1/20-6/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
Adult |
319.79 |
329.50 |
339.58 |
1/20-6/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
Adult Expansion |
418.85 |
431.24 |
444.08 |
1/20-6/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
BCCTP |
1430.61 |
1470.31 |
1511.38 |
1/20-6/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
Behavioral Health Treatment 0-6 |
2427.43 |
2492.51 |
2559.89 |
1/20-6/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
Behavioral Health Treatment 7-20 |
1863.40 |
1913.36 |
1965.09 |
1/20-6/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
Child |
86.40 |
89.71 |
93.17 |
1/20-6/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
LTC Dual |
6566.95 |
6640.31 |
6715.36 |
1/20-6/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
LTC Non-Dual |
10937.76 |
11087.29 |
11240.69 |
1/20-6/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
SPD |
802.86 |
825.13 |
848.17 |
1/20-6/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
SPD Dual |
204.33 |
209.07 |
213.99 |
1/20-6/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
WCM |
1876.73 |
1946.50 |
2019.44 |
7/19-12/19 |
Bridge Period |
COHS |
Orange |
CalOptima |
Adult |
319.79 |
329.50 |
339.58 |
7/19-12/19 |
Bridge Period |
COHS |
Orange |
CalOptima |
Adult Expansion |
418.85 |
431.24 |
444.08 |
7/19-12/19 |
Bridge Period |
COHS |
Orange |
CalOptima |
BCCTP |
1430.61 |
1470.31 |
1511.38 |
7/19-12/19 |
Bridge Period |
COHS |
Orange |
CalOptima |
Behavioral Health Treatment 0-6 |
2427.43 |
2492.51 |
2559.89 |
7/19-12/19 |
Bridge Period |
COHS |
Orange |
CalOptima |
Behavioral Health Treatment 7-20 |
1863.40 |
1913.36 |
1965.09 |
7/19-12/19 |
Bridge Period |
COHS |
Orange |
CalOptima |
Child |
86.40 |
89.71 |
93.17 |
7/19-12/19 |
Bridge Period |
COHS |
Orange |
CalOptima |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
Orange |
CalOptima |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
Orange |
CalOptima |
LTC Dual |
6566.95 |
6640.31 |
6715.36 |
7/19-12/19 |
Bridge Period |
COHS |
Orange |
CalOptima |
LTC Non-Dual |
10937.76 |
11087.29 |
11240.69 |
7/19-12/19 |
Bridge Period |
COHS |
Orange |
CalOptima |
SPD |
802.86 |
825.13 |
848.17 |
7/19-12/19 |
Bridge Period |
COHS |
Orange |
CalOptima |
SPD Dual |
204.33 |
209.07 |
213.99 |
7/19-12/19 |
Bridge Period |
COHS |
Orange |
CalOptima |
WCM |
1876.73 |
1946.50 |
2019.44 |
7/20-12/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
Adult |
319.79 |
329.50 |
339.58 |
7/20-12/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
Adult Expansion |
418.85 |
431.24 |
444.08 |
7/20-12/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
BCCTP |
1430.61 |
1470.31 |
1511.38 |
7/20-12/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
Behavioral Health Treatment 0-6 |
2427.43 |
2492.51 |
2559.89 |
7/20-12/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
Behavioral Health Treatment 7-20 |
1863.40 |
1913.36 |
1965.09 |
7/20-12/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
Child |
86.40 |
89.71 |
93.17 |
7/20-12/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
LTC Dual |
6566.95 |
6640.31 |
6715.36 |
7/20-12/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
LTC Non-Dual |
10937.76 |
11087.29 |
11240.69 |
7/20-12/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
SPD |
802.86 |
825.13 |
848.17 |
7/20-12/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
SPD Dual |
204.33 |
209.07 |
213.99 |
7/20-12/20 |
Bridge Period |
COHS |
Orange |
CalOptima |
WCM |
1876.73 |
1946.50 |
2019.44 |
1/20-6/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
Adult |
341.53 |
352.05 |
362.98 |
1/20-6/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
Adult Expansion |
377.66 |
389.06 |
400.90 |
1/20-6/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
BCCTP |
1363.94 |
1403.08 |
1443.62 |
1/20-6/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
Behavioral Health Treatment 0-6 |
2788.78 |
2863.55 |
2940.96 |
1/20-6/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
Behavioral Health Treatment 7-20 |
1747.26 |
1794.10 |
1842.60 |
1/20-6/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
Child |
82.61 |
85.85 |
89.24 |
1/20-6/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
LTC Dual |
6082.64 |
6150.33 |
6219.57 |
1/20-6/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
LTC Non-Dual |
7726.62 |
7832.28 |
7940.72 |
1/20-6/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
SPD |
960.99 |
986.36 |
1012.61 |
1/20-6/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
SPD Dual |
220.89 |
226.33 |
232.00 |
1/20-6/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
WCM |
1673.87 |
1735.08 |
1799.02 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
Adult |
385.30 |
397.02 |
409.19 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
Adult Expansion |
400.56 |
412.39 |
424.66 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
BCCTP |
1587.49 |
1631.31 |
1676.63 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
Behavioral Health Treatment 0-6 |
2257.11 |
2317.63 |
2380.29 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
Behavioral Health Treatment 7-20 |
1733.31 |
1779.79 |
1827.90 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
Child |
90.45 |
93.87 |
97.44 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
LTC Dual |
7458.83 |
7540.58 |
7624.17 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
LTC Non-Dual |
10906.42 |
11061.94 |
11221.59 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
SPD |
1075.34 |
1103.57 |
1132.77 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
SPD Dual |
231.39 |
236.80 |
242.42 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
WCM |
1678.19 |
1739.34 |
1803.20 |
7/19-12/19 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
Adult |
341.53 |
352.05 |
362.98 |
7/19-12/19 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
Adult Expansion |
377.66 |
389.06 |
400.90 |
7/19-12/19 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
BCCTP |
1363.94 |
1403.08 |
1443.62 |
7/19-12/19 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
Behavioral Health Treatment 0-6 |
2788.78 |
2863.55 |
2940.96 |
7/19-12/19 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
Behavioral Health Treatment 7-20 |
1747.26 |
1794.10 |
1842.60 |
7/19-12/19 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
Child |
82.61 |
85.85 |
89.24 |
7/19-12/19 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
LTC Dual |
6082.64 |
6150.33 |
6219.57 |
7/19-12/19 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
LTC Non-Dual |
7726.62 |
7832.28 |
7940.72 |
7/19-12/19 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
SPD |
960.99 |
986.36 |
1012.61 |
7/19-12/19 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
SPD Dual |
220.89 |
226.33 |
232.00 |
7/19-12/19 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
WCM |
1673.87 |
1735.08 |
1799.02 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
Adult |
385.30 |
397.02 |
409.19 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
Adult Expansion |
400.56 |
412.39 |
424.66 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
BCCTP |
1587.49 |
1631.31 |
1676.63 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
Behavioral Health Treatment 0-6 |
2257.11 |
2317.63 |
2380.29 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
Behavioral Health Treatment 7-20 |
1733.31 |
1779.79 |
1827.90 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
Child |
90.45 |
93.87 |
97.44 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
LTC Dual |
7458.83 |
7540.58 |
7624.17 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
LTC Non-Dual |
10906.42 |
11061.94 |
11221.59 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
SPD |
1075.34 |
1103.57 |
1132.77 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
SPD Dual |
231.39 |
236.80 |
