JOB FUNCTIONS* 1. Ability to review/evaluate providers for MA compliance. 2. Ability to prepare correspondence and reports. 3. Ability to testify at administrative hearings and/or trials. 4. Ability to comprehend/apply regulations, policies and standards. 5. Ability to maintain effective working relationships. 6. Ability to carry out instructions and complete assignments. 7. Ability to conduct field work (includes overnight stays). 8. Ability to develop charges related to reviews. 9. Ability to attend training and meetings. 10. Ability to travel, spontaneously, overnight both in and out of state. 11. Ability to communicate effectively (verbally and in writing) with providers,

recipients, other bureaus with the Office of Medical Assistance Programs (OMAP and other program offices within the Department of Public Welfare.

12. Ability to physically traverse stairs; lift laptop, printer and related equipment; walk long distances.

Attachment B to Amendment 2-Pennhurst Contract

____________ *Essential Job Function: A necessary and fundamental job duty associated with the position. BUREAU OF PROGRAM INTEGRITY (BPI) (PHYSICAL HEALTH—INPATIENT AND OUTPATIENT) ROLE DESCRIPTION (Contract): This is work in the review and evaluation of the medical necessity, appropriateness, quality, quantity, adequacy, and compensability of medical care and services rendered by service providers under the Medical Assistance Program. A resource is responsible for the review and evaluation of medical information and examination of medical records and other documentation to assure that eligible medical assistance recipients receive appropriate and quality medical care that the Medical Assistance Program is properly billed, and that provider and/or recipient fraud and abuse of the Medical Assistance Program is detected and corrected. Work involves the analysis and evaluation of documentation submitted by Medical Assistance Program service providers and generated through PROMISe™ in order to make professional medical judgments regarding the appropriate care and services provided to eligible recipients under the Medical Assistance Program. Reviews may be conducted in central office with the Medical Assistance Program service provider furnishing the necessary medical records, on site at the facility, or information may be provided over the telephone for hospital services requiring pre/post admission certification and for any service that may require prior authorization. Work may include serving as a team leader on reviews requiring more than one staff member organizing and coordinating the review process. Resources also provide advisory and consultative services to boards and staff designed to improve the services or administrative procedures in support of medical assistance patients. Work may also involve the resource representing the Department in an official capacity during an appeal process. Judgment and discretion are required in conferring with advisory boards, facility officials, providers, and staffs. Work is performed under the supervision of an administrative superior and is reviewed through conferences and reports. REQUIRED KNOWLEDGE AND SKILLs • Proficient writing and basic computer skills, including the use of Microsoft

Office Products • Possession of a current license to practice as a Registered Nurse issued by

the Pennsylvania State Board of Nursing; or possession of a non-renewable temporary practice permit issued by the Pennsylvania State Board of Nursing. Resources possessing non-renewable temporary practice permits must obtain licensure as a Registered Nurse within the one (1) year period as defined by the Pennsylvania State Board of Nursing.

Attachment B to Amendment 2-Pennhurst Contract

• Minimum of three years of acute care in-patient or related clinical experience

within the last five years.

Or: • Minimum of three years of Quality Management/Utilization Review

experience. • Knowledge of and familiarity with ICD-9-CM (Inpatient Clinical Diagnosis)

preferred. • Knowledge of and familiarity with CPT (Current Procedure Terminology)

preferred. ESSENTIAL JOB FUNCTIONS 1. Ability to prepare correspondence and reports. 2. Ability to testify at legal proceedings. 3. Communicate effectively with Providers, Office of Inspector General, Office of

Attorney General, Administrative Law Judges and Office of General Counsels.

4. Ability to comprehend and apply rules and regulations. 5. Ability to establish/maintain effective work relationships. 6. Ability to operate various office equipment. 7. Ability to complete assignments per established procedures. 8. Ability to maintain discretion and confidentiality. 9. Ability to travel and attend training and meetings. 10. Ability to physically move materials. 11. Ability to review Fraud and Abuse detection system claims data and identify

aberrant patterns and generate Excel reports.

Attachment B to Amendment 2-Pennhurst Contract

____________ *Essential Job Function: A necessary and fundamental job duty associated with the position. BUREAU OF FEE FOR SERVICE PROGRAMS (BFFSP) ROLE DESCRIPTION: This is work in the review and evaluation of the medical necessity, appropriateness, quality, quantity, adequacy, and compensability of medical care and services rendered by service providers under the Medical Assistance Program. A resource is responsible for the review and evaluation of medical information and examination of medical records and other documentation to assure that eligible medical assistance recipients receive appropriate and quality medical care that the Medical Assistance Program is properly billed, and that provider and/or recipient fraud and abuse of the Medical Assistance Program is detected and corrected. Work involves the analysis and evaluation of documentation submitted by Medical Assistance Program service providers and generated through PROMISe™ in order to make professional medical judgments regarding the appropriate care and services provided to eligible recipients under the Medical Assistance Program. Reviews may be conducted in central office with the Medical Assistance Program service provider furnishing the necessary medical records, on site at the facility, or information may be provided over the telephone for hospital services requiring pre/post admission certification and for any service that may require prior authorization. Work may include serving as a team leader on reviews requiring more than one staff member organizing and coordinating the review process. Resources also provide advisory and consultative services to boards and staff designed to improve the services or administrative procedures in support of medical assistance patients. Work may also involve the resource representing the Department in an official capacity during an appeal process. Judgment and discretion are required in conferring with advisory boards, facility officials, providers, and staffs. Work is performed under the supervision of an administrative superior and is reviewed through conferences and reports. REQUIRED KNOWLEDGE AND SKILLS • Minimum of three years of RN experience in an acute care setting; or

Attachment B to Amendment 2-Pennhurst Contract

• Minimum of three years utilization management experience (Insurance, Managed Care Organization, Hospital preferred) within the last 5 years.

• Proficient writing and familiarity with computer skills including the use of

Microsoft Office Products. • Possession of a current license to practice as a Registered Nurse issued by

the Pennsylvania State Board of Nursing; or possession of a non-renewable temporary practice permit issued by the Pennsylvania State Board of Nursing. Resources possessing non-renewable temporary practice permits must obtain licensure as a Registered Nurse within the one (1) year period as defined by the Pennsylvania State Board of Nursing.

• Knowledge of Inter-qualification criteria preferred. ESSENTIAL JOB FUNCTIONS* 1. Ability to review hospital admissions to determine medical necessity. 2. Ability to certify requests and/or refers to a medical doctor. 3. Ability to reviews admissions for appropriate Place of Service (POS). 4. Ability to approve and/or deny requests in accordance with applicable State

and Federal Regulations. 5. Ability to consult with physicians to discuss cases, as is necessary. 6. Ability to review outlier requests for medical necessity. 7. Ability to interpret Medical Assistance (MA) policy and regulations. 8. Ability to review benefit limit exception requests for medical necessity 9. Ability to sit for long periods of time. 10. Ability to perform telephonic and/or onsite reviews. 11. Ability to enter essential data into the computer. 12. Ability to generate notification letters as needed. 12. Ability to accurately defend Department decisions. 13. Ability to enter essential data into the computer. 14. Ability to generate notification letters as needed. 15. Ability to travel to facilities across the State in order to conduct onsite

concurrent reviews.

Attachment B to Amendment 2-Pennhurst Contract

____________ *Essential Job Function: A necessary and fundamental job duty associated with the position.

Lot Description 1 Description 2 Shift Region 1 New Hrly Rate

1 Registered Nurse Weekday RN 7-3:30 45.65$ 1 Registered Nurse Weekday RN 3-11:30 45.65$ 1 Registered Nurse Weekday RN 11-7:30 45.65$ 1 Registered Nurse Overtime Weekday RN 7-3 61.63$ 1 Registered Nurse Overtime Weekday RN 3-11 61.63$ 1 Registered Nurse Overtime Weekday RN 11-7 61.63$ 1 Registered Nurse Weekend RN 7-3:30 46.69$ 1 Registered Nurse Weekend RN 3-11:30 46.69$ 1 Registered Nurse Weekend RN 11-7:30 46.69$ 1 Registered Nurse Weekend - Overtime 1st Shift 65.36$ 1 Registered Nurse Weekend - Overtime 2nd Shift 65.36$ 1 Registered Nurse Weekend - Overtime 3rd Shift 65.36$ 1 Registered Nurse Holiday RN 7-3:30 68.48$ 1 Registered Nurse Holiday RN 3-11:30 68.48$ 1 Registered Nurse Holiday RN 11-7:30 68.48$ 1 Registered Nurse Weekday LPN 7-3:30 36.31$ 1 Registered Nurse Weekday LPN 3-11:30 36.31$ 1 Registered Nurse Weekday LPN11-7:30 36.31$ 1 Registered Nurse Overtime Weekday LPN 7-3 49.02$ 1 Registered Nurse Overtime Weekday 2nd Shift 49.02$ 1 Registered Nurse Overtime Weekday 3rd Shift 49.02$ 1 Registered Nurse Weekend LPN 7-3:30 37.35$ 1 Registered Nurse Weekend LPN 3-11:30 37.35$ 1 Registered Nurse Weekend LPN 11-7:30 37.35$ 1 Registered Nurse Overtime Weekend LPN 7-3 52.29$ 1 Registered Nurse Overtime Weekend LPN 3-11 52.29$ 1 Registered Nurse Overtime Weekend LPN 11-7 52.29$ 1 Registered Nurse Holiday LPN 7-3:30 54.47$ 1 Registered Nurse Holiday LPN 3-11:30 54.47$ 1 Registered Nurse Holiday LPN 11-7:30 54.47$ 1 Registered Nurse Weekday CNA 7-3:30 18.68$ 1 Registered Nurse Weekday CNA 3-11:30 18.68$ 1 Registered Nurse Weekday CNA11-7:30 18.68$ 1 Registered Nurse Overtime Weekday CNA 7-3 25.21$ 1 Registered Nurse Overtime Weekday CNA 3-11 25.21$ 1 Registered Nurse Overtime Weekday CNA 11-7 25.21$ 1 Registered Nurse Weekend CNA 7-3:30 20.75$ 1 Registered Nurse Weekend CNA 3-11:30 20.75$ 1 Registered Nurse Weekend CNA 11-7:30 20.75$ 1 Registered Nurse Overtime Weekend CNA 7-3 29.05$ 1 Registered Nurse Overtime Weekend CNA 3-11 29.05$ 1 Registered Nurse Overtime Weekend CNA 11-7 29.05$ 1 Registered Nurse Holiday CNA 7-3:30 28.01$ 1 Registered Nurse Holiday CNA 3-11:30 28.01$ 1 Registered Nurse Holiday CNA 11-7:30 28.01$ 1 Nurse - Executive 48.66$ 1 Licensed Occupational Therapist 1 49.49$ 1 Licensed Occupational Therapist 2 51.56$ 1 Pharmacist 55.92$ 1 Pharmacist Technician 25.73$ 1 Physical Therapist Aide 35.79$ 1 Licensed Physical Therapist 1 54.15$ 1 Licensed Physical Therapist 2 55.23$ 1 Speech Therapy 53.22$ 1 Dental Hygienist 34.86$ 1 Dental Assistant 22.00$

LOT 1 -- Direct Care Nursing and Ancillary Support Staff

1

Description 1 Description 2 Shift

Registered Nurse Weekday RN 7-3:30Registered Nurse Weekday RN 3-11:30Registered Nurse Weekday RN 11-7:30Registered Nurse Overtime Weekday RN 7-3 Registered Nurse Overtime Weekday RN 3-11 Registered Nurse Overtime Weekday RN 11-7Registered Nurse Weekend RN 7-3:30 Registered Nurse Weekend RN 3-11:30Registered Nurse Weekend RN 11-7:30Registered Nurse Weekend - Overtime 1st ShiftRegistered Nurse Weekend - Overtime 2nd ShiftRegistered Nurse Weekend - Overtime 3rd ShiftRegistered Nurse Holiday RN 7-3:30 Registered Nurse Holiday RN 3-11:30 Registered Nurse Holiday RN 11-7:30 Registered Nurse Weekday LPN 7-3:30Registered Nurse Weekday LPN 3-11:30Registered Nurse Weekday LPN11-7:30Registered Nurse Overtime Weekday LPN 7-3 Registered Nurse Overtime Weekday 2nd ShiftRegistered Nurse Overtime Weekday 3rd ShiftRegistered Nurse Weekend LPN 7-3:30 Registered Nurse Weekend LPN 3-11:30Registered Nurse Weekend LPN 11-7:30Registered Nurse Overtime Weekend LPN 7-3 Registered Nurse Overtime Weekend LPN 3-11 Registered Nurse Overtime Weekend LPN 11-7Registered Nurse Holiday LPN 7-3:30 Registered Nurse Holiday LPN 3-11:30 Registered Nurse Holiday LPN 11-7:30 Registered Nurse Weekday CNA 7-3:30Registered Nurse Weekday CNA 3-11:30Registered Nurse Weekday CNA11-7:30Registered Nurse Overtime Weekday CNA 7-3 Registered Nurse Overtime Weekday CNA 3-11 Registered Nurse Overtime Weekday CNA 11-7Registered Nurse Weekend CNA 7-3:30 Registered Nurse Weekend CNA 3-11:30Registered Nurse Weekend CNA 11-7:30Registered Nurse Overtime Weekend CNA 7-3 Registered Nurse Overtime Weekend CNA 3-11 Registered Nurse Overtime Weekend CNA 11-7Registered Nurse Holiday CNA 7-3:30 Registered Nurse Holiday CNA 3-11:30 Registered Nurse Holiday CNA 11-7:30 Nurse - ExecutiveLicensed Occupational Therapist 1Licensed Occupational Therapist 2PharmacistPharmacist TechnicianPhysical Therapist AideLicensed Physical Therapist 1Licensed Physical Therapist 2Speech TherapyDental HygienistDental Assistant

LOT 1 -- Direct Care Nursing and Ancillary Support Staff

Region 2 New Hrly Rate

45.65$ 45.65$ 45.65$ 61.63$ 61.63$ 61.63$ 46.69$ 46.69$ 46.69$ 65.36$ 65.36$ 65.36$ 68.48$ 68.48$ 68.48$ 36.31$ 36.31$ 36.31$ 49.02$ 49.02$ 49.02$ 37.35$ 37.35$ 37.35$ 52.29$ 52.29$ 52.29$ 54.47$ 54.47$ 54.47$ 18.68$ 18.68$ 18.68$ 25.21$ 25.21$ 25.21$ 20.75$ 20.75$ 20.75$ 29.05$ 29.05$ 29.05$ 28.01$ 28.01$ 28.01$ 44.98$ 45.83$ 47.90$ 55.92$ 23.76$ 33.10$ 50.10$ 51.18$ 49.22$ 32.25$ 20.37$

2

Description 1 Description 2 Shift

Registered Nurse Weekday RN 7-3:30Registered Nurse Weekday RN 3-11:30Registered Nurse Weekday RN 11-7:30Registered Nurse Overtime Weekday RN 7-3 Registered Nurse Overtime Weekday RN 3-11 Registered Nurse Overtime Weekday RN 11-7Registered Nurse Weekend RN 7-3:30 Registered Nurse Weekend RN 3-11:30Registered Nurse Weekend RN 11-7:30Registered Nurse Weekend - Overtime 1st ShiftRegistered Nurse Weekend - Overtime 2nd ShiftRegistered Nurse Weekend - Overtime 3rd ShiftRegistered Nurse Holiday RN 7-3:30 Registered Nurse Holiday RN 3-11:30 Registered Nurse Holiday RN 11-7:30 Registered Nurse Weekday LPN 7-3:30Registered Nurse Weekday LPN 3-11:30Registered Nurse Weekday LPN11-7:30Registered Nurse Overtime Weekday LPN 7-3 Registered Nurse Overtime Weekday 2nd ShiftRegistered Nurse Overtime Weekday 3rd ShiftRegistered Nurse Weekend LPN 7-3:30 Registered Nurse Weekend LPN 3-11:30Registered Nurse Weekend LPN 11-7:30Registered Nurse Overtime Weekend LPN 7-3 Registered Nurse Overtime Weekend LPN 3-11 Registered Nurse Overtime Weekend LPN 11-7Registered Nurse Holiday LPN 7-3:30 Registered Nurse Holiday LPN 3-11:30 Registered Nurse Holiday LPN 11-7:30 Registered Nurse Weekday CNA 7-3:30Registered Nurse Weekday CNA 3-11:30Registered Nurse Weekday CNA11-7:30Registered Nurse Overtime Weekday CNA 7-3 Registered Nurse Overtime Weekday CNA 3-11 Registered Nurse Overtime Weekday CNA 11-7Registered Nurse Weekend CNA 7-3:30 Registered Nurse Weekend CNA 3-11:30Registered Nurse Weekend CNA 11-7:30Registered Nurse Overtime Weekend CNA 7-3 Registered Nurse Overtime Weekend CNA 3-11 Registered Nurse Overtime Weekend CNA 11-7Registered Nurse Holiday CNA 7-3:30 Registered Nurse Holiday CNA 3-11:30 Registered Nurse Holiday CNA 11-7:30 Nurse - ExecutiveLicensed Occupational Therapist 1Licensed Occupational Therapist 2PharmacistPharmacist TechnicianPhysical Therapist AideLicensed Physical Therapist 1Licensed Physical Therapist 2Speech TherapyDental HygienistDental Assistant

LOT 1 -- Direct Care Nursing and Ancillary Support Staff

Region 3 New Hrly Rate

45.65$ 45.65$ 45.65$ 61.63$ 61.63$ 61.63$ 46.69$ 46.69$ 46.69$ 65.36$ 65.36$ 65.36$ 68.48$ 68.48$ 68.48$ 36.31$ 36.31$ 36.31$ 49.02$ 49.02$ 49.02$ 37.35$ 37.35$ 37.35$ 52.29$ 52.29$ 52.29$ 54.47$ 54.47$ 54.47$ 18.68$ 18.68$ 18.68$ 25.21$ 25.21$ 25.21$ 20.75$ 20.75$ 20.75$ 29.05$ 29.05$ 29.05$ 28.01$ 28.01$ 28.01$ 48.67$ 49.58$ 51.66$ 56.01$ 25.71$ 35.81$ 54.21$ 55.28$ 53.25$ 34.89$ 22.04$

3

Description 1 Description 2 Shift

Registered Nurse Weekday RN 7-3:30Registered Nurse Weekday RN 3-11:30Registered Nurse Weekday RN 11-7:30Registered Nurse Overtime Weekday RN 7-3 Registered Nurse Overtime Weekday RN 3-11 Registered Nurse Overtime Weekday RN 11-7Registered Nurse Weekend RN 7-3:30 Registered Nurse Weekend RN 3-11:30Registered Nurse Weekend RN 11-7:30Registered Nurse Weekend - Overtime 1st ShiftRegistered Nurse Weekend - Overtime 2nd ShiftRegistered Nurse Weekend - Overtime 3rd ShiftRegistered Nurse Holiday RN 7-3:30 Registered Nurse Holiday RN 3-11:30 Registered Nurse Holiday RN 11-7:30 Registered Nurse Weekday LPN 7-3:30Registered Nurse Weekday LPN 3-11:30Registered Nurse Weekday LPN11-7:30Registered Nurse Overtime Weekday LPN 7-3 Registered Nurse Overtime Weekday 2nd ShiftRegistered Nurse Overtime Weekday 3rd ShiftRegistered Nurse Weekend LPN 7-3:30 Registered Nurse Weekend LPN 3-11:30Registered Nurse Weekend LPN 11-7:30Registered Nurse Overtime Weekend LPN 7-3 Registered Nurse Overtime Weekend LPN 3-11 Registered Nurse Overtime Weekend LPN 11-7Registered Nurse Holiday LPN 7-3:30 Registered Nurse Holiday LPN 3-11:30 Registered Nurse Holiday LPN 11-7:30 Registered Nurse Weekday CNA 7-3:30Registered Nurse Weekday CNA 3-11:30Registered Nurse Weekday CNA11-7:30Registered Nurse Overtime Weekday CNA 7-3 Registered Nurse Overtime Weekday CNA 3-11 Registered Nurse Overtime Weekday CNA 11-7Registered Nurse Weekend CNA 7-3:30 Registered Nurse Weekend CNA 3-11:30Registered Nurse Weekend CNA 11-7:30Registered Nurse Overtime Weekend CNA 7-3 Registered Nurse Overtime Weekend CNA 3-11 Registered Nurse Overtime Weekend CNA 11-7Registered Nurse Holiday CNA 7-3:30 Registered Nurse Holiday CNA 3-11:30 Registered Nurse Holiday CNA 11-7:30 Nurse - ExecutiveLicensed Occupational Therapist 1Licensed Occupational Therapist 2PharmacistPharmacist TechnicianPhysical Therapist AideLicensed Physical Therapist 1Licensed Physical Therapist 2Speech TherapyDental HygienistDental Assistant

LOT 1 -- Direct Care Nursing and Ancillary Support Staff

Region 4 New Hrly Rate

43.58$ 43.58$ 43.58$ 58.83$ 58.83$ 58.83$ 45.65$ 45.65$ 45.65$ 63.29$ 63.29$ 63.29$ 66.82$ 66.82$ 66.82$ 34.24$ 34.24$ 34.24$ 49.02$ 49.02$ 49.02$ 36.31$ 36.31$ 36.31$ 50.84$ 50.84$ 50.84$ 51.36$ 51.36$ 51.36$ 18.16$ 18.16$ 18.16$ 24.52$ 24.52$ 24.52$ 20.13$ 20.13$ 20.13$ 28.18$ 28.18$ 28.18$ 27.23$ 27.23$ 27.23$ 47.39$ 48.39$ 50.46$ 66.40$ 25.03$ 37.98$ 52.79$ 53.86$ 59.14$ 33.98$ 21.46$

4

Description 1 Description 2 Shift

Registered Nurse Weekday RN 7-3:30Registered Nurse Weekday RN 3-11:30Registered Nurse Weekday RN 11-7:30Registered Nurse Overtime Weekday RN 7-3 Registered Nurse Overtime Weekday RN 3-11 Registered Nurse Overtime Weekday RN 11-7Registered Nurse Weekend RN 7-3:30 Registered Nurse Weekend RN 3-11:30Registered Nurse Weekend RN 11-7:30Registered Nurse Weekend - Overtime 1st ShiftRegistered Nurse Weekend - Overtime 2nd ShiftRegistered Nurse Weekend - Overtime 3rd ShiftRegistered Nurse Holiday RN 7-3:30 Registered Nurse Holiday RN 3-11:30 Registered Nurse Holiday RN 11-7:30 Registered Nurse Weekday LPN 7-3:30Registered Nurse Weekday LPN 3-11:30Registered Nurse Weekday LPN11-7:30Registered Nurse Overtime Weekday LPN 7-3 Registered Nurse Overtime Weekday 2nd ShiftRegistered Nurse Overtime Weekday 3rd ShiftRegistered Nurse Weekend LPN 7-3:30 Registered Nurse Weekend LPN 3-11:30Registered Nurse Weekend LPN 11-7:30Registered Nurse Overtime Weekend LPN 7-3 Registered Nurse Overtime Weekend LPN 3-11 Registered Nurse Overtime Weekend LPN 11-7Registered Nurse Holiday LPN 7-3:30 Registered Nurse Holiday LPN 3-11:30 Registered Nurse Holiday LPN 11-7:30 Registered Nurse Weekday CNA 7-3:30Registered Nurse Weekday CNA 3-11:30Registered Nurse Weekday CNA11-7:30Registered Nurse Overtime Weekday CNA 7-3 Registered Nurse Overtime Weekday CNA 3-11 Registered Nurse Overtime Weekday CNA 11-7Registered Nurse Weekend CNA 7-3:30 Registered Nurse Weekend CNA 3-11:30Registered Nurse Weekend CNA 11-7:30Registered Nurse Overtime Weekend CNA 7-3 Registered Nurse Overtime Weekend CNA 3-11 Registered Nurse Overtime Weekend CNA 11-7Registered Nurse Holiday CNA 7-3:30 Registered Nurse Holiday CNA 3-11:30 Registered Nurse Holiday CNA 11-7:30 Nurse - ExecutiveLicensed Occupational Therapist 1Licensed Occupational Therapist 2PharmacistPharmacist TechnicianPhysical Therapist AideLicensed Physical Therapist 1Licensed Physical Therapist 2Speech TherapyDental HygienistDental Assistant

LOT 1 -- Direct Care Nursing and Ancillary Support Staff

Region 5 New Hrly Rate

47.73$ 47.73$ 47.73$ 64.43$ 64.43$ 64.43$ 51.88$ 51.88$ 51.88$ 72.63$ 72.63$ 72.63$ 77.81$ 77.81$ 77.81$ 37.35$ 37.35$ 37.35$ 50.42$ 50.42$ 50.42$ 39.43$ 39.43$ 39.43$ 55.20$ 55.20$ 55.20$ 57.58$ 59.14$ 60.69$ 18.68$ 18.68$ 18.68$ 25.21$ 25.21$ 25.21$ 29.05$ 29.05$ 29.05$ 28.01$ 28.01$ 28.01$ 28.01$ 28.01$ 28.01$ 54.99$ 56.03$ 58.10$ 66.40$ 29.05$ 40.46$ 61.25$ 62.32$ 60.18$ 39.43$ 24.90$

