Table: bridge_period_2019_20_regional_model_rates

rating_period	fiscal_year_bp	model	county	health_plan	category_of_aid	lower_bound	midpoint	upper_bound
1/20-6/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	Adult	259.45	268.70	278.41
1/20-6/20	Bridge Period	Regional	Amador	Anthem Blue Cross	Adult	259.45	268.70	278.41
1/20-6/20	Bridge Period	Regional	Butte	Anthem Blue Cross	Adult	259.45	268.70	278.41
1/20-6/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Adult	259.45	268.70	278.41
1/20-6/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	Adult	259.45	268.70	278.41
1/20-6/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Adult	259.45	268.70	278.41
1/20-6/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	Adult	259.45	268.70	278.41
1/20-6/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	Adult	259.45	268.70	278.41
1/20-6/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Adult	259.45	268.70	278.41
1/20-6/20	Bridge Period	Regional	Mono	Anthem Blue Cross	Adult	259.45	268.70	278.41
1/20-6/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	Adult	259.45	268.70	278.41
1/20-6/20	Bridge Period	Regional	Placer	Anthem Blue Cross	Adult	259.45	268.70	278.41
1/20-6/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	Adult	259.45	268.70	278.41
1/20-6/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	Adult	220.56	228.13	236.05
1/20-6/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	Adult	259.45	268.70	278.41
1/20-6/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	Adult	259.45	268.70	278.41
1/20-6/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	Adult	259.45	268.70	278.41
1/20-6/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Adult	259.45	268.70	278.41
1/20-6/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	Adult	259.45	268.70	278.41
7/19-12/19	Bridge Period	Regional	Alpine	Anthem Blue Cross	Adult	259.45	268.70	278.41
7/19-12/19	Bridge Period	Regional	Amador	Anthem Blue Cross	Adult	259.45	268.70	278.41
7/19-12/19	Bridge Period	Regional	Butte	Anthem Blue Cross	Adult	259.45	268.70	278.41
7/19-12/19	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Adult	259.45	268.70	278.41
7/19-12/19	Bridge Period	Regional	Colusa	Anthem Blue Cross	Adult	259.45	268.70	278.41
7/19-12/19	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Adult	259.45	268.70	278.41
7/19-12/19	Bridge Period	Regional	Glenn	Anthem Blue Cross	Adult	259.45	268.70	278.41
7/19-12/19	Bridge Period	Regional	Inyo	Anthem Blue Cross	Adult	259.45	268.70	278.41
7/19-12/19	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Adult	259.45	268.70	278.41
7/19-12/19	Bridge Period	Regional	Mono	Anthem Blue Cross	Adult	259.45	268.70	278.41
7/19-12/19	Bridge Period	Regional	Nevada	Anthem Blue Cross	Adult	259.45	268.70	278.41
7/19-12/19	Bridge Period	Regional	Placer	Anthem Blue Cross	Adult	259.45	268.70	278.41
7/19-12/19	Bridge Period	Regional	Plumas	Anthem Blue Cross	Adult	259.45	268.70	278.41
7/19-12/19	Bridge Period	Regional	San Benito	Anthem Blue Cross	Adult	220.56	228.13	236.05
7/19-12/19	Bridge Period	Regional	Sierra	Anthem Blue Cross	Adult	259.45	268.70	278.41
7/19-12/19	Bridge Period	Regional	Sutter	Anthem Blue Cross	Adult	259.45	268.70	278.41
7/19-12/19	Bridge Period	Regional	Tehama	Anthem Blue Cross	Adult	259.45	268.70	278.41
7/19-12/19	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Adult	259.45	268.70	278.41
7/19-12/19	Bridge Period	Regional	Yuba	Anthem Blue Cross	Adult	259.45	268.70	278.41
7/20-12/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	Adult	259.43	268.68	278.39
7/20-12/20	Bridge Period	Regional	Amador	Anthem Blue Cross	Adult	259.43	268.68	278.39
7/20-12/20	Bridge Period	Regional	Butte	Anthem Blue Cross	Adult	259.43	268.68	278.39
7/20-12/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Adult	259.43	268.68	278.39
7/20-12/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	Adult	259.43	268.68	278.39
7/20-12/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Adult	259.43	268.68	278.39
7/20-12/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	Adult	259.43	268.68	278.39
7/20-12/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	Adult	259.43	268.68	278.39
7/20-12/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Adult	259.43	268.68	278.39
7/20-12/20	Bridge Period	Regional	Mono	Anthem Blue Cross	Adult	259.43	268.68	278.39
7/20-12/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	Adult	259.43	268.68	278.39
7/20-12/20	Bridge Period	Regional	Placer	Anthem Blue Cross	Adult	259.43	268.68	278.39
7/20-12/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	Adult	259.43	268.68	278.39
7/20-12/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	Adult	220.56	228.13	236.05
7/20-12/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	Adult	259.43	268.68	278.39
7/20-12/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	Adult	259.43	268.68	278.39
7/20-12/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	Adult	259.43	268.68	278.39
7/20-12/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Adult	259.43	268.68	278.39
7/20-12/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	Adult	259.43	268.68	278.39
1/20-6/20	Bridge Period	Regional	Alpine	CA Health & Wellness	Adult	291.59	301.98	312.88
1/20-6/20	Bridge Period	Regional	Amador	CA Health & Wellness	Adult	291.59	301.98	312.88
1/20-6/20	Bridge Period	Regional	Butte	CA Health & Wellness	Adult	291.59	301.98	312.88
1/20-6/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	Adult	291.59	301.98	312.88
1/20-6/20	Bridge Period	Regional	Colusa	CA Health & Wellness	Adult	291.59	301.98	312.88
1/20-6/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	Adult	291.59	301.98	312.88
1/20-6/20	Bridge Period	Regional	Glenn	CA Health & Wellness	Adult	291.59	301.98	312.88
1/20-6/20	Bridge Period	Regional	Imperial	CA Health & Wellness	Adult	224.84	233.05	241.67
1/20-6/20	Bridge Period	Regional	Inyo	CA Health & Wellness	Adult	291.59	301.98	312.88
1/20-6/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	Adult	291.59	301.98	312.88
1/20-6/20	Bridge Period	Regional	Mono	CA Health & Wellness	Adult	291.59	301.98	312.88
1/20-6/20	Bridge Period	Regional	Nevada	CA Health & Wellness	Adult	291.59	301.98	312.88
1/20-6/20	Bridge Period	Regional	Placer	CA Health & Wellness	Adult	291.59	301.98	312.88
1/20-6/20	Bridge Period	Regional	Plumas	CA Health & Wellness	Adult	291.59	301.98	312.88
1/20-6/20	Bridge Period	Regional	Sierra	CA Health & Wellness	Adult	291.59	301.98	312.88
1/20-6/20	Bridge Period	Regional	Sutter	CA Health & Wellness	Adult	291.59	301.98	312.88
1/20-6/20	Bridge Period	Regional	Tehama	CA Health & Wellness	Adult	291.59	301.98	312.88
1/20-6/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Adult	291.59	301.98	312.88
1/20-6/20	Bridge Period	Regional	Yuba	CA Health & Wellness	Adult	291.59	301.98	312.88
7/19-12/19	Bridge Period	Regional	Alpine	CA Health & Wellness	Adult	291.59	301.98	312.88
7/19-12/19	Bridge Period	Regional	Amador	CA Health & Wellness	Adult	291.59	301.98	312.88
7/19-12/19	Bridge Period	Regional	Butte	CA Health & Wellness	Adult	291.59	301.98	312.88
7/19-12/19	Bridge Period	Regional	Calaveras	CA Health & Wellness	Adult	291.59	301.98	312.88
7/19-12/19	Bridge Period	Regional	Colusa	CA Health & Wellness	Adult	291.59	301.98	312.88
7/19-12/19	Bridge Period	Regional	El Dorado	CA Health & Wellness	Adult	291.59	301.98	312.88
7/19-12/19	Bridge Period	Regional	Glenn	CA Health & Wellness	Adult	291.59	301.98	312.88
7/19-12/19	Bridge Period	Regional	Imperial	CA Health & Wellness	Adult	224.84	233.05	241.67
7/19-12/19	Bridge Period	Regional	Inyo	CA Health & Wellness	Adult	291.59	301.98	312.88
7/19-12/19	Bridge Period	Regional	Mariposa	CA Health & Wellness	Adult	291.59	301.98	312.88
7/19-12/19	Bridge Period	Regional	Mono	CA Health & Wellness	Adult	291.59	301.98	312.88
7/19-12/19	Bridge Period	Regional	Nevada	CA Health & Wellness	Adult	291.59	301.98	312.88
7/19-12/19	Bridge Period	Regional	Placer	CA Health & Wellness	Adult	291.59	301.98	312.88
7/19-12/19	Bridge Period	Regional	Plumas	CA Health & Wellness	Adult	291.59	301.98	312.88
7/19-12/19	Bridge Period	Regional	Sierra	CA Health & Wellness	Adult	291.59	301.98	312.88
7/19-12/19	Bridge Period	Regional	Sutter	CA Health & Wellness	Adult	291.59	301.98	312.88
7/19-12/19	Bridge Period	Regional	Tehama	CA Health & Wellness	Adult	291.59	301.98	312.88
7/19-12/19	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Adult	291.59	301.98	312.88
7/19-12/19	Bridge Period	Regional	Yuba	CA Health & Wellness	Adult	291.59	301.98	312.88
7/20-12/20	Bridge Period	Regional	Alpine	CA Health & Wellness	Adult	291.25	301.63	312.52
7/20-12/20	Bridge Period	Regional	Amador	CA Health & Wellness	Adult	291.25	301.63	312.52
7/20-12/20	Bridge Period	Regional	Butte	CA Health & Wellness	Adult	291.25	301.63	312.52
7/20-12/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	Adult	291.25	301.63	312.52
7/20-12/20	Bridge Period	Regional	Colusa	CA Health & Wellness	Adult	291.25	301.63	312.52
7/20-12/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	Adult	291.25	301.63	312.52
7/20-12/20	Bridge Period	Regional	Glenn	CA Health & Wellness	Adult	291.25	301.63	312.52
7/20-12/20	Bridge Period	Regional	Imperial	CA Health & Wellness	Adult	225.95	234.21	242.86
7/20-12/20	Bridge Period	Regional	Inyo	CA Health & Wellness	Adult	291.25	301.63	312.52
7/20-12/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	Adult	291.25	301.63	312.52
7/20-12/20	Bridge Period	Regional	Mono	CA Health & Wellness	Adult	291.25	301.63	312.52
7/20-12/20	Bridge Period	Regional	Nevada	CA Health & Wellness	Adult	291.25	301.63	312.52
7/20-12/20	Bridge Period	Regional	Placer	CA Health & Wellness	Adult	291.25	301.63	312.52
7/20-12/20	Bridge Period	Regional	Plumas	CA Health & Wellness	Adult	291.25	301.63	312.52
7/20-12/20	Bridge Period	Regional	Sierra	CA Health & Wellness	Adult	291.25	301.63	312.52
7/20-12/20	Bridge Period	Regional	Sutter	CA Health & Wellness	Adult	291.25	301.63	312.52
7/20-12/20	Bridge Period	Regional	Tehama	CA Health & Wellness	Adult	291.25	301.63	312.52
7/20-12/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Adult	291.25	301.63	312.52
7/20-12/20	Bridge Period	Regional	Yuba	CA Health & Wellness	Adult	291.25	301.63	312.52
1/20-6/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Adult	271.03	280.44	290.30
1/20-6/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Adult	271.03	280.44	290.30
1/20-6/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Adult	271.03	280.44	290.30
7/19-12/19	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Adult	271.03	280.44	290.30
7/19-12/19	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Adult	271.03	280.44	290.30
7/19-12/19	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Adult	271.03	280.44	290.30
7/20-12/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Adult	271.03	280.44	290.30
7/20-12/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Adult	271.03	280.44	290.30
7/20-12/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Adult	271.03	280.44	290.30
1/20-6/20	Bridge Period	Regional	Imperial	Molina Healthcare	Adult	193.72	200.90	208.44
7/19-12/19	Bridge Period	Regional	Imperial	Molina Healthcare	Adult	193.72	200.90	208.44
7/20-12/20	Bridge Period	Regional	Imperial	Molina Healthcare	Adult	188.55	195.54	202.88
1/20-6/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
1/20-6/20	Bridge Period	Regional	Amador	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
1/20-6/20	Bridge Period	Regional	Butte	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
1/20-6/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
1/20-6/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
1/20-6/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
1/20-6/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
1/20-6/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
1/20-6/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
1/20-6/20	Bridge Period	Regional	Mono	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
1/20-6/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
1/20-6/20	Bridge Period	Regional	Placer	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
1/20-6/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