242.42 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
WCM |
1678.19 |
1739.34 |
1803.20 |
7/20-12/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
Adult |
341.53 |
352.05 |
362.98 |
7/20-12/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
Adult Expansion |
377.66 |
389.06 |
400.90 |
7/20-12/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
BCCTP |
1363.94 |
1403.08 |
1443.62 |
7/20-12/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
Behavioral Health Treatment 0-6 |
2788.78 |
2863.55 |
2940.96 |
7/20-12/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
Behavioral Health Treatment 7-20 |
1747.26 |
1794.10 |
1842.60 |
7/20-12/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
Child |
82.61 |
85.85 |
89.24 |
7/20-12/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
LTC Dual |
6082.64 |
6150.33 |
6219.57 |
7/20-12/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
LTC Non-Dual |
7726.62 |
7832.28 |
7940.72 |
7/20-12/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
SPD |
960.99 |
986.36 |
1012.61 |
7/20-12/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
SPD Dual |
220.89 |
226.33 |
232.00 |
7/20-12/20 |
Bridge Period |
COHS |
San Luis Obispo |
CenCal Health |
WCM |
1673.87 |
1735.08 |
1799.02 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
Adult |
385.30 |
397.02 |
409.19 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
Adult Expansion |
400.56 |
412.39 |
424.66 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
BCCTP |
1587.49 |
1631.31 |
1676.63 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
Behavioral Health Treatment 0-6 |
2257.11 |
2317.63 |
2380.29 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
Behavioral Health Treatment 7-20 |
1733.31 |
1779.79 |
1827.90 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
Child |
90.45 |
93.87 |
97.44 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
LTC Dual |
7458.83 |
7540.58 |
7624.17 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
LTC Non-Dual |
10906.42 |
11061.94 |
11221.59 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
SPD |
1075.34 |
1103.57 |
1132.77 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
SPD Dual |
231.39 |
236.80 |
242.42 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Barbara |
CenCal Health |
WCM |
1678.19 |
1739.34 |
1803.20 |
1/20-6/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
Adult |
375.21 |
386.69 |
398.60 |
1/20-6/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
Adult Expansion |
352.51 |
363.09 |
374.07 |
1/20-6/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
BCCTP |
1053.47 |
1083.13 |
1113.84 |
1/20-6/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
Behavioral Health Treatment 0-6 |
3253.92 |
3341.17 |
3431.49 |
1/20-6/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
Behavioral Health Treatment 7-20 |
2587.79 |
2657.17 |
2729.01 |
1/20-6/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
Child |
75.58 |
78.56 |
81.67 |
1/20-6/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
LTC Dual |
6138.50 |
6208.18 |
6279.48 |
1/20-6/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
LTC Non-Dual |
9440.73 |
9574.54 |
9711.95 |
1/20-6/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
SPD |
1054.76 |
1083.56 |
1113.38 |
1/20-6/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
SPD Dual |
216.33 |
221.83 |
227.55 |
1/20-6/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
WCM |
1566.01 |
1622.06 |
1680.54 |
1/20-6/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
Adult |
374.85 |
386.31 |
398.21 |
1/20-6/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
Adult Expansion |
378.84 |
390.19 |
401.98 |
1/20-6/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
BCCTP |
1557.01 |
1600.12 |
1644.72 |
1/20-6/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
Behavioral Health Treatment 0-6 |
3424.40 |
3516.21 |
3611.27 |
1/20-6/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
Behavioral Health Treatment 7-20 |
2307.71 |
2369.59 |
2433.64 |
1/20-6/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
Child |
81.63 |
84.78 |
88.08 |
1/20-6/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
LTC Dual |
7291.83 |
7374.62 |
7459.34 |
1/20-6/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
LTC Non-Dual |
11268.30 |
11422.80 |
11581.36 |
1/20-6/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
SPD |
1137.35 |
1168.70 |
1201.15 |
1/20-6/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
SPD Dual |
228.02 |
233.38 |
238.95 |
1/20-6/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
WCM |
1801.20 |
1864.95 |
1931.43 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Adult |
408.15 |
420.69 |
433.71 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Adult Expansion |
405.23 |
417.44 |
430.13 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
BCCTP |
1116.58 |
1148.44 |
1181.46 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Behavioral Health Treatment 0-6 |
3103.76 |
3186.97 |
3273.13 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Behavioral Health Treatment 7-20 |
2176.46 |
2234.81 |
2295.22 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Child |
84.64 |
88.06 |
91.65 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
LTC Dual |
6521.93 |
6596.74 |
6673.31 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
LTC Non-Dual |
8612.93 |
8741.38 |
8873.44 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
SPD |
1196.30 |
1228.79 |
1262.43 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
SPD Dual |
250.14 |
256.20 |
262.49 |
1/20-6/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
WCM |
1767.59 |
1830.88 |
1896.93 |
7/19-12/19 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
Adult |
375.21 |
386.69 |
398.60 |
7/19-12/19 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
Adult Expansion |
352.51 |
363.09 |
374.07 |
7/19-12/19 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
BCCTP |
1053.47 |
1083.13 |
1113.84 |
7/19-12/19 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
Behavioral Health Treatment 0-6 |
3253.92 |
3341.17 |
3431.49 |
7/19-12/19 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
Behavioral Health Treatment 7-20 |
2587.79 |
2657.17 |
2729.01 |
7/19-12/19 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
Child |
75.58 |
78.56 |
81.67 |
7/19-12/19 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
LTC Dual |
6138.50 |
6208.18 |
6279.48 |
7/19-12/19 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
LTC Non-Dual |
9440.73 |
9574.54 |
9711.95 |
7/19-12/19 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
OBRA |
0.00 |
0.00 |
0.00 |
7/19-12/19 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
SPD |
1054.76 |
1083.56 |
1113.38 |
7/19-12/19 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
SPD Dual |
216.33 |
221.83 |
227.55 |
7/19-12/19 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
WCM |
1566.01 |
1622.06 |
1680.54 |
7/19-12/19 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
Adult |
374.85 |
386.31 |
398.21 |
7/19-12/19 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
Adult Expansion |
378.84 |
390.19 |
401.98 |
7/19-12/19 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
BCCTP |
1557.01 |
1600.12 |
1644.72 |
7/19-12/19 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
Behavioral Health Treatment 0-6 |
3424.40 |
3516.21 |
3611.27 |
7/19-12/19 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
Behavioral Health Treatment 7-20 |
2307.71 |
2369.59 |
2433.64 |
7/19-12/19 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
Child |
81.63 |
84.78 |
88.08 |
7/19-12/19 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
LTC Dual |
7291.83 |
7374.62 |
7459.34 |
7/19-12/19 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
LTC Non-Dual |
11268.30 |
11422.80 |
11581.36 |
7/19-12/19 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
SPD |
1137.35 |