5

Lot Description 1 Description 2 Shift Region 1 New Hrly Rate

2 Audiologist 63.66$ 2 Chief Medical Officer 137.99$ 2 Chief of Psychiatry 156.66$ 2 Dentist 99.08$ 2 Primary Care Physician Regular 105.30$ 2 Primary Care Physician On-call 11.41$ 2 Primary Care Physician Locum Tenen 113.90$ 2 Medical Director Regular 133.24$ 2 Medical Director On-call 11.41$ 2 Neurology 115.16$ 2 Psychiatrist Regular 121.42$ 2 Psychiatrist On-call 18.36$ 2 Psychiatrist Locum Tenen 150.43$ 2 Psychologists 67.44$ 2 Physician Supervisory 120.34$ 2 Podiatrist 100.85$

3 Administrative Assistant 11.82$ 3 Certified Medical Coder 40.71$ 3 Fiscal Assistant 14.29$ 3 Financial Representative 26.59$ 3 Pharmacist 73.66$ 3 Pharmacist Director 76.78$ 3 Provider Relations 61.73$

3 Registered Nurse See Separate Attachment

3Registered Nurse - Case Manager Nurse 60.90$

3Registered Nurse - Claims Review Management 62.67$

3 Social Worker 26.86$ 3 Medical Records Assistant 13.32$ 3 Medical Records Technician 15.15$ 3 Pharmacy Technologist Coordinator 36.23$ 3 Medical Economist 105.00$ 3 Dental Hygienist 54.86$ 3 Medical Assistant 25.75$ 3 Medical Records Director 45.75$

Autism Consultant 103.50$ 3 RN - Prior Auth 60.40$

4 Dentist Academic 87.98$ 4 Dentist Long Term Care 103.20$ 4 Orthodontist Academic 98.84$ 4 Orthodontist Long Term Care 119.54$ 4 Primary Care Physician Academic 97.29$ 4 Primary Care Physician Long Term Care 115.51$ 4 Psychiatrist Academic 141.80$ 4 Psychiatrist Long Term Care 158.36$ 4 Surgeon Academic 164.57$ 4 Surgeon Long Term Care 154.73$ 4 Physician Specialist Academic 120.06$ 4 Physician Specialist Long Term Care 141.25$ 4 Chief Medical Officer 188.00$ 4 Lead Medical Director 171.00$ 4 Quality Improvement Coordinator 55.89$ 4 Quality Improvement Information Specialist 39.33$ 4 Quality Improvement Manager 64.07$

LOT 2 -- Direct Care Medical Staff, Including Psychologists

LOT 3 -- Non-Direct Care Nursing and Ancillary Support Staff

LOT 4 -- Non-Direct Care Medical Staff and Quality Improvement

6

Description 1 Description 2 Shift

AudiologistChief Medical OfficerChief of PsychiatryDentistPrimary Care Physician RegularPrimary Care Physician On-callPrimary Care Physician Locum TenenMedical Director RegularMedical Director On-callNeurologyPsychiatrist RegularPsychiatrist On-callPsychiatrist Locum TenenPsychologistsPhysician SupervisoryPodiatrist

Administrative AssistantCertified Medical CoderFiscal AssistantFinancial RepresentativePharmacistPharmacist DirectorProvider Relations

Registered Nurse See Separate AttachmentRegistered Nurse - Case Manager NurseRegistered Nurse - Claims Review ManagementSocial WorkerMedical Records AssistantMedical Records TechnicianPharmacy Technologist CoordinatorMedical EconomistDental HygienistMedical AssistantMedical Records DirectorAutism ConsultantRN - Prior Auth

Dentist AcademicDentist Long Term CareOrthodontist AcademicOrthodontist Long Term CarePrimary Care Physician AcademicPrimary Care Physician Long Term CarePsychiatrist AcademicPsychiatrist Long Term CareSurgeon AcademicSurgeon Long Term CarePhysician Specialist AcademicPhysician Specialist Long Term CareChief Medical OfficerLead Medical DirectorQuality Improvement CoordinatorQuality Improvement Information SpecialistQuality Improvement Manager

LOT 2 -- Direct Care Medical Staff, Including Psychologists

LOT 3 -- Non-Direct Care Nursing and Ancillary Support Staff

LOT 4 -- Non-Direct Care Medical Staff and Quality Improvement

Region 2 New Hrly Rate

63.66$ 128.13$ 161.85$

91.65$ 104.23$

11.41$ 111.75$ 122.49$

11.41$ 106.97$ 127.87$

16.97$ 138.83$

67.44$ 111.64$

93.35$

12.36$ 41.15$ 13.18$ 24.66$ 72.63$ 77.81$ 57.85$

58.88$

62.81$ 26.86$ 13.43$ 14.07$ 36.23$

105.00$ 54.86$ 25.75$ 42.33$

103.50$ 60.54$

86.94$ 95.54$ 91.43$

112.13$ 99.36$

115.51$ 131.45$ 148.01$ 152.35$ 143.76$ 113.44$ 131.90$ 188.00$ 171.00$

53.10$ 36.40$ 59.26$

7

Description 1 Description 2 Shift

AudiologistChief Medical OfficerChief of PsychiatryDentistPrimary Care Physician RegularPrimary Care Physician On-callPrimary Care Physician Locum TenenMedical Director RegularMedical Director On-callNeurologyPsychiatrist RegularPsychiatrist On-callPsychiatrist Locum TenenPsychologistsPhysician SupervisoryPodiatrist

Administrative AssistantCertified Medical CoderFiscal AssistantFinancial RepresentativePharmacistPharmacist DirectorProvider Relations

Registered Nurse See Separate AttachmentRegistered Nurse - Case Manager NurseRegistered Nurse - Claims Review ManagementSocial WorkerMedical Records AssistantMedical Records TechnicianPharmacy Technologist CoordinatorMedical EconomistDental HygienistMedical AssistantMedical Records DirectorAutism ConsultantRN - Prior Auth

Dentist AcademicDentist Long Term CareOrthodontist AcademicOrthodontist Long Term CarePrimary Care Physician AcademicPrimary Care Physician Long Term CarePsychiatrist AcademicPsychiatrist Long Term CareSurgeon AcademicSurgeon Long Term CarePhysician Specialist AcademicPhysician Specialist Long Term CareChief Medical OfficerLead Medical DirectorQuality Improvement CoordinatorQuality Improvement Information SpecialistQuality Improvement Manager

LOT 2 -- Direct Care Medical Staff, Including Psychologists

LOT 3 -- Non-Direct Care Nursing and Ancillary Support Staff

LOT 4 -- Non-Direct Care Medical Staff and Quality Improvement

Region 3 New Hrly Rate

63.66$ 138.61$ 159.78$

99.16$ 105.30$

11.41$ 114.11$ 133.24$

11.41$ 115.68$ 121.74$

18.36$ 150.22$

67.44$ 120.77$ 101.10$

12.89$ 39.67$ 14.27$ 26.68$ 73.66$ 78.85$ 62.57$

59.82$

63.74$ 26.86$ 13.31$ 15.21$ 36.23$

105.00$ 54.86$ 26.75$ 45.80$

103.50$ 61.44$

90.05$ 103.38$

98.93$ 119.63$ 100.40$ 115.51$ 141.80$ 158.36$ 164.88$ 154.84$ 122.75$ 131.90$ 188.00$ 171.00$

57.03$ 39.39$ 64.12$

8

Description 1 Description 2 Shift

AudiologistChief Medical OfficerChief of PsychiatryDentistPrimary Care Physician RegularPrimary Care Physician On-callPrimary Care Physician Locum TenenMedical Director RegularMedical Director On-callNeurologyPsychiatrist RegularPsychiatrist On-callPsychiatrist Locum TenenPsychologistsPhysician SupervisoryPodiatrist

Administrative AssistantCertified Medical CoderFiscal AssistantFinancial RepresentativePharmacistPharmacist DirectorProvider Relations

Registered Nurse See Separate AttachmentRegistered Nurse - Case Manager NurseRegistered Nurse - Claims Review ManagementSocial WorkerMedical Records AssistantMedical Records TechnicianPharmacy Technologist CoordinatorMedical EconomistDental HygienistMedical AssistantMedical Records DirectorAutism ConsultantRN - Prior Auth

Dentist AcademicDentist Long Term CareOrthodontist AcademicOrthodontist Long Term CarePrimary Care Physician AcademicPrimary Care Physician Long Term CarePsychiatrist AcademicPsychiatrist Long Term CareSurgeon AcademicSurgeon Long Term CarePhysician Specialist AcademicPhysician Specialist Long Term CareChief Medical OfficerLead Medical DirectorQuality Improvement CoordinatorQuality Improvement Information SpecialistQuality Improvement Manager

LOT 2 -- Direct Care Medical Staff, Including Psychologists

LOT 3 -- Non-Direct Care Nursing and Ancillary Support Staff

LOT 4 -- Non-Direct Care Medical Staff and Quality Improvement

Region 4 New Hrly Rate

61.47$ 135.04$ 163.93$

96.58$ 105.30$

11.41$ 111.15$ 130.01$

11.41$ 112.68$ 127.87$

17.89$ 146.34$

67.44$ 117.63$

98.38$

12.89$ 48.95$ 13.89$ 25.97$ 75.74$ 81.96$ 60.82$

63.09$

71.81$ 26.86$ 13.97$ 15.31$ 36.23$

105.00$ 54.86$ 26.00$ 44.61$

103.50$ 69.21$

88.60$ 100.67$

96.35$ 117.05$ 101.43$ 119.23$ 138.69$ 178.02$ 160.59$ 150.87$ 119.54$ 135.23$ 192.00$ 172.00$

62.94$ 38.36$ 62.45$

9

Description 1 Description 2 Shift

AudiologistChief Medical OfficerChief of PsychiatryDentistPrimary Care Physician RegularPrimary Care Physician On-callPrimary Care Physician Locum TenenMedical Director RegularMedical Director On-callNeurologyPsychiatrist RegularPsychiatrist On-callPsychiatrist Locum TenenPsychologistsPhysician SupervisoryPodiatrist

Administrative AssistantCertified Medical CoderFiscal AssistantFinancial RepresentativePharmacistPharmacist DirectorProvider Relations

Registered Nurse See Separate AttachmentRegistered Nurse - Case Manager NurseRegistered Nurse - Claims Review ManagementSocial WorkerMedical Records AssistantMedical Records TechnicianPharmacy Technologist CoordinatorMedical EconomistDental HygienistMedical AssistantMedical Records DirectorAutism ConsultantRN - Prior Auth

Dentist AcademicDentist Long Term CareOrthodontist AcademicOrthodontist Long Term CarePrimary Care Physician AcademicPrimary Care Physician Long Term CarePsychiatrist AcademicPsychiatrist Long Term CareSurgeon AcademicSurgeon Long Term CarePhysician Specialist AcademicPhysician Specialist Long Term CareChief Medical OfficerLead Medical DirectorQuality Improvement CoordinatorQuality Improvement Information SpecialistQuality Improvement Manager

LOT 2 -- Direct Care Medical Staff, Including Psychologists

LOT 3 -- Non-Direct Care Nursing and Ancillary Support Staff

LOT 4 -- Non-Direct Care Medical Staff and Quality Improvement

Region 5 New Hrly Rate

63.03$ 156.66$ 164.96$ 112.05$ 120.34$

12.45$ 128.94$ 152.58$

12.45$ 130.73$ 137.54$

20.75$ 169.77$

67.44$ 136.46$ 114.13$

12.89$ 54.41$ 16.12$ 30.14$ 76.78$ 81.96$ 69.90$

67.46$

77.18$ 26.86$ 14.94$ 17.19$ 37.26$

108.00$ 56.41$ 29.00$ 51.75$

105.57$ 74.39$

103.50$ 116.80$ 111.78$ 132.48$ 115.92$ 133.52$ 160.43$ 201.83$ 186.30$ 172.85$ 138.69$ 150.60$ 196.00$ 181.00$

65.13$ 44.51$ 62.10$

10

Tier 1 Region 1 Region 2 Region 3 Region 4 Region 5OLTL

$35.50 $35.50 $35.50 $35.50 $39.50

Tier 2 Region 1 Region 2 Region 3 Region 4 Region 5BPI and BFFS

$37.00 $37.00 $37.00 $37.00 $41.07

Tier3 Region 1 Region 2 Region 3 Region 4 Region 5BPI Travel RN Only

$45.75 $45.75 $45.75 $45.75 $47.73

RN Final Pricing for Pennhurst Amendment 2

Unique ID Vendor Name Item unit price USD unit of measure SAP Vendor No SAP contract no UNSPSC coderequired required required default required required required requiredItemValuation /ccm/supplier_name_ /ccm/price[1]#/ccm/amount /ccm/price[ /ccm/order_unit /ccm/supplier_id /ccm/contract_id /ccm/product_groupLOT 1 Region 1 RN WD First Shift Pennhurst Medical Group, Corp $45.650 USD HUR 128032 4400001795 85101601LOT 1 Region 1 RN WD Second Shift Pennhurst Medical Group, Corp $45.650 USD HUR 128032 4400001795 85101601LOT 1 Region 1 RN WD Third Shift Pennhurst Medical Group, Corp $45.650 USD HUR 128032 4400001795 85101601LOT 1 Region 1 RN WD OT First Shift Pennhurst Medical Group, Corp $61.630 USD HUR 128032 4400001795 85101601LOT 1 Region 1 RN WD OT Second Shift Pennhurst Medical Group, Corp $61.630 USD HUR 128032 4400001795 85101601LOT 1 Region 1 RN WD OT Third Shift Pennhurst Medical Group, Corp $61.630 USD HUR 128032 4400001795 85101601LOT 1 Region 1 RN WE First Shift Pennhurst Medical Group, Corp $46.690 USD HUR 128032 4400001795 85101601LOT 1 Region 1 RN WE Second Shift Pennhurst Medical Group, Corp $46.690 USD HUR 128032 4400001795 85101601LOT 1 Region 1 RN WE Third Shift Pennhurst Medical Group, Corp $46.690 USD HUR 128032 4400001795 85101601LOT 1 Region 1 RN WE OT First Shift Pennhurst Medical Group, Corp $65.360 USD HUR 128032 4400001795 85101601LOT 1 Region 1 RN WE OT Second Shift Pennhurst Medical Group, Corp $65.360 USD HUR 128032 4400001795 85101601LOT 1 Region 1 RN WE OT Third Shift Pennhurst Medical Group, Corp $65.360 USD HUR 128032 4400001795 85101601LOT 1 Region 1 RN Holiday First Shift Pennhurst Medical Group, Corp $68.480 USD HUR 128032 4400001795 85101601LOT 1 Region 1 RN Holiday Second Shift Pennhurst Medical Group, Corp $68.480 USD HUR 128032 4400001795 85101601LOT 1 Region 1 RN Holiday Third Shift Pennhurst Medical Group, Corp $68.480 USD HUR 128032 4400001795 85101601LOT 1 Region 1 LPN WD First Shift Pennhurst Medical Group, Corp $36.310 USD HUR 128032 4400001795 85101601LOT 1 Region 1 LPN WD Second Shift Pennhurst Medical Group, Corp $36.310 USD HUR 128032 4400001795 85101601LOT 1 Region 1 LPN WD Third Shift Pennhurst Medical Group, Corp $36.310 USD HUR 128032 4400001795 85101601LOT 1 Region 1 LPN WD OT First Shift Pennhurst Medical Group, Corp $49.020 USD HUR 128032 4400001795 85101601LOT 1 Region 1 LPN WD OT Second Shift Pennhurst Medical Group, Corp $49.020 USD HUR 128032 4400001795 85101601LOT 1 Region 1 LPN WD OT Third Shift Pennhurst Medical Group, Corp $49.020 USD HUR 128032 4400001795 85101601LOT 1 Region 1 LPN WE First Shift Pennhurst Medical Group, Corp $37.350 USD HUR 128032 4400001795 85101601LOT 1 Region 1 LPN WE Second Shift Pennhurst Medical Group, Corp $37.350 USD HUR 128032 4400001795 85101601LOT 1 Region 1 LPN WE Third Shift Pennhurst Medical Group, Corp $37.350 USD HUR 128032 4400001795 85101601LOT 1 Region 1 LPN WE OT First Shift Pennhurst Medical Group, Corp $52.290 USD HUR 128032 4400001795 85101601LOT 1 Region 1 LPN WE OT Second Shift Pennhurst Medical Group, Corp $52.290 USD HUR 128032 4400001795 85101601LOT 1 Region 1 LPN WE OT Third Shift Pennhurst Medical Group, Corp $52.290 USD HUR 128032 4400001795 85101601LOT 1 Region 1 LPN Holiday First Shift Pennhurst Medical Group, Corp $54.470 USD HUR 128032 4400001795 85101601LOT 1 Region 1 LPN Holiday Second Shift Pennhurst Medical Group, Corp $54.470 USD HUR 128032 4400001795 85101601LOT 1 Region 1 LPN Holiday Third Shift Pennhurst Medical Group, Corp $54.470 USD HUR 128032 4400001795 85101601LOT 1 Region 1 CNA WD First Shift Pennhurst Medical Group, Corp $18.680 USD HUR 128032 4400001795 85101601LOT 1 Region 1 CNA WD Second Shift Pennhurst Medical Group, Corp $18.680 USD HUR 128032 4400001795 85101601LOT 1 Region 1 CNA WD Third Shift Pennhurst Medical Group, Corp $18.680 USD HUR 128032 4400001795 85101601LOT 1 Region 1 CNA WD OT First Shift Pennhurst Medical Group, Corp $25.210 USD HUR 128032 4400001795 85101601LOT 1 Region 1 CNA WD OT Second Shift Pennhurst Medical Group, Corp $25.210 USD HUR 128032 4400001795 85101601LOT 1 Region 1 CNA WD OT Third Shift Pennhurst Medical Group, Corp $25.210 USD HUR 128032 4400001795 85101601LOT 1 Region 1 CNA WE First Shift Pennhurst Medical Group, Corp $20.750 USD HUR 128032 4400001795 85101601LOT 1 Region 1 CNA WE Second Shift Pennhurst Medical Group, Corp $20.750 USD HUR 128032 4400001795 85101601LOT 1 Region 1 CNA WE Third Shift Pennhurst Medical Group, Corp $20.750 USD HUR 128032 4400001795 85101601LOT 1 Region 1 CNA WE OT First Shift Pennhurst Medical Group, Corp $29.050 USD HUR 128032 4400001795 85101601LOT 1 Region 1 CNA WE OT Second Shift Pennhurst Medical Group, Corp $29.050 USD HUR 128032 4400001795 85101601LOT 1 Region 1 CNA WE OT Third Shift Pennhurst Medical Group, Corp $29.050 USD HUR 128032 4400001795 85101601LOT 1 Region 1 CNA Holiday First Shift Pennhurst Medical Group, Corp $28.010 USD HUR 128032 4400001795 85101601LOT 1 Region 1 CNA Holiday Second Shift Pennhurst Medical Group, Corp $28.010 USD HUR 128032 4400001795 85101601LOT 1 Region 1 CNA Holiday Third Shift Pennhurst Medical Group, Corp $28.010 USD HUR 128032 4400001795 85101601LOT 1 Region 1 Nurse Executive Pennhurst Medical Group, Corp $48.660 USD HUR 128032 4400001795 85101601LOT 1 Region 1 Occupational Therapist 1 Pennhurst Medical Group, Corp $49.490 USD HUR 128032 4400001795 85122102LOT 1 Region 1 Occupational Therapist 2 Pennhurst Medical Group, Corp $51.560 USD HUR 128032 4400001795 85122102LOT 1 Region 1 Physical Therapist 1 Pennhurst Medical Group, Corp $54.150 USD HUR 128032 4400001795 85122101LOT 1 Region 1 Physical Therapist 2 Pennhurst Medical Group, Corp $55.230 USD HUR 128032 4400001795 85122101LOT 1 Region 1 Physical Therapist Aide Pennhurst Medical Group, Corp $35.790 USD HUR 128032 4400001795 85122101LOT 1 Region 1 Pharmacist Pennhurst Medical Group, Corp $55.920 USD HUR 128032 4400001795 85121900LOT 1 Region 1 Pharmacist Technician Pennhurst Medical Group, Corp $25.730 USD HUR 128032 4400001795 85121900LOT 1 Region 1 Speech Therapy Pennhurst Medical Group, Corp $53.220 USD HUR 128032 4400001795 85122108LOT 1 Region 1 Dental Hygienist Pennhurst Medical Group, Corp $34.860 USD HUR 128032 4400001795 85122002LOT 1 Region 1 Dental Assistant Pennhurst Medical Group, Corp $22.000 USD HUR 128032 4400001795 85122003LOT 1 Region 2 RN WD First Shift Pennhurst Medical Group, Corp $45.650 USD HUR 128032 4400001795 85101601LOT 1 Region 2 RN WD Second Shift Pennhurst Medical Group, Corp $45.650 USD HUR 128032 4400001795 85101601LOT 1 Region 2 RN WD Third Shift Pennhurst Medical Group, Corp $45.650 USD HUR 128032 4400001795 85101601LOT 1 Region 2 RN WD OT First Shift Pennhurst Medical Group, Corp $61.630 USD HUR 128032 4400001795 85101601LOT 1 Region 2 RN WD OT Second Shift Pennhurst Medical Group, Corp $61.630 USD HUR 128032 4400001795 85101601LOT 1 Region 2 RN WD OT Third Shift Pennhurst Medical Group, Corp $61.630 USD HUR 128032 4400001795 85101601LOT 1 Region 2 RN WE First Shift Pennhurst Medical Group, Corp $46.690 USD HUR 128032 4400001795 85101601LOT 1 Region 2 RN WE Second Shift Pennhurst Medical Group, Corp $46.690 USD HUR 128032 4400001795 85101601LOT 1 Region 2 RN WE Third Shift Pennhurst Medical Group, Corp $46.690 USD HUR 128032 4400001795 85101601LOT 1 Region 2 RN WE OT First Shift Pennhurst Medical Group, Corp $65.360 USD HUR 128032 4400001795 85101601LOT 1 Region 2 RN WE OT Second Shift Pennhurst Medical Group, Corp $65.360 USD HUR 128032 4400001795 85101601LOT 1 Region 2 RN WE OT Third Shift Pennhurst Medical Group, Corp $65.360 USD HUR 128032 4400001795 85101601LOT 1 Region 2 RN Holiday First Shift Pennhurst Medical Group, Corp $68.480 USD HUR 128032 4400001795 85101601LOT 1 Region 2 RN Holiday Second Shift Pennhurst Medical Group, Corp $68.480 USD HUR 128032 4400001795 85101601LOT 1 Region 2 RN Holiday Third Shift Pennhurst Medical Group, Corp $68.480 USD HUR 128032 4400001795 85101601LOT 1 Region 2 LPN WD First Shift Pennhurst Medical Group, Corp $36.310 USD HUR 128032 4400001795 85101601LOT 1 Region 2 LPN WD Second Shift Pennhurst Medical Group, Corp $36.310 USD HUR 128032 4400001795 85101601LOT 1 Region 2 LPN WD Third Shift Pennhurst Medical Group, Corp $36.310 USD HUR 128032 4400001795 85101601LOT 1 Region 2 LPN WD OT First Shift Pennhurst Medical Group, Corp $49.020 USD HUR 128032 4400001795 85101601LOT 1 Region 2 LPN WD OT Second Shift Pennhurst Medical Group, Corp $49.020 USD HUR 128032 4400001795 85101601LOT 1 Region 2 LPN WD OT Third Shift Pennhurst Medical Group, Corp $49.020 USD HUR 128032 4400001795 85101601LOT 1 Region 2 LPN WE First Shift Pennhurst Medical Group, Corp $37.350 USD HUR 128032 4400001795 85101601LOT 1 Region 2 LPN WE Second Shift Pennhurst Medical Group, Corp $37.350 USD HUR 128032 4400001795 85101601LOT 1 Region 2 LPN WE Third Shift Pennhurst Medical Group, Corp $37.350 USD HUR 128032 4400001795 85101601LOT 1 Region 2 LPN WE OT First Shift Pennhurst Medical Group, Corp $52.290 USD HUR 128032 4400001795 85101601LOT 1 Region 2 LPN WE OT Second Shift Pennhurst Medical Group, Corp $52.290 USD HUR 128032 4400001795 85101601LOT 1 Region 2 LPN WE OT Third Shift Pennhurst Medical Group, Corp $52.290 USD HUR 128032 4400001795 85101601LOT 1 Region 2 LPN Holiday First Shift Pennhurst Medical Group, Corp $54.470 USD HUR 128032 4400001795 85101601LOT 1 Region 2 LPN Holiday Second Shift Pennhurst Medical Group, Corp $54.470 USD HUR 128032 4400001795 85101601LOT 1 Region 2 LPN Holiday Third Shift Pennhurst Medical Group, Corp $54.470 USD HUR 128032 4400001795 85101601LOT 1 Region 2 CNA WD First Shift Pennhurst Medical Group, Corp $18.680 USD HUR 128032 4400001795 85101601LOT 1 Region 2 CNA WD Second Shift Pennhurst Medical Group, Corp $18.680 USD HUR 128032 4400001795 85101601