1/20-6/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	Adult Expansion	236.77	244.68	252.95
1/20-6/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
1/20-6/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
1/20-6/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
1/20-6/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
1/20-6/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
7/19-12/19	Bridge Period	Regional	Alpine	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
7/19-12/19	Bridge Period	Regional	Amador	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
7/19-12/19	Bridge Period	Regional	Butte	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
7/19-12/19	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
7/19-12/19	Bridge Period	Regional	Colusa	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
7/19-12/19	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
7/19-12/19	Bridge Period	Regional	Glenn	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
7/19-12/19	Bridge Period	Regional	Inyo	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
7/19-12/19	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
7/19-12/19	Bridge Period	Regional	Mono	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
7/19-12/19	Bridge Period	Regional	Nevada	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
7/19-12/19	Bridge Period	Regional	Placer	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
7/19-12/19	Bridge Period	Regional	Plumas	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
7/19-12/19	Bridge Period	Regional	San Benito	Anthem Blue Cross	Adult Expansion	236.77	244.68	252.95
7/19-12/19	Bridge Period	Regional	Sierra	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
7/19-12/19	Bridge Period	Regional	Sutter	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
7/19-12/19	Bridge Period	Regional	Tehama	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
7/19-12/19	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
7/19-12/19	Bridge Period	Regional	Yuba	Anthem Blue Cross	Adult Expansion	311.15	321.80	332.94
7/20-12/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	Adult Expansion	311.48	322.14	333.30
7/20-12/20	Bridge Period	Regional	Amador	Anthem Blue Cross	Adult Expansion	311.48	322.14	333.30
7/20-12/20	Bridge Period	Regional	Butte	Anthem Blue Cross	Adult Expansion	311.48	322.14	333.30
7/20-12/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Adult Expansion	311.48	322.14	333.30
7/20-12/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	Adult Expansion	311.48	322.14	333.30
7/20-12/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Adult Expansion	311.48	322.14	333.30
7/20-12/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	Adult Expansion	311.48	322.14	333.30
7/20-12/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	Adult Expansion	311.48	322.14	333.30
7/20-12/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Adult Expansion	311.48	322.14	333.30
7/20-12/20	Bridge Period	Regional	Mono	Anthem Blue Cross	Adult Expansion	311.48	322.14	333.30
7/20-12/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	Adult Expansion	311.48	322.14	333.30
7/20-12/20	Bridge Period	Regional	Placer	Anthem Blue Cross	Adult Expansion	311.48	322.14	333.30
7/20-12/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	Adult Expansion	311.48	322.14	333.30
7/20-12/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	Adult Expansion	236.77	244.68	252.95
7/20-12/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	Adult Expansion	311.48	322.14	333.30
7/20-12/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	Adult Expansion	311.48	322.14	333.30
7/20-12/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	Adult Expansion	311.48	322.14	333.30
7/20-12/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Adult Expansion	311.48	322.14	333.30
7/20-12/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	Adult Expansion	311.48	322.14	333.30
1/20-6/20	Bridge Period	Regional	Alpine	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
1/20-6/20	Bridge Period	Regional	Amador	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
1/20-6/20	Bridge Period	Regional	Butte	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
1/20-6/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
1/20-6/20	Bridge Period	Regional	Colusa	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
1/20-6/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
1/20-6/20	Bridge Period	Regional	Glenn	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
1/20-6/20	Bridge Period	Regional	Imperial	CA Health & Wellness	Adult Expansion	316.43	327.16	338.38
1/20-6/20	Bridge Period	Regional	Inyo	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
1/20-6/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
1/20-6/20	Bridge Period	Regional	Mono	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
1/20-6/20	Bridge Period	Regional	Nevada	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
1/20-6/20	Bridge Period	Regional	Placer	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
1/20-6/20	Bridge Period	Regional	Plumas	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
1/20-6/20	Bridge Period	Regional	Sierra	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
1/20-6/20	Bridge Period	Regional	Sutter	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
1/20-6/20	Bridge Period	Regional	Tehama	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
1/20-6/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
1/20-6/20	Bridge Period	Regional	Yuba	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
7/19-12/19	Bridge Period	Regional	Alpine	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
7/19-12/19	Bridge Period	Regional	Amador	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
7/19-12/19	Bridge Period	Regional	Butte	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
7/19-12/19	Bridge Period	Regional	Calaveras	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
7/19-12/19	Bridge Period	Regional	Colusa	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
7/19-12/19	Bridge Period	Regional	El Dorado	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
7/19-12/19	Bridge Period	Regional	Glenn	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
7/19-12/19	Bridge Period	Regional	Imperial	CA Health & Wellness	Adult Expansion	316.43	327.16	338.38
7/19-12/19	Bridge Period	Regional	Inyo	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
7/19-12/19	Bridge Period	Regional	Mariposa	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
7/19-12/19	Bridge Period	Regional	Mono	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
7/19-12/19	Bridge Period	Regional	Nevada	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
7/19-12/19	Bridge Period	Regional	Placer	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
7/19-12/19	Bridge Period	Regional	Plumas	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
7/19-12/19	Bridge Period	Regional	Sierra	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
7/19-12/19	Bridge Period	Regional	Sutter	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
7/19-12/19	Bridge Period	Regional	Tehama	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
7/19-12/19	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
7/19-12/19	Bridge Period	Regional	Yuba	CA Health & Wellness	Adult Expansion	343.47	355.25	367.58
7/20-12/20	Bridge Period	Regional	Alpine	CA Health & Wellness	Adult Expansion	342.77	354.53	366.83
7/20-12/20	Bridge Period	Regional	Amador	CA Health & Wellness	Adult Expansion	342.77	354.53	366.83
7/20-12/20	Bridge Period	Regional	Butte	CA Health & Wellness	Adult Expansion	342.77	354.53	366.83
7/20-12/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	Adult Expansion	342.77	354.53	366.83
7/20-12/20	Bridge Period	Regional	Colusa	CA Health & Wellness	Adult Expansion	342.77	354.53	366.83
7/20-12/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	Adult Expansion	342.77	354.53	366.83
7/20-12/20	Bridge Period	Regional	Glenn	CA Health & Wellness	Adult Expansion	342.77	354.53	366.83
7/20-12/20	Bridge Period	Regional	Imperial	CA Health & Wellness	Adult Expansion	314.57	325.24	336.40
7/20-12/20	Bridge Period	Regional	Inyo	CA Health & Wellness	Adult Expansion	342.77	354.53	366.83
7/20-12/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	Adult Expansion	342.77	354.53	366.83
7/20-12/20	Bridge Period	Regional	Mono	CA Health & Wellness	Adult Expansion	342.77	354.53	366.83
7/20-12/20	Bridge Period	Regional	Nevada	CA Health & Wellness	Adult Expansion	342.77	354.53	366.83
7/20-12/20	Bridge Period	Regional	Placer	CA Health & Wellness	Adult Expansion	342.77	354.53	366.83
7/20-12/20	Bridge Period	Regional	Plumas	CA Health & Wellness	Adult Expansion	342.77	354.53	366.83
7/20-12/20	Bridge Period	Regional	Sierra	CA Health & Wellness	Adult Expansion	342.77	354.53	366.83
7/20-12/20	Bridge Period	Regional	Sutter	CA Health & Wellness	Adult Expansion	342.77	354.53	366.83
7/20-12/20	Bridge Period	Regional	Tehama	CA Health & Wellness	Adult Expansion	342.77	354.53	366.83
7/20-12/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Adult Expansion	342.77	354.53	366.83
7/20-12/20	Bridge Period	Regional	Yuba	CA Health & Wellness	Adult Expansion	342.77	354.53	366.83
1/20-6/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Adult Expansion	328.99	339.98	351.46
1/20-6/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Adult Expansion	328.99	339.98	351.46
1/20-6/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Adult Expansion	328.99	339.98	351.46
7/19-12/19	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Adult Expansion	328.99	339.98	351.46
7/19-12/19	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Adult Expansion	328.99	339.98	351.46
7/19-12/19	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Adult Expansion	328.99	339.98	351.46
7/20-12/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Adult Expansion	328.99	339.98	351.46
7/20-12/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Adult Expansion	328.99	339.98	351.46
7/20-12/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Adult Expansion	328.99	339.98	351.46
1/20-6/20	Bridge Period	Regional	Imperial	Molina Healthcare	Adult Expansion	293.60	303.62	314.09
7/19-12/19	Bridge Period	Regional	Imperial	Molina Healthcare	Adult Expansion	293.60	303.62	314.09
7/20-12/20	Bridge Period	Regional	Imperial	Molina Healthcare	Adult Expansion	298.18	308.34	318.98
1/20-6/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
1/20-6/20	Bridge Period	Regional	Amador	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
1/20-6/20	Bridge Period	Regional	Butte	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
1/20-6/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
1/20-6/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
1/20-6/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
1/20-6/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
1/20-6/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
1/20-6/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
1/20-6/20	Bridge Period	Regional	Mono	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
1/20-6/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
1/20-6/20	Bridge Period	Regional	Placer	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
1/20-6/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
1/20-6/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	BCCTP	1091.72	1124.83	1159.29
1/20-6/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
1/20-6/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
1/20-6/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
1/20-6/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