1168.70 |
1201.15 |
7/19-12/19 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
SPD Dual |
228.02 |
233.38 |
238.95 |
7/19-12/19 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
WCM |
1801.20 |
1864.95 |
1931.43 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Adult |
408.15 |
420.69 |
433.71 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Adult Expansion |
405.23 |
417.44 |
430.13 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
BCCTP |
1116.58 |
1148.44 |
1181.46 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Behavioral Health Treatment 0-6 |
3103.76 |
3186.97 |
3273.13 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Behavioral Health Treatment 7-20 |
2176.46 |
2234.81 |
2295.22 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Child |
84.64 |
88.06 |
91.65 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
LTC Dual |
6521.93 |
6596.74 |
6673.31 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
LTC Non-Dual |
8612.93 |
8741.38 |
8873.44 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
SPD |
1196.30 |
1228.79 |
1262.43 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
SPD Dual |
250.14 |
256.20 |
262.49 |
7/19-12/19 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
WCM |
1767.59 |
1830.88 |
1896.93 |
7/20-12/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
Adult |
375.21 |
386.69 |
398.60 |
7/20-12/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
Adult Expansion |
352.51 |
363.09 |
374.07 |
7/20-12/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
BCCTP |
1053.47 |
1083.13 |
1113.84 |
7/20-12/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
Behavioral Health Treatment 0-6 |
3253.92 |
3341.17 |
3431.49 |
7/20-12/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
Behavioral Health Treatment 7-20 |
2587.79 |
2657.17 |
2729.01 |
7/20-12/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
Child |
75.58 |
78.56 |
81.67 |
7/20-12/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
LTC Dual |
6138.50 |
6208.18 |
6279.48 |
7/20-12/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
LTC Non-Dual |
9440.73 |
9574.54 |
9711.95 |
7/20-12/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
SPD |
1054.76 |
1083.56 |
1113.38 |
7/20-12/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
SPD Dual |
216.33 |
221.83 |
227.55 |
7/20-12/20 |
Bridge Period |
COHS |
Merced |
Central CA Alliance for Health |
WCM |
1566.01 |
1622.06 |
1680.54 |
7/20-12/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
Adult |
374.85 |
386.31 |
398.21 |
7/20-12/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
Adult Expansion |
378.84 |
390.19 |
401.98 |
7/20-12/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
BCCTP |
1557.01 |
1600.12 |
1644.72 |
7/20-12/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
Behavioral Health Treatment 0-6 |
3424.40 |
3516.21 |
3611.27 |
7/20-12/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
Behavioral Health Treatment 7-20 |
2307.71 |
2369.59 |
2433.64 |
7/20-12/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
Child |
81.63 |
84.78 |
88.08 |
7/20-12/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
LTC Dual |
7291.83 |
7374.62 |
7459.34 |
7/20-12/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
LTC Non-Dual |
11268.30 |
11422.80 |
11581.36 |
7/20-12/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
SPD |
1137.35 |
1168.70 |
1201.15 |
7/20-12/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
SPD Dual |
228.02 |
233.38 |
238.95 |
7/20-12/20 |
Bridge Period |
COHS |
Monterey |
Central CA Alliance for Health |
WCM |
1801.20 |
1864.95 |
1931.43 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Adult |
408.15 |
420.69 |
433.71 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Adult Expansion |
405.23 |
417.44 |
430.13 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
BCCTP |
1116.58 |
1148.44 |
1181.46 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Behavioral Health Treatment 0-6 |
3103.76 |
3186.97 |
3273.13 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Behavioral Health Treatment 7-20 |
2176.46 |
2234.81 |
2295.22 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Child |
84.64 |
88.06 |
91.65 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
LTC Dual |
6521.93 |
6596.74 |
6673.31 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
LTC Non-Dual |
8612.93 |
8741.38 |
8873.44 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
SPD |
1196.30 |
1228.79 |
1262.43 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
SPD Dual |
250.14 |
256.20 |
262.49 |
7/20-12/20 |
Bridge Period |
COHS |
Santa Cruz |
Central CA Alliance for Health |
WCM |
1767.59 |
1830.88 |
1896.93 |
1/20-6/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
Adult |
380.45 |
392.23 |
404.46 |
1/20-6/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
Adult Expansion |
425.71 |
438.54 |
451.85 |
1/20-6/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
BCCTP |
1322.24 |
1359.71 |
1398.53 |
1/20-6/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
Behavioral Health Treatment 0-6 |
2596.36 |
2665.97 |
2738.04 |
1/20-6/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
Behavioral Health Treatment 7-20 |
1768.08 |
1815.48 |
1864.56 |
1/20-6/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
Child |
91.09 |
94.68 |
98.44 |
1/20-6/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
LTC Dual |
7687.96 |
7772.28 |
7858.52 |
1/20-6/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
LTC Non-Dual |
12002.56 |
12164.71 |
12331.06 |
1/20-6/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
SPD |
1182.64 |
1213.70 |
1245.86 |
1/20-6/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
SPD Dual |
248.07 |
254.06 |
260.29 |
7/19-12/19 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
Adult |
380.45 |
392.23 |
404.46 |
7/19-12/19 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
Adult Expansion |
425.71 |
438.54 |
451.85 |
7/19-12/19 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
BCCTP |
1322.24 |
1359.71 |
1398.53 |
7/19-12/19 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
Behavioral Health Treatment 0-6 |
2596.36 |
2665.97 |
2738.04 |
7/19-12/19 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
Behavioral Health Treatment 7-20 |
1768.08 |
1815.48 |
1864.56 |
7/19-12/19 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
Child |
91.09 |
94.68 |
98.44 |
7/19-12/19 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
LTC Dual |
7687.96 |
7772.28 |
7858.52 |
7/19-12/19 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
LTC Non-Dual |
12002.56 |
12164.71 |
12331.06 |
7/19-12/19 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
SPD |
1182.64 |
1213.70 |
1245.86 |
7/19-12/19 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
SPD Dual |
248.07 |
254.06 |
260.29 |
7/19-12/19 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
WCM |
0.00 |
0.00 |
0.00 |
7/20-12/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
Adult |
380.45 |
392.23 |
404.46 |
7/20-12/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
Adult Expansion |
425.71 |
438.54 |
451.85 |
7/20-12/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
BCCTP |
1322.24 |
1359.71 |
1398.53 |
7/20-12/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
Behavioral Health Treatment 0-6 |
2596.36 |
2665.97 |
2738.04 |
7/20-12/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
Behavioral Health Treatment 7-20 |
1768.08 |
1815.48 |
1864.56 |
7/20-12/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
Child |
91.09 |
94.68 |
98.44 |
7/20-12/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
LTC Dual |
7687.96 |
7772.28 |
7858.52 |
7/20-12/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
LTC Non-Dual |
12002.56 |
12164.71 |
12331.06 |
7/20-12/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
SPD |
1182.64 |
1213.70 |
1245.86 |
7/20-12/20 |