LOT 1 Region 2 CNA WD Third Shift Pennhurst Medical Group, Corp $18.680 USD HUR 128032 4400001795 85101601LOT 1 Region 2 CNA WD OT First Shift Pennhurst Medical Group, Corp $25.210 USD HUR 128032 4400001795 85101601LOT 1 Region 2 CNA WD OT Second Shift Pennhurst Medical Group, Corp $25.210 USD HUR 128032 4400001795 85101601LOT 1 Region 2 CNA WD OT Third Shift Pennhurst Medical Group, Corp $25.210 USD HUR 128032 4400001795 85101601LOT 1 Region 2 CNA WE First Shift Pennhurst Medical Group, Corp $20.750 USD HUR 128032 4400001795 85101601LOT 1 Region 2 CNA WE Second Shift Pennhurst Medical Group, Corp $20.750 USD HUR 128032 4400001795 85101601LOT 1 Region 2 CNA WE Third Shift Pennhurst Medical Group, Corp $20.750 USD HUR 128032 4400001795 85101601LOT 1 Region 2 CNA WE OT First Shift Pennhurst Medical Group, Corp $29.050 USD HUR 128032 4400001795 85101601LOT 1 Region 2 CNA WE OT Second Shift Pennhurst Medical Group, Corp $29.050 USD HUR 128032 4400001795 85101601LOT 1 Region 2 CNA WE OT Third Shift Pennhurst Medical Group, Corp $29.050 USD HUR 128032 4400001795 85101601LOT 1 Region 2 CNA Holiday First Shift Pennhurst Medical Group, Corp $28.010 USD HUR 128032 4400001795 85101601LOT 1 Region 2 CNA Holiday Second Shift Pennhurst Medical Group, Corp $28.010 USD HUR 128032 4400001795 85101601LOT 1 Region 2 CNA Holiday Third Shift Pennhurst Medical Group, Corp $28.010 USD HUR 128032 4400001795 85101601LOT 1 Region 2 Nurse Executive Pennhurst Medical Group, Corp $44.980 USD HUR 128032 4400001795 85101601LOT 1 Region 2 Occupational Therapist 1 Pennhurst Medical Group, Corp $45.830 USD HUR 128032 4400001795 85122102LOT 1 Region 2 Occupational Therapist 2 Pennhurst Medical Group, Corp $47.900 USD HUR 128032 4400001795 85122102LOT 1 Region 2 Physical Therapist 1 Pennhurst Medical Group, Corp $50.100 USD HUR 128032 4400001795 85122101LOT 1 Region 2 Physical Therapist 2 Pennhurst Medical Group, Corp $51.180 USD HUR 128032 4400001795 85122101LOT 1 Region 2 Physical Therapist Aide Pennhurst Medical Group, Corp $33.100 USD HUR 128032 4400001795 85122101LOT 1 Region 2 Pharmacist Pennhurst Medical Group, Corp $55.920 USD HUR 128032 4400001795 85121900LOT 1 Region 2 Pharmacist Technician Pennhurst Medical Group, Corp $23.760 USD HUR 128032 4400001795 85121900LOT 1 Region 2 Speech Therapy Pennhurst Medical Group, Corp $49.220 USD HUR 128032 4400001795 85122108LOT 1 Region 2 Dental Hygienist Pennhurst Medical Group, Corp $32.250 USD HUR 128032 4400001795 85122002LOT 1 Region 2 Dental Assistant Pennhurst Medical Group, Corp $20.370 USD HUR 128032 4400001795 85122003LOT 1 Region 3 RN WD First Shift Pennhurst Medical Group, Corp $45.650 USD HUR 128032 4400001795 85101601LOT 1 Region 3 RN WD Second Shift Pennhurst Medical Group, Corp $45.650 USD HUR 128032 4400001795 85101601LOT 1 Region 3 RN WD Third Shift Pennhurst Medical Group, Corp $45.650 USD HUR 128032 4400001795 85101601LOT 1 Region 3 RN WD OT First Shift Pennhurst Medical Group, Corp $61.630 USD HUR 128032 4400001795 85101601LOT 1 Region 3 RN WD OT Second Shift Pennhurst Medical Group, Corp $61.630 USD HUR 128032 4400001795 85101601LOT 1 Region 3 RN WD OT Third Shift Pennhurst Medical Group, Corp $61.630 USD HUR 128032 4400001795 85101601LOT 1 Region 3 RN WE First Shift Pennhurst Medical Group, Corp $46.690 USD HUR 128032 4400001795 85101601LOT 1 Region 3 RN WE Second Shift Pennhurst Medical Group, Corp $46.690 USD HUR 128032 4400001795 85101601LOT 1 Region 3 RN WE Third Shift Pennhurst Medical Group, Corp $46.690 USD HUR 128032 4400001795 85101601LOT 1 Region 3 RN WE OT First Shift Pennhurst Medical Group, Corp $65.360 USD HUR 128032 4400001795 85101601LOT 1 Region 3 RN WE OT Second Shift Pennhurst Medical Group, Corp $65.360 USD HUR 128032 4400001795 85101601LOT 1 Region 3 RN WE OT Third Shift Pennhurst Medical Group, Corp $65.360 USD HUR 128032 4400001795 85101601LOT 1 Region 3 RN Holiday First Shift Pennhurst Medical Group, Corp $68.480 USD HUR 128032 4400001795 85101601LOT 1 Region 3 RN Holiday Second Shift Pennhurst Medical Group, Corp $68.480 USD HUR 128032 4400001795 85101601LOT 1 Region 3 RN Holiday Third Shift Pennhurst Medical Group, Corp $68.480 USD HUR 128032 4400001795 85101601LOT 1 Region 3 LPN WD First Shift Pennhurst Medical Group, Corp $36.310 USD HUR 128032 4400001795 85101601LOT 1 Region 3 LPN WD Second Shift Pennhurst Medical Group, Corp $36.310 USD HUR 128032 4400001795 85101601LOT 1 Region 3 LPN WD Third Shift Pennhurst Medical Group, Corp $36.310 USD HUR 128032 4400001795 85101601LOT 1 Region 3 LPN WD OT First Shift Pennhurst Medical Group, Corp $49.020 USD HUR 128032 4400001795 85101601LOT 1 Region 3 LPN WD OT Second Shift Pennhurst Medical Group, Corp $49.020 USD HUR 128032 4400001795 85101601LOT 1 Region 3 LPN WD OT Third Shift Pennhurst Medical Group, Corp $49.020 USD HUR 128032 4400001795 85101601LOT 1 Region 3 LPN WE First Shift Pennhurst Medical Group, Corp $37.350 USD HUR 128032 4400001795 85101601LOT 1 Region 3 LPN WE Second Shift Pennhurst Medical Group, Corp $37.350 USD HUR 128032 4400001795 85101601LOT 1 Region 3 LPN WE Third Shift Pennhurst Medical Group, Corp $37.350 USD HUR 128032 4400001795 85101601LOT 1 Region 3 LPN WE OT First Shift Pennhurst Medical Group, Corp $52.290 USD HUR 128032 4400001795 85101601LOT 1 Region 3 LPN WE OT Second Shift Pennhurst Medical Group, Corp $52.290 USD HUR 128032 4400001795 85101601LOT 1 Region 3 LPN WE OT Third Shift Pennhurst Medical Group, Corp $52.290 USD HUR 128032 4400001795 85101601LOT 1 Region 3 LPN Holiday First Shift Pennhurst Medical Group, Corp $54.470 USD HUR 128032 4400001795 85101601LOT 1 Region 3 LPN Holiday Second Shift Pennhurst Medical Group, Corp $54.470 USD HUR 128032 4400001795 85101601LOT 1 Region 3 LPN Holiday Third Shift Pennhurst Medical Group, Corp $54.470 USD HUR 128032 4400001795 85101601LOT 1 Region 3 CNA WD First Shift Pennhurst Medical Group, Corp $18.680 USD HUR 128032 4400001795 85101601LOT 1 Region 3 CNA WD Second Shift Pennhurst Medical Group, Corp $18.680 USD HUR 128032 4400001795 85101601LOT 1 Region 3 CNA WD Third Shift Pennhurst Medical Group, Corp $18.680 USD HUR 128032 4400001795 85101601LOT 1 Region 3 CNA WD OT First Shift Pennhurst Medical Group, Corp $25.210 USD HUR 128032 4400001795 85101601LOT 1 Region 3 CNA WD OT Second Shift Pennhurst Medical Group, Corp $25.210 USD HUR 128032 4400001795 85101601LOT 1 Region 3 CNA WD OT Third Shift Pennhurst Medical Group, Corp $25.210 USD HUR 128032 4400001795 85101601LOT 1 Region 3 CNA WE First Shift Pennhurst Medical Group, Corp $20.750 USD HUR 128032 4400001795 85101601LOT 1 Region 3 CNA WE Second Shift Pennhurst Medical Group, Corp $20.750 USD HUR 128032 4400001795 85101601LOT 1 Region 3 CNA WE Third Shift Pennhurst Medical Group, Corp $20.750 USD HUR 128032 4400001795 85101601LOT 1 Region 3 CNA WE OT First Shift Pennhurst Medical Group, Corp $29.050 USD HUR 128032 4400001795 85101601LOT 1 Region 3 CNA WE OT Second Shift Pennhurst Medical Group, Corp $29.050 USD HUR 128032 4400001795 85101601LOT 1 Region 3 CNA WE OT Third Shift Pennhurst Medical Group, Corp $29.050 USD HUR 128032 4400001795 85101601LOT 1 Region 3 CNA Holiday First Shift Pennhurst Medical Group, Corp $28.010 USD HUR 128032 4400001795 85101601LOT 1 Region 3 CNA Holiday Second Shift Pennhurst Medical Group, Corp $28.010 USD HUR 128032 4400001795 85101601LOT 1 Region 3 CNA Holiday Third Shift Pennhurst Medical Group, Corp $28.010 USD HUR 128032 4400001795 85101601LOT 1 Region 3 Nurse Executive Pennhurst Medical Group, Corp $48.670 USD HUR 128032 4400001795 85101601LOT 1 Region 3 Occupational Therapist 1 Pennhurst Medical Group, Corp $49.580 USD HUR 128032 4400001795 85122102LOT 1 Region 3 Occupational Therapist 2 Pennhurst Medical Group, Corp $51.660 USD HUR 128032 4400001795 85122102LOT 1 Region 3 Physical Therapist 1 Pennhurst Medical Group, Corp $54.210 USD HUR 128032 4400001795 85122101LOT 1 Region 3 Physical Therapist 2 Pennhurst Medical Group, Corp $55.280 USD HUR 128032 4400001795 85122101LOT 1 Region 3 Physical Therapist Aide Pennhurst Medical Group, Corp $35.810 USD HUR 128032 4400001795 85122101LOT 1 Region 3 Pharmacist Pennhurst Medical Group, Corp $56.010 USD HUR 128032 4400001795 85121900LOT 1 Region 3 Pharmacist Technician Pennhurst Medical Group, Corp $25.710 USD HUR 128032 4400001795 85121900LOT 1 Region 3 Speech Therapy Pennhurst Medical Group, Corp $53.250 USD HUR 128032 4400001795 85122108LOT 1 Region 3 Dental Hygienist Pennhurst Medical Group, Corp $34.890 USD HUR 128032 4400001795 85122002LOT 1 Region 3 Dental Assistant Pennhurst Medical Group, Corp $22.040 USD HUR 128032 4400001795 85122003LOT 1 Region 4 RN WD First Shift Pennhurst Medical Group, Corp $43.580 USD HUR 128032 4400001795 85101601LOT 1 Region 4 RN WD Second Shift Pennhurst Medical Group, Corp $43.580 USD HUR 128032 4400001795 85101601LOT 1 Region 4 RN WD Third Shift Pennhurst Medical Group, Corp $43.580 USD HUR 128032 4400001795 85101601LOT 1 Region 4 RN WD OT First Shift Pennhurst Medical Group, Corp $58.830 USD HUR 128032 4400001795 85101601LOT 1 Region 4 RN WD OT Second Shift Pennhurst Medical Group, Corp $58.830 USD HUR 128032 4400001795 85101601LOT 1 Region 4 RN WD OT Third Shift Pennhurst Medical Group, Corp $58.830 USD HUR 128032 4400001795 85101601LOT 1 Region 4 RN WE First Shift Pennhurst Medical Group, Corp $45.650 USD HUR 128032 4400001795 85101601LOT 1 Region 4 RN WE Second Shift Pennhurst Medical Group, Corp $45.650 USD HUR 128032 4400001795 85101601LOT 1 Region 4 RN WE Third Shift Pennhurst Medical Group, Corp $45.650 USD HUR 128032 4400001795 85101601LOT 1 Region 4 RN WE OT First Shift Pennhurst Medical Group, Corp $63.290 USD HUR 128032 4400001795 85101601LOT 1 Region 4 RN WE OT Second Shift Pennhurst Medical Group, Corp $63.290 USD HUR 128032 4400001795 85101601

LOT 1 Region 4 RN WE OT Third Shift Pennhurst Medical Group, Corp $63.290 USD HUR 128032 4400001795 85101601LOT 1 Region 4 RN Holiday First Shift Pennhurst Medical Group, Corp $66.820 USD HUR 128032 4400001795 85101601LOT 1 Region 4 RN Holiday Second Shift Pennhurst Medical Group, Corp $66.820 USD HUR 128032 4400001795 85101601LOT 1 Region 4 RN Holiday Third Shift Pennhurst Medical Group, Corp $66.820 USD HUR 128032 4400001795 85101601LOT 1 Region 4 LPN WD First Shift Pennhurst Medical Group, Corp $34.240 USD HUR 128032 4400001795 85101601LOT 1 Region 4 LPN WD Second Shift Pennhurst Medical Group, Corp $34.240 USD HUR 128032 4400001795 85101601LOT 1 Region 4 LPN WD Third Shift Pennhurst Medical Group, Corp $34.240 USD HUR 128032 4400001795 85101601LOT 1 Region 4 LPN WD OT First Shift Pennhurst Medical Group, Corp $49.020 USD HUR 128032 4400001795 85101601LOT 1 Region 4 LPN WD OT Second Shift Pennhurst Medical Group, Corp $49.020 USD HUR 128032 4400001795 85101601LOT 1 Region 4 LPN WD OT Third Shift Pennhurst Medical Group, Corp $49.020 USD HUR 128032 4400001795 85101601LOT 1 Region 4 LPN WE First Shift Pennhurst Medical Group, Corp $36.310 USD HUR 128032 4400001795 85101601LOT 1 Region 4 LPN WE Second Shift Pennhurst Medical Group, Corp $36.310 USD HUR 128032 4400001795 85101601LOT 1 Region 4 LPN WE Third Shift Pennhurst Medical Group, Corp $36.310 USD HUR 128032 4400001795 85101601LOT 1 Region 4 LPN WE OT First Shift Pennhurst Medical Group, Corp $50.840 USD HUR 128032 4400001795 85101601LOT 1 Region 4 LPN WE OT Second Shift Pennhurst Medical Group, Corp $50.840 USD HUR 128032 4400001795 85101601LOT 1 Region 4 LPN WE OT Third Shift Pennhurst Medical Group, Corp $50.840 USD HUR 128032 4400001795 85101601LOT 1 Region 4 LPN Holiday First Shift Pennhurst Medical Group, Corp $51.360 USD HUR 128032 4400001795 85101601LOT 1 Region 4 LPN Holiday Second Shift Pennhurst Medical Group, Corp $51.360 USD HUR 128032 4400001795 85101601LOT 1 Region 4 LPN Holiday Third Shift Pennhurst Medical Group, Corp $51.360 USD HUR 128032 4400001795 85101601LOT 1 Region 4 CNA WD First Shift Pennhurst Medical Group, Corp $18.160 USD HUR 128032 4400001795 85101601LOT 1 Region 4 CNA WD Second Shift Pennhurst Medical Group, Corp $18.160 USD HUR 128032 4400001795 85101601LOT 1 Region 4 CNA WD Third Shift Pennhurst Medical Group, Corp $18.160 USD HUR 128032 4400001795 85101601LOT 1 Region 4 CNA WD OT First Shift Pennhurst Medical Group, Corp $24.520 USD HUR 128032 4400001795 85101601LOT 1 Region 4 CNA WD OT Second Shift Pennhurst Medical Group, Corp $24.520 USD HUR 128032 4400001795 85101601LOT 1 Region 4 CNA WD OT Third Shift Pennhurst Medical Group, Corp $24.520 USD HUR 128032 4400001795 85101601LOT 1 Region 4 CNA WE First Shift Pennhurst Medical Group, Corp $20.130 USD HUR 128032 4400001795 85101601LOT 1 Region 4 CNA WE Second Shift Pennhurst Medical Group, Corp $20.130 USD HUR 128032 4400001795 85101601LOT 1 Region 4 CNA WE Third Shift Pennhurst Medical Group, Corp $20.130 USD HUR 128032 4400001795 85101601LOT 1 Region 4 CNA WE OT First Shift Pennhurst Medical Group, Corp $28.180 USD HUR 128032 4400001795 85101601LOT 1 Region 4 CNA WE OT Second Shift Pennhurst Medical Group, Corp $28.180 USD HUR 128032 4400001795 85101601LOT 1 Region 4 CNA WE OT Third Shift Pennhurst Medical Group, Corp $28.180 USD HUR 128032 4400001795 85101601LOT 1 Region 4 CNA Holiday First Shift Pennhurst Medical Group, Corp $27.230 USD HUR 128032 4400001795 85101601LOT 1 Region 4 CNA Holiday Second Shift Pennhurst Medical Group, Corp $27.230 USD HUR 128032 4400001795 85101601LOT 1 Region 4 CNA Holiday Third Shift Pennhurst Medical Group, Corp $27.230 USD HUR 128032 4400001795 85101601LOT 1 Region 4 Nurse Executive Pennhurst Medical Group, Corp $47.390 USD HUR 128032 4400001795 85101601LOT 1 Region 4 Occupational Therapist 1 Pennhurst Medical Group, Corp $48.390 USD HUR 128032 4400001795 85122102LOT 1 Region 4 Occupational Therapist 2 Pennhurst Medical Group, Corp $50.460 USD HUR 128032 4400001795 85122102LOT 1 Region 4 Physical Therapist 1 Pennhurst Medical Group, Corp $52.790 USD HUR 128032 4400001795 85122101LOT 1 Region 4 Physical Therapist 2 Pennhurst Medical Group, Corp $53.860 USD HUR 128032 4400001795 85122101LOT 1 Region 4 Physical Therapist Aide Pennhurst Medical Group, Corp $37.980 USD HUR 128032 4400001795 85122101LOT 1 Region 4 Pharmacist Pennhurst Medical Group, Corp $66.400 USD HUR 128032 4400001795 85121900LOT 1 Region 4 Pharmacist Technician Pennhurst Medical Group, Corp $25.030 USD HUR 128032 4400001795 85121900LOT 1 Region 4 Speech Therapy Pennhurst Medical Group, Corp $59.140 USD HUR 128032 4400001795 85122108LOT 1 Region 4 Dental Hygienist Pennhurst Medical Group, Corp $33.980 USD HUR 128032 4400001795 85122002LOT 1 Region 4 Dental Assistant Pennhurst Medical Group, Corp $21.460 USD HUR 128032 4400001795 85122003LOT 1 Region 5 RN WD First Shift Pennhurst Medical Group, Corp $47.730 USD HUR 128032 4400001795 85101601LOT 1 Region 5 RN WD Second Shift Pennhurst Medical Group, Corp $47.730 USD HUR 128032 4400001795 85101601LOT 1 Region 5 RN WD Third Shift Pennhurst Medical Group, Corp $47.730 USD HUR 128032 4400001795 85101601LOT 1 Region 5 RN WD OT First Shift Pennhurst Medical Group, Corp $64.430 USD HUR 128032 4400001795 85101601LOT 1 Region 5 RN WD OT Second Shift Pennhurst Medical Group, Corp $64.430 USD HUR 128032 4400001795 85101601LOT 1 Region 5 RN WD OT Third Shift Pennhurst Medical Group, Corp $64.430 USD HUR 128032 4400001795 85101601LOT 1 Region 5 RN WE First Shift Pennhurst Medical Group, Corp $51.880 USD HUR 128032 4400001795 85101601LOT 1 Region 5 RN WE Second Shift Pennhurst Medical Group, Corp $51.880 USD HUR 128032 4400001795 85101601LOT 1 Region 5 RN WE Third Shift Pennhurst Medical Group, Corp $51.880 USD HUR 128032 4400001795 85101601LOT 1 Region 5 RN WE OT First Shift Pennhurst Medical Group, Corp $72.630 USD HUR 128032 4400001795 85101601LOT 1 Region 5 RN WE OT Second Shift Pennhurst Medical Group, Corp $72.630 USD HUR 128032 4400001795 85101601LOT 1 Region 5 RN WE OT Third Shift Pennhurst Medical Group, Corp $72.630 USD HUR 128032 4400001795 85101601LOT 1 Region 5 RN Holiday First Shift Pennhurst Medical Group, Corp $77.810 USD HUR 128032 4400001795 85101601LOT 1 Region 5 RN Holiday Second Shift Pennhurst Medical Group, Corp $77.810 USD HUR 128032 4400001795 85101601LOT 1 Region 5 RN Holiday Third Shift Pennhurst Medical Group, Corp $77.810 USD HUR 128032 4400001795 85101601LOT 1 Region 5 LPN WD First Shift Pennhurst Medical Group, Corp $37.350 USD HUR 128032 4400001795 85101601LOT 1 Region 5 LPN WD Second Shift Pennhurst Medical Group, Corp $37.350 USD HUR 128032 4400001795 85101601LOT 1 Region 5 LPN WD Third Shift Pennhurst Medical Group, Corp $37.350 USD HUR 128032 4400001795 85101601LOT 1 Region 5 LPN WD OT First Shift Pennhurst Medical Group, Corp $50.420 USD HUR 128032 4400001795 85101601LOT 1 Region 5 LPN WD OT Second Shift Pennhurst Medical Group, Corp $50.420 USD HUR 128032 4400001795 85101601LOT 1 Region 5 LPN WD OT Third Shift Pennhurst Medical Group, Corp $50.420 USD HUR 128032 4400001795 85101601LOT 1 Region 5 LPN WE First Shift Pennhurst Medical Group, Corp $39.430 USD HUR 128032 4400001795 85101601LOT 1 Region 5 LPN WE Second Shift Pennhurst Medical Group, Corp $39.430 USD HUR 128032 4400001795 85101601LOT 1 Region 5 LPN WE Third Shift Pennhurst Medical Group, Corp $39.430 USD HUR 128032 4400001795 85101601LOT 1 Region 5 LPN WE OT First Shift Pennhurst Medical Group, Corp $55.200 USD HUR 128032 4400001795 85101601LOT 1 Region 5 LPN WE OT Second Shift Pennhurst Medical Group, Corp $55.200 USD HUR 128032 4400001795 85101601LOT 1 Region 5 LPN WE OT Third Shift Pennhurst Medical Group, Corp $55.200 USD HUR 128032 4400001795 85101601LOT 1 Region 5 LPN Holiday First Shift Pennhurst Medical Group, Corp $57.580 USD HUR 128032 4400001795 85101601LOT 1 Region 5 LPN Holiday Second Shift Pennhurst Medical Group, Corp $59.140 USD HUR 128032 4400001795 85101601LOT 1 Region 5 LPN Holiday Third Shift Pennhurst Medical Group, Corp $60.690 USD HUR 128032 4400001795 85101601LOT 1 Region 5 CNA WD First Shift Pennhurst Medical Group, Corp $18.680 USD HUR 128032 4400001795 85101601LOT 1 Region 5 CNA WD Second Shift Pennhurst Medical Group, Corp $18.680 USD HUR 128032 4400001795 85101601LOT 1 Region 5 CNA WD Third Shift Pennhurst Medical Group, Corp $18.680 USD HUR 128032 4400001795 85101601LOT 1 Region 5 CNA WD OT First Shift Pennhurst Medical Group, Corp $25.210 USD HUR 128032 4400001795 85101601LOT 1 Region 5 CNA WD OT Second Shift Pennhurst Medical Group, Corp $25.210 USD HUR 128032 4400001795 85101601LOT 1 Region 5 CNA WD OT Third Shift Pennhurst Medical Group, Corp $25.210 USD HUR 128032 4400001795 85101601LOT 1 Region 5 CNA WE First Shift Pennhurst Medical Group, Corp $29.050 USD HUR 128032 4400001795 85101601LOT 1 Region 5 CNA WE Second Shift Pennhurst Medical Group, Corp $29.050 USD HUR 128032 4400001795 85101601LOT 1 Region 5 CNA WE Third Shift Pennhurst Medical Group, Corp $29.050 USD HUR 128032 4400001795 85101601LOT 1 Region 5 CNA WE OT First Shift Pennhurst Medical Group, Corp $28.010 USD HUR 128032 4400001795 85101601LOT 1 Region 5 CNA WE OT Second Shift Pennhurst Medical Group, Corp $28.010 USD HUR 128032 4400001795 85101601LOT 1 Region 5 CNA WE OT Third Shift Pennhurst Medical Group, Corp $28.010 USD HUR 128032 4400001795 85101601LOT 1 Region 5 CNA Holiday First Shift Pennhurst Medical Group, Corp $28.010 USD HUR 128032 4400001795 85101601LOT 1 Region 5 CNA Holiday Second Shift Pennhurst Medical Group, Corp $28.010 USD HUR 128032 4400001795 85101601LOT 1 Region 5 CNA Holiday Third Shift Pennhurst Medical Group, Corp $28.010 USD HUR 128032 4400001795 85101601LOT 1 Region 5 Nurse Executive Pennhurst Medical Group, Corp $54.990 USD HUR 128032 4400001795 85101601