1/20-6/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/19-12/19	Bridge Period	Regional	Alpine	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/19-12/19	Bridge Period	Regional	Amador	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/19-12/19	Bridge Period	Regional	Butte	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/19-12/19	Bridge Period	Regional	Calaveras	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/19-12/19	Bridge Period	Regional	Colusa	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/19-12/19	Bridge Period	Regional	El Dorado	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/19-12/19	Bridge Period	Regional	Glenn	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/19-12/19	Bridge Period	Regional	Inyo	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/19-12/19	Bridge Period	Regional	Mariposa	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/19-12/19	Bridge Period	Regional	Mono	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/19-12/19	Bridge Period	Regional	Nevada	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/19-12/19	Bridge Period	Regional	Placer	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/19-12/19	Bridge Period	Regional	Plumas	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/19-12/19	Bridge Period	Regional	San Benito	Anthem Blue Cross	BCCTP	1091.72	1124.83	1159.29
7/19-12/19	Bridge Period	Regional	Sierra	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/19-12/19	Bridge Period	Regional	Sutter	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/19-12/19	Bridge Period	Regional	Tehama	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/19-12/19	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/19-12/19	Bridge Period	Regional	Yuba	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/20-12/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/20-12/20	Bridge Period	Regional	Amador	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/20-12/20	Bridge Period	Regional	Butte	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/20-12/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/20-12/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/20-12/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/20-12/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/20-12/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/20-12/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/20-12/20	Bridge Period	Regional	Mono	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/20-12/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/20-12/20	Bridge Period	Regional	Placer	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/20-12/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/20-12/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	BCCTP	1091.72	1124.83	1159.29
7/20-12/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/20-12/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/20-12/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/20-12/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
7/20-12/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	BCCTP	1187.94	1224.01	1261.57
1/20-6/20	Bridge Period	Regional	Alpine	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
1/20-6/20	Bridge Period	Regional	Amador	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
1/20-6/20	Bridge Period	Regional	Butte	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
1/20-6/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
1/20-6/20	Bridge Period	Regional	Colusa	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
1/20-6/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
1/20-6/20	Bridge Period	Regional	Glenn	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
1/20-6/20	Bridge Period	Regional	Imperial	CA Health & Wellness	BCCTP	1205.30	1243.33	1282.99
1/20-6/20	Bridge Period	Regional	Inyo	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
1/20-6/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
1/20-6/20	Bridge Period	Regional	Mono	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
1/20-6/20	Bridge Period	Regional	Nevada	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
1/20-6/20	Bridge Period	Regional	Placer	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
1/20-6/20	Bridge Period	Regional	Plumas	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
1/20-6/20	Bridge Period	Regional	Sierra	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
1/20-6/20	Bridge Period	Regional	Sutter	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
1/20-6/20	Bridge Period	Regional	Tehama	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
1/20-6/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
1/20-6/20	Bridge Period	Regional	Yuba	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/19-12/19	Bridge Period	Regional	Alpine	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/19-12/19	Bridge Period	Regional	Amador	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/19-12/19	Bridge Period	Regional	Butte	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/19-12/19	Bridge Period	Regional	Calaveras	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/19-12/19	Bridge Period	Regional	Colusa	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/19-12/19	Bridge Period	Regional	El Dorado	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/19-12/19	Bridge Period	Regional	Glenn	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/19-12/19	Bridge Period	Regional	Imperial	CA Health & Wellness	BCCTP	1205.30	1243.33	1282.99
7/19-12/19	Bridge Period	Regional	Inyo	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/19-12/19	Bridge Period	Regional	Mariposa	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/19-12/19	Bridge Period	Regional	Mono	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/19-12/19	Bridge Period	Regional	Nevada	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/19-12/19	Bridge Period	Regional	Placer	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/19-12/19	Bridge Period	Regional	Plumas	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/19-12/19	Bridge Period	Regional	Sierra	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/19-12/19	Bridge Period	Regional	Sutter	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/19-12/19	Bridge Period	Regional	Tehama	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/19-12/19	Bridge Period	Regional	Tuolumne	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/19-12/19	Bridge Period	Regional	Yuba	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/20-12/20	Bridge Period	Regional	Alpine	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/20-12/20	Bridge Period	Regional	Amador	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/20-12/20	Bridge Period	Regional	Butte	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/20-12/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/20-12/20	Bridge Period	Regional	Colusa	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/20-12/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/20-12/20	Bridge Period	Regional	Glenn	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/20-12/20	Bridge Period	Regional	Imperial	CA Health & Wellness	BCCTP	1205.30	1243.33	1282.99
7/20-12/20	Bridge Period	Regional	Inyo	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/20-12/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/20-12/20	Bridge Period	Regional	Mono	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/20-12/20	Bridge Period	Regional	Nevada	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/20-12/20	Bridge Period	Regional	Placer	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/20-12/20	Bridge Period	Regional	Plumas	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/20-12/20	Bridge Period	Regional	Sierra	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/20-12/20	Bridge Period	Regional	Sutter	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/20-12/20	Bridge Period	Regional	Tehama	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/20-12/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
7/20-12/20	Bridge Period	Regional	Yuba	CA Health & Wellness	BCCTP	1166.93	1203.45	1241.55
1/20-6/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	BCCTP	1131.76	1166.62	1202.94
1/20-6/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	BCCTP	1131.76	1166.62	1202.94
1/20-6/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	BCCTP	1131.76	1166.62	1202.94
7/19-12/19	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	BCCTP	1131.76	1166.62	1202.94
7/19-12/19	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	BCCTP	1131.76	1166.62	1202.94
7/19-12/19	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	BCCTP	1131.76	1166.62	1202.94
7/20-12/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	BCCTP	1131.76	1166.62	1202.94
7/20-12/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	BCCTP	1131.76	1166.62	1202.94
7/20-12/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	BCCTP	1131.76	1166.62	1202.94
1/20-6/20	Bridge Period	Regional	Imperial	Molina Healthcare	BCCTP	1108.51	1142.90	1178.75
7/19-12/19	Bridge Period	Regional	Imperial	Molina Healthcare	BCCTP	1108.51	1142.90	1178.75
7/20-12/20	Bridge Period	Regional	Imperial	Molina Healthcare	BCCTP	1108.51	1142.90	1178.75
1/20-6/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
1/20-6/20	Bridge Period	Regional	Amador	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
1/20-6/20	Bridge Period	Regional	Butte	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
1/20-6/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
1/20-6/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
1/20-6/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
1/20-6/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
1/20-6/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
1/20-6/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
1/20-6/20	Bridge Period	Regional	Mono	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
1/20-6/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
1/20-6/20	Bridge Period	Regional	Placer	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
1/20-6/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
1/20-6/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	Behavioral Health Treatment 0-6	3013.87	3013.87	3178.34
1/20-6/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
1/20-6/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
1/20-6/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
1/20-6/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
1/20-6/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
1/20-6/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
1/20-6/20	Bridge Period	Regional	Amador	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
1/20-6/20	Bridge Period	Regional	Butte	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
1/20-6/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
1/20-6/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
1/20-6/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
1/20-6/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
1/20-6/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
1/20-6/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
1/20-6/20	Bridge Period	Regional	Mono	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
1/20-6/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
1/20-6/20	Bridge Period	Regional	Placer	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
1/20-6/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
1/20-6/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	Behavioral Health Treatment 7-20	1929.44	1929.44	2034.73
1/20-6/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
1/20-6/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
1/20-6/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
1/20-6/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
1/20-6/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/19-12/19	Bridge Period	Regional	Alpine	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/19-12/19	Bridge Period	Regional	Amador	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/19-12/19	Bridge Period	Regional	Butte	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/19-12/19	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/19-12/19	Bridge Period	Regional	Colusa	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/19-12/19	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/19-12/19	Bridge Period	Regional	Glenn	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/19-12/19	Bridge Period	Regional	Inyo	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/19-12/19	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/19-12/19	Bridge Period	Regional	Mono	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/19-12/19	Bridge Period	Regional	Nevada	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/19-12/19	Bridge Period	Regional	Placer	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/19-12/19	Bridge Period	Regional	Plumas	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/19-12/19	Bridge Period	Regional	San Benito	Anthem Blue Cross	Behavioral Health Treatment 0-6	3013.87	3013.87	3178.34