Bridge Period |
COHS |
Ventura |
Gold Coast |
SPD Dual |
248.07 |
254.06 |
260.29 |
1/20-6/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
Adult |
355.24 |
366.20 |
377.58 |
1/20-6/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
Adult Expansion |
357.75 |
368.52 |
379.69 |
1/20-6/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
BCCTP |
1303.18 |
1340.70 |
1379.58 |
1/20-6/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
Behavioral Health Treatment 0-6 |
3052.62 |
3134.46 |
3219.20 |
1/20-6/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
Behavioral Health Treatment 7-20 |
2184.50 |
2243.07 |
2303.70 |
1/20-6/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
Child |
91.16 |
94.69 |
98.39 |
1/20-6/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
LTC Dual |
6823.41 |
6899.90 |
6978.15 |
1/20-6/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
LTC Non-Dual |
11909.05 |
12067.45 |
12229.98 |
1/20-6/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
SPD |
904.04 |
929.53 |
955.92 |
1/20-6/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
SPD Dual |
223.96 |
229.65 |
235.57 |
1/20-6/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
WCM |
1632.96 |
1693.19 |
1756.15 |
7/19-12/19 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
Adult |
355.24 |
366.20 |
377.58 |
7/19-12/19 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
Adult Expansion |
357.75 |
368.52 |
379.69 |
7/19-12/19 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
BCCTP |
1303.18 |
1340.70 |
1379.58 |
7/19-12/19 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
Behavioral Health Treatment 0-6 |
3052.62 |
3134.46 |
3219.20 |
7/19-12/19 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
Behavioral Health Treatment 7-20 |
2184.50 |
2243.07 |
2303.70 |
7/19-12/19 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
Child |
91.16 |
94.69 |
98.39 |
7/19-12/19 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
LTC Dual |
6823.41 |
6899.90 |
6978.15 |
7/19-12/19 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
LTC Non-Dual |
11909.05 |
12067.45 |
12229.98 |
7/19-12/19 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
SPD |
904.04 |
929.53 |
955.92 |
7/19-12/19 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
SPD Dual |
223.96 |
229.65 |
235.57 |
7/19-12/19 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
WCM |
1632.96 |
1693.19 |
1756.15 |
7/20-12/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
Adult |
355.24 |
366.20 |
377.58 |
7/20-12/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
Adult Expansion |
357.75 |
368.52 |
379.69 |
7/20-12/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
BCCTP |
1303.18 |
1340.70 |
1379.58 |
7/20-12/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
Behavioral Health Treatment 0-6 |
3052.62 |
3134.46 |
3219.20 |
7/20-12/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
Behavioral Health Treatment 7-20 |
2184.50 |
2243.07 |
2303.70 |
7/20-12/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
Child |
91.16 |
94.69 |
98.39 |
7/20-12/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
LTC Dual |
6823.41 |
6899.90 |
6978.15 |
7/20-12/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
LTC Non-Dual |
11909.05 |
12067.45 |
12229.98 |
7/20-12/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
SPD |
904.04 |
929.53 |
955.92 |
7/20-12/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
SPD Dual |
223.96 |
229.65 |
235.57 |
7/20-12/20 |
Bridge Period |
COHS |
San Mateo |
Health Plan of San Mateo |
WCM |
1632.96 |
1693.19 |
1756.15 |
1/20-6/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
1/20-6/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
1/20-6/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
1/20-6/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
1/20-6/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
1/20-6/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
1/20-6/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
1/20-6/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
1/20-6/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
1/20-6/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
1/20-6/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
1/20-6/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
1/20-6/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
1/20-6/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
1/20-6/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
1/20-6/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
1/20-6/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
1/20-6/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
1/20-6/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
1/20-6/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
1/20-6/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
1/20-6/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
1/20-6/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
1/20-6/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
1/20-6/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
1/20-6/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
1/20-6/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
1/20-6/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
1/20-6/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
1/20-6/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
1/20-6/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
1/20-6/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
1/20-6/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
1/20-6/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
1/20-6/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
1/20-6/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
1/20-6/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
1/20-6/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
1/20-6/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
1/20-6/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
1/20-6/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
1/20-6/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
1/20-6/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
1/20-6/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
1/20-6/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
Adult |
386.95 |
398.88 |
411.26 |
1/20-6/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
Adult |
386.95 |
398.88 |
411.26 |
1/20-6/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
Adult |
386.95 |
398.88 |
411.26 |
1/20-6/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
Adult |
386.95 |
398.88 |
411.26 |
1/20-6/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
Adult Expansion |
440.86 |
454.09 |
467.83 |
1/20-6/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
Adult Expansion |
440.86 |
454.09 |
467.83 |
1/20-6/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
Adult Expansion |
440.86 |
454.09 |
467.83 |
1/20-6/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
Adult Expansion |
440.86 |
454.09 |
467.83 |
1/20-6/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
BCCTP |
1620.86 |
1665.98 |
1712.66 |
1/20-6/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
BCCTP |
1620.86 |
1665.98 |
1712.66 |
1/20-6/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
BCCTP |
1620.86 |
1665.98 |
1712.66 |
1/20-6/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
BCCTP |
1620.86 |
1665.98 |
1712.66 |
1/20-6/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
1/20-6/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
1/20-6/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
1/20-6/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
1/20-6/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
1/20-6/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
1/20-6/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