LOT 1 Region 5 Occupational Therapist 1 Pennhurst Medical Group, Corp $56.030 USD HUR 128032 4400001795 85122102LOT 1 Region 5 Occupational Therapist 2 Pennhurst Medical Group, Corp $58.100 USD HUR 128032 4400001795 85122102LOT 1 Region 5 Physical Therapist 1 Pennhurst Medical Group, Corp $61.250 USD HUR 128032 4400001795 85122101LOT 1 Region 5 Physical Therapist 2 Pennhurst Medical Group, Corp $62.320 USD HUR 128032 4400001795 85122101LOT 1 Region 5 Physical Therapist Aide Pennhurst Medical Group, Corp $40.460 USD HUR 128032 4400001795 85122101LOT 1 Region 5 Pharmacist Pennhurst Medical Group, Corp $66.400 USD HUR 128032 4400001795 85121900LOT 1 Region 5 Pharmacist Technician Pennhurst Medical Group, Corp $29.050 USD HUR 128032 4400001795 85121900LOT 1 Region 5 Speech Therapy Pennhurst Medical Group, Corp $60.180 USD HUR 128032 4400001795 85122108LOT 1 Region 5 Dental Hygienist Pennhurst Medical Group, Corp $39.430 USD HUR 128032 4400001795 85122002LOT 1 Region 5 Dental Assistant Pennhurst Medical Group, Corp $24.900 USD HUR 128032 4400001795 85122003LOT 2 Region 1 Audiologist Pennhurst Medical Group, Corp $63.660 USD HUR 128032 4400001795 85121600LOT 2 Region 1 Chief Medical Officer Pennhurst Medical Group, Corp $137.990 USD HUR 128032 4400001795 85121600LOT 2 Region 1 Chief of Psychiatry Pennhurst Medical Group, Corp $156.660 USD HUR 128032 4400001795 85121607LOT 2 Region 1 Dentist Pennhurst Medical Group, Corp $99.080 USD HUR 128032 4400001795 85122001LOT 2 Region 1 PCP Regular Pennhurst Medical Group, Corp $105.300 USD HUR 128032 4400001795 85121500LOT 2 Region 1 PCP On Call Pennhurst Medical Group, Corp $11.410 USD HUR 128032 4400001795 85121500LOT 2 Region 1 PCP Locums Pennhurst Medical Group, Corp $113.900 USD HUR 128032 4400001795 85121500LOT 2 Region 1 Medical Director Regular Pennhurst Medical Group, Corp $133.240 USD HUR 128032 4400001795 85121600LOT 2 Region 1 Medical Director On Call Pennhurst Medical Group, Corp $11.410 USD HUR 128032 4400001795 85121600LOT 2 Region 1 Neurologist Pennhurst Medical Group, Corp $115.160 USD HUR 128032 4400001795 85111607LOT 2 Region 1 Psychiatrist Regular Pennhurst Medical Group, Corp $121.420 USD HUR 128032 4400001795 85121607LOT 2 Region 1 Psychiatrist On Call Pennhurst Medical Group, Corp $18.360 USD HUR 128032 4400001795 85121607LOT 2 Region 1 Psychiatrist Locum Tenen Pennhurst Medical Group, Corp $150.430 USD HUR 128032 4400001795 85121607LOT 2 Region 1 Psychologist Pennhurst Medical Group, Corp $67.440 USD HUR 128032 4400001795 85121608LOT 2 Region 1 Physician Supervisory Pennhurst Medical Group, Corp $120.340 USD HUR 128032 4400001795 85121500LOT 2 Region 1 Podiatrist Pennhurst Medical Group, Corp $100.850 USD HUR 128032 4400001795 85121703LOT 2 Region 2 Audiologist Pennhurst Medical Group, Corp $63.660 USD HUR 128032 4400001795 85121600LOT 2 Region 2 Chief Medical Officer Pennhurst Medical Group, Corp $128.130 USD HUR 128032 4400001795 85121600LOT 2 Region 2 Chief of Psychiatry Pennhurst Medical Group, Corp $161.850 USD HUR 128032 4400001795 85121607LOT 2 Region 2 Dentist Pennhurst Medical Group, Corp $91.650 USD HUR 128032 4400001795 85122001LOT 2 Region 2 PCP Regular Pennhurst Medical Group, Corp $104.230 USD HUR 128032 4400001795 85121500LOT 2 Region 2 PCP On Call Pennhurst Medical Group, Corp $11.410 USD HUR 128032 4400001795 85121500LOT 2 Region 2 PCP Locums Pennhurst Medical Group, Corp $111.750 USD HUR 128032 4400001795 85121500LOT 2 Region 2 Medical Director Regular Pennhurst Medical Group, Corp $122.490 USD HUR 128032 4400001795 85121600LOT 2 Region 2 Medical Director On Call Pennhurst Medical Group, Corp $11.410 USD HUR 128032 4400001795 85121600LOT 2 Region 2 Neurologist Pennhurst Medical Group, Corp $106.970 USD HUR 128032 4400001795 85111607LOT 2 Region 2 Psychiatrist Regular Pennhurst Medical Group, Corp $127.870 USD HUR 128032 4400001795 85121607LOT 2 Region 2 Psychiatrist On Call Pennhurst Medical Group, Corp $16.970 USD HUR 128032 4400001795 85121607LOT 2 Region 2 Psychiatrist Locum Tenen Pennhurst Medical Group, Corp $138.830 USD HUR 128032 4400001795 85121607LOT 2 Region 2 Psychologist Pennhurst Medical Group, Corp $67.440 USD HUR 128032 4400001795 85121608LOT 2 Region 2 Physician Supervisory Pennhurst Medical Group, Corp $111.640 USD HUR 128032 4400001795 85121500LOT 2 Region 2 Podiatrist Pennhurst Medical Group, Corp $93.350 USD HUR 128032 4400001795 85121703LOT 2 Region 3 Audiologist Pennhurst Medical Group, Corp $63.660 USD HUR 128032 4400001795 85121600LOT 2 Region 3 Chief Medical Officer Pennhurst Medical Group, Corp $138.610 USD HUR 128032 4400001795 85121600LOT 2 Region 3 Chief of Psychiatry Pennhurst Medical Group, Corp $159.780 USD HUR 128032 4400001795 85121607LOT 2 Region 3 Dentist Pennhurst Medical Group, Corp $99.160 USD HUR 128032 4400001795 85122001LOT 2 Region 3 PCP Regular Pennhurst Medical Group, Corp $105.300 USD HUR 128032 4400001795 85121500LOT 2 Region 3 PCP On Call Pennhurst Medical Group, Corp $11.410 USD HUR 128032 4400001795 85121500LOT 2 Region 3 PCP Locums Pennhurst Medical Group, Corp $114.110 USD HUR 128032 4400001795 85121500LOT 2 Region 3 Medical Director Regular Pennhurst Medical Group, Corp $133.240 USD HUR 128032 4400001795 85121600LOT 2 Region 3 Medical Director On Call Pennhurst Medical Group, Corp $11.410 USD HUR 128032 4400001795 85121600LOT 2 Region 3 Neurologist Pennhurst Medical Group, Corp $115.680 USD HUR 128032 4400001795 85111607LOT 2 Region 3 Psychiatrist Regular Pennhurst Medical Group, Corp $121.740 USD HUR 128032 4400001795 85121607LOT 2 Region 3 Psychiatrist On Call Pennhurst Medical Group, Corp $18.360 USD HUR 128032 4400001795 85121607LOT 2 Region 3 Psychiatrist Locum Tenen Pennhurst Medical Group, Corp $150.220 USD HUR 128032 4400001795 85121607LOT 2 Region 3 Psychologist Pennhurst Medical Group, Corp $67.440 USD HUR 128032 4400001795 85121608LOT 2 Region 3 Physician Supervisory Pennhurst Medical Group, Corp $120.770 USD HUR 128032 4400001795 85121500LOT 2 Region 3 Podiatrist Pennhurst Medical Group, Corp $101.100 USD HUR 128032 4400001795 85121703LOT 2 Region 4 Audiologist Pennhurst Medical Group, Corp $61.470 USD HUR 128032 4400001795 85121600LOT 2 Region 4 Chief Medical Officer Pennhurst Medical Group, Corp $135.040 USD HUR 128032 4400001795 85121600LOT 2 Region 4 Chief of Psychiatry Pennhurst Medical Group, Corp $163.930 USD HUR 128032 4400001795 85121607LOT 2 Region 4 Dentist Pennhurst Medical Group, Corp $96.580 USD HUR 128032 4400001795 85122001LOT 2 Region 4 PCP Regular Pennhurst Medical Group, Corp $105.300 USD HUR 128032 4400001795 85121500LOT 2 Region 4 PCP On Call Pennhurst Medical Group, Corp $11.410 USD HUR 128032 4400001795 85121500LOT 2 Region 4 PCP Locums Pennhurst Medical Group, Corp $111.150 USD HUR 128032 4400001795 85121500LOT 2 Region 4 Medical Director Regular Pennhurst Medical Group, Corp $130.010 USD HUR 128032 4400001795 85121600LOT 2 Region 4 Medical Director On Call Pennhurst Medical Group, Corp $11.410 USD HUR 128032 4400001795 85121600LOT 2 Region 4 Neurologist Pennhurst Medical Group, Corp $112.680 USD HUR 128032 4400001795 85111607LOT 2 Region 4 Psychiatrist Regular Pennhurst Medical Group, Corp $127.870 USD HUR 128032 4400001795 85121607LOT 2 Region 4 Psychiatrist On Call Pennhurst Medical Group, Corp $17.890 USD HUR 128032 4400001795 85121607LOT 2 Region 4 Psychiatrist Locum Tenen Pennhurst Medical Group, Corp $146.340 USD HUR 128032 4400001795 85121607LOT 2 Region 4 Psychologist Pennhurst Medical Group, Corp $67.440 USD HUR 128032 4400001795 85121608LOT 2 Region 4 Physician Supervisory Pennhurst Medical Group, Corp $117.630 USD HUR 128032 4400001795 85121500LOT 2 Region 4 Podiatrist Pennhurst Medical Group, Corp $98.380 USD HUR 128032 4400001795 85121703LOT 2 Region 5 Audiologist Pennhurst Medical Group, Corp $63.030 USD HUR 128032 4400001795 85121600LOT 2 Region 5 Chief Medical Officer Pennhurst Medical Group, Corp $156.660 USD HUR 128032 4400001795 85121600LOT 2 Region 5 Chief of Psychiatry Pennhurst Medical Group, Corp $164.960 USD HUR 128032 4400001795 85121607LOT 2 Region 5 Dentist Pennhurst Medical Group, Corp $112.050 USD HUR 128032 4400001795 85122001LOT 2 Region 5 PCP Regular Pennhurst Medical Group, Corp $120.340 USD HUR 128032 4400001795 85121500LOT 2 Region 5 PCP On Call Pennhurst Medical Group, Corp $12.450 USD HUR 128032 4400001795 85121500LOT 2 Region 5 PCP Locums Pennhurst Medical Group, Corp $128.940 USD HUR 128032 4400001795 85121500LOT 2 Region 5 Medical Director Regular Pennhurst Medical Group, Corp $152.580 USD HUR 128032 4400001795 85121600LOT 2 Region 5 Medical Director On Call Pennhurst Medical Group, Corp $12.450 USD HUR 128032 4400001795 85121600LOT 2 Region 5 Neurologist Pennhurst Medical Group, Corp $130.730 USD HUR 128032 4400001795 85111607LOT 2 Region 5 Psychiatrist Regular Pennhurst Medical Group, Corp $137.540 USD HUR 128032 4400001795 85121607LOT 2 Region 5 Psychiatrist On Call Pennhurst Medical Group, Corp $20.750 USD HUR 128032 4400001795 85121607LOT 2 Region 5 Psychiatrist Locum Tenen Pennhurst Medical Group, Corp $169.770 USD HUR 128032 4400001795 85121607LOT 2 Region 5 Psychologist Pennhurst Medical Group, Corp $67.440 USD HUR 128032 4400001795 85121608LOT 2 Region 5 Physician Supervisory Pennhurst Medical Group, Corp $136.460 USD HUR 128032 4400001795 85121500LOT 2 Region 5 Podiatrist Pennhurst Medical Group, Corp $114.130 USD HUR 128032 4400001795 85121703

LOT 3 Region 1 Administrative Assistant Pennhurst Medical Group, Corp $11.820 USD HUR 128032 4400001795 85101700LOT 3 Region 1 Certified Medical Coder Pennhurst Medical Group, Corp $40.710 USD HUR 128032 4400001795 85101700LOT 3 Region 1 Fiscal Assistant Pennhurst Medical Group, Corp $14.290 USD HUR 128032 4400001795 85101700LOT 3 Region 1 Financial Representative Pennhurst Medical Group, Corp $26.590 USD HUR 128032 4400001795 85101700LOT 3 Region 1 Pharmacist Pennhurst Medical Group, Corp $73.660 USD HUR 128032 4400001795 85121900LOT 3 Region 1 Pharmacist Director Pennhurst Medical Group, Corp $76.780 USD HUR 128032 4400001795 85121900LOT 3 Region 1 Provider Relations Pennhurst Medical Group, Corp $61.730 USD HUR 128032 4400001795 85101700LOT 3 Region 1 RN Tier One Pennhurst Medical Group, Corp $35.500 USD HUR 128032 4400001795 85101601LOT 3 Region 1 RN Tier Two Pennhurst Medical Group, Corp $37.000 USD HUR 128032 4400001795 85101601LOT 3 Region 1 RN Tier Three Pennhurst Medical Group, Corp $45.750 USD HUR 128032 4400001795 85101601LOT 3 Region 1 RN Case Manager Pennhurst Medical Group, Corp $60.900 USD HUR 128032 4400001795 85101601LOT 3 Region 1 RN Claims Review Pennhurst Medical Group, Corp $62.670 USD HUR 128032 4400001795 85101601LOT 3 Region 1 Social Worker Pennhurst Medical Group, Corp $26.860 USD HUR 128032 4400001795 93141507LOT 3 Region 1 Medical Records Asst. Pennhurst Medical Group, Corp $13.320 USD HUR 128032 4400001795 85101700LOT 3 Region 1 Medical Records Tech. Pennhurst Medical Group, Corp $15.150 USD HUR 128032 4400001795 85101700LOT 3 Region 1 Pharmacy Tech Coordinator Pennhurst Medical Group, Corp $36.230 USD HUR 128032 4400001795 85101700LOT 3 Region 1 Medical Economist Pennhurst Medical Group, Corp $105.000 USD HUR 128032 4400001795 85101700LOT 3 Region 1 Dental Hygienist Pennhurst Medical Group, Corp $54.860 USD HUR 128032 4400001795 85122002LOT 3 Region 1 Medical Assistant Pennhurst Medical Group, Corp $25.750 USD HUR 128032 4400001795 85101700LOT 3 Region 1 Medical Records Director Pennhurst Medical Group, Corp $45.750 USD HUR 128032 4400001795 85101700LOT 3 Region 1 Autism Consultant Pennhurst Medical Group, Corp $103.500 USD HUR 128032 4400001795 85101700LOT 3 Region 1 RN Prior Auth Pennhurst Medical Group, Corp $60.400 USD HUR 128032 4400001795 85101601LOT 3 Region 1 Behavioral Analyst Pennhurst Medical Group, Corp $103.750 USD HUR 128032 4400001795 85101700LOT 3 Region 2 Administrative Assistant Pennhurst Medical Group, Corp $12.360 USD HUR 128032 4400001795 85101700LOT 3 Region 2 Certified Medical Coder Pennhurst Medical Group, Corp $41.150 USD HUR 128032 4400001795 85101700LOT 3 Region 2 Fiscal Assistant Pennhurst Medical Group, Corp $13.180 USD HUR 128032 4400001795 85101700LOT 3 Region 2 Financial Representative Pennhurst Medical Group, Corp $24.660 USD HUR 128032 4400001795 85101700LOT 3 Region 2 Pharmacist Pennhurst Medical Group, Corp $72.630 USD HUR 128032 4400001795 85121900LOT 3 Region 2 Pharmacist Director Pennhurst Medical Group, Corp $77.810 USD HUR 128032 4400001795 85121900LOT 3 Region 2 Provider Relations Pennhurst Medical Group, Corp $57.850 USD HUR 128032 4400001795 85101700LOT 3 Region 2 RN Tier One Pennhurst Medical Group, Corp $35.500 USD HUR 128032 4400001795 85101601LOT 3 Region 2 RN Tier Two Pennhurst Medical Group, Corp $37.000 USD HUR 128032 4400001795 85101601LOT 3 Region 2 RN Tier Three Pennhurst Medical Group, Corp $45.750 USD HUR 128032 4400001795 85101601LOT 3 Region 2 RN Case Manager Pennhurst Medical Group, Corp $58.880 USD HUR 128032 4400001795 85101601LOT 3 Region 2 RN Claims Review Pennhurst Medical Group, Corp $62.810 USD HUR 128032 4400001795 85101601LOT 3 Region 2 Social Worker Pennhurst Medical Group, Corp $26.860 USD HUR 128032 4400001795 93141507LOT 3 Region 2 Medical Records Asst. Pennhurst Medical Group, Corp $13.430 USD HUR 128032 4400001795 85101700LOT 3 Region 2 Medical Records Tech. Pennhurst Medical Group, Corp $14.070 USD HUR 128032 4400001795 85101700LOT 3 Region 2 Pharmacy Tech Coordinator Pennhurst Medical Group, Corp $36.230 USD HUR 128032 4400001795 85101700LOT 3 Region 2 Medical Economist Pennhurst Medical Group, Corp $105.000 USD HUR 128032 4400001795 85101700LOT 3 Region 2 Dental Hygienist Pennhurst Medical Group, Corp $54.860 USD HUR 128032 4400001795 85122002LOT 3 Region 2 Medical Assistant Pennhurst Medical Group, Corp $25.750 USD HUR 128032 4400001795 85101700LOT 3 Region 2 Medical Records Director Pennhurst Medical Group, Corp $42.330 USD HUR 128032 4400001795 85101700LOT 3 Region 2 Autism Consultant Pennhurst Medical Group, Corp $103.500 USD HUR 128032 4400001795 85101700LOT 3 Region 2 RN Prior Auth Pennhurst Medical Group, Corp $60.540 USD HUR 128032 4400001795 85101601LOT 3 Region 2 Behavioral Analyst Pennhurst Medical Group, Corp $103.750 USD HUR 128032 4400001795 85101700LOT 3 Region 3 Administrative Assistant Pennhurst Medical Group, Corp $12.890 USD HUR 128032 4400001795 85101700LOT 3 Region 3 Certified Medical Coder Pennhurst Medical Group, Corp $39.670 USD HUR 128032 4400001795 85101700LOT 3 Region 3 Fiscal Assistant Pennhurst Medical Group, Corp $14.270 USD HUR 128032 4400001795 85101700LOT 3 Region 3 Financial Representative Pennhurst Medical Group, Corp $26.680 USD HUR 128032 4400001795 85101700LOT 3 Region 3 Pharmacist Pennhurst Medical Group, Corp $73.660 USD HUR 128032 4400001795 85121900LOT 3 Region 3 Pharmacist Director Pennhurst Medical Group, Corp $78.850 USD HUR 128032 4400001795 85121900LOT 3 Region 3 Provider Relations Pennhurst Medical Group, Corp $62.570 USD HUR 128032 4400001795 85101700LOT 3 Region 3 RN Tier One Pennhurst Medical Group, Corp $35.500 USD HUR 128032 4400001795 85101601LOT 3 Region 3 RN Tier Two Pennhurst Medical Group, Corp $37.000 USD HUR 128032 4400001795 85101601LOT 3 Region 3 RN Tier Three Pennhurst Medical Group, Corp $45.750 USD HUR 128032 4400001795 85101601LOT 3 Region 3 RN Case Manager Pennhurst Medical Group, Corp $59.820 USD HUR 128032 4400001795 85101601LOT 3 Region 3 RN Claims Review Pennhurst Medical Group, Corp $63.740 USD HUR 128032 4400001795 85101601LOT 3 Region 3 Social Worker Pennhurst Medical Group, Corp $26.860 USD HUR 128032 4400001795 93141507LOT 3 Region 3 Medical Records Asst. Pennhurst Medical Group, Corp $13.310 USD HUR 128032 4400001795 85101700LOT 3 Region 3 Medical Records Tech. Pennhurst Medical Group, Corp $15.210 USD HUR 128032 4400001795 85101700LOT 3 Region 3 Pharmacy Tech Coordinator Pennhurst Medical Group, Corp $36.230 USD HUR 128032 4400001795 85101700LOT 3 Region 3 Medical Economist Pennhurst Medical Group, Corp $105.000 USD HUR 128032 4400001795 85101700LOT 3 Region 3 Dental Hygienist Pennhurst Medical Group, Corp $54.860 USD HUR 128032 4400001795 85122002LOT 3 Region 3 Medical Assistant Pennhurst Medical Group, Corp $26.750 USD HUR 128032 4400001795 85101700LOT 3 Region 3 Medical Records Director Pennhurst Medical Group, Corp $45.800 USD HUR 128032 4400001795 85101700LOT 3 Region 3 Autism Consultant Pennhurst Medical Group, Corp $103.500 USD HUR 128032 4400001795 85101700LOT 3 Region 3 RN Prior Auth Pennhurst Medical Group, Corp $61.440 USD HUR 128032 4400001795 85101601LOT 3 Region 3 Behavioral Analyst Pennhurst Medical Group, Corp $103.750 USD HUR 128032 4400001795 85101700LOT 3 Region 4 Administrative Assistant Pennhurst Medical Group, Corp $12.890 USD HUR 128032 4400001795 85101700LOT 3 Region 4 Certified Medical Coder Pennhurst Medical Group, Corp $48.950 USD HUR 128032 4400001795 85101700LOT 3 Region 4 Fiscal Assistant Pennhurst Medical Group, Corp $13.890 USD HUR 128032 4400001795 85101700LOT 3 Region 4 Financial Representative Pennhurst Medical Group, Corp $25.970 USD HUR 128032 4400001795 85101700LOT 3 Region 4 Pharmacist Pennhurst Medical Group, Corp $75.740 USD HUR 128032 4400001795 85121900LOT 3 Region 4 Pharmacist Director Pennhurst Medical Group, Corp $81.960 USD HUR 128032 4400001795 85121900LOT 3 Region 4 Provider Relations Pennhurst Medical Group, Corp $60.820 USD HUR 128032 4400001795 85101700LOT 3 Region 4 RN Tier One Pennhurst Medical Group, Corp $35.500 USD HUR 128032 4400001795 85101601LOT 3 Region 4 RN Tier Two Pennhurst Medical Group, Corp $37.000 USD HUR 128032 4400001795 85101601LOT 3 Region 4 RN Tier Three Pennhurst Medical Group, Corp $45.750 USD HUR 128032 4400001795 85101601LOT 3 Region 4 RN Case Manager Pennhurst Medical Group, Corp $63.090 USD HUR 128032 4400001795 85101601LOT 3 Region 4 RN Claims Review Pennhurst Medical Group, Corp $71.810 USD HUR 128032 4400001795 85101601LOT 3 Region 4 Social Worker Pennhurst Medical Group, Corp $26.860 USD HUR 128032 4400001795 93141507LOT 3 Region 4 Medical Records Asst. Pennhurst Medical Group, Corp $13.970 USD HUR 128032 4400001795 85101700LOT 3 Region 4 Medical Records Tech. Pennhurst Medical Group, Corp $15.310 USD HUR 128032 4400001795 85101700LOT 3 Region 4 Pharmacy Tech Coordinator Pennhurst Medical Group, Corp $36.230 USD HUR 128032 4400001795 85101700LOT 3 Region 4 Medical Economist Pennhurst Medical Group, Corp $105.000 USD HUR 128032 4400001795 85101700LOT 3 Region 4 Dental Hygienist Pennhurst Medical Group, Corp $54.860 USD HUR 128032 4400001795 85122002LOT 3 Region 4 Medical Assistant Pennhurst Medical Group, Corp $26.000 USD HUR 128032 4400001795 85101700LOT 3 Region 4 Medical Records Director Pennhurst Medical Group, Corp $44.610 USD HUR 128032 4400001795 85101700LOT 3 Region 4 Autism Consultant Pennhurst Medical Group, Corp $103.500 USD HUR 128032 4400001795 85101700LOT 3 Region 4 RN Prior Auth Pennhurst Medical Group, Corp $69.210 USD HUR 128032 4400001795 85101601