7/19-12/19	Bridge Period	Regional	Sierra	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/19-12/19	Bridge Period	Regional	Sutter	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/19-12/19	Bridge Period	Regional	Tehama	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/19-12/19	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/19-12/19	Bridge Period	Regional	Yuba	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
1/20-6/20	Bridge Period	Regional	Alpine	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
1/20-6/20	Bridge Period	Regional	Amador	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
1/20-6/20	Bridge Period	Regional	Butte	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
1/20-6/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
1/20-6/20	Bridge Period	Regional	Colusa	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
1/20-6/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
1/20-6/20	Bridge Period	Regional	Glenn	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
1/20-6/20	Bridge Period	Regional	Imperial	CA Health & Wellness	Behavioral Health Treatment 0-6	2203.29	2262.36	2323.52
1/20-6/20	Bridge Period	Regional	Inyo	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
1/20-6/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
1/20-6/20	Bridge Period	Regional	Mono	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
1/20-6/20	Bridge Period	Regional	Nevada	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
1/20-6/20	Bridge Period	Regional	Placer	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
1/20-6/20	Bridge Period	Regional	Plumas	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
1/20-6/20	Bridge Period	Regional	Sierra	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
1/20-6/20	Bridge Period	Regional	Sutter	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
1/20-6/20	Bridge Period	Regional	Tehama	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
1/20-6/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
1/20-6/20	Bridge Period	Regional	Yuba	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/19-12/19	Bridge Period	Regional	Alpine	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/19-12/19	Bridge Period	Regional	Amador	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/19-12/19	Bridge Period	Regional	Butte	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/19-12/19	Bridge Period	Regional	Calaveras	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/19-12/19	Bridge Period	Regional	Colusa	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/19-12/19	Bridge Period	Regional	El Dorado	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/19-12/19	Bridge Period	Regional	Glenn	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/19-12/19	Bridge Period	Regional	Imperial	CA Health & Wellness	Behavioral Health Treatment 0-6	2203.29	2262.36	2323.52
7/19-12/19	Bridge Period	Regional	Inyo	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/19-12/19	Bridge Period	Regional	Mariposa	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/19-12/19	Bridge Period	Regional	Mono	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/19-12/19	Bridge Period	Regional	Nevada	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/19-12/19	Bridge Period	Regional	Placer	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/19-12/19	Bridge Period	Regional	Plumas	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/19-12/19	Bridge Period	Regional	Sierra	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/19-12/19	Bridge Period	Regional	Sutter	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/19-12/19	Bridge Period	Regional	Tehama	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/19-12/19	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/19-12/19	Bridge Period	Regional	Yuba	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/20-12/20	Bridge Period	Regional	Alpine	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/20-12/20	Bridge Period	Regional	Amador	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/20-12/20	Bridge Period	Regional	Butte	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/20-12/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/20-12/20	Bridge Period	Regional	Colusa	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/20-12/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/20-12/20	Bridge Period	Regional	Glenn	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/20-12/20	Bridge Period	Regional	Imperial	CA Health & Wellness	Behavioral Health Treatment 0-6	2203.29	2262.36	2323.52
7/20-12/20	Bridge Period	Regional	Inyo	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/20-12/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/20-12/20	Bridge Period	Regional	Mono	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/20-12/20	Bridge Period	Regional	Nevada	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/20-12/20	Bridge Period	Regional	Placer	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/20-12/20	Bridge Period	Regional	Plumas	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/20-12/20	Bridge Period	Regional	Sierra	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/20-12/20	Bridge Period	Regional	Sutter	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/20-12/20	Bridge Period	Regional	Tehama	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/20-12/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
7/20-12/20	Bridge Period	Regional	Yuba	CA Health & Wellness	Behavioral Health Treatment 0-6	2246.05	2306.27	2368.62
1/20-6/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Behavioral Health Treatment 0-6	3296.36	3384.75	3476.25
1/20-6/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Behavioral Health Treatment 0-6	3296.36	3384.75	3476.25
1/20-6/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Behavioral Health Treatment 0-6	3296.36	3384.75	3476.25
7/19-12/19	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Behavioral Health Treatment 0-6	3296.36	3384.75	3476.25
7/19-12/19	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Behavioral Health Treatment 0-6	3296.36	3384.75	3476.25
7/19-12/19	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Behavioral Health Treatment 0-6	3296.36	3384.75	3476.25
7/20-12/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Behavioral Health Treatment 0-6	3296.36	3384.75	3476.25
7/20-12/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Behavioral Health Treatment 0-6	3296.36	3384.75	3476.25
7/20-12/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Behavioral Health Treatment 0-6	3296.36	3384.75	3476.25
1/20-6/20	Bridge Period	Regional	Imperial	Molina Healthcare	Behavioral Health Treatment 0-6	2618.07	2688.27	2760.94
7/19-12/19	Bridge Period	Regional	Imperial	Molina Healthcare	Behavioral Health Treatment 0-6	2618.07	2688.27	2760.94
7/20-12/20	Bridge Period	Regional	Imperial	Molina Healthcare	Behavioral Health Treatment 0-6	2618.07	2688.27	2760.94
7/19-12/19	Bridge Period	Regional	Alpine	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/19-12/19	Bridge Period	Regional	Amador	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/19-12/19	Bridge Period	Regional	Butte	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/19-12/19	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/19-12/19	Bridge Period	Regional	Colusa	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/19-12/19	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/19-12/19	Bridge Period	Regional	Glenn	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/19-12/19	Bridge Period	Regional	Inyo	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/19-12/19	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/19-12/19	Bridge Period	Regional	Mono	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/19-12/19	Bridge Period	Regional	Nevada	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/19-12/19	Bridge Period	Regional	Placer	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/19-12/19	Bridge Period	Regional	Plumas	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/19-12/19	Bridge Period	Regional	San Benito	Anthem Blue Cross	Behavioral Health Treatment 7-20	1929.44	1929.44	2034.73
7/19-12/19	Bridge Period	Regional	Sierra	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/19-12/19	Bridge Period	Regional	Sutter	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/19-12/19	Bridge Period	Regional	Tehama	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/19-12/19	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/19-12/19	Bridge Period	Regional	Yuba	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/20-12/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/20-12/20	Bridge Period	Regional	Amador	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/20-12/20	Bridge Period	Regional	Butte	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/20-12/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/20-12/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/20-12/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/20-12/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/20-12/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/20-12/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/20-12/20	Bridge Period	Regional	Mono	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/20-12/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/20-12/20	Bridge Period	Regional	Placer	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/20-12/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/20-12/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	Behavioral Health Treatment 0-6	3013.87	3013.87	3178.34
7/20-12/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/20-12/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/20-12/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/20-12/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/20-12/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	Behavioral Health Treatment 0-6	3215.73	3215.73	3391.21
7/20-12/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/20-12/20	Bridge Period	Regional	Amador	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/20-12/20	Bridge Period	Regional	Butte	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/20-12/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/20-12/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/20-12/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/20-12/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/20-12/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/20-12/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/20-12/20	Bridge Period	Regional	Mono	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/20-12/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/20-12/20	Bridge Period	Regional	Placer	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/20-12/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/20-12/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	Behavioral Health Treatment 7-20	1929.44	1929.44	2034.73
7/20-12/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/20-12/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/20-12/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/20-12/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
7/20-12/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	Behavioral Health Treatment 7-20	1923.23	1923.23	2028.18
1/20-6/20	Bridge Period	Regional	Alpine	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
1/20-6/20	Bridge Period	Regional	Amador	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