1/20-6/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
1/20-6/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
1/20-6/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
1/20-6/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
1/20-6/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
1/20-6/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
1/20-6/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
1/20-6/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
1/20-6/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
1/20-6/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
1/20-6/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
1/20-6/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
1/20-6/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
1/20-6/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
1/20-6/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
1/20-6/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
3034.91 |
3116.28 |
3200.52 |
1/20-6/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
3034.91 |
3116.28 |
3200.52 |
1/20-6/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
3034.91 |
3116.28 |
3200.52 |
1/20-6/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
3034.91 |
3116.28 |
3200.52 |
1/20-6/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2144.21 |
2201.70 |
2261.22 |
1/20-6/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2144.21 |
2201.70 |
2261.22 |
1/20-6/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2144.21 |
2201.70 |
2261.22 |
1/20-6/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2144.21 |
2201.70 |
2261.22 |
1/20-6/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
Child |
113.00 |
117.28 |
121.74 |
1/20-6/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
Child |
113.00 |
117.28 |
121.74 |
1/20-6/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
Child |
113.00 |
117.28 |
121.74 |
1/20-6/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
Child |
113.00 |
117.28 |
121.74 |
1/20-6/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
1/20-6/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
1/20-6/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
1/20-6/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
1/20-6/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
1/20-6/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
1/20-6/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
1/20-6/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
1/20-6/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
1/20-6/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
1/20-6/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
1/20-6/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
1/20-6/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
1/20-6/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
1/20-6/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
1/20-6/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
1/20-6/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
1/20-6/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
1/20-6/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
1/20-6/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
1/20-6/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
1/20-6/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
1/20-6/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
LTC Dual |
6312.29 |
6384.00 |
6457.37 |
1/20-6/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
LTC Dual |
6312.29 |
6384.00 |
6457.37 |
1/20-6/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
LTC Dual |
6312.29 |
6384.00 |
6457.37 |
1/20-6/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
LTC Dual |
6312.29 |
6384.00 |
6457.37 |
1/20-6/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
LTC Non-Dual |
8360.70 |
8480.80 |
8604.16 |
1/20-6/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
LTC Non-Dual |
8360.70 |
8480.80 |
8604.16 |
1/20-6/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
1/20-6/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
1/20-6/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
1/20-6/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
1/20-6/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
1/20-6/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
1/20-6/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
1/20-6/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
1/20-6/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
1/20-6/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
1/20-6/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
1/20-6/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
1/20-6/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
1/20-6/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
1/20-6/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
1/20-6/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
1/20-6/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
1/20-6/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
1/20-6/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
1/20-6/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
1/20-6/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
1/20-6/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
1/20-6/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
1/20-6/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
1/20-6/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
LTC Non-Dual |
8360.70 |
8480.80 |
8604.16 |
1/20-6/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
LTC Non-Dual |
8360.70 |
8480.80 |
8604.16 |
1/20-6/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
OBRA |
399.88 |
412.12 |
424.83 |
1/20-6/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
OBRA |
399.88 |
412.12 |
424.83 |
1/20-6/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
OBRA |
399.88 |
412.12 |
424.83 |
1/20-6/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
SPD |
1197.05 |
1229.08 |
1262.22 |
1/20-6/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
SPD |
1197.05 |
1229.08 |
1262.22 |
1/20-6/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
SPD |
1197.05 |
1229.08 |
1262.22 |
1/20-6/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
SPD |
1197.05 |
1229.08 |
1262.22 |
1/20-6/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
SPD Dual |
279.20 |
285.48 |
292.01 |
1/20-6/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
SPD Dual |
279.20 |
285.48 |
292.01 |
1/20-6/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
SPD Dual |
279.20 |
285.48 |
292.01 |
1/20-6/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
SPD Dual |
279.20 |
285.48 |
292.01 |
1/20-6/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
WCM |
2143.81 |
2219.77 |
2299.05 |
1/20-6/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
WCM |
2143.81 |
2219.77 |
2299.05 |
1/20-6/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
WCM |
2143.81 |
2219.77 |
2299.05 |
1/20-6/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
WCM |
2143.81 |
2219.77 |
2299.05 |
7/19-12/19 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
7/19-12/19 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
7/19-12/19 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
7/19-12/19 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
7/19-12/19 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
7/19-12/19 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
7/19-12/19 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
7/19-12/19 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
7/19-12/19 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
7/19-12/19 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
7/19-12/19 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
7/19-12/19 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