LOT 3 Region 4 Behavioral Analyst Pennhurst Medical Group, Corp $103.750 USD HUR 128032 4400001795 85101700LOT 3 Region 5 Administrative Assistant Pennhurst Medical Group, Corp $12.890 USD HUR 128032 4400001795 85101700LOT 3 Region 5 Certified Medical Coder Pennhurst Medical Group, Corp $54.410 USD HUR 128032 4400001795 85101700LOT 3 Region 5 Fiscal Assistant Pennhurst Medical Group, Corp $16.120 USD HUR 128032 4400001795 85101700LOT 3 Region 5 Financial Representative Pennhurst Medical Group, Corp $30.140 USD HUR 128032 4400001795 85101700LOT 3 Region 5 Pharmacist Pennhurst Medical Group, Corp $76.780 USD HUR 128032 4400001795 85121900LOT 3 Region 5 Pharmacist Director Pennhurst Medical Group, Corp $81.960 USD HUR 128032 4400001795 85121900LOT 3 Region 5 Provider Relations Pennhurst Medical Group, Corp $69.900 USD HUR 128032 4400001795 85101700LOT 3 Region 5 RN Tier One Pennhurst Medical Group, Corp $39.500 USD HUR 128032 4400001795 85101601LOT 3 Region 5 RN Tier Two Pennhurst Medical Group, Corp $41.070 USD HUR 128032 4400001795 85101601LOT 3 Region 5 RN Tier Three Pennhurst Medical Group, Corp $47.730 USD HUR 128032 4400001795 85101601LOT 3 Region 5 RN Case Manager Pennhurst Medical Group, Corp $67.460 USD HUR 128032 4400001795 85101601LOT 3 Region 5 RN Claims Review Pennhurst Medical Group, Corp $77.180 USD HUR 128032 4400001795 85101601LOT 3 Region 5 Social Worker Pennhurst Medical Group, Corp $26.860 USD HUR 128032 4400001795 93141507LOT 3 Region 5 Medical Records Asst. Pennhurst Medical Group, Corp $14.940 USD HUR 128032 4400001795 85101700LOT 3 Region 5 Medical Records Tech. Pennhurst Medical Group, Corp $17.190 USD HUR 128032 4400001795 85101700LOT 3 Region 5 Pharmacy Tech Coordinator Pennhurst Medical Group, Corp $37.260 USD HUR 128032 4400001795 85101700LOT 3 Region 5 Medical Economist Pennhurst Medical Group, Corp $108.000 USD HUR 128032 4400001795 85101700LOT 3 Region 5 Dental Hygienist Pennhurst Medical Group, Corp $56.410 USD HUR 128032 4400001795 85122002LOT 3 Region 5 Medical Assistant Pennhurst Medical Group, Corp $29.000 USD HUR 128032 4400001795 85101700LOT 3 Region 5 Medical Records Director Pennhurst Medical Group, Corp $51.750 USD HUR 128032 4400001795 85101700LOT 3 Region 5 Autism Consultant Pennhurst Medical Group, Corp $105.570 USD HUR 128032 4400001795 85101700LOT 3 Region 5 RN Prior Auth Pennhurst Medical Group, Corp $74.390 USD HUR 128032 4400001795 85101601LOT 3 Region 5 Behavioral Analyst Pennhurst Medical Group, Corp $105.830 USD HUR 128032 4400001795 85101700LOT 4 Region 1 Dentist Academic Pennhurst Medical Group, Corp $87.980 USD HUR 128032 4400001795 85122001LOT 4 Region 1 Dentist LTC Pennhurst Medical Group, Corp $103.200 USD HUR 128032 4400001795 85122001LOT 4 Region 1 Orthodontist Academic Pennhurst Medical Group, Corp $98.840 USD HUR 128032 4400001795 85122005LOT 4 Region 1 Orthodontist LTC Pennhurst Medical Group, Corp $119.540 USD HUR 128032 4400001795 85122005LOT 4 Region 1 PCP Academic Pennhurst Medical Group, Corp $97.290 USD HUR 128032 4400001795 85121500LOT 4 Region 1 PCP LTC Pennhurst Medical Group, Corp $115.510 USD HUR 128032 4400001795 85121500LOT 4 Region 1 Psychiatrist Academic Pennhurst Medical Group, Corp $141.800 USD HUR 128032 4400001795 85121607LOT 4 Region 1 Psychiatrist LTC Pennhurst Medical Group, Corp $158.360 USD HUR 128032 4400001795 85121607LOT 4 Region 1 Surgeon Academic Pennhurst Medical Group, Corp $164.570 USD HUR 128032 4400001795 85121600LOT 4 Region 1 Surgeon LTC Pennhurst Medical Group, Corp $154.730 USD HUR 128032 4400001795 85121600LOT 4 Region 1 Physician Spec. Academic Pennhurst Medical Group, Corp $120.060 USD HUR 128032 4400001795 85121600LOT 4 Region 1 Physician Spec. LTC Pennhurst Medical Group, Corp $141.250 USD HUR 128032 4400001795 85121600LOT 4 Region 1 Chief Medical Officer Pennhurst Medical Group, Corp $188.000 USD HUR 128032 4400001795 85121600LOT 4 Region 1 Lead Medical Director Pennhurst Medical Group, Corp $171.000 USD HUR 128032 4400001795 85121600LOT 4 Region 1 QI Coordinator Pennhurst Medical Group, Corp $55.890 USD HUR 128032 4400001795 85101700LOT 4 Region 1 QI Information Spec Pennhurst Medical Group, Corp $39.330 USD HUR 128032 4400001795 85101700LOT 4 Region 1 QI Manager Pennhurst Medical Group, Corp $64.070 USD HUR 128032 4400001795 85101700LOT 4 Region 2 Dentist Academic Pennhurst Medical Group, Corp $86.940 USD HUR 128032 4400001795 85122001LOT 4 Region 2 Dentist LTC Pennhurst Medical Group, Corp $95.540 USD HUR 128032 4400001795 85122001LOT 4 Region 2 Orthodontist Academic Pennhurst Medical Group, Corp $91.430 USD HUR 128032 4400001795 85122005LOT 4 Region 2 Orthodontist LTC Pennhurst Medical Group, Corp $112.130 USD HUR 128032 4400001795 85122005LOT 4 Region 2 PCP Academic Pennhurst Medical Group, Corp $99.360 USD HUR 128032 4400001795 85121500LOT 4 Region 2 PCP LTC Pennhurst Medical Group, Corp $115.510 USD HUR 128032 4400001795 85121500LOT 4 Region 2 Psychiatrist Academic Pennhurst Medical Group, Corp $131.450 USD HUR 128032 4400001795 85121607LOT 4 Region 2 Psychiatrist LTC Pennhurst Medical Group, Corp $148.010 USD HUR 128032 4400001795 85121607LOT 4 Region 2 Surgeon Academic Pennhurst Medical Group, Corp $152.350 USD HUR 128032 4400001795 85121600LOT 4 Region 2 Surgeon LTC Pennhurst Medical Group, Corp $143.760 USD HUR 128032 4400001795 85121600LOT 4 Region 2 Physician Spec. Academic Pennhurst Medical Group, Corp $113.440 USD HUR 128032 4400001795 85121600LOT 4 Region 2 Physician Spec. LTC Pennhurst Medical Group, Corp $131.900 USD HUR 128032 4400001795 85121600LOT 4 Region 2 Chief Medical Officer Pennhurst Medical Group, Corp $188.000 USD HUR 128032 4400001795 85121600LOT 4 Region 2 Lead Medical Director Pennhurst Medical Group, Corp $171.000 USD HUR 128032 4400001795 85121600LOT 4 Region 2 QI Coordinator Pennhurst Medical Group, Corp $53.100 USD HUR 128032 4400001795 85101700LOT 4 Region 2 QI Information Spec Pennhurst Medical Group, Corp $36.400 USD HUR 128032 4400001795 85101700LOT 4 Region 2 QI Manager Pennhurst Medical Group, Corp $59.260 USD HUR 128032 4400001795 85101700LOT 4 Region 3 Dentist Academic Pennhurst Medical Group, Corp $90.050 USD HUR 128032 4400001795 85122001LOT 4 Region 3 Dentist LTC Pennhurst Medical Group, Corp $103.380 USD HUR 128032 4400001795 85122001LOT 4 Region 3 Orthodontist Academic Pennhurst Medical Group, Corp $98.930 USD HUR 128032 4400001795 85122005LOT 4 Region 3 Orthodontist LTC Pennhurst Medical Group, Corp $119.630 USD HUR 128032 4400001795 85122005LOT 4 Region 3 PCP Academic Pennhurst Medical Group, Corp $100.400 USD HUR 128032 4400001795 85121500LOT 4 Region 3 PCP LTC Pennhurst Medical Group, Corp $115.510 USD HUR 128032 4400001795 85121500LOT 4 Region 3 Psychiatrist Academic Pennhurst Medical Group, Corp $141.800 USD HUR 128032 4400001795 85121607LOT 4 Region 3 Psychiatrist LTC Pennhurst Medical Group, Corp $158.360 USD HUR 128032 4400001795 85121607LOT 4 Region 3 Surgeon Academic Pennhurst Medical Group, Corp $164.880 USD HUR 128032 4400001795 85121600LOT 4 Region 3 Surgeon LTC Pennhurst Medical Group, Corp $154.840 USD HUR 128032 4400001795 85121600LOT 4 Region 3 Physician Spec. Academic Pennhurst Medical Group, Corp $122.750 USD HUR 128032 4400001795 85121600LOT 4 Region 3 Physician Spec. LTC Pennhurst Medical Group, Corp $131.900 USD HUR 128032 4400001795 85121600LOT 4 Region 3 Chief Medical Officer Pennhurst Medical Group, Corp $188.000 USD HUR 128032 4400001795 85121600LOT 4 Region 3 Lead Medical Director Pennhurst Medical Group, Corp $171.000 USD HUR 128032 4400001795 85121600LOT 4 Region 3 QI Coordinator Pennhurst Medical Group, Corp $57.030 USD HUR 128032 4400001795 85101700LOT 4 Region 3 QI Information Spec Pennhurst Medical Group, Corp $39.390 USD HUR 128032 4400001795 85101700LOT 4 Region 3 QI Manager Pennhurst Medical Group, Corp $64.120 USD HUR 128032 4400001795 85101700LOT 4 Region 4 Dentist Academic Pennhurst Medical Group, Corp $88.600 USD HUR 128032 4400001795 85122001LOT 4 Region 4 Dentist LTC Pennhurst Medical Group, Corp $100.670 USD HUR 128032 4400001795 85122001LOT 4 Region 4 Orthodontist Academic Pennhurst Medical Group, Corp $96.350 USD HUR 128032 4400001795 85122005LOT 4 Region 4 Orthodontist LTC Pennhurst Medical Group, Corp $117.050 USD HUR 128032 4400001795 85122005LOT 4 Region 4 PCP Academic Pennhurst Medical Group, Corp $101.430 USD HUR 128032 4400001795 85121500LOT 4 Region 4 PCP LTC Pennhurst Medical Group, Corp $119.230 USD HUR 128032 4400001795 85121500LOT 4 Region 4 Psychiatrist Academic Pennhurst Medical Group, Corp $138.690 USD HUR 128032 4400001795 85121607LOT 4 Region 4 Psychiatrist LTC Pennhurst Medical Group, Corp $178.020 USD HUR 128032 4400001795 85121607LOT 4 Region 4 Surgeon Academic Pennhurst Medical Group, Corp $160.590 USD HUR 128032 4400001795 85121600LOT 4 Region 4 Surgeon LTC Pennhurst Medical Group, Corp $150.870 USD HUR 128032 4400001795 85121600LOT 4 Region 4 Physician Spec. Academic Pennhurst Medical Group, Corp $119.540 USD HUR 128032 4400001795 85121600LOT 4 Region 4 Physician Spec. LTC Pennhurst Medical Group, Corp $135.230 USD HUR 128032 4400001795 85121600LOT 4 Region 4 Chief Medical Officer Pennhurst Medical Group, Corp $192.000 USD HUR 128032 4400001795 85121600LOT 4 Region 4 Lead Medical Director Pennhurst Medical Group, Corp $172.000 USD HUR 128032 4400001795 85121600LOT 4 Region 4 QI Coordinator Pennhurst Medical Group, Corp $62.940 USD HUR 128032 4400001795 85101700

LOT 4 Region 4 QI Information Spec Pennhurst Medical Group, Corp $38.360 USD HUR 128032 4400001795 85101700LOT 4 Region 4 QI Manager Pennhurst Medical Group, Corp $62.450 USD HUR 128032 4400001795 85101700LOT 4 Region 4 Psychologist NDC LTC Pennhurst Medical Group, Corp $91.040 USD HUR 128032 4400001795 85121608LOT 4 Region 5 Dentist Academic Pennhurst Medical Group, Corp $103.500 USD HUR 128032 4400001795 85122001LOT 4 Region 5 Dentist LTC Pennhurst Medical Group, Corp $116.800 USD HUR 128032 4400001795 85122001LOT 4 Region 5 Orthodontist Academic Pennhurst Medical Group, Corp $111.780 USD HUR 128032 4400001795 85122005LOT 4 Region 5 Orthodontist LTC Pennhurst Medical Group, Corp $132.480 USD HUR 128032 4400001795 85122005LOT 4 Region 5 PCP Academic Pennhurst Medical Group, Corp $115.920 USD HUR 128032 4400001795 85121500LOT 4 Region 5 PCP LTC Pennhurst Medical Group, Corp $133.520 USD HUR 128032 4400001795 85121500LOT 4 Region 5 Psychiatrist Academic Pennhurst Medical Group, Corp $160.430 USD HUR 128032 4400001795 85121607LOT 4 Region 5 Psychiatrist LTC Pennhurst Medical Group, Corp $201.830 USD HUR 128032 4400001795 85121607LOT 4 Region 5 Surgeon Academic Pennhurst Medical Group, Corp $186.300 USD HUR 128032 4400001795 85121600LOT 4 Region 5 Surgeon LTC Pennhurst Medical Group, Corp $172.850 USD HUR 128032 4400001795 85121600LOT 4 Region 5 Physician Spec. Academic Pennhurst Medical Group, Corp $138.690 USD HUR 128032 4400001795 85121600LOT 4 Region 5 Physician Spec. LTC Pennhurst Medical Group, Corp $150.600 USD HUR 128032 4400001795 85121600LOT 4 Region 5 Chief Medical Officer Pennhurst Medical Group, Corp $196.000 USD HUR 128032 4400001795 85121600LOT 4 Region 5 Lead Medical Director Pennhurst Medical Group, Corp $181.000 USD HUR 128032 4400001795 85121600LOT 4 Region 5 QI Coordinator Pennhurst Medical Group, Corp $65.130 USD HUR 128032 4400001795 85101700LOT 4 Region 5 QI Information Spec Pennhurst Medical Group, Corp $44.510 USD HUR 128032 4400001795 85101700LOT 4 Region 5 QI Manager Pennhurst Medical Group, Corp $62.100 USD HUR 128032 4400001795 85101700Travel and/or Lodging Pennhurst Medical Group, Corp $0.000 USD EA 128032 4400001795 90000000

LOT 1 Region 1 RN WD First Shift 45.650 USD HUR LOT 1 Region 1 RN WD First Shift 4400001795 1 85101601LOT 1 Region 1 RN WD Second Shift 45.650 USD HUR LOT 1 Region 1 RN WD Second Shift 4400001795 1 85101601LOT 1 Region 1 RN WD Third Shift 45.650 USD HUR LOT 1 Region 1 RN WD Third Shift 4400001795 1 85101601LOT 1 Region 1 RN WD OT First Shift 61.630 USD HUR LOT 1 Region 1 RN WD OT First Shift 4400001795 1 85101601LOT 1 Region 1 RN WD OT Second Shift 61.630 USD HUR LOT 1 Region 1 RN WD OT Second Shift 4400001795 1 85101601LOT 1 Region 1 RN WD OT Third Shift 61.630 USD HUR LOT 1 Region 1 RN WD OT Third Shift 4400001795 1 85101601LOT 1 Region 1 RN WE First Shift 46.690 USD HUR LOT 1 Region 1 RN WE First Shift 4400001795 1 85101601LOT 1 Region 1 RN WE Second Shift 46.690 USD HUR LOT 1 Region 1 RN WE Second Shift 4400001795 1 85101601LOT 1 Region 1 RN WE Third Shift 46.690 USD HUR LOT 1 Region 1 RN WE Third Shift 4400001795 1 85101601LOT 1 Region 1 RN WE OT First Shift 65.360 USD HUR LOT 1 Region 1 RN WE OT First Shift 4400001795 1 85101601LOT 1 Region 1 RN WE OT Second Shift 65.360 USD HUR LOT 1 Region 1 RN WE OT Second Shift 4400001795 1 85101601LOT 1 Region 1 RN WE OT Third Shift 65.360 USD HUR LOT 1 Region 1 RN WE OT Third Shift 4400001795 1 85101601LOT 1 Region 1 RN Holiday First Shift 68.480 USD HUR LOT 1 Region 1 RN Holiday First Shift 4400001795 1 85101601LOT 1 Region 1 RN Holiday Second Shift 68.480 USD HUR LOT 1 Region 1 RN Holiday Second Shift 4400001795 1 85101601LOT 1 Region 1 RN Holiday Third Shift 68.480 USD HUR LOT 1 Region 1 RN Holiday Third Shift 4400001795 1 85101601LOT 1 Region 1 LPN WD First Shift 36.310 USD HUR LOT 1 Region 1 LPN WD First Shift 4400001795 1 85101601LOT 1 Region 1 LPN WD Second Shift 36.310 USD HUR LOT 1 Region 1 LPN WD Second Shift 4400001795 1 85101601LOT 1 Region 1 LPN WD Third Shift 36.310 USD HUR LOT 1 Region 1 LPN WD Third Shift 4400001795 1 85101601LOT 1 Region 1 LPN WD OT First Shift 49.020 USD HUR LOT 1 Region 1 LPN WD OT First Shift 4400001795 1 85101601LOT 1 Region 1 LPN WD OT Second Shift 49.020 USD HUR LOT 1 Region 1 LPN WD OT Second Shift 4400001795 1 85101601LOT 1 Region 1 LPN WD OT Third Shift 49.020 USD HUR LOT 1 Region 1 LPN WD OT Third Shift 4400001795 1 85101601LOT 1 Region 1 LPN WE First Shift 37.350 USD HUR LOT 1 Region 1 LPN WE First Shift 4400001795 1 85101601LOT 1 Region 1 LPN WE Second Shift 37.350 USD HUR LOT 1 Region 1 LPN WE Second Shift 4400001795 1 85101601LOT 1 Region 1 LPN WE Third Shift 37.350 USD HUR LOT 1 Region 1 LPN WE Third Shift 4400001795 1 85101601LOT 1 Region 1 LPN WE OT First Shift 52.290 USD HUR LOT 1 Region 1 LPN WE OT First Shift 4400001795 1 85101601LOT 1 Region 1 LPN WE OT Second Shift 52.290 USD HUR LOT 1 Region 1 LPN WE OT Second Shift 4400001795 1 85101601LOT 1 Region 1 LPN WE OT Third Shift 52.290 USD HUR LOT 1 Region 1 LPN WE OT Third Shift 4400001795 1 85101601LOT 1 Region 1 LPN Holiday First Shift 54.470 USD HUR LOT 1 Region 1 LPN Holiday First Shift 4400001795 1 85101601LOT 1 Region 1 LPN Holiday Second Shift 54.470 USD HUR LOT 1 Region 1 LPN Holiday Second Shift 4400001795 1 85101601LOT 1 Region 1 LPN Holiday Third Shift 54.470 USD HUR LOT 1 Region 1 LPN Holiday Third Shift 4400001795 1 85101601LOT 1 Region 1 CNA WD First Shift 18.680 USD HUR LOT 1 Region 1 CNA WD First Shift 4400001795 1 85101601LOT 1 Region 1 CNA WD Second Shift 18.680 USD HUR LOT 1 Region 1 CNA WD Second Shift 4400001795 1 85101601LOT 1 Region 1 CNA WD Third Shift 18.680 USD HUR LOT 1 Region 1 CNA WD Third Shift 4400001795 1 85101601LOT 1 Region 1 CNA WD OT First Shift 25.210 USD HUR LOT 1 Region 1 CNA WD OT First Shift 4400001795 1 85101601LOT 1 Region 1 CNA WD OT Second Shift 25.210 USD HUR LOT 1 Region 1 CNA WD OT Second Shift 4400001795 1 85101601LOT 1 Region 1 CNA WD OT Third Shift 25.210 USD HUR LOT 1 Region 1 CNA WD OT Third Shift 4400001795 1 85101601LOT 1 Region 1 CNA WE First Shift 20.750 USD HUR LOT 1 Region 1 CNA WE First Shift 4400001795 1 85101601LOT 1 Region 1 CNA WE Second Shift 20.750 USD HUR LOT 1 Region 1 CNA WE Second Shift 4400001795 1 85101601LOT 1 Region 1 CNA WE Third Shift 20.750 USD HUR LOT 1 Region 1 CNA WE Third Shift 4400001795 1 85101601LOT 1 Region 1 CNA WE OT First Shift 29.050 USD HUR LOT 1 Region 1 CNA WE OT First Shift 4400001795 1 85101601LOT 1 Region 1 CNA WE OT Second Shift 29.050 USD HUR LOT 1 Region 1 CNA WE OT Second Shift 4400001795 1 85101601LOT 1 Region 1 CNA WE OT Third Shift 29.050 USD HUR LOT 1 Region 1 CNA WE OT Third Shift 4400001795 1 85101601LOT 1 Region 1 CNA Holiday First Shift 28.010 USD HUR LOT 1 Region 1 CNA Holiday First Shift 4400001795 1 85101601LOT 1 Region 1 CNA Holiday Second Shift 28.010 USD HUR LOT 1 Region 1 CNA Holiday Second Shift 4400001795 1 85101601LOT 1 Region 1 CNA Holiday Third Shift 28.010 USD HUR LOT 1 Region 1 CNA Holiday Third Shift 4400001795 1 85101601LOT 1 Region 1 Nurse Executive 48.660 USD HUR LOT 1 Region 1 Nurse Executive 4400001795 1 85101601LOT 1 Region 1 Occupational Therapist 1 49.490 USD HUR LOT 1 Region 1 Occupational Therapist 1 4400001795 2 85122102LOT 1 Region 1 Occupational Therapist 2 51.560 USD HUR LOT 1 Region 1 Occupational Therapist 2 4400001795 2 85122102LOT 1 Region 1 Physical Therapist 1 54.150 USD HUR LOT 1 Region 1 Physical Therapist 1 4400001795 3 85122101LOT 1 Region 1 Physical Therapist 2 55.230 USD HUR LOT 1 Region 1 Physical Therapist 2 4400001795 3 85122101LOT 1 Region 1 Physical Therapist Aide 35.790 USD HUR LOT 1 Region 1 Physical Therapist Aide 4400001795 3 85122101LOT 1 Region 1 Pharmacist 55.920 USD HUR LOT 1 Region 1 Pharmacist 4400001795 4 85121900LOT 1 Region 1 Pharmacist Technician 25.730 USD HUR LOT 1 Region 1 Pharmacist Technician 4400001795 4 85121900LOT 1 Region 1 Speech Therapy 53.220 USD HUR LOT 1 Region 1 Speech Therapy 4400001795 5 85122108LOT 1 Region 1 Dental Hygienist 34.860 USD HUR LOT 1 Region 1 Dental Hygienist 4400001795 6 85122002LOT 1 Region 1 Dental Assistant 22.000 USD HUR LOT 1 Region 1 Dental Assistant 4400001795 7 85122003LOT 1 Region 2 RN WD First Shift 45.650 USD HUR LOT 1 Region 2 RN WD First Shift 4400001795 1 85101601LOT 1 Region 2 RN WD Second Shift 45.650 USD HUR LOT 1 Region 2 RN WD Second Shift 4400001795 1 85101601LOT 1 Region 2 RN WD Third Shift 45.650 USD HUR LOT 1 Region 2 RN WD Third Shift 4400001795 1 85101601LOT 1 Region 2 RN WD OT First Shift 61.630 USD HUR LOT 1 Region 2 RN WD OT First Shift 4400001795 1 85101601LOT 1 Region 2 RN WD OT Second Shift 61.630 USD HUR LOT 1 Region 2 RN WD OT Second Shift 4400001795 1 85101601LOT 1 Region 2 RN WD OT Third Shift 61.630 USD HUR LOT 1 Region 2 RN WD OT Third Shift 4400001795 1 85101601LOT 1 Region 2 RN WE First Shift 46.690 USD HUR LOT 1 Region 2 RN WE First Shift 4400001795 1 85101601LOT 1 Region 2 RN WE Second Shift 46.690 USD HUR LOT 1 Region 2 RN WE Second Shift 4400001795 1 85101601LOT 1 Region 2 RN WE Third Shift 46.690 USD HUR LOT 1 Region 2 RN WE Third Shift 4400001795 1 85101601LOT 1 Region 2 RN WE OT First Shift 65.360 USD HUR LOT 1 Region 2 RN WE OT First Shift 4400001795 1 85101601LOT 1 Region 2 RN WE OT Second Shift 65.360 USD HUR LOT 1 Region 2 RN WE OT Second Shift 4400001795 1 85101601LOT 1 Region 2 RN WE OT Third Shift 65.360 USD HUR LOT 1 Region 2 RN WE OT Third Shift 4400001795 1 85101601LOT 1 Region 2 RN Holiday First Shift 68.480 USD HUR LOT 1 Region 2 RN Holiday First Shift 4400001795 1 85101601LOT 1 Region 2 RN Holiday Second Shift 68.480 USD HUR LOT 1 Region 2 RN Holiday Second Shift 4400001795 1 85101601LOT 1 Region 2 RN Holiday Third Shift 68.480 USD HUR LOT 1 Region 2 RN Holiday Third Shift 4400001795 1 85101601LOT 1 Region 2 LPN WD First Shift 36.310 USD HUR LOT 1 Region 2 LPN WD First Shift 4400001795 1 85101601LOT 1 Region 2 LPN WD Second Shift 36.310 USD HUR LOT 1 Region 2 LPN WD Second Shift 4400001795 1 85101601