1/20-6/20	Bridge Period	Regional	Butte	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
1/20-6/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
1/20-6/20	Bridge Period	Regional	Colusa	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
1/20-6/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
1/20-6/20	Bridge Period	Regional	Glenn	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
1/20-6/20	Bridge Period	Regional	Imperial	CA Health & Wellness	Behavioral Health Treatment 7-20	1853.33	1903.02	1954.46
1/20-6/20	Bridge Period	Regional	Inyo	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
1/20-6/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
1/20-6/20	Bridge Period	Regional	Mono	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
1/20-6/20	Bridge Period	Regional	Nevada	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
1/20-6/20	Bridge Period	Regional	Placer	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
1/20-6/20	Bridge Period	Regional	Plumas	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
1/20-6/20	Bridge Period	Regional	Sierra	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
1/20-6/20	Bridge Period	Regional	Sutter	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
1/20-6/20	Bridge Period	Regional	Tehama	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
1/20-6/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
1/20-6/20	Bridge Period	Regional	Yuba	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/19-12/19	Bridge Period	Regional	Alpine	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/19-12/19	Bridge Period	Regional	Amador	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/19-12/19	Bridge Period	Regional	Butte	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/19-12/19	Bridge Period	Regional	Calaveras	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/19-12/19	Bridge Period	Regional	Colusa	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/19-12/19	Bridge Period	Regional	El Dorado	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/19-12/19	Bridge Period	Regional	Glenn	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/19-12/19	Bridge Period	Regional	Imperial	CA Health & Wellness	Behavioral Health Treatment 7-20	1853.33	1903.02	1954.46
7/19-12/19	Bridge Period	Regional	Inyo	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/19-12/19	Bridge Period	Regional	Mariposa	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/19-12/19	Bridge Period	Regional	Mono	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/19-12/19	Bridge Period	Regional	Nevada	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/19-12/19	Bridge Period	Regional	Placer	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/19-12/19	Bridge Period	Regional	Plumas	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/19-12/19	Bridge Period	Regional	Sierra	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/19-12/19	Bridge Period	Regional	Sutter	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/19-12/19	Bridge Period	Regional	Tehama	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/19-12/19	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/19-12/19	Bridge Period	Regional	Yuba	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/20-12/20	Bridge Period	Regional	Alpine	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/20-12/20	Bridge Period	Regional	Amador	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/20-12/20	Bridge Period	Regional	Butte	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/20-12/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/20-12/20	Bridge Period	Regional	Colusa	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/20-12/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/20-12/20	Bridge Period	Regional	Glenn	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/20-12/20	Bridge Period	Regional	Imperial	CA Health & Wellness	Behavioral Health Treatment 7-20	1853.33	1903.02	1954.46
7/20-12/20	Bridge Period	Regional	Inyo	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/20-12/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/20-12/20	Bridge Period	Regional	Mono	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/20-12/20	Bridge Period	Regional	Nevada	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/20-12/20	Bridge Period	Regional	Placer	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/20-12/20	Bridge Period	Regional	Plumas	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/20-12/20	Bridge Period	Regional	Sierra	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/20-12/20	Bridge Period	Regional	Sutter	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/20-12/20	Bridge Period	Regional	Tehama	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/20-12/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
7/20-12/20	Bridge Period	Regional	Yuba	CA Health & Wellness	Behavioral Health Treatment 7-20	1596.01	1638.81	1683.11
1/20-6/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Behavioral Health Treatment 7-20	2067.01	2122.43	2179.81
1/20-6/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Behavioral Health Treatment 7-20	2067.01	2122.43	2179.81
1/20-6/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Behavioral Health Treatment 7-20	2067.01	2122.43	2179.81
7/19-12/19	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Behavioral Health Treatment 7-20	2067.01	2122.43	2179.81
7/19-12/19	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Behavioral Health Treatment 7-20	2067.01	2122.43	2179.81
7/19-12/19	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Behavioral Health Treatment 7-20	2067.01	2122.43	2179.81
7/20-12/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Behavioral Health Treatment 7-20	2067.01	2122.43	2179.81
7/20-12/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Behavioral Health Treatment 7-20	2067.01	2122.43	2179.81
7/20-12/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Behavioral Health Treatment 7-20	2067.01	2122.43	2179.81
1/20-6/20	Bridge Period	Regional	Imperial	Molina Healthcare	Behavioral Health Treatment 7-20	1914.99	1966.34	2019.49
7/19-12/19	Bridge Period	Regional	Imperial	Molina Healthcare	Behavioral Health Treatment 7-20	1914.99	1966.34	2019.49
7/20-12/20	Bridge Period	Regional	Imperial	Molina Healthcare	Behavioral Health Treatment 7-20	1914.99	1966.34	2019.49
1/20-6/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	Child	64.08	67.39	70.91
1/20-6/20	Bridge Period	Regional	Amador	Anthem Blue Cross	Child	64.08	67.39	70.91
1/20-6/20	Bridge Period	Regional	Butte	Anthem Blue Cross	Child	64.08	67.39	70.91
1/20-6/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Child	64.08	67.39	70.91
1/20-6/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	Child	64.08	67.39	70.91
1/20-6/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Child	64.08	67.39	70.91
1/20-6/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	Child	64.08	67.39	70.91
1/20-6/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	Child	64.08	67.39	70.91
1/20-6/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Child	64.08	67.39	70.91
1/20-6/20	Bridge Period	Regional	Mono	Anthem Blue Cross	Child	64.08	67.39	70.91
1/20-6/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	Child	64.08	67.39	70.91
1/20-6/20	Bridge Period	Regional	Placer	Anthem Blue Cross	Child	64.08	67.39	70.91
1/20-6/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	Child	64.08	67.39	70.91
1/20-6/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	Child	54.35	56.81	59.41
1/20-6/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	Child	64.08	67.39	70.91
1/20-6/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	Child	64.08	67.39	70.91
1/20-6/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	Child	64.08	67.39	70.91
1/20-6/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Child	64.08	67.39	70.91
1/20-6/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	Child	64.08	67.39	70.91
7/19-12/19	Bridge Period	Regional	Alpine	Anthem Blue Cross	Child	64.08	67.39	70.91
7/19-12/19	Bridge Period	Regional	Amador	Anthem Blue Cross	Child	64.08	67.39	70.91
7/19-12/19	Bridge Period	Regional	Butte	Anthem Blue Cross	Child	64.08	67.39	70.91
7/19-12/19	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Child	64.08	67.39	70.91
7/19-12/19	Bridge Period	Regional	Colusa	Anthem Blue Cross	Child	64.08	67.39	70.91
7/19-12/19	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Child	64.08	67.39	70.91
7/19-12/19	Bridge Period	Regional	Glenn	Anthem Blue Cross	Child	64.08	67.39	70.91
7/19-12/19	Bridge Period	Regional	Inyo	Anthem Blue Cross	Child	64.08	67.39	70.91
7/19-12/19	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Child	64.08	67.39	70.91
7/19-12/19	Bridge Period	Regional	Mono	Anthem Blue Cross	Child	64.08	67.39	70.91
7/19-12/19	Bridge Period	Regional	Nevada	Anthem Blue Cross	Child	64.08	67.39	70.91
7/19-12/19	Bridge Period	Regional	Placer	Anthem Blue Cross	Child	64.08	67.39	70.91
7/19-12/19	Bridge Period	Regional	Plumas	Anthem Blue Cross	Child	64.08	67.39	70.91
7/19-12/19	Bridge Period	Regional	San Benito	Anthem Blue Cross	Child	54.35	56.81	59.41
7/19-12/19	Bridge Period	Regional	Sierra	Anthem Blue Cross	Child	64.08	67.39	70.91
7/19-12/19	Bridge Period	Regional	Sutter	Anthem Blue Cross	Child	64.08	67.39	70.91
7/19-12/19	Bridge Period	Regional	Tehama	Anthem Blue Cross	Child	64.08	67.39	70.91
7/19-12/19	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Child	64.08	67.39	70.91
7/19-12/19	Bridge Period	Regional	Yuba	Anthem Blue Cross	Child	64.08	67.39	70.91
7/20-12/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	Child	63.96	67.26	70.77
7/20-12/20	Bridge Period	Regional	Amador	Anthem Blue Cross	Child	63.96	67.26	70.77
7/20-12/20	Bridge Period	Regional	Butte	Anthem Blue Cross	Child	63.96	67.26	70.77
7/20-12/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Child	63.96	67.26	70.77
7/20-12/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	Child	63.96	67.26	70.77
7/20-12/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Child	63.96	67.26	70.77
7/20-12/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	Child	63.96	67.26	70.77
7/20-12/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	Child	63.96	67.26	70.77
7/20-12/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Child	63.96	67.26	70.77
7/20-12/20	Bridge Period	Regional	Mono	Anthem Blue Cross	Child	63.96	67.26	70.77
7/20-12/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	Child	63.96	67.26	70.77
7/20-12/20	Bridge Period	Regional	Placer	Anthem Blue Cross	Child	63.96	67.26	70.77
7/20-12/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	Child	63.96	67.26	70.77
7/20-12/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	Child	54.35	56.81	59.41
7/20-12/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	Child	63.96	67.26	70.77
7/20-12/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	Child	63.96	67.26	70.77
7/20-12/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	Child	63.96	67.26	70.77
7/20-12/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Child	63.96	67.26	70.77
7/20-12/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	Child	63.96	67.26	70.77
1/20-6/20	Bridge Period	Regional	Alpine	CA Health & Wellness	Child	67.11	70.59	74.28
1/20-6/20	Bridge Period	Regional	Amador	CA Health & Wellness	Child	67.11	70.59	74.28
1/20-6/20	Bridge Period	Regional	Butte	CA Health & Wellness	Child	67.11	70.59	74.28
1/20-6/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	Child	67.11	70.59	74.28
1/20-6/20	Bridge Period	Regional	Colusa	CA Health & Wellness	Child	67.11	70.59	74.28
1/20-6/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	Child	67.11	70.59	74.28
1/20-6/20	Bridge Period	Regional	Glenn	CA Health & Wellness	Child	67.11	70.59	74.28
1/20-6/20	Bridge Period	Regional	Imperial	CA Health & Wellness	Child	78.78	82.46	86.36
1/20-6/20	Bridge Period	Regional	Inyo	CA Health & Wellness	Child	67.11	70.59	74.28
1/20-6/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	Child	67.11	70.59	74.28
1/20-6/20	Bridge Period	Regional	Mono	CA Health & Wellness	Child	67.11	70.59	74.28
1/20-6/20	Bridge Period	Regional	Nevada	CA Health & Wellness	Child	67.11	70.59	74.28