7/19-12/19 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
7/19-12/19 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
7/19-12/19 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
7/19-12/19 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
7/19-12/19 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
7/19-12/19 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
7/19-12/19 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
7/19-12/19 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
7/19-12/19 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
7/19-12/19 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
7/19-12/19 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
7/19-12/19 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
7/19-12/19 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
7/19-12/19 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
7/19-12/19 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
7/19-12/19 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
7/19-12/19 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
7/19-12/19 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
7/19-12/19 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
7/19-12/19 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
7/19-12/19 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
7/19-12/19 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
7/19-12/19 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
7/19-12/19 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
7/19-12/19 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
7/19-12/19 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
7/19-12/19 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
7/19-12/19 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
7/19-12/19 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
7/19-12/19 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
7/19-12/19 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
7/19-12/19 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
7/19-12/19 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
Adult |
386.95 |
398.88 |
411.26 |
7/19-12/19 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
Adult |
386.95 |
398.88 |
411.26 |
7/19-12/19 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
Adult |
386.95 |
398.88 |
411.26 |
7/19-12/19 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
Adult |
386.95 |
398.88 |
411.26 |
7/19-12/19 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
Adult Expansion |
440.86 |
454.09 |
467.83 |
7/19-12/19 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
Adult Expansion |
440.86 |
454.09 |
467.83 |
7/19-12/19 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
Adult Expansion |
440.86 |
454.09 |
467.83 |
7/19-12/19 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
Adult Expansion |
440.86 |
454.09 |
467.83 |
7/19-12/19 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
BCCTP |
1620.86 |
1665.98 |
1712.66 |
7/19-12/19 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
BCCTP |
1620.86 |
1665.98 |
1712.66 |
7/19-12/19 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
BCCTP |
1620.86 |
1665.98 |
1712.66 |
7/19-12/19 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
BCCTP |
1620.86 |
1665.98 |
1712.66 |
7/19-12/19 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
7/19-12/19 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
7/19-12/19 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
7/19-12/19 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
7/19-12/19 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
7/19-12/19 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
7/19-12/19 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
7/19-12/19 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
7/19-12/19 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
7/19-12/19 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
7/19-12/19 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
7/19-12/19 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
7/19-12/19 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
7/19-12/19 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
7/19-12/19 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
7/19-12/19 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
7/19-12/19 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
7/19-12/19 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
7/19-12/19 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
7/19-12/19 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
7/19-12/19 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
7/19-12/19 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
7/19-12/19 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
3034.91 |
3116.28 |
3200.52 |
7/19-12/19 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
3034.91 |
3116.28 |
3200.52 |
7/19-12/19 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
3034.91 |
3116.28 |
3200.52 |
7/19-12/19 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
3034.91 |
3116.28 |
3200.52 |
7/19-12/19 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2144.21 |
2201.70 |
2261.22 |
7/19-12/19 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2144.21 |
2201.70 |
2261.22 |
7/19-12/19 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2144.21 |
2201.70 |
2261.22 |
7/19-12/19 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2144.21 |
2201.70 |
2261.22 |
7/19-12/19 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
Child |
113.00 |
117.28 |
121.74 |
7/19-12/19 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
Child |
113.00 |
117.28 |
121.74 |
7/19-12/19 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
Child |
113.00 |
117.28 |
121.74 |
7/19-12/19 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
Child |
113.00 |
117.28 |
121.74 |
7/19-12/19 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
7/19-12/19 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
7/19-12/19 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
7/19-12/19 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
7/19-12/19 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
7/19-12/19 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
7/19-12/19 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
7/19-12/19 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
7/19-12/19 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
7/19-12/19 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
7/19-12/19 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
7/19-12/19 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
7/19-12/19 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
7/19-12/19 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
7/19-12/19 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
7/19-12/19 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
7/19-12/19 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
7/19-12/19 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
7/19-12/19 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
7/19-12/19 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
7/19-12/19 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
7/19-12/19 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
7/19-12/19 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
LTC Dual |
6312.29 |
6384.00 |
6457.37 |
7/19-12/19 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
LTC Dual |
6312.29 |
6384.00 |
6457.37 |
7/19-12/19 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
LTC Dual |
6312.29 |
6384.00 |
6457.37 |
7/19-12/19 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
LTC Dual |
6312.29 |
6384.00 |
6457.37 |
7/19-12/19 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
LTC Non-Dual |
8360.70 |
8480.80 |
8604.16 |
7/19-12/19 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