Pennhurst SRM Contract 4400001795 MSCC spreadsheet for Amendment #2 Rate increase information

Contract Line ItemShort text description Unit Price USD unit of

measure Long text for item SRM contract no UNSPSC code

LOT 1 Region 2 LPN WD Third Shift 36.310 USD HUR LOT 1 Region 2 LPN WD Third Shift 4400001795 1 85101601LOT 1 Region 2 LPN WD OT First Shift 49.020 USD HUR LOT 1 Region 2 LPN WD OT First Shift 4400001795 1 85101601LOT 1 Region 2 LPN WD OT Second Shift 49.020 USD HUR LOT 1 Region 2 LPN WD OT Second Shift 4400001795 1 85101601LOT 1 Region 2 LPN WD OT Third Shift 49.020 USD HUR LOT 1 Region 2 LPN WD OT Third Shift 4400001795 1 85101601LOT 1 Region 2 LPN WE First Shift 37.350 USD HUR LOT 1 Region 2 LPN WE First Shift 4400001795 1 85101601LOT 1 Region 2 LPN WE Second Shift 37.350 USD HUR LOT 1 Region 2 LPN WE Second Shift 4400001795 1 85101601LOT 1 Region 2 LPN WE Third Shift 37.350 USD HUR LOT 1 Region 2 LPN WE Third Shift 4400001795 1 85101601LOT 1 Region 2 LPN WE OT First Shift 52.290 USD HUR LOT 1 Region 2 LPN WE OT First Shift 4400001795 1 85101601LOT 1 Region 2 LPN WE OT Second Shift 52.290 USD HUR LOT 1 Region 2 LPN WE OT Second Shift 4400001795 1 85101601LOT 1 Region 2 LPN WE OT Third Shift 52.290 USD HUR LOT 1 Region 2 LPN WE OT Third Shift 4400001795 1 85101601LOT 1 Region 2 LPN Holiday First Shift 54.470 USD HUR LOT 1 Region 2 LPN Holiday First Shift 4400001795 1 85101601LOT 1 Region 2 LPN Holiday Second Shift 54.470 USD HUR LOT 1 Region 2 LPN Holiday Second Shift 4400001795 1 85101601LOT 1 Region 2 LPN Holiday Third Shift 54.470 USD HUR LOT 1 Region 2 LPN Holiday Third Shift 4400001795 1 85101601LOT 1 Region 2 CNA WD First Shift 18.680 USD HUR LOT 1 Region 2 CNA WD First Shift 4400001795 1 85101601LOT 1 Region 2 CNA WD Second Shift 18.680 USD HUR LOT 1 Region 2 CNA WD Second Shift 4400001795 1 85101601LOT 1 Region 2 CNA WD Third Shift 18.680 USD HUR LOT 1 Region 2 CNA WD Third Shift 4400001795 1 85101601LOT 1 Region 2 CNA WD OT First Shift 25.210 USD HUR LOT 1 Region 2 CNA WD OT First Shift 4400001795 1 85101601LOT 1 Region 2 CNA WD OT Second Shift 25.210 USD HUR LOT 1 Region 2 CNA WD OT Second Shift 4400001795 1 85101601LOT 1 Region 2 CNA WD OT Third Shift 25.210 USD HUR LOT 1 Region 2 CNA WD OT Third Shift 4400001795 1 85101601LOT 1 Region 2 CNA WE First Shift 20.750 USD HUR LOT 1 Region 2 CNA WE First Shift 4400001795 1 85101601LOT 1 Region 2 CNA WE Second Shift 20.750 USD HUR LOT 1 Region 2 CNA WE Second Shift 4400001795 1 85101601LOT 1 Region 2 CNA WE Third Shift 20.750 USD HUR LOT 1 Region 2 CNA WE Third Shift 4400001795 1 85101601LOT 1 Region 2 CNA WE OT First Shift 29.050 USD HUR LOT 1 Region 2 CNA WE OT First Shift 4400001795 1 85101601LOT 1 Region 2 CNA WE OT Second Shift 29.050 USD HUR LOT 1 Region 2 CNA WE OT Second Shift 4400001795 1 85101601LOT 1 Region 2 CNA WE OT Third Shift 29.050 USD HUR LOT 1 Region 2 CNA WE OT Third Shift 4400001795 1 85101601LOT 1 Region 2 CNA Holiday First Shift 28.010 USD HUR LOT 1 Region 2 CNA Holiday First Shift 4400001795 1 85101601LOT 1 Region 2 CNA Holiday Second Shift 28.010 USD HUR LOT 1 Region 2 CNA Holiday Second Shift 4400001795 1 85101601LOT 1 Region 2 CNA Holiday Third Shift 28.010 USD HUR LOT 1 Region 2 CNA Holiday Third Shift 4400001795 1 85101601LOT 1 Region 2 Nurse Executive 44.980 USD HUR LOT 1 Region 2 Nurse Executive 4400001795 1 85101601LOT 1 Region 2 Occupational Therapist 1 45.830 USD HUR LOT 1 Region 2 Occupational Therapist 1 4400001795 2 85122102LOT 1 Region 2 Occupational Therapist 2 47.900 USD HUR LOT 1 Region 2 Occupational Therapist 2 4400001795 2 85122102LOT 1 Region 2 Physical Therapist 1 50.100 USD HUR LOT 1 Region 2 Physical Therapist 1 4400001795 3 85122101LOT 1 Region 2 Physical Therapist 2 51.180 USD HUR LOT 1 Region 2 Physical Therapist 2 4400001795 3 85122101LOT 1 Region 2 Physical Therapist Aide 33.100 USD HUR LOT 1 Region 2 Physical Therapist Aide 4400001795 3 85122101LOT 1 Region 2 Pharmacist 55.920 USD HUR LOT 1 Region 2 Pharmacist 4400001795 4 85121900LOT 1 Region 2 Pharmacist Technician 23.760 USD HUR LOT 1 Region 2 Pharmacist Technician 4400001795 4 85121900LOT 1 Region 2 Speech Therapy 49.220 USD HUR LOT 1 Region 2 Speech Therapy 4400001795 5 85122108LOT 1 Region 2 Dental Hygienist 32.250 USD HUR LOT 1 Region 2 Dental Hygienist 4400001795 6 85122002LOT 1 Region 2 Dental Assistant 20.370 USD HUR LOT 1 Region 2 Dental Assistant 4400001795 7 85122003LOT 1 Region 3 RN WD First Shift 45.650 USD HUR LOT 1 Region 3 RN WD First Shift 4400001795 1 85101601LOT 1 Region 3 RN WD Second Shift 45.650 USD HUR LOT 1 Region 3 RN WD Second Shift 4400001795 1 85101601LOT 1 Region 3 RN WD Third Shift 45.650 USD HUR LOT 1 Region 3 RN WD Third Shift 4400001795 1 85101601LOT 1 Region 3 RN WD OT First Shift 61.630 USD HUR LOT 1 Region 3 RN WD OT First Shift 4400001795 1 85101601LOT 1 Region 3 RN WD OT Second Shift 61.630 USD HUR LOT 1 Region 3 RN WD OT Second Shift 4400001795 1 85101601LOT 1 Region 3 RN WD OT Third Shift 61.630 USD HUR LOT 1 Region 3 RN WD OT Third Shift 4400001795 1 85101601LOT 1 Region 3 RN WE First Shift 46.690 USD HUR LOT 1 Region 3 RN WE First Shift 4400001795 1 85101601LOT 1 Region 3 RN WE Second Shift 46.690 USD HUR LOT 1 Region 3 RN WE Second Shift 4400001795 1 85101601LOT 1 Region 3 RN WE Third Shift 46.690 USD HUR LOT 1 Region 3 RN WE Third Shift 4400001795 1 85101601LOT 1 Region 3 RN WE OT First Shift 65.360 USD HUR LOT 1 Region 3 RN WE OT First Shift 4400001795 1 85101601LOT 1 Region 3 RN WE OT Second Shift 65.360 USD HUR LOT 1 Region 3 RN WE OT Second Shift 4400001795 1 85101601LOT 1 Region 3 RN WE OT Third Shift 65.360 USD HUR LOT 1 Region 3 RN WE OT Third Shift 4400001795 1 85101601LOT 1 Region 3 RN Holiday First Shift 68.480 USD HUR LOT 1 Region 3 RN Holiday First Shift 4400001795 1 85101601LOT 1 Region 3 RN Holiday Second Shift 68.480 USD HUR LOT 1 Region 3 RN Holiday Second Shift 4400001795 1 85101601LOT 1 Region 3 RN Holiday Third Shift 68.480 USD HUR LOT 1 Region 3 RN Holiday Third Shift 4400001795 1 85101601LOT 1 Region 3 LPN WD First Shift 36.310 USD HUR LOT 1 Region 3 LPN WD First Shift 4400001795 1 85101601LOT 1 Region 3 LPN WD Second Shift 36.310 USD HUR LOT 1 Region 3 LPN WD Second Shift 4400001795 1 85101601LOT 1 Region 3 LPN WD Third Shift 36.310 USD HUR LOT 1 Region 3 LPN WD Third Shift 4400001795 1 85101601LOT 1 Region 3 LPN WD OT First Shift 49.020 USD HUR LOT 1 Region 3 LPN WD OT First Shift 4400001795 1 85101601LOT 1 Region 3 LPN WD OT Second Shift 49.020 USD HUR LOT 1 Region 3 LPN WD OT Second Shift 4400001795 1 85101601LOT 1 Region 3 LPN WD OT Third Shift 49.020 USD HUR LOT 1 Region 3 LPN WD OT Third Shift 4400001795 1 85101601LOT 1 Region 3 LPN WE First Shift 37.350 USD HUR LOT 1 Region 3 LPN WE First Shift 4400001795 1 85101601LOT 1 Region 3 LPN WE Second Shift 37.350 USD HUR LOT 1 Region 3 LPN WE Second Shift 4400001795 1 85101601LOT 1 Region 3 LPN WE Third Shift 37.350 USD HUR LOT 1 Region 3 LPN WE Third Shift 4400001795 1 85101601LOT 1 Region 3 LPN WE OT First Shift 52.290 USD HUR LOT 1 Region 3 LPN WE OT First Shift 4400001795 1 85101601LOT 1 Region 3 LPN WE OT Second Shift 52.290 USD HUR LOT 1 Region 3 LPN WE OT Second Shift 4400001795 1 85101601LOT 1 Region 3 LPN WE OT Third Shift 52.290 USD HUR LOT 1 Region 3 LPN WE OT Third Shift 4400001795 1 85101601LOT 1 Region 3 LPN Holiday First Shift 54.470 USD HUR LOT 1 Region 3 LPN Holiday First Shift 4400001795 1 85101601LOT 1 Region 3 LPN Holiday Second Shift 54.470 USD HUR LOT 1 Region 3 LPN Holiday Second Shift 4400001795 1 85101601LOT 1 Region 3 LPN Holiday Third Shift 54.470 USD HUR LOT 1 Region 3 LPN Holiday Third Shift 4400001795 1 85101601LOT 1 Region 3 CNA WD First Shift 18.680 USD HUR LOT 1 Region 3 CNA WD First Shift 4400001795 1 85101601LOT 1 Region 3 CNA WD Second Shift 18.680 USD HUR LOT 1 Region 3 CNA WD Second Shift 4400001795 1 85101601LOT 1 Region 3 CNA WD Third Shift 18.680 USD HUR LOT 1 Region 3 CNA WD Third Shift 4400001795 1 85101601LOT 1 Region 3 CNA WD OT First Shift 25.210 USD HUR LOT 1 Region 3 CNA WD OT First Shift 4400001795 1 85101601LOT 1 Region 3 CNA WD OT Second Shift 25.210 USD HUR LOT 1 Region 3 CNA WD OT Second Shift 4400001795 1 85101601LOT 1 Region 3 CNA WD OT Third Shift 25.210 USD HUR LOT 1 Region 3 CNA WD OT Third Shift 4400001795 1 85101601LOT 1 Region 3 CNA WE First Shift 20.750 USD HUR LOT 1 Region 3 CNA WE First Shift 4400001795 1 85101601LOT 1 Region 3 CNA WE Second Shift 20.750 USD HUR LOT 1 Region 3 CNA WE Second Shift 4400001795 1 85101601LOT 1 Region 3 CNA WE Third Shift 20.750 USD HUR LOT 1 Region 3 CNA WE Third Shift 4400001795 1 85101601LOT 1 Region 3 CNA WE OT First Shift 29.050 USD HUR LOT 1 Region 3 CNA WE OT First Shift 4400001795 1 85101601LOT 1 Region 3 CNA WE OT Second Shift 29.050 USD HUR LOT 1 Region 3 CNA WE OT Second Shift 4400001795 1 85101601LOT 1 Region 3 CNA WE OT Third Shift 29.050 USD HUR LOT 1 Region 3 CNA WE OT Third Shift 4400001795 1 85101601LOT 1 Region 3 CNA Holiday First Shift 28.010 USD HUR LOT 1 Region 3 CNA Holiday First Shift 4400001795 1 85101601

LOT 1 Region 3 CNA Holiday Second Shift 28.010 USD HUR LOT 1 Region 3 CNA Holiday Second Shift 4400001795 1 85101601LOT 1 Region 3 CNA Holiday Third Shift 28.010 USD HUR LOT 1 Region 3 CNA Holiday Third Shift 4400001795 1 85101601LOT 1 Region 3 Nurse Executive 48.670 USD HUR LOT 1 Region 3 Nurse Executive 4400001795 1 85101601LOT 1 Region 3 Occupational Therapist 1 49.580 USD HUR LOT 1 Region 3 Occupational Therapist 1 4400001795 2 85122102LOT 1 Region 3 Occupational Therapist 2 51.660 USD HUR LOT 1 Region 3 Occupational Therapist 2 4400001795 2 85122102LOT 1 Region 3 Physical Therapist 1 54.210 USD HUR LOT 1 Region 3 Physical Therapist 1 4400001795 3 85122101LOT 1 Region 3 Physical Therapist 2 55.280 USD HUR LOT 1 Region 3 Physical Therapist 2 4400001795 3 85122101LOT 1 Region 3 Physical Therapist Aide 35.810 USD HUR LOT 1 Region 3 Physical Therapist Aide 4400001795 3 85122101LOT 1 Region 3 Pharmacist 56.010 USD HUR LOT 1 Region 3 Pharmacist 4400001795 4 85121900LOT 1 Region 3 Pharmacist Technician 25.710 USD HUR LOT 1 Region 3 Pharmacist Technician 4400001795 4 85121900LOT 1 Region 3 Speech Therapy 53.250 USD HUR LOT 1 Region 3 Speech Therapy 4400001795 5 85122108LOT 1 Region 3 Dental Hygienist 34.890 USD HUR LOT 1 Region 3 Dental Hygienist 4400001795 6 85122002LOT 1 Region 3 Dental Assistant 22.040 USD HUR LOT 1 Region 3 Dental Assistant 4400001795 7 85122003LOT 1 Region 4 RN WD First Shift 43.580 USD HUR LOT 1 Region 4 RN WD First Shift 4400001795 1 85101601LOT 1 Region 4 RN WD Second Shift 43.580 USD HUR LOT 1 Region 4 RN WD Second Shift 4400001795 1 85101601LOT 1 Region 4 RN WD Third Shift 43.580 USD HUR LOT 1 Region 4 RN WD Third Shift 4400001795 1 85101601LOT 1 Region 4 RN WD OT First Shift 58.830 USD HUR LOT 1 Region 4 RN WD OT First Shift 4400001795 1 85101601LOT 1 Region 4 RN WD OT Second Shift 58.830 USD HUR LOT 1 Region 4 RN WD OT Second Shift 4400001795 1 85101601LOT 1 Region 4 RN WD OT Third Shift 58.830 USD HUR LOT 1 Region 4 RN WD OT Third Shift 4400001795 1 85101601LOT 1 Region 4 RN WE First Shift 45.650 USD HUR LOT 1 Region 4 RN WE First Shift 4400001795 1 85101601LOT 1 Region 4 RN WE Second Shift 45.650 USD HUR LOT 1 Region 4 RN WE Second Shift 4400001795 1 85101601LOT 1 Region 4 RN WE Third Shift 45.650 USD HUR LOT 1 Region 4 RN WE Third Shift 4400001795 1 85101601LOT 1 Region 4 RN WE OT First Shift 63.290 USD HUR LOT 1 Region 4 RN WE OT First Shift 4400001795 1 85101601LOT 1 Region 4 RN WE OT Second Shift 63.290 USD HUR LOT 1 Region 4 RN WE OT Second Shift 4400001795 1 85101601LOT 1 Region 4 RN WE OT Third Shift 63.290 USD HUR LOT 1 Region 4 RN WE OT Third Shift 4400001795 1 85101601LOT 1 Region 4 RN Holiday First Shift 66.820 USD HUR LOT 1 Region 4 RN Holiday First Shift 4400001795 1 85101601LOT 1 Region 4 RN Holiday Second Shift 66.820 USD HUR LOT 1 Region 4 RN Holiday Second Shift 4400001795 1 85101601LOT 1 Region 4 RN Holiday Third Shift 66.820 USD HUR LOT 1 Region 4 RN Holiday Third Shift 4400001795 1 85101601LOT 1 Region 4 LPN WD First Shift 34.240 USD HUR LOT 1 Region 4 LPN WD First Shift 4400001795 1 85101601LOT 1 Region 4 LPN WD Second Shift 34.240 USD HUR LOT 1 Region 4 LPN WD Second Shift 4400001795 1 85101601LOT 1 Region 4 LPN WD Third Shift 34.240 USD HUR LOT 1 Region 4 LPN WD Third Shift 4400001795 1 85101601LOT 1 Region 4 LPN WD OT First Shift 49.020 USD HUR LOT 1 Region 4 LPN WD OT First Shift 4400001795 1 85101601LOT 1 Region 4 LPN WD OT Second Shift 49.020 USD HUR LOT 1 Region 4 LPN WD OT Second Shift 4400001795 1 85101601LOT 1 Region 4 LPN WD OT Third Shift 49.020 USD HUR LOT 1 Region 4 LPN WD OT Third Shift 4400001795 1 85101601LOT 1 Region 4 LPN WE First Shift 36.310 USD HUR LOT 1 Region 4 LPN WE First Shift 4400001795 1 85101601LOT 1 Region 4 LPN WE Second Shift 36.310 USD HUR LOT 1 Region 4 LPN WE Second Shift 4400001795 1 85101601LOT 1 Region 4 LPN WE Third Shift 36.310 USD HUR LOT 1 Region 4 LPN WE Third Shift 4400001795 1 85101601LOT 1 Region 4 LPN WE OT First Shift 50.840 USD HUR LOT 1 Region 4 LPN WE OT First Shift 4400001795 1 85101601LOT 1 Region 4 LPN WE OT Second Shift 50.840 USD HUR LOT 1 Region 4 LPN WE OT Second Shift 4400001795 1 85101601LOT 1 Region 4 LPN WE OT Third Shift 50.840 USD HUR LOT 1 Region 4 LPN WE OT Third Shift 4400001795 1 85101601LOT 1 Region 4 LPN Holiday First Shift 51.360 USD HUR LOT 1 Region 4 LPN Holiday First Shift 4400001795 1 85101601LOT 1 Region 4 LPN Holiday Second Shift 51.360 USD HUR LOT 1 Region 4 LPN Holiday Second Shift 4400001795 1 85101601LOT 1 Region 4 LPN Holiday Third Shift 51.360 USD HUR LOT 1 Region 4 LPN Holiday Third Shift 4400001795 1 85101601LOT 1 Region 4 CNA WD First Shift 18.160 USD HUR LOT 1 Region 4 CNA WD First Shift 4400001795 1 85101601LOT 1 Region 4 CNA WD Second Shift 18.160 USD HUR LOT 1 Region 4 CNA WD Second Shift 4400001795 1 85101601LOT 1 Region 4 CNA WD Third Shift 18.160 USD HUR LOT 1 Region 4 CNA WD Third Shift 4400001795 1 85101601LOT 1 Region 4 CNA WD OT First Shift 24.520 USD HUR LOT 1 Region 4 CNA WD OT First Shift 4400001795 1 85101601LOT 1 Region 4 CNA WD OT Second Shift 24.520 USD HUR LOT 1 Region 4 CNA WD OT Second Shift 4400001795 1 85101601LOT 1 Region 4 CNA WD OT Third Shift 24.520 USD HUR LOT 1 Region 4 CNA WD OT Third Shift 4400001795 1 85101601LOT 1 Region 4 CNA WE First Shift 20.130 USD HUR LOT 1 Region 4 CNA WE First Shift 4400001795 1 85101601LOT 1 Region 4 CNA WE Second Shift 20.130 USD HUR LOT 1 Region 4 CNA WE Second Shift 4400001795 1 85101601LOT 1 Region 4 CNA WE Third Shift 20.130 USD HUR LOT 1 Region 4 CNA WE Third Shift 4400001795 1 85101601LOT 1 Region 4 CNA WE OT First Shift 28.180 USD HUR LOT 1 Region 4 CNA WE OT First Shift 4400001795 1 85101601LOT 1 Region 4 CNA WE OT Second Shift 28.180 USD HUR LOT 1 Region 4 CNA WE OT Second Shift 4400001795 1 85101601LOT 1 Region 4 CNA WE OT Third Shift 28.180 USD HUR LOT 1 Region 4 CNA WE OT Third Shift 4400001795 1 85101601LOT 1 Region 4 CNA Holiday First Shift 27.230 USD HUR LOT 1 Region 4 CNA Holiday First Shift 4400001795 1 85101601LOT 1 Region 4 CNA Holiday Second Shift 27.230 USD HUR LOT 1 Region 4 CNA Holiday Second Shift 4400001795 1 85101601LOT 1 Region 4 CNA Holiday Third Shift 27.230 USD HUR LOT 1 Region 4 CNA Holiday Third Shift 4400001795 1 85101601LOT 1 Region 4 Nurse Executive 47.390 USD HUR LOT 1 Region 4 Nurse Executive 4400001795 1 85101601LOT 1 Region 4 Occupational Therapist 1 48.390 USD HUR LOT 1 Region 4 Occupational Therapist 1 4400001795 2 85122102LOT 1 Region 4 Occupational Therapist 2 50.460 USD HUR LOT 1 Region 4 Occupational Therapist 2 4400001795 2 85122102LOT 1 Region 4 Physical Therapist 1 52.790 USD HUR LOT 1 Region 4 Physical Therapist 1 4400001795 3 85122101LOT 1 Region 4 Physical Therapist 2 53.860 USD HUR LOT 1 Region 4 Physical Therapist 2 4400001795 3 85122101LOT 1 Region 4 Physical Therapist Aide 37.980 USD HUR LOT 1 Region 4 Physical Therapist Aide 4400001795 3 85122101LOT 1 Region 4 Pharmacist 66.400 USD HUR LOT 1 Region 4 Pharmacist 4400001795 4 85121900LOT 1 Region 4 Pharmacist Technician 25.030 USD HUR LOT 1 Region 4 Pharmacist Technician 4400001795 4 85121900LOT 1 Region 4 Speech Therapy 59.140 USD HUR LOT 1 Region 4 Speech Therapy 4400001795 5 85122108LOT 1 Region 4 Dental Hygienist 33.980 USD HUR LOT 1 Region 4 Dental Hygienist 4400001795 6 85122002LOT 1 Region 4 Dental Assistant 21.460 USD HUR LOT 1 Region 4 Dental Assistant 4400001795 7 85122003LOT 1 Region 5 RN WD First Shift 47.730 USD HUR LOT 1 Region 5 RN WD First Shift 4400001795 1 85101601LOT 1 Region 5 RN WD Second Shift 47.730 USD HUR LOT 1 Region 5 RN WD Second Shift 4400001795 1 85101601LOT 1 Region 5 RN WD Third Shift 47.730 USD HUR LOT 1 Region 5 RN WD Third Shift 4400001795 1 85101601LOT 1 Region 5 RN WD OT First Shift 64.430 USD HUR LOT 1 Region 5 RN WD OT First Shift 4400001795 1 85101601LOT 1 Region 5 RN WD OT Second Shift 64.430 USD HUR LOT 1 Region 5 RN WD OT Second Shift 4400001795 1 85101601LOT 1 Region 5 RN WD OT Third Shift 64.430 USD HUR LOT 1 Region 5 RN WD OT Third Shift 4400001795 1 85101601LOT 1 Region 5 RN WE First Shift 51.880 USD HUR LOT 1 Region 5 RN WE First Shift 4400001795 1 85101601LOT 1 Region 5 RN WE Second Shift 51.880 USD HUR LOT 1 Region 5 RN WE Second Shift 4400001795 1 85101601LOT 1 Region 5 RN WE Third Shift 51.880 USD HUR LOT 1 Region 5 RN WE Third Shift 4400001795 1 85101601LOT 1 Region 5 RN WE OT First Shift 72.630 USD HUR LOT 1 Region 5 RN WE OT First Shift 4400001795 1 85101601LOT 1 Region 5 RN WE OT Second Shift 72.630 USD HUR LOT 1 Region 5 RN WE OT Second Shift 4400001795 1 85101601LOT 1 Region 5 RN WE OT Third Shift 72.630 USD HUR LOT 1 Region 5 RN WE OT Third Shift 4400001795 1 85101601LOT 1 Region 5 RN Holiday First Shift 77.810 USD HUR LOT 1 Region 5 RN Holiday First Shift 4400001795 1 85101601