1/20-6/20	Bridge Period	Regional	Placer	CA Health & Wellness	Child	67.11	70.59	74.28
1/20-6/20	Bridge Period	Regional	Plumas	CA Health & Wellness	Child	67.11	70.59	74.28
1/20-6/20	Bridge Period	Regional	Sierra	CA Health & Wellness	Child	67.11	70.59	74.28
1/20-6/20	Bridge Period	Regional	Sutter	CA Health & Wellness	Child	67.11	70.59	74.28
1/20-6/20	Bridge Period	Regional	Tehama	CA Health & Wellness	Child	67.11	70.59	74.28
1/20-6/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Child	67.11	70.59	74.28
1/20-6/20	Bridge Period	Regional	Yuba	CA Health & Wellness	Child	67.11	70.59	74.28
7/19-12/19	Bridge Period	Regional	Alpine	CA Health & Wellness	Child	67.11	70.59	74.28
7/19-12/19	Bridge Period	Regional	Amador	CA Health & Wellness	Child	67.11	70.59	74.28
7/19-12/19	Bridge Period	Regional	Butte	CA Health & Wellness	Child	67.11	70.59	74.28
7/19-12/19	Bridge Period	Regional	Calaveras	CA Health & Wellness	Child	67.11	70.59	74.28
7/19-12/19	Bridge Period	Regional	Colusa	CA Health & Wellness	Child	67.11	70.59	74.28
7/19-12/19	Bridge Period	Regional	El Dorado	CA Health & Wellness	Child	67.11	70.59	74.28
7/19-12/19	Bridge Period	Regional	Glenn	CA Health & Wellness	Child	67.11	70.59	74.28
7/19-12/19	Bridge Period	Regional	Imperial	CA Health & Wellness	Child	78.78	82.46	86.36
7/19-12/19	Bridge Period	Regional	Inyo	CA Health & Wellness	Child	67.11	70.59	74.28
7/19-12/19	Bridge Period	Regional	Mariposa	CA Health & Wellness	Child	67.11	70.59	74.28
7/19-12/19	Bridge Period	Regional	Mono	CA Health & Wellness	Child	67.11	70.59	74.28
7/19-12/19	Bridge Period	Regional	Nevada	CA Health & Wellness	Child	67.11	70.59	74.28
7/19-12/19	Bridge Period	Regional	Placer	CA Health & Wellness	Child	67.11	70.59	74.28
7/19-12/19	Bridge Period	Regional	Plumas	CA Health & Wellness	Child	67.11	70.59	74.28
7/19-12/19	Bridge Period	Regional	Sierra	CA Health & Wellness	Child	67.11	70.59	74.28
7/19-12/19	Bridge Period	Regional	Sutter	CA Health & Wellness	Child	67.11	70.59	74.28
7/19-12/19	Bridge Period	Regional	Tehama	CA Health & Wellness	Child	67.11	70.59	74.28
7/19-12/19	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Child	67.11	70.59	74.28
7/19-12/19	Bridge Period	Regional	Yuba	CA Health & Wellness	Child	67.11	70.59	74.28
7/20-12/20	Bridge Period	Regional	Alpine	CA Health & Wellness	Child	67.22	70.71	74.41
7/20-12/20	Bridge Period	Regional	Amador	CA Health & Wellness	Child	67.22	70.71	74.41
7/20-12/20	Bridge Period	Regional	Butte	CA Health & Wellness	Child	67.22	70.71	74.41
7/20-12/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	Child	67.22	70.71	74.41
7/20-12/20	Bridge Period	Regional	Colusa	CA Health & Wellness	Child	67.22	70.71	74.41
7/20-12/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	Child	67.22	70.71	74.41
7/20-12/20	Bridge Period	Regional	Glenn	CA Health & Wellness	Child	67.22	70.71	74.41
7/20-12/20	Bridge Period	Regional	Imperial	CA Health & Wellness	Child	78.64	82.31	86.20
7/20-12/20	Bridge Period	Regional	Inyo	CA Health & Wellness	Child	67.22	70.71	74.41
7/20-12/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	Child	67.22	70.71	74.41
7/20-12/20	Bridge Period	Regional	Mono	CA Health & Wellness	Child	67.22	70.71	74.41
7/20-12/20	Bridge Period	Regional	Nevada	CA Health & Wellness	Child	67.22	70.71	74.41
7/20-12/20	Bridge Period	Regional	Placer	CA Health & Wellness	Child	67.22	70.71	74.41
7/20-12/20	Bridge Period	Regional	Plumas	CA Health & Wellness	Child	67.22	70.71	74.41
7/20-12/20	Bridge Period	Regional	Sierra	CA Health & Wellness	Child	67.22	70.71	74.41
7/20-12/20	Bridge Period	Regional	Sutter	CA Health & Wellness	Child	67.22	70.71	74.41
7/20-12/20	Bridge Period	Regional	Tehama	CA Health & Wellness	Child	67.22	70.71	74.41
7/20-12/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Child	67.22	70.71	74.41
7/20-12/20	Bridge Period	Regional	Yuba	CA Health & Wellness	Child	67.22	70.71	74.41
1/20-6/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Child	65.75	68.86	72.17
1/20-6/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Child	65.75	68.86	72.17
1/20-6/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Child	65.75	68.86	72.17
7/19-12/19	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Child	65.75	68.86	72.17
7/19-12/19	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Child	65.75	68.86	72.17
7/19-12/19	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Child	65.75	68.86	72.17
7/20-12/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Child	65.75	68.86	72.17
7/20-12/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Child	65.75	68.86	72.17
7/20-12/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Child	65.75	68.86	72.17
1/20-6/20	Bridge Period	Regional	Imperial	Molina Healthcare	Child	69.44	72.72	76.20
7/19-12/19	Bridge Period	Regional	Imperial	Molina Healthcare	Child	69.44	72.72	76.20
7/20-12/20	Bridge Period	Regional	Imperial	Molina Healthcare	Child	70.06	73.36	76.87
7/19-12/19	Bridge Period	Regional	Imperial	CA Health & Wellness	Health Homes Dual	128.60	136.04	144.29
1/20-6/20	Bridge Period	Regional	Imperial	CA Health & Wellness	Health Homes Dual	128.60	136.04	144.29
7/20-12/20	Bridge Period	Regional	Imperial	CA Health & Wellness	Health Homes Dual	92.72	96.22	100.06
7/19-12/19	Bridge Period	Regional	Imperial	Molina Healthcare	Health Homes Dual	130.68	138.15	146.43
1/20-6/20	Bridge Period	Regional	Imperial	Molina Healthcare	Health Homes Dual	130.68	138.15	146.43
7/20-12/20	Bridge Period	Regional	Imperial	Molina Healthcare	Health Homes Dual	94.91	98.47	102.37
7/19-12/19	Bridge Period	Regional	Imperial	CA Health & Wellness	Health Homes Non-Dual	539.03	571.08	605.62
1/20-6/20	Bridge Period	Regional	Imperial	CA Health & Wellness	Health Homes Non-Dual	539.03	571.08	605.62
7/20-12/20	Bridge Period	Regional	Imperial	CA Health & Wellness	Health Homes Non-Dual	400.33	420.14	441.63
7/19-12/19	Bridge Period	Regional	Imperial	Molina Healthcare	Health Homes Non-Dual	545.38	577.76	612.67
1/20-6/20	Bridge Period	Regional	Imperial	Molina Healthcare	Health Homes Non-Dual	545.38	577.76	612.67
7/20-12/20	Bridge Period	Regional	Imperial	Molina Healthcare	Health Homes Non-Dual	430.10	451.87	475.47
1/20-6/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Amador	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Butte	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Mono	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Placer	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Alpine	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Amador	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Butte	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Colusa	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Glenn	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Inyo	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Mono	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Nevada	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Placer	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Plumas	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	San Benito	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Sierra	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Sutter	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Tehama	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Yuba	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Amador	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Butte	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Mono	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Placer	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Alpine	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Amador	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Butte	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Colusa	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Glenn	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Imperial	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Inyo	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Mono	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Nevada	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Placer	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Plumas	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Sierra	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Sutter	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Tehama	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Yuba	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Alpine	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Amador	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Butte	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Calaveras	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Colusa	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	El Dorado	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Glenn	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Imperial	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Inyo	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Mariposa	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Mono	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Nevada	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Placer	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Plumas	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Sierra	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Sutter	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Tehama	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Yuba	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Alpine	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Amador	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Butte	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Colusa	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Glenn	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Imperial	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Inyo	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Mono	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Nevada	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Placer	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Plumas	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Sierra	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Sutter	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Tehama	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Yuba	CA Health & Wellness	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Imperial	Molina Healthcare	Hep C 340B	2254.88	2289.97	2326.17
7/19-12/19	Bridge Period	Regional	Imperial	Molina Healthcare	Hep C 340B	2254.88	2289.97	2326.17
7/20-12/20	Bridge Period	Regional	Imperial	Molina Healthcare	Hep C 340B	2254.88	2289.97	2326.17