LTC Non-Dual |
8360.70 |
8480.80 |
8604.16 |
7/19-12/19 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
7/19-12/19 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
7/19-12/19 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
7/19-12/19 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
7/19-12/19 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
7/19-12/19 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
7/19-12/19 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
7/19-12/19 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
7/19-12/19 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
7/19-12/19 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
7/19-12/19 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
7/19-12/19 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
7/19-12/19 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
7/19-12/19 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
7/19-12/19 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
7/19-12/19 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
7/19-12/19 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
7/19-12/19 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/19-12/19 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/19-12/19 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
7/19-12/19 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
7/19-12/19 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
7/19-12/19 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
7/19-12/19 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
7/19-12/19 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
LTC Non-Dual |
8360.70 |
8480.80 |
8604.16 |
7/19-12/19 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
LTC Non-Dual |
8360.70 |
8480.80 |
8604.16 |
7/19-12/19 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
OBRA |
399.88 |
412.12 |
424.83 |
7/19-12/19 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
OBRA |
399.88 |
412.12 |
424.83 |
7/19-12/19 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
OBRA |
399.88 |
412.12 |
424.83 |
7/19-12/19 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
SPD |
1197.05 |
1229.08 |
1262.22 |
7/19-12/19 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
SPD |
1197.05 |
1229.08 |
1262.22 |
7/19-12/19 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
SPD |
1197.05 |
1229.08 |
1262.22 |
7/19-12/19 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
SPD |
1197.05 |
1229.08 |
1262.22 |
7/19-12/19 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
SPD Dual |
279.20 |
285.48 |
292.01 |
7/19-12/19 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
SPD Dual |
279.20 |
285.48 |
292.01 |
7/19-12/19 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
SPD Dual |
279.20 |
285.48 |
292.01 |
7/19-12/19 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
SPD Dual |
279.20 |
285.48 |
292.01 |
7/19-12/19 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
WCM |
2143.81 |
2219.77 |
2299.05 |
7/19-12/19 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
WCM |
2143.81 |
2219.77 |
2299.05 |
7/19-12/19 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
WCM |
2143.81 |
2219.77 |
2299.05 |
7/19-12/19 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
WCM |
2143.81 |
2219.77 |
2299.05 |
7/20-12/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
7/20-12/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
7/20-12/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
7/20-12/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
7/20-12/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
7/20-12/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
7/20-12/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
7/20-12/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
7/20-12/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
7/20-12/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
7/20-12/20 |
Bridge Period |
COHS |
Del Norte |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
7/20-12/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
7/20-12/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
7/20-12/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
7/20-12/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
7/20-12/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
7/20-12/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
7/20-12/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
7/20-12/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
7/20-12/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
7/20-12/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
7/20-12/20 |
Bridge Period |
COHS |
Humboldt |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
7/20-12/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
7/20-12/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
7/20-12/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
7/20-12/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
7/20-12/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
7/20-12/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
7/20-12/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
7/20-12/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
7/20-12/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
7/20-12/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
7/20-12/20 |
Bridge Period |
COHS |
Lake |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
7/20-12/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
7/20-12/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
7/20-12/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
7/20-12/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
7/20-12/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
7/20-12/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
7/20-12/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
7/20-12/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
7/20-12/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
7/20-12/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
7/20-12/20 |
Bridge Period |
COHS |
Lassen |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
7/20-12/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
Adult |
386.95 |
398.88 |
411.26 |
7/20-12/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
Adult |
386.95 |
398.88 |
411.26 |
7/20-12/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
Adult |
386.95 |
398.88 |
411.26 |
7/20-12/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
Adult |
386.95 |
398.88 |
411.26 |
7/20-12/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
Adult Expansion |
440.86 |
454.09 |
467.83 |
7/20-12/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
Adult Expansion |
440.86 |
454.09 |
467.83 |
7/20-12/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
Adult Expansion |
440.86 |
454.09 |
467.83 |
7/20-12/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
Adult Expansion |
440.86 |
454.09 |
467.83 |
7/20-12/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
BCCTP |
1620.86 |
1665.98 |
1712.66 |
7/20-12/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
BCCTP |
1620.86 |
1665.98 |
1712.66 |
7/20-12/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
BCCTP |
1620.86 |
1665.98 |
1712.66 |
7/20-12/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
BCCTP |
1620.86 |
1665.98 |
1712.66 |
7/20-12/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
7/20-12/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
7/20-12/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
7/20-12/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
7/20-12/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
7/20-12/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
7/20-12/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