LOT 1 Region 5 RN Holiday Second Shift 77.810 USD HUR LOT 1 Region 5 RN Holiday Second Shift 4400001795 1 85101601LOT 1 Region 5 RN Holiday Third Shift 77.810 USD HUR LOT 1 Region 5 RN Holiday Third Shift 4400001795 1 85101601LOT 1 Region 5 LPN WD First Shift 37.350 USD HUR LOT 1 Region 5 LPN WD First Shift 4400001795 1 85101601LOT 1 Region 5 LPN WD Second Shift 37.350 USD HUR LOT 1 Region 5 LPN WD Second Shift 4400001795 1 85101601LOT 1 Region 5 LPN WD Third Shift 37.350 USD HUR LOT 1 Region 5 LPN WD Third Shift 4400001795 1 85101601LOT 1 Region 5 LPN WD OT First Shift 50.420 USD HUR LOT 1 Region 5 LPN WD OT First Shift 4400001795 1 85101601LOT 1 Region 5 LPN WD OT Second Shift 50.420 USD HUR LOT 1 Region 5 LPN WD OT Second Shift 4400001795 1 85101601LOT 1 Region 5 LPN WD OT Third Shift 50.420 USD HUR LOT 1 Region 5 LPN WD OT Third Shift 4400001795 1 85101601LOT 1 Region 5 LPN WE First Shift 39.430 USD HUR LOT 1 Region 5 LPN WE First Shift 4400001795 1 85101601LOT 1 Region 5 LPN WE Second Shift 39.430 USD HUR LOT 1 Region 5 LPN WE Second Shift 4400001795 1 85101601LOT 1 Region 5 LPN WE Third Shift 39.430 USD HUR LOT 1 Region 5 LPN WE Third Shift 4400001795 1 85101601LOT 1 Region 5 LPN WE OT First Shift 55.200 USD HUR LOT 1 Region 5 LPN WE OT First Shift 4400001795 1 85101601LOT 1 Region 5 LPN WE OT Second Shift 55.200 USD HUR LOT 1 Region 5 LPN WE OT Second Shift 4400001795 1 85101601LOT 1 Region 5 LPN WE OT Third Shift 55.200 USD HUR LOT 1 Region 5 LPN WE OT Third Shift 4400001795 1 85101601LOT 1 Region 5 LPN Holiday First Shift 57.580 USD HUR LOT 1 Region 5 LPN Holiday First Shift 4400001795 1 85101601LOT 1 Region 5 LPN Holiday Second Shift 59.140 USD HUR LOT 1 Region 5 LPN Holiday Second Shift 4400001795 1 85101601LOT 1 Region 5 LPN Holiday Third Shift 60.690 USD HUR LOT 1 Region 5 LPN Holiday Third Shift 4400001795 1 85101601LOT 1 Region 5 CNA WD First Shift 18.680 USD HUR LOT 1 Region 5 CNA WD First Shift 4400001795 1 85101601LOT 1 Region 5 CNA WD Second Shift 18.680 USD HUR LOT 1 Region 5 CNA WD Second Shift 4400001795 1 85101601LOT 1 Region 5 CNA WD Third Shift 18.680 USD HUR LOT 1 Region 5 CNA WD Third Shift 4400001795 1 85101601LOT 1 Region 5 CNA WD OT First Shift 25.210 USD HUR LOT 1 Region 5 CNA WD OT First Shift 4400001795 1 85101601LOT 1 Region 5 CNA WD OT Second Shift 25.210 USD HUR LOT 1 Region 5 CNA WD OT Second Shift 4400001795 1 85101601LOT 1 Region 5 CNA WD OT Third Shift 25.210 USD HUR LOT 1 Region 5 CNA WD OT Third Shift 4400001795 1 85101601LOT 1 Region 5 CNA WE First Shift 29.050 USD HUR LOT 1 Region 5 CNA WE First Shift 4400001795 1 85101601LOT 1 Region 5 CNA WE Second Shift 29.050 USD HUR LOT 1 Region 5 CNA WE Second Shift 4400001795 1 85101601LOT 1 Region 5 CNA WE Third Shift 29.050 USD HUR LOT 1 Region 5 CNA WE Third Shift 4400001795 1 85101601LOT 1 Region 5 CNA WE OT First Shift 28.010 USD HUR LOT 1 Region 5 CNA WE OT First Shift 4400001795 1 85101601LOT 1 Region 5 CNA WE OT Second Shift 28.010 USD HUR LOT 1 Region 5 CNA WE OT Second Shift 4400001795 1 85101601LOT 1 Region 5 CNA WE OT Third Shift 28.010 USD HUR LOT 1 Region 5 CNA WE OT Third Shift 4400001795 1 85101601LOT 1 Region 5 CNA Holiday First Shift 28.010 USD HUR LOT 1 Region 5 CNA Holiday First Shift 4400001795 1 85101601LOT 1 Region 5 CNA Holiday Second Shift 28.010 USD HUR LOT 1 Region 5 CNA Holiday Second Shift 4400001795 1 85101601LOT 1 Region 5 CNA Holiday Third Shift 28.010 USD HUR LOT 1 Region 5 CNA Holiday Third Shift 4400001795 1 85101601LOT 1 Region 5 Nurse Executive 54.990 USD HUR LOT 1 Region 5 Nurse Executive 4400001795 1 85101601LOT 1 Region 5 Occupational Therapist 1 56.030 USD HUR LOT 1 Region 5 Occupational Therapist 1 4400001795 2 85122102LOT 1 Region 5 Occupational Therapist 2 58.100 USD HUR LOT 1 Region 5 Occupational Therapist 2 4400001795 2 85122102LOT 1 Region 5 Physical Therapist 1 61.250 USD HUR LOT 1 Region 5 Physical Therapist 1 4400001795 3 85122101LOT 1 Region 5 Physical Therapist 2 62.320 USD HUR LOT 1 Region 5 Physical Therapist 2 4400001795 3 85122101LOT 1 Region 5 Physical Therapist Aide 40.460 USD HUR LOT 1 Region 5 Physical Therapist Aide 4400001795 3 85122101LOT 1 Region 5 Pharmacist 66.400 USD HUR LOT 1 Region 5 Pharmacist 4400001795 4 85121900LOT 1 Region 5 Pharmacist Technician 29.050 USD HUR LOT 1 Region 5 Pharmacist Technician 4400001795 4 85121900LOT 1 Region 5 Speech Therapy 60.180 USD HUR LOT 1 Region 5 Speech Therapy 4400001795 5 85122108LOT 1 Region 5 Dental Hygienist 39.430 USD HUR LOT 1 Region 5 Dental Hygienist 4400001795 6 85122002LOT 1 Region 5 Dental Assistant 24.900 USD HUR LOT 1 Region 5 Dental Assistant 4400001795 7 85122003LOT 2 Region 1 Audiologist 63.660 USD HUR LOT 2 Region 1 Audiologist 4400001795 8 85121600LOT 2 Region 1 Chief Medical Officer 137.990 USD HUR LOT 2 Region 1 Chief Medical Officer 4400001795 8 85121600LOT 2 Region 1 Chief of Psychiatry 156.660 USD HUR LOT 2 Region 1 Chief of Psychiatry 4400001795 9 85121607LOT 2 Region 1 Dentist 99.080 USD HUR LOT 2 Region 1 Dentist 4400001795 10 85122001LOT 2 Region 1 PCP Regular 105.300 USD HUR LOT 2 Region 1 PCP Regular 4400001795 11 85121500LOT 2 Region 1 PCP On Call 11.410 USD HUR LOT 2 Region 1 PCP On Call 4400001795 11 85121500LOT 2 Region 1 PCP Locums 113.900 USD HUR LOT 2 Region 1 PCP Locums 4400001795 11 85121500LOT 2 Region 1 Medical Director Regular 133.240 USD HUR LOT 2 Region 1 Medical Director Regular 4400001795 8 85121600LOT 2 Region 1 Medical Director On Call 11.410 USD HUR LOT 2 Region 1 Medical Director On Call 4400001795 8 85121600LOT 2 Region 1 Neurologist 115.160 USD HUR LOT 2 Region 1 Neurologist 4400001795 12 85111607LOT 2 Region 1 Psychiatrist Regular 121.420 USD HUR LOT 2 Region 1 Psychiatrist Regular 4400001795 9 85121607LOT 2 Region 1 Psychiatrist On Call 18.360 USD HUR LOT 2 Region 1 Psychiatrist On Call 4400001795 9 85121607LOT 2 Region 1 Psychiatrist Locum Tenen 150.430 USD HUR LOT 2 Region 1 Psychiatrist Locum Tenen 4400001795 9 85121607LOT 2 Region 1 Psychologist 67.440 USD HUR LOT 2 Region 1 Psychologist 4400001795 13 85121608LOT 2 Region 1 Physician Supervisory 120.340 USD HUR LOT 2 Region 1 Physician Supervisory 4400001795 11 85121500LOT 2 Region 1 Podiatrist 100.850 USD HUR LOT 2 Region 1 Podiatrist 4400001795 14 85121703LOT 2 Region 2 Audiologist 63.660 USD HUR LOT 2 Region 2 Audiologist 4400001795 8 85121600LOT 2 Region 2 Chief Medical Officer 128.130 USD HUR LOT 2 Region 2 Chief Medical Officer 4400001795 8 85121600LOT 2 Region 2 Chief of Psychiatry 161.850 USD HUR LOT 2 Region 2 Chief of Psychiatry 4400001795 9 85121607LOT 2 Region 2 Dentist 91.650 USD HUR LOT 2 Region 2 Dentist 4400001795 10 85122001LOT 2 Region 2 PCP Regular 104.230 USD HUR LOT 2 Region 2 PCP Regular 4400001795 11 85121500LOT 2 Region 2 PCP On Call 11.410 USD HUR LOT 2 Region 2 PCP On Call 4400001795 11 85121500LOT 2 Region 2 PCP Locums 111.750 USD HUR LOT 2 Region 2 PCP Locums 4400001795 11 85121500LOT 2 Region 2 Medical Director Regular 122.490 USD HUR LOT 2 Region 2 Medical Director Regular 4400001795 8 85121600LOT 2 Region 2 Medical Director On Call 11.410 USD HUR LOT 2 Region 2 Medical Director On Call 4400001795 8 85121600LOT 2 Region 2 Neurologist 106.970 USD HUR LOT 2 Region 2 Neurologist 4400001795 12 85111607LOT 2 Region 2 Psychiatrist Regular 127.870 USD HUR LOT 2 Region 2 Psychiatrist Regular 4400001795 9 85121607LOT 2 Region 2 Psychiatrist On Call 16.970 USD HUR LOT 2 Region 2 Psychiatrist On Call 4400001795 9 85121607LOT 2 Region 2 Psychiatrist Locum Tenen 138.830 USD HUR LOT 2 Region 2 Psychiatrist Locum Tenen 4400001795 9 85121607LOT 2 Region 2 Psychologist 67.440 USD HUR LOT 2 Region 2 Psychologist 4400001795 13 85121608LOT 2 Region 2 Physician Supervisory 111.640 USD HUR LOT 2 Region 2 Physician Supervisory 4400001795 11 85121500LOT 2 Region 2 Podiatrist 93.350 USD HUR LOT 2 Region 2 Podiatrist 4400001795 14 85121703LOT 2 Region 3 Audiologist 63.660 USD HUR LOT 2 Region 3 Audiologist 4400001795 8 85121600LOT 2 Region 3 Chief Medical Officer 138.610 USD HUR LOT 2 Region 3 Chief Medical Officer 4400001795 8 85121600LOT 2 Region 3 Chief of Psychiatry 159.780 USD HUR LOT 2 Region 3 Chief of Psychiatry 4400001795 9 85121607LOT 2 Region 3 Dentist 99.160 USD HUR LOT 2 Region 3 Dentist 4400001795 10 85122001LOT 2 Region 3 PCP Regular 105.300 USD HUR LOT 2 Region 3 PCP Regular 4400001795 11 85121500LOT 2 Region 3 PCP On Call 11.410 USD HUR LOT 2 Region 3 PCP On Call 4400001795 11 85121500LOT 2 Region 3 PCP Locums 114.110 USD HUR LOT 2 Region 3 PCP Locums 4400001795 11 85121500

LOT 2 Region 3 Medical Director Regular 133.240 USD HUR LOT 2 Region 3 Medical Director Regular 4400001795 8 85121600LOT 2 Region 3 Medical Director On Call 11.410 USD HUR LOT 2 Region 3 Medical Director On Call 4400001795 8 85121600LOT 2 Region 3 Neurologist 115.680 USD HUR LOT 2 Region 3 Neurologist 4400001795 12 85111607LOT 2 Region 3 Psychiatrist Regular 121.740 USD HUR LOT 2 Region 3 Psychiatrist Regular 4400001795 9 85121607LOT 2 Region 3 Psychiatrist On Call 18.360 USD HUR LOT 2 Region 3 Psychiatrist On Call 4400001795 9 85121607LOT 2 Region 3 Psychiatrist Locum Tenen 150.220 USD HUR LOT 2 Region 3 Psychiatrist Locum Tenen 4400001795 9 85121607LOT 2 Region 3 Psychologist 67.440 USD HUR LOT 2 Region 3 Psychologist 4400001795 13 85121608LOT 2 Region 3 Physician Supervisory 120.770 USD HUR LOT 2 Region 3 Physician Supervisory 4400001795 11 85121500LOT 2 Region 3 Podiatrist 101.100 USD HUR LOT 2 Region 3 Podiatrist 4400001795 14 85121703LOT 2 Region 4 Audiologist 61.470 USD HUR LOT 2 Region 4 Audiologist 4400001795 8 85121600LOT 2 Region 4 Chief Medical Officer 135.040 USD HUR LOT 2 Region 4 Chief Medical Officer 4400001795 8 85121600LOT 2 Region 4 Chief of Psychiatry 163.930 USD HUR LOT 2 Region 4 Chief of Psychiatry 4400001795 9 85121607LOT 2 Region 4 Dentist 96.580 USD HUR LOT 2 Region 4 Dentist 4400001795 10 85122001LOT 2 Region 4 PCP Regular 105.300 USD HUR LOT 2 Region 4 PCP Regular 4400001795 11 85121500LOT 2 Region 4 PCP On Call 11.410 USD HUR LOT 2 Region 4 PCP On Call 4400001795 11 85121500LOT 2 Region 4 PCP Locums 111.150 USD HUR LOT 2 Region 4 PCP Locums 4400001795 11 85121500LOT 2 Region 4 Medical Director Regular 130.010 USD HUR LOT 2 Region 4 Medical Director Regular 4400001795 8 85121600LOT 2 Region 4 Medical Director On Call 11.410 USD HUR LOT 2 Region 4 Medical Director On Call 4400001795 8 85121600LOT 2 Region 4 Neurologist 112.680 USD HUR LOT 2 Region 4 Neurologist 4400001795 12 85111607LOT 2 Region 4 Psychiatrist Regular 127.870 USD HUR LOT 2 Region 4 Psychiatrist Regular 4400001795 9 85121607LOT 2 Region 4 Psychiatrist On Call 17.890 USD HUR LOT 2 Region 4 Psychiatrist On Call 4400001795 9 85121607LOT 2 Region 4 Psychiatrist Locum Tenen 146.340 USD HUR LOT 2 Region 4 Psychiatrist Locum Tenen 4400001795 9 85121607LOT 2 Region 4 Psychologist 67.440 USD HUR LOT 2 Region 4 Psychologist 4400001795 13 85121608LOT 2 Region 4 Physician Supervisory 117.630 USD HUR LOT 2 Region 4 Physician Supervisory 4400001795 11 85121500LOT 2 Region 4 Podiatrist 98.380 USD HUR LOT 2 Region 4 Podiatrist 4400001795 14 85121703LOT 2 Region 5 Audiologist 63.030 USD HUR LOT 2 Region 5 Audiologist 4400001795 8 85121600LOT 2 Region 5 Chief Medical Officer 156.660 USD HUR LOT 2 Region 5 Chief Medical Officer 4400001795 8 85121600LOT 2 Region 5 Chief of Psychiatry 164.960 USD HUR LOT 2 Region 5 Chief of Psychiatry 4400001795 9 85121607LOT 2 Region 5 Dentist 112.050 USD HUR LOT 2 Region 5 Dentist 4400001795 10 85122001LOT 2 Region 5 PCP Regular 120.340 USD HUR LOT 2 Region 5 PCP Regular 4400001795 11 85121500LOT 2 Region 5 PCP On Call 12.450 USD HUR LOT 2 Region 5 PCP On Call 4400001795 11 85121500LOT 2 Region 5 PCP Locums 128.940 USD HUR LOT 2 Region 5 PCP Locums 4400001795 11 85121500LOT 2 Region 5 Medical Director Regular 152.580 USD HUR LOT 2 Region 5 Medical Director Regular 4400001795 8 85121600LOT 2 Region 5 Medical Director On Call 12.450 USD HUR LOT 2 Region 5 Medical Director On Call 4400001795 8 85121600LOT 2 Region 5 Neurologist 130.730 USD HUR LOT 2 Region 5 Neurologist 4400001795 12 85111607LOT 2 Region 5 Psychiatrist Regular 137.540 USD HUR LOT 2 Region 5 Psychiatrist Regular 4400001795 9 85121607LOT 2 Region 5 Psychiatrist On Call 20.750 USD HUR LOT 2 Region 5 Psychiatrist On Call 4400001795 9 85121607LOT 2 Region 5 Psychiatrist Locum Tenen 169.770 USD HUR LOT 2 Region 5 Psychiatrist Locum Tenen 4400001795 9 85121607LOT 2 Region 5 Psychologist 67.440 USD HUR LOT 2 Region 5 Psychologist 4400001795 13 85121608LOT 2 Region 5 Physician Supervisory 136.460 USD HUR LOT 2 Region 5 Physician Supervisory 4400001795 11 85121500LOT 2 Region 5 Podiatrist 114.130 USD HUR LOT 2 Region 5 Podiatrist 4400001795 14 85121703LOT 3 Region 1 Administrative Assistant 11.820 USD HUR LOT 3 Region 1 Administrative Assistant 4400001795 15 85101700LOT 3 Region 1 Certified Medical Coder 40.710 USD HUR LOT 3 Region 1 Certified Medical Coder 4400001795 15 85101700LOT 3 Region 1 Fiscal Assistant 14.290 USD HUR LOT 3 Region 1 Fiscal Assistant 4400001795 15 85101700LOT 3 Region 1 Financial Representative 26.590 USD HUR LOT 3 Region 1 Financial Representative 4400001795 15 85101700LOT 3 Region 1 Pharmacist 73.660 USD HUR LOT 3 Region 1 Pharmacist 4400001795 4 85121900LOT 3 Region 1 Pharmacist Director 76.780 USD HUR LOT 3 Region 1 Pharmacist Director 4400001795 4 85121900LOT 3 Region 1 Provider Relations 61.730 USD HUR LOT 3 Region 1 Provider Relations 4400001795 15 85101700LOT 3 Region 1 RN Tier One 35.500 USD HUR LOT 3 Region 1 RN Tier One 4400001795 1 85101601LOT 3 Region 1 RN Tier Two 37.000 USD HUR LOT 3 Region 1 RN Tier Two 4400001795 1 85101601LOT 3 Region 1 RN Tier Three 45.750 USD HUR LOT 3 Region 1 RN Tier Three 4400001795 1 85101601LOT 3 Region 1 RN Case Manager 60.900 USD HUR LOT 3 Region 1 RN Case Manager 4400001795 1 85101601LOT 3 Region 1 RN Claims Review 62.670 USD HUR LOT 3 Region 1 RN Claims Review 4400001795 1 85101601LOT 3 Region 1 Social Worker 26.860 USD HUR LOT 3 Region 1 Social Worker 4400001795 16 93141507LOT 3 Region 1 Medical Records Asst. 13.320 USD HUR LOT 3 Region 1 Medical Records Asst. 4400001795 15 85101700LOT 3 Region 1 Medical Records Tech. 15.150 USD HUR LOT 3 Region 1 Medical Records Tech. 4400001795 15 85101700LOT 3 Region 1 Pharmacy Tech Coordinato 36.230 USD HUR LOT 3 Region 1 Pharmacy Tech Coordinato 4400001795 15 85101700LOT 3 Region 1 Medical Economist 105.000 USD HUR LOT 3 Region 1 Medical Economist 4400001795 15 85101700LOT 3 Region 1 Dental Hygienist 54.860 USD HUR LOT 3 Region 1 Dental Hygienist 4400001795 6 85122002LOT 3 Region 1 Medical Assistant 25.750 USD HUR LOT 3 Region 1 Medical Assistant 4400001795 15 85101700LOT 3 Region 1 Medical Records Director 45.750 USD HUR LOT 3 Region 1 Medical Records Director 4400001795 15 85101700LOT 3 Region 1 Autism Consultant 103.500 USD HUR LOT 3 Region 1 Autism Consultant 4400001795 15 85101700LOT 3 Region 1 RN Prior Auth 60.400 USD HUR LOT 3 Region 1 RN Prior Auth 4400001795 1 85101601LOT 3 Region 1 Behavioral Analyst 103.750 USD HUR LOT 3 Region 1 Behavioral Analyst 4400001795 15 85101700LOT 3 Region 2 Administrative Assistant 12.360 USD HUR LOT 3 Region 2 Administrative Assistant 4400001795 15 85101700LOT 3 Region 2 Certified Medical Coder 41.150 USD HUR LOT 3 Region 2 Certified Medical Coder 4400001795 15 85101700LOT 3 Region 2 Fiscal Assistant 13.180 USD HUR LOT 3 Region 2 Fiscal Assistant 4400001795 15 85101700LOT 3 Region 2 Financial Representative 24.660 USD HUR LOT 3 Region 2 Financial Representative 4400001795 15 85101700LOT 3 Region 2 Pharmacist 72.630 USD HUR LOT 3 Region 2 Pharmacist 4400001795 4 85121900LOT 3 Region 2 Pharmacist Director 77.810 USD HUR LOT 3 Region 2 Pharmacist Director 4400001795 4 85121900LOT 3 Region 2 Provider Relations 57.850 USD HUR LOT 3 Region 2 Provider Relations 4400001795 15 85101700LOT 3 Region 2 RN Tier One 35.500 USD HUR LOT 3 Region 2 RN Tier One 4400001795 1 85101601LOT 3 Region 2 RN Tier Two 37.000 USD HUR LOT 3 Region 2 RN Tier Two 4400001795 1 85101601LOT 3 Region 2 RN Tier Three 45.750 USD HUR LOT 3 Region 2 RN Tier Three 4400001795 1 85101601LOT 3 Region 2 RN Case Manager 58.880 USD HUR LOT 3 Region 2 RN Case Manager 4400001795 1 85101601LOT 3 Region 2 RN Claims Review 62.810 USD HUR LOT 3 Region 2 RN Claims Review 4400001795 1 85101601LOT 3 Region 2 Social Worker 26.860 USD HUR LOT 3 Region 2 Social Worker 4400001795 16 93141507LOT 3 Region 2 Medical Records Asst. 13.430 USD HUR LOT 3 Region 2 Medical Records Asst. 4400001795 15 85101700LOT 3 Region 2 Medical Records Tech. 14.070 USD HUR LOT 3 Region 2 Medical Records Tech. 4400001795 15 85101700LOT 3 Region 2 Pharmacy Tech Coordinato 36.230 USD HUR LOT 3 Region 2 Pharmacy Tech Coordinato 4400001795 15 85101700LOT 3 Region 2 Medical Economist 105.000 USD HUR LOT 3 Region 2 Medical Economist 4400001795 15 85101700LOT 3 Region 2 Dental Hygienist 54.860 USD HUR LOT 3 Region 2 Dental Hygienist 4400001795 6 85122002

