2025-02-18_wreid_Exhibit A Rate Sheet.docx

Attachment A

*Provider may attach current rate sheet to this agreement.

Contractor: | Name and address | Name and address | Name and address

Daily Rate | Evening/Weekend | Evening/Weekend | Holiday | Effective Date

RN

LPN

Home Health Aide

Homemaker

Companion

Escort

Transportation/Mileage

Live-In

Rates for Other Services:

PMHE

Assisted Living

Long-term Care

Memory Care

Other