7/20-12/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
7/20-12/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
7/20-12/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
7/20-12/20 |
Bridge Period |
COHS |
Mendocino |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
7/20-12/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
7/20-12/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
7/20-12/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
7/20-12/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
7/20-12/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
7/20-12/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
7/20-12/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
7/20-12/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
7/20-12/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
7/20-12/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
7/20-12/20 |
Bridge Period |
COHS |
Modoc |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
7/20-12/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
3034.91 |
3116.28 |
3200.52 |
7/20-12/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
3034.91 |
3116.28 |
3200.52 |
7/20-12/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
3034.91 |
3116.28 |
3200.52 |
7/20-12/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
3034.91 |
3116.28 |
3200.52 |
7/20-12/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2144.21 |
2201.70 |
2261.22 |
7/20-12/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2144.21 |
2201.70 |
2261.22 |
7/20-12/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2144.21 |
2201.70 |
2261.22 |
7/20-12/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2144.21 |
2201.70 |
2261.22 |
7/20-12/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
Child |
113.00 |
117.28 |
121.74 |
7/20-12/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
Child |
113.00 |
117.28 |
121.74 |
7/20-12/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
Child |
113.00 |
117.28 |
121.74 |
7/20-12/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
Child |
113.00 |
117.28 |
121.74 |
7/20-12/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
7/20-12/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
7/20-12/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
7/20-12/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
7/20-12/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
7/20-12/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
7/20-12/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
7/20-12/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
7/20-12/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
7/20-12/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
7/20-12/20 |
Bridge Period |
COHS |
Shasta |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
7/20-12/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
7/20-12/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
7/20-12/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
7/20-12/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
7/20-12/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
7/20-12/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
7/20-12/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
7/20-12/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
7/20-12/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
7/20-12/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
7/20-12/20 |
Bridge Period |
COHS |
Siskiyou |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
7/20-12/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
LTC Dual |
6312.29 |
6384.00 |
6457.37 |
7/20-12/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
LTC Dual |
6312.29 |
6384.00 |
6457.37 |
7/20-12/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
LTC Dual |
6312.29 |
6384.00 |
6457.37 |
7/20-12/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
LTC Dual |
6312.29 |
6384.00 |
6457.37 |
7/20-12/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
LTC Non-Dual |
8360.70 |
8480.80 |
8604.16 |
7/20-12/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
LTC Non-Dual |
8360.70 |
8480.80 |
8604.16 |
7/20-12/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
7/20-12/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
7/20-12/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
7/20-12/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
7/20-12/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
7/20-12/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
7/20-12/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
7/20-12/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
7/20-12/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
7/20-12/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
7/20-12/20 |
Bridge Period |
COHS |
Sonoma |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
7/20-12/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
Adult |
394.63 |
406.67 |
419.17 |
7/20-12/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
Adult Expansion |
452.35 |
465.89 |
479.94 |
7/20-12/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
BCCTP |
1518.23 |
1560.93 |
1605.13 |
7/20-12/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
2486.17 |
2552.83 |
2621.84 |
7/20-12/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
2243.09 |
2303.24 |
2365.50 |
7/20-12/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
Child |
94.74 |
98.46 |
102.35 |
7/20-12/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
Hep C 340B |
2254.88 |
2289.97 |
2326.17 |
7/20-12/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
Hep C Non-340B |
2615.32 |
2713.90 |
2815.60 |
7/20-12/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
LTC Dual |
6183.84 |
6253.78 |
6325.35 |
7/20-12/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
LTC Non-Dual |
8640.74 |
8754.37 |
8870.91 |
7/20-12/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
SPD |
1185.69 |
1218.25 |
1251.94 |
7/20-12/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
SPD Dual |
250.03 |
256.17 |
262.57 |
7/20-12/20 |
Bridge Period |
COHS |
Trinity |
Partnership Health Plan |
WCM |
2021.81 |
2093.91 |
2169.17 |
7/20-12/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
LTC Non-Dual |
8360.70 |
8480.80 |
8604.16 |
7/20-12/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
LTC Non-Dual |
8360.70 |
8480.80 |
8604.16 |
7/20-12/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
OBRA |
399.88 |
412.12 |
424.83 |
7/20-12/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
OBRA |
399.88 |
412.12 |
424.83 |
7/20-12/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
OBRA |
399.88 |
412.12 |
424.83 |
7/20-12/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
SPD |
1197.05 |
1229.08 |
1262.22 |
7/20-12/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
SPD |
1197.05 |
1229.08 |
1262.22 |
7/20-12/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
SPD |
1197.05 |
1229.08 |
1262.22 |
7/20-12/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
SPD |
1197.05 |
1229.08 |
1262.22 |
7/20-12/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
SPD Dual |
279.20 |
285.48 |
292.01 |
7/20-12/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
SPD Dual |
279.20 |
285.48 |
292.01 |
7/20-12/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
SPD Dual |
279.20 |
285.48 |
292.01 |
7/20-12/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
SPD Dual |
279.20 |
285.48 |
292.01 |
7/20-12/20 |
Bridge Period |
COHS |
Marin |
Partnership Health Plan |
WCM |
2143.81 |
2219.77 |
2299.05 |
7/20-12/20 |
Bridge Period |
COHS |
Napa |
Partnership Health Plan |
WCM |
2143.81 |
2219.77 |
2299.05 |
7/20-12/20 |
Bridge Period |
COHS |
Solano |
Partnership Health Plan |
WCM |
2143.81 |
2219.77 |
2299.05 |
7/20-12/20 |
Bridge Period |
COHS |
Yolo |
Partnership Health Plan |
WCM |
2143.81 |
2219.77 |
2299.05 |