LOT 3 Region 2 Medical Assistant 25.750 USD HUR LOT 3 Region 2 Medical Assistant 4400001795 15 85101700LOT 3 Region 2 Medical Records Director 42.330 USD HUR LOT 3 Region 2 Medical Records Director 4400001795 15 85101700LOT 3 Region 2 Autism Consultant 103.500 USD HUR LOT 3 Region 2 Autism Consultant 4400001795 15 85101700LOT 3 Region 2 RN Prior Auth 60.540 USD HUR LOT 3 Region 2 RN Prior Auth 4400001795 1 85101601LOT 3 Region 2 Behavioral Analyst 103.750 USD HUR LOT 3 Region 2 Behavioral Analyst 4400001795 15 85101700LOT 3 Region 3 Administrative Assistant 12.890 USD HUR LOT 3 Region 3 Administrative Assistant 4400001795 15 85101700LOT 3 Region 3 Certified Medical Coder 39.670 USD HUR LOT 3 Region 3 Certified Medical Coder 4400001795 15 85101700LOT 3 Region 3 Fiscal Assistant 14.270 USD HUR LOT 3 Region 3 Fiscal Assistant 4400001795 15 85101700LOT 3 Region 3 Financial Representative 26.680 USD HUR LOT 3 Region 3 Financial Representative 4400001795 15 85101700LOT 3 Region 3 Pharmacist 73.660 USD HUR LOT 3 Region 3 Pharmacist 4400001795 4 85121900LOT 3 Region 3 Pharmacist Director 78.850 USD HUR LOT 3 Region 3 Pharmacist Director 4400001795 4 85121900LOT 3 Region 3 Provider Relations 62.570 USD HUR LOT 3 Region 3 Provider Relations 4400001795 15 85101700LOT 3 Region 3 RN Tier One 35.500 USD HUR LOT 3 Region 3 RN Tier One 4400001795 1 85101601LOT 3 Region 3 RN Tier Two 37.000 USD HUR LOT 3 Region 3 RN Tier Two 4400001795 1 85101601LOT 3 Region 3 RN Tier Three 45.750 USD HUR LOT 3 Region 3 RN Tier Three 4400001795 1 85101601LOT 3 Region 3 RN Case Manager 59.820 USD HUR LOT 3 Region 3 RN Case Manager 4400001795 1 85101601LOT 3 Region 3 RN Claims Review 63.740 USD HUR LOT 3 Region 3 RN Claims Review 4400001795 1 85101601LOT 3 Region 3 Social Worker 26.860 USD HUR LOT 3 Region 3 Social Worker 4400001795 16 93141507LOT 3 Region 3 Medical Records Asst. 13.310 USD HUR LOT 3 Region 3 Medical Records Asst. 4400001795 15 85101700LOT 3 Region 3 Medical Records Tech. 15.210 USD HUR LOT 3 Region 3 Medical Records Tech. 4400001795 15 85101700LOT 3 Region 3 Pharmacy Tech Coordinato 36.230 USD HUR LOT 3 Region 3 Pharmacy Tech Coordinato 4400001795 15 85101700LOT 3 Region 3 Medical Economist 105.000 USD HUR LOT 3 Region 3 Medical Economist 4400001795 15 85101700LOT 3 Region 3 Dental Hygienist 54.860 USD HUR LOT 3 Region 3 Dental Hygienist 4400001795 6 85122002LOT 3 Region 3 Medical Assistant 26.750 USD HUR LOT 3 Region 3 Medical Assistant 4400001795 15 85101700LOT 3 Region 3 Medical Records Director 45.800 USD HUR LOT 3 Region 3 Medical Records Director 4400001795 15 85101700LOT 3 Region 3 Autism Consultant 103.500 USD HUR LOT 3 Region 3 Autism Consultant 4400001795 15 85101700LOT 3 Region 3 RN Prior Auth 61.440 USD HUR LOT 3 Region 3 RN Prior Auth 4400001795 1 85101601LOT 3 Region 3 Behavioral Analyst 103.750 USD HUR LOT 3 Region 3 Behavioral Analyst 4400001795 15 85101700LOT 3 Region 4 Administrative Assistant 12.890 USD HUR LOT 3 Region 4 Administrative Assistant 4400001795 15 85101700LOT 3 Region 4 Certified Medical Coder 48.950 USD HUR LOT 3 Region 4 Certified Medical Coder 4400001795 15 85101700LOT 3 Region 4 Fiscal Assistant 13.890 USD HUR LOT 3 Region 4 Fiscal Assistant 4400001795 15 85101700LOT 3 Region 4 Financial Representative 25.970 USD HUR LOT 3 Region 4 Financial Representative 4400001795 15 85101700LOT 3 Region 4 Pharmacist 75.740 USD HUR LOT 3 Region 4 Pharmacist 4400001795 4 85121900LOT 3 Region 4 Pharmacist Director 81.960 USD HUR LOT 3 Region 4 Pharmacist Director 4400001795 4 85121900LOT 3 Region 4 Provider Relations 60.820 USD HUR LOT 3 Region 4 Provider Relations 4400001795 15 85101700LOT 3 Region 4 RN Tier One 35.500 USD HUR LOT 3 Region 4 RN Tier One 4400001795 1 85101601LOT 3 Region 4 RN Tier Two 37.000 USD HUR LOT 3 Region 4 RN Tier Two 4400001795 1 85101601LOT 3 Region 4 RN Tier Three 45.750 USD HUR LOT 3 Region 4 RN Tier Three 4400001795 1 85101601LOT 3 Region 4 RN Case Manager 63.090 USD HUR LOT 3 Region 4 RN Case Manager 4400001795 1 85101601LOT 3 Region 4 RN Claims Review 71.810 USD HUR LOT 3 Region 4 RN Claims Review 4400001795 1 85101601LOT 3 Region 4 Social Worker 26.860 USD HUR LOT 3 Region 4 Social Worker 4400001795 16 93141507LOT 3 Region 4 Medical Records Asst. 13.970 USD HUR LOT 3 Region 4 Medical Records Asst. 4400001795 15 85101700LOT 3 Region 4 Medical Records Tech. 15.310 USD HUR LOT 3 Region 4 Medical Records Tech. 4400001795 15 85101700LOT 3 Region 4 Pharmacy Tech Coordinato 36.230 USD HUR LOT 3 Region 4 Pharmacy Tech Coordinato 4400001795 15 85101700LOT 3 Region 4 Medical Economist 105.000 USD HUR LOT 3 Region 4 Medical Economist 4400001795 15 85101700LOT 3 Region 4 Dental Hygienist 54.860 USD HUR LOT 3 Region 4 Dental Hygienist 4400001795 6 85122002LOT 3 Region 4 Medical Assistant 26.000 USD HUR LOT 3 Region 4 Medical Assistant 4400001795 15 85101700LOT 3 Region 4 Medical Records Director 44.610 USD HUR LOT 3 Region 4 Medical Records Director 4400001795 15 85101700LOT 3 Region 4 Autism Consultant 103.500 USD HUR LOT 3 Region 4 Autism Consultant 4400001795 15 85101700LOT 3 Region 4 RN Prior Auth 69.210 USD HUR LOT 3 Region 4 RN Prior Auth 4400001795 1 85101601LOT 3 Region 4 Behavioral Analyst 103.750 USD HUR LOT 3 Region 4 Behavioral Analyst 4400001795 15 85101700LOT 3 Region 5 Administrative Assistant 12.890 USD HUR LOT 3 Region 5 Administrative Assistant 4400001795 15 85101700LOT 3 Region 5 Certified Medical Coder 54.410 USD HUR LOT 3 Region 5 Certified Medical Coder 4400001795 15 85101700LOT 3 Region 5 Fiscal Assistant 16.120 USD HUR LOT 3 Region 5 Fiscal Assistant 4400001795 15 85101700LOT 3 Region 5 Financial Representative 30.140 USD HUR LOT 3 Region 5 Financial Representative 4400001795 15 85101700LOT 3 Region 5 Pharmacist 76.780 USD HUR LOT 3 Region 5 Pharmacist 4400001795 4 85121900LOT 3 Region 5 Pharmacist Director 81.960 USD HUR LOT 3 Region 5 Pharmacist Director 4400001795 4 85121900LOT 3 Region 5 Provider Relations 69.900 USD HUR LOT 3 Region 5 Provider Relations 4400001795 15 85101700LOT 3 Region 5 RN Tier One 39.500 USD HUR LOT 3 Region 5 RN Tier One 4400001795 1 85101601LOT 3 Region 5 RN Tier Two 41.070 USD HUR LOT 3 Region 5 RN Tier Two 4400001795 1 85101601LOT 3 Region 5 RN Tier Three 47.730 USD HUR LOT 3 Region 5 RN Tier Three 4400001795 1 85101601LOT 3 Region 5 RN Case Manager 67.460 USD HUR LOT 3 Region 5 RN Case Manager 4400001795 1 85101601LOT 3 Region 5 RN Claims Review 77.180 USD HUR LOT 3 Region 5 RN Claims Review 4400001795 1 85101601LOT 3 Region 5 Social Worker 26.860 USD HUR LOT 3 Region 5 Social Worker 4400001795 16 93141507LOT 3 Region 5 Medical Records Asst. 14.940 USD HUR LOT 3 Region 5 Medical Records Asst. 4400001795 15 85101700LOT 3 Region 5 Medical Records Tech. 17.190 USD HUR LOT 3 Region 5 Medical Records Tech. 4400001795 15 85101700LOT 3 Region 5 Pharmacy Tech Coordinato 37.260 USD HUR LOT 3 Region 5 Pharmacy Tech Coordinato 4400001795 15 85101700LOT 3 Region 5 Medical Economist 108.000 USD HUR LOT 3 Region 5 Medical Economist 4400001795 15 85101700LOT 3 Region 5 Dental Hygienist 56.410 USD HUR LOT 3 Region 5 Dental Hygienist 4400001795 6 85122002LOT 3 Region 5 Medical Assistant 29.000 USD HUR LOT 3 Region 5 Medical Assistant 4400001795 15 85101700LOT 3 Region 5 Medical Records Director 51.750 USD HUR LOT 3 Region 5 Medical Records Director 4400001795 15 85101700LOT 3 Region 5 Autism Consultant 105.570 USD HUR LOT 3 Region 5 Autism Consultant 4400001795 15 85101700LOT 3 Region 5 RN Prior Auth 74.390 USD HUR LOT 3 Region 5 RN Prior Auth 4400001795 1 85101601LOT 3 Region 5 Behavioral Analyst 105.830 USD HUR LOT 3 Region 5 Behavioral Analyst 4400001795 15 85101700LOT 4 Region 1 Dentist Academic 87.980 USD HUR LOT 4 Region 1 Dentist Academic 4400001795 10 85122001LOT 4 Region 1 Dentist LTC 103.200 USD HUR LOT 4 Region 1 Dentist LTC 4400001795 10 85122001LOT 4 Region 1 Orthodontist Academic 98.840 USD HUR LOT 4 Region 1 Orthodontist Academic 4400001795 17 85122005LOT 4 Region 1 Orthodontist LTC 119.540 USD HUR LOT 4 Region 1 Orthodontist LTC 4400001795 17 85122005LOT 4 Region 1 PCP Academic 97.290 USD HUR LOT 4 Region 1 PCP Academic 4400001795 11 85121500LOT 4 Region 1 PCP LTC 115.510 USD HUR LOT 4 Region 1 PCP LTC 4400001795 11 85121500LOT 4 Region 1 Psychiatrist Academic 141.800 USD HUR LOT 4 Region 1 Psychiatrist Academic 4400001795 9 85121607LOT 4 Region 1 Psychiatrist LTC 158.360 USD HUR LOT 4 Region 1 Psychiatrist LTC 4400001795 9 85121607

LOT 4 Region 1 Surgeon Academic 164.570 USD HUR LOT 4 Region 1 Surgeon Academic 4400001795 8 85121600LOT 4 Region 1 Surgeon LTC 154.730 USD HUR LOT 4 Region 1 Surgeon LTC 4400001795 8 85121600LOT 4 Region 1 Physician Spec. Academic 120.060 USD HUR LOT 4 Region 1 Physician Spec. Academic 4400001795 8 85121600LOT 4 Region 1 Physician Spec. LTC 141.250 USD HUR LOT 4 Region 1 Physician Spec. LTC 4400001795 8 85121600LOT 4 Region 1 Chief Medical Officer 188.000 USD HUR LOT 4 Region 1 Chief Medical Officer 4400001795 8 85121600LOT 4 Region 1 Lead Medical Director 171.000 USD HUR LOT 4 Region 1 Lead Medical Director 4400001795 8 85121600LOT 4 Region 1 QI Coordinator 55.890 USD HUR LOT 4 Region 1 QI Coordinator 4400001795 15 85101700LOT 4 Region 1 QI Information Spec 39.330 USD HUR LOT 4 Region 1 QI Information Spec 4400001795 15 85101700LOT 4 Region 1 QI Manager 64.070 USD HUR LOT 4 Region 1 QI Manager 4400001795 15 85101700LOT 4 Region 2 Dentist Academic 86.940 USD HUR LOT 4 Region 2 Dentist Academic 4400001795 10 85122001LOT 4 Region 2 Dentist LTC 95.540 USD HUR LOT 4 Region 2 Dentist LTC 4400001795 10 85122001LOT 4 Region 2 Orthodontist Academic 91.430 USD HUR LOT 4 Region 2 Orthodontist Academic 4400001795 17 85122005LOT 4 Region 2 Orthodontist LTC 112.130 USD HUR LOT 4 Region 2 Orthodontist LTC 4400001795 17 85122005LOT 4 Region 2 PCP Academic 99.360 USD HUR LOT 4 Region 2 PCP Academic 4400001795 11 85121500LOT 4 Region 2 PCP LTC 115.510 USD HUR LOT 4 Region 2 PCP LTC 4400001795 11 85121500LOT 4 Region 2 Psychiatrist Academic 131.450 USD HUR LOT 4 Region 2 Psychiatrist Academic 4400001795 9 85121607LOT 4 Region 2 Psychiatrist LTC 148.010 USD HUR LOT 4 Region 2 Psychiatrist LTC 4400001795 9 85121607LOT 4 Region 2 Surgeon Academic 152.350 USD HUR LOT 4 Region 2 Surgeon Academic 4400001795 8 85121600LOT 4 Region 2 Surgeon LTC 143.760 USD HUR LOT 4 Region 2 Surgeon LTC 4400001795 8 85121600LOT 4 Region 2 Physician Spec. Academic 113.440 USD HUR LOT 4 Region 2 Physician Spec. Academic 4400001795 8 85121600LOT 4 Region 2 Physician Spec. LTC 131.900 USD HUR LOT 4 Region 2 Physician Spec. LTC 4400001795 8 85121600LOT 4 Region 2 Chief Medical Officer 188.000 USD HUR LOT 4 Region 2 Chief Medical Officer 4400001795 8 85121600LOT 4 Region 2 Lead Medical Director 171.000 USD HUR LOT 4 Region 2 Lead Medical Director 4400001795 8 85121600LOT 4 Region 2 QI Coordinator 53.100 USD HUR LOT 4 Region 2 QI Coordinator 4400001795 15 85101700LOT 4 Region 2 QI Information Spec 36.400 USD HUR LOT 4 Region 2 QI Information Spec 4400001795 15 85101700LOT 4 Region 2 QI Manager 59.260 USD HUR LOT 4 Region 2 QI Manager 4400001795 15 85101700LOT 4 Region 3 Dentist Academic 90.050 USD HUR LOT 4 Region 3 Dentist Academic 4400001795 10 85122001LOT 4 Region 3 Dentist LTC 103.380 USD HUR LOT 4 Region 3 Dentist LTC 4400001795 10 85122001LOT 4 Region 3 Orthodontist Academic 98.930 USD HUR LOT 4 Region 3 Orthodontist Academic 4400001795 17 85122005LOT 4 Region 3 Orthodontist LTC 119.630 USD HUR LOT 4 Region 3 Orthodontist LTC 4400001795 17 85122005LOT 4 Region 3 PCP Academic 100.400 USD HUR LOT 4 Region 3 PCP Academic 4400001795 11 85121500LOT 4 Region 3 PCP LTC 115.510 USD HUR LOT 4 Region 3 PCP LTC 4400001795 11 85121500LOT 4 Region 3 Psychiatrist Academic 141.800 USD HUR LOT 4 Region 3 Psychiatrist Academic 4400001795 9 85121607LOT 4 Region 3 Psychiatrist LTC 158.360 USD HUR LOT 4 Region 3 Psychiatrist LTC 4400001795 9 85121607LOT 4 Region 3 Surgeon Academic 164.880 USD HUR LOT 4 Region 3 Surgeon Academic 4400001795 8 85121600LOT 4 Region 3 Surgeon LTC 154.840 USD HUR LOT 4 Region 3 Surgeon LTC 4400001795 8 85121600LOT 4 Region 3 Physician Spec. Academic 122.750 USD HUR LOT 4 Region 3 Physician Spec. Academic 4400001795 8 85121600LOT 4 Region 3 Physician Spec. LTC 131.900 USD HUR LOT 4 Region 3 Physician Spec. LTC 4400001795 8 85121600LOT 4 Region 3 Chief Medical Officer 188.000 USD HUR LOT 4 Region 3 Chief Medical Officer 4400001795 8 85121600LOT 4 Region 3 Lead Medical Director 171.000 USD HUR LOT 4 Region 3 Lead Medical Director 4400001795 8 85121600LOT 4 Region 3 QI Coordinator 57.030 USD HUR LOT 4 Region 3 QI Coordinator 4400001795 15 85101700LOT 4 Region 3 QI Information Spec 39.390 USD HUR LOT 4 Region 3 QI Information Spec 4400001795 15 85101700LOT 4 Region 3 QI Manager 64.120 USD HUR LOT 4 Region 3 QI Manager 4400001795 15 85101700LOT 4 Region 4 Dentist Academic 88.600 USD HUR LOT 4 Region 4 Dentist Academic 4400001795 10 85122001LOT 4 Region 4 Dentist LTC 100.670 USD HUR LOT 4 Region 4 Dentist LTC 4400001795 10 85122001LOT 4 Region 4 Orthodontist Academic 96.350 USD HUR LOT 4 Region 4 Orthodontist Academic 4400001795 17 85122005LOT 4 Region 4 Orthodontist LTC 117.050 USD HUR LOT 4 Region 4 Orthodontist LTC 4400001795 17 85122005LOT 4 Region 4 PCP Academic 101.430 USD HUR LOT 4 Region 4 PCP Academic 4400001795 11 85121500LOT 4 Region 4 PCP LTC 119.230 USD HUR LOT 4 Region 4 PCP LTC 4400001795 11 85121500LOT 4 Region 4 Psychiatrist Academic 138.690 USD HUR LOT 4 Region 4 Psychiatrist Academic 4400001795 9 85121607LOT 4 Region 4 Psychiatrist LTC 178.020 USD HUR LOT 4 Region 4 Psychiatrist LTC 4400001795 9 85121607LOT 4 Region 4 Surgeon Academic 160.590 USD HUR LOT 4 Region 4 Surgeon Academic 4400001795 8 85121600LOT 4 Region 4 Surgeon LTC 150.870 USD HUR LOT 4 Region 4 Surgeon LTC 4400001795 8 85121600LOT 4 Region 4 Physician Spec. Academic 119.540 USD HUR LOT 4 Region 4 Physician Spec. Academic 4400001795 8 85121600LOT 4 Region 4 Physician Spec. LTC 135.230 USD HUR LOT 4 Region 4 Physician Spec. LTC 4400001795 8 85121600LOT 4 Region 4 Chief Medical Officer 192.000 USD HUR LOT 4 Region 4 Chief Medical Officer 4400001795 8 85121600LOT 4 Region 4 Lead Medical Director 172.000 USD HUR LOT 4 Region 4 Lead Medical Director 4400001795 8 85121600LOT 4 Region 4 QI Coordinator 62.940 USD HUR LOT 4 Region 4 QI Coordinator 4400001795 15 85101700LOT 4 Region 4 QI Information Spec 38.360 USD HUR LOT 4 Region 4 QI Information Spec 4400001795 15 85101700LOT 4 Region 4 QI Manager 62.450 USD HUR LOT 4 Region 4 QI Manager 4400001795 15 85101700LOT 4 Region 4 Psychologist NDC LTC 91.040 USD HUR LOT 4 Region 4 Psychologist NDC LTC 4400001795 13 85121608LOT 4 Region 5 Dentist Academic 103.500 USD HUR LOT 4 Region 5 Dentist Academic 4400001795 10 85122001LOT 4 Region 5 Dentist LTC 116.800 USD HUR LOT 4 Region 5 Dentist LTC 4400001795 10 85122001LOT 4 Region 5 Orthodontist Academic 111.780 USD HUR LOT 4 Region 5 Orthodontist Academic 4400001795 17 85122005LOT 4 Region 5 Orthodontist LTC 132.480 USD HUR LOT 4 Region 5 Orthodontist LTC 4400001795 17 85122005LOT 4 Region 5 PCP Academic 115.920 USD HUR LOT 4 Region 5 PCP Academic 4400001795 11 85121500LOT 4 Region 5 PCP LTC 133.520 USD HUR LOT 4 Region 5 PCP LTC 4400001795 11 85121500LOT 4 Region 5 Psychiatrist Academic 160.430 USD HUR LOT 4 Region 5 Psychiatrist Academic 4400001795 9 85121607LOT 4 Region 5 Psychiatrist LTC 201.830 USD HUR LOT 4 Region 5 Psychiatrist LTC 4400001795 9 85121607LOT 4 Region 5 Surgeon Academic 186.300 USD HUR LOT 4 Region 5 Surgeon Academic 4400001795 8 85121600LOT 4 Region 5 Surgeon LTC 172.850 USD HUR LOT 4 Region 5 Surgeon LTC 4400001795 8 85121600LOT 4 Region 5 Physician Spec. Academic 138.690 USD HUR LOT 4 Region 5 Physician Spec. Academic 4400001795 8 85121600LOT 4 Region 5 Physician Spec. LTC 150.600 USD HUR LOT 4 Region 5 Physician Spec. LTC 4400001795 8 85121600LOT 4 Region 5 Chief Medical Officer 196.000 USD HUR LOT 4 Region 5 Chief Medical Officer 4400001795 8 85121600LOT 4 Region 5 Lead Medical Director 181.000 USD HUR LOT 4 Region 5 Lead Medical Director 4400001795 8 85121600LOT 4 Region 5 QI Coordinator 65.130 USD HUR LOT 4 Region 5 QI Coordinator 4400001795 15 85101700LOT 4 Region 5 QI Information Spec 44.510 USD HUR LOT 4 Region 5 QI Information Spec 4400001795 15 85101700LOT 4 Region 5 QI Manager 62.100 USD HUR LOT 4 Region 5 QI Manager 4400001795 15 85101700Travel and/or Lodging 0.000 USD EA Travel and/or Lodging 4400001795 18 90000000

Contract Reference Number: 9985-43 Collective Number: CN000011254 SRM Contract Number: 4400001795 Change Number: 15 Change Effective Date: 02/08/2008

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF GENERAL SERVICES

HARRISBURG For: ALL USING COMMONWEALTH AGENCIES Subject: Pennhurst Medical Group, Corp. Contract Period: Effective date of November 21, 2005 and Termination date of November 20,

2007(Renewed through November 20, 2008) Buyer Name: XF6/Jean Halbleib 717-346-3834 CHANGE SUMMARY: The addition of GYN, CRNP has been added to the Pennhurst Medical Services contract. The position is restricted to be utilized by DPW, Hamburg Center ONLY. ALL OTHER TERMS AND CONDITIONS OF THIS AGREEMENT WHICH ARE NOT CHANGED BY THIS AMENDMENT REMAIN IN FULL FORCE AND EFFECT.

LOT 1 Region 4 GYN CRNP 50.640 USD HUR LOT 1 Region 4 GYN CRNP LOT 1 Region 4 GYN CRNP 4400001795 85101601

Pennhurst SRM Contract 4400001795 Change # 15 Rate Information for GYN CRNP

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