1/20-6/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Amador	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Butte	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Mono	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Placer	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Alpine	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Amador	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Butte	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Colusa	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Glenn	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Inyo	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Mono	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Nevada	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Placer	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Plumas	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	San Benito	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Sierra	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Sutter	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Tehama	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Yuba	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Amador	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Butte	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Mono	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Placer	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Alpine	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Amador	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Butte	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Colusa	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Glenn	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Imperial	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Inyo	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Mono	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Nevada	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Placer	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Plumas	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Sierra	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Sutter	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Tehama	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Yuba	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Alpine	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Amador	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Butte	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Calaveras	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Colusa	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	El Dorado	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Glenn	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Imperial	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Inyo	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Mariposa	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Mono	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Nevada	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Placer	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Plumas	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Sierra	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Sutter	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Tehama	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Yuba	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Alpine	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Amador	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Butte	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Colusa	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Glenn	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Imperial	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Inyo	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Mono	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Nevada	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Placer	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Plumas	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Sierra	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Sutter	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Tehama	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Yuba	CA Health & Wellness	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Imperial	Molina Healthcare	Hep C Non-340B	2615.32	2713.90	2815.60
7/19-12/19	Bridge Period	Regional	Imperial	Molina Healthcare	Hep C Non-340B	2615.32	2713.90	2815.60
7/20-12/20	Bridge Period	Regional	Imperial	Molina Healthcare	Hep C Non-340B	2615.32	2713.90	2815.60
1/20-6/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Amador	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Butte	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Mono	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Placer	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	Maternity	8672.31	8927.35	9191.82
1/20-6/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Alpine	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Amador	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Butte	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Colusa	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Glenn	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Inyo	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Mono	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Nevada	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Placer	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Plumas	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	San Benito	Anthem Blue Cross	Maternity	8672.31	8927.35	9191.82
7/19-12/19	Bridge Period	Regional	Sierra	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Sutter	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Tehama	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Yuba	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Amador	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Butte	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Mono	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Placer	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	Maternity	8672.31	8927.35	9191.82
7/20-12/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Alpine	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Amador	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Butte	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Colusa	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Glenn	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Imperial	CA Health & Wellness	Maternity	8082.39	8320.10	8566.59
1/20-6/20	Bridge Period	Regional	Inyo	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Mono	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Nevada	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Placer	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Plumas	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Sierra	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Sutter	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Tehama	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Yuba	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Alpine	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Amador	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Butte	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Calaveras	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Colusa	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	El Dorado	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Glenn	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Imperial	CA Health & Wellness	Maternity	8082.39	8320.10	8566.59
7/19-12/19	Bridge Period	Regional	Inyo	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Mariposa	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Mono	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Nevada	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Placer	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Plumas	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Sierra	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Sutter	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Tehama	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Yuba	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Alpine	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Amador	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Butte	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Colusa	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Glenn	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Imperial	CA Health & Wellness	Maternity	8082.39	8320.10	8566.59
7/20-12/20	Bridge Period	Regional	Inyo	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Mono	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Nevada	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Placer	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Plumas	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Sierra	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Sutter	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Tehama	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Yuba	CA Health & Wellness	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Maternity	9708.50	9994.01	10290.07
7/19-12/19	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	Maternity	9708.50	9994.01	10290.07
7/20-12/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	Maternity	9708.50	9994.01	10290.07
1/20-6/20	Bridge Period	Regional	Imperial	Molina Healthcare	Maternity	8082.39	8320.10	8566.59
7/19-12/19	Bridge Period	Regional	Imperial	Molina Healthcare	Maternity	8082.39	8320.10	8566.59
7/20-12/20	Bridge Period	Regional	Imperial	Molina Healthcare	Maternity	8082.39	8320.10	8566.59
1/20-6/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	SPD	923.77	952.34	982.10
1/20-6/20	Bridge Period	Regional	Amador	Anthem Blue Cross	SPD	923.77	952.34	982.10
1/20-6/20	Bridge Period	Regional	Butte	Anthem Blue Cross	SPD	923.77	952.34	982.10
1/20-6/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	SPD	923.77	952.34	982.10
1/20-6/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	SPD	923.77	952.34	982.10
1/20-6/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	SPD	923.77	952.34	982.10
1/20-6/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	SPD	923.77	952.34	982.10
1/20-6/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	SPD	923.77	952.34	982.10
1/20-6/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	SPD	923.77	952.34	982.10
1/20-6/20	Bridge Period	Regional	Mono	Anthem Blue Cross	SPD	923.77	952.34	982.10
1/20-6/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	SPD	923.77	952.34	982.10
1/20-6/20	Bridge Period	Regional	Placer	Anthem Blue Cross	SPD	923.77	952.34	982.10
1/20-6/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	SPD	923.77	952.34	982.10
1/20-6/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	SPD	752.44	775.42	799.34
1/20-6/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	SPD	923.77	952.34	982.10
1/20-6/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	SPD	923.77	952.34	982.10
1/20-6/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	SPD	923.77	952.34	982.10
1/20-6/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	SPD	923.77	952.34	982.10
1/20-6/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	SPD	923.77	952.34	982.10
7/19-12/19	Bridge Period	Regional	Alpine	Anthem Blue Cross	SPD	923.77	952.34	982.10
7/19-12/19	Bridge Period	Regional	Amador	Anthem Blue Cross	SPD	923.77	952.34	982.10
7/19-12/19	Bridge Period	Regional	Butte	Anthem Blue Cross	SPD	923.77	952.34	982.10
7/19-12/19	Bridge Period	Regional	Calaveras	Anthem Blue Cross	SPD	923.77	952.34	982.10
7/19-12/19	Bridge Period	Regional	Colusa	Anthem Blue Cross	SPD	923.77	952.34	982.10
7/19-12/19	Bridge Period	Regional	El Dorado	Anthem Blue Cross	SPD	923.77	952.34	982.10
7/19-12/19	Bridge Period	Regional	Glenn	Anthem Blue Cross	SPD	923.77	952.34	982.10
7/19-12/19	Bridge Period	Regional	Inyo	Anthem Blue Cross	SPD	923.77	952.34	982.10
7/19-12/19	Bridge Period	Regional	Mariposa	Anthem Blue Cross	SPD	923.77	952.34	982.10
7/19-12/19	Bridge Period	Regional	Mono	Anthem Blue Cross	SPD	923.77	952.34	982.10
7/19-12/19	Bridge Period	Regional	Nevada	Anthem Blue Cross	SPD	923.77	952.34	982.10
7/19-12/19	Bridge Period	Regional	Placer	Anthem Blue Cross	SPD	923.77	952.34	982.10
7/19-12/19	Bridge Period	Regional	Plumas	Anthem Blue Cross	SPD	923.77	952.34	982.10
7/19-12/19	Bridge Period	Regional	San Benito	Anthem Blue Cross	SPD	752.44	775.42	799.34
7/19-12/19	Bridge Period	Regional	Sierra	Anthem Blue Cross	SPD	923.77	952.34	982.10
7/19-12/19	Bridge Period	Regional	Sutter	Anthem Blue Cross	SPD	923.77	952.34	982.10
7/19-12/19	Bridge Period	Regional	Tehama	Anthem Blue Cross	SPD	923.77	952.34	982.10
7/19-12/19	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	SPD	923.77	952.34	982.10
7/19-12/19	Bridge Period	Regional	Yuba	Anthem Blue Cross	SPD	923.77	952.34	982.10
7/20-12/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	SPD	921.63	950.12	979.81
7/20-12/20	Bridge Period	Regional	Amador	Anthem Blue Cross	SPD	921.63	950.12	979.81
7/20-12/20	Bridge Period	Regional	Butte	Anthem Blue Cross	SPD	921.63	950.12	979.81
7/20-12/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	SPD	921.63	950.12	979.81
7/20-12/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	SPD	921.63	950.12	979.81
7/20-12/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	SPD	921.63	950.12	979.81
7/20-12/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	SPD	921.63	950.12	979.81
7/20-12/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	SPD	921.63	950.12	979.81
7/20-12/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	SPD	921.63	950.12	979.81
7/20-12/20	Bridge Period	Regional	Mono	Anthem Blue Cross	SPD	921.63	950.12	979.81
7/20-12/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	SPD	921.63	950.12	979.81
7/20-12/20	Bridge Period	Regional	Placer	Anthem Blue Cross	SPD	921.63	950.12	979.81
7/20-12/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	SPD	921.63	950.12	979.81
7/20-12/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	SPD	752.44	775.42	799.34
7/20-12/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	SPD	921.63	950.12	979.81
7/20-12/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	SPD	921.63	950.12	979.81
7/20-12/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	SPD	921.63	950.12	979.81
7/20-12/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	SPD	921.63	950.12	979.81
7/20-12/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	SPD	921.63	950.12	979.81
1/20-6/20	Bridge Period	Regional	Alpine	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
1/20-6/20	Bridge Period	Regional	Amador	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
1/20-6/20	Bridge Period	Regional	Butte	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
1/20-6/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
1/20-6/20	Bridge Period	Regional	Colusa	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
1/20-6/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
1/20-6/20	Bridge Period	Regional	Glenn	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
1/20-6/20	Bridge Period	Regional	Imperial	CA Health & Wellness	SPD	1020.38	1051.51	1083.93
1/20-6/20	Bridge Period	Regional	Inyo	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
1/20-6/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
1/20-6/20	Bridge Period	Regional	Mono	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
1/20-6/20	Bridge Period	Regional	Nevada	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
1/20-6/20	Bridge Period	Regional	Placer	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
1/20-6/20	Bridge Period	Regional	Plumas	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
1/20-6/20	Bridge Period	Regional	Sierra	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
1/20-6/20	Bridge Period	Regional	Sutter	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
1/20-6/20	Bridge Period	Regional	Tehama	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
1/20-6/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
1/20-6/20	Bridge Period	Regional	Yuba	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
7/19-12/19	Bridge Period	Regional	Alpine	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
7/19-12/19	Bridge Period	Regional	Amador	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
7/19-12/19	Bridge Period	Regional	Butte	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
7/19-12/19	Bridge Period	Regional	Calaveras	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
7/19-12/19	Bridge Period	Regional	Colusa	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
7/19-12/19	Bridge Period	Regional	El Dorado	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
7/19-12/19	Bridge Period	Regional	Glenn	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
7/19-12/19	Bridge Period	Regional	Imperial	CA Health & Wellness	SPD	1020.38	1051.51	1083.93
7/19-12/19	Bridge Period	Regional	Inyo	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
7/19-12/19	Bridge Period	Regional	Mariposa	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
7/19-12/19	Bridge Period	Regional	Mono	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
7/19-12/19	Bridge Period	Regional	Nevada	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
7/19-12/19	Bridge Period	Regional	Placer	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
7/19-12/19	Bridge Period	Regional	Plumas	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
7/19-12/19	Bridge Period	Regional	Sierra	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
7/19-12/19	Bridge Period	Regional	Sutter	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
7/19-12/19	Bridge Period	Regional	Tehama	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
7/19-12/19	Bridge Period	Regional	Tuolumne	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
7/19-12/19	Bridge Period	Regional	Yuba	CA Health & Wellness	SPD	1047.23	1079.62	1113.37
7/20-12/20	Bridge Period	Regional	Alpine	CA Health & Wellness	SPD	1048.03	1080.45	1114.21
7/20-12/20	Bridge Period	Regional	Amador	CA Health & Wellness	SPD	1048.03	1080.45	1114.21
7/20-12/20	Bridge Period	Regional	Butte	CA Health & Wellness	SPD	1048.03	1080.45	1114.21
7/20-12/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	SPD	1048.03	1080.45	1114.21
7/20-12/20	Bridge Period	Regional	Colusa	CA Health & Wellness	SPD	1048.03	1080.45	1114.21
7/20-12/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	SPD	1048.03	1080.45	1114.21
7/20-12/20	Bridge Period	Regional	Glenn	CA Health & Wellness	SPD	1048.03	1080.45	1114.21
7/20-12/20	Bridge Period	Regional	Imperial	CA Health & Wellness	SPD	1033.65	1065.19	1098.03
7/20-12/20	Bridge Period	Regional	Inyo	CA Health & Wellness	SPD	1048.03	1080.45	1114.21
7/20-12/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	SPD	1048.03	1080.45	1114.21
7/20-12/20	Bridge Period	Regional	Mono	CA Health & Wellness	SPD	1048.03	1080.45	1114.21
7/20-12/20	Bridge Period	Regional	Nevada	CA Health & Wellness	SPD	1048.03	1080.45	1114.21
7/20-12/20	Bridge Period	Regional	Placer	CA Health & Wellness	SPD	1048.03	1080.45	1114.21
7/20-12/20	Bridge Period	Regional	Plumas	CA Health & Wellness	SPD	1048.03	1080.45	1114.21
7/20-12/20	Bridge Period	Regional	Sierra	CA Health & Wellness	SPD	1048.03	1080.45	1114.21
7/20-12/20	Bridge Period	Regional	Sutter	CA Health & Wellness	SPD	1048.03	1080.45	1114.21
7/20-12/20	Bridge Period	Regional	Tehama	CA Health & Wellness	SPD	1048.03	1080.45	1114.21
7/20-12/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	SPD	1048.03	1080.45	1114.21
7/20-12/20	Bridge Period	Regional	Yuba	CA Health & Wellness	SPD	1048.03	1080.45	1114.21
1/20-6/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	SPD	839.23	865.06	891.95
1/20-6/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	SPD	839.23	865.06	891.95
1/20-6/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	SPD	839.23	865.06	891.95
7/19-12/19	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	SPD	839.23	865.06	891.95
7/19-12/19	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	SPD	839.23	865.06	891.95
7/19-12/19	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	SPD	839.23	865.06	891.95
7/20-12/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	SPD	839.23	865.06	891.95
7/20-12/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	SPD	839.23	865.06	891.95
7/20-12/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	SPD	839.23	865.06	891.95
1/20-6/20	Bridge Period	Regional	Imperial	Molina Healthcare	SPD	1105.25	1139.12	1174.38
7/19-12/19	Bridge Period	Regional	Imperial	Molina Healthcare	SPD	1105.25	1139.12	1174.38
7/20-12/20	Bridge Period	Regional	Imperial	Molina Healthcare	SPD	1066.41	1099.09	1133.12
1/20-6/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
1/20-6/20	Bridge Period	Regional	Amador	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
1/20-6/20	Bridge Period	Regional	Butte	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
1/20-6/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
1/20-6/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
1/20-6/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
1/20-6/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
1/20-6/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
1/20-6/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
1/20-6/20	Bridge Period	Regional	Mono	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
1/20-6/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
1/20-6/20	Bridge Period	Regional	Placer	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
1/20-6/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
1/20-6/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	SPD Dual	124.88	129.26	133.86
1/20-6/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
1/20-6/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
1/20-6/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
1/20-6/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
1/20-6/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/19-12/19	Bridge Period	Regional	Alpine	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/19-12/19	Bridge Period	Regional	Amador	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/19-12/19	Bridge Period	Regional	Butte	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/19-12/19	Bridge Period	Regional	Calaveras	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/19-12/19	Bridge Period	Regional	Colusa	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/19-12/19	Bridge Period	Regional	El Dorado	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/19-12/19	Bridge Period	Regional	Glenn	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/19-12/19	Bridge Period	Regional	Inyo	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/19-12/19	Bridge Period	Regional	Mariposa	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/19-12/19	Bridge Period	Regional	Mono	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/19-12/19	Bridge Period	Regional	Nevada	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/19-12/19	Bridge Period	Regional	Placer	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/19-12/19	Bridge Period	Regional	Plumas	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/19-12/19	Bridge Period	Regional	San Benito	Anthem Blue Cross	SPD Dual	124.88	129.26	133.86
7/19-12/19	Bridge Period	Regional	Sierra	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/19-12/19	Bridge Period	Regional	Sutter	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/19-12/19	Bridge Period	Regional	Tehama	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/19-12/19	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/19-12/19	Bridge Period	Regional	Yuba	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/20-12/20	Bridge Period	Regional	Alpine	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/20-12/20	Bridge Period	Regional	Amador	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/20-12/20	Bridge Period	Regional	Butte	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/20-12/20	Bridge Period	Regional	Calaveras	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/20-12/20	Bridge Period	Regional	Colusa	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/20-12/20	Bridge Period	Regional	El Dorado	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/20-12/20	Bridge Period	Regional	Glenn	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/20-12/20	Bridge Period	Regional	Inyo	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/20-12/20	Bridge Period	Regional	Mariposa	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/20-12/20	Bridge Period	Regional	Mono	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/20-12/20	Bridge Period	Regional	Nevada	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/20-12/20	Bridge Period	Regional	Placer	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/20-12/20	Bridge Period	Regional	Plumas	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/20-12/20	Bridge Period	Regional	San Benito	Anthem Blue Cross	SPD Dual	124.88	129.26	133.86
7/20-12/20	Bridge Period	Regional	Sierra	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/20-12/20	Bridge Period	Regional	Sutter	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/20-12/20	Bridge Period	Regional	Tehama	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/20-12/20	Bridge Period	Regional	Tuolumne	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
7/20-12/20	Bridge Period	Regional	Yuba	Anthem Blue Cross	SPD Dual	139.99	145.30	150.89
1/20-6/20	Bridge Period	Regional	Alpine	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
1/20-6/20	Bridge Period	Regional	Amador	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
1/20-6/20	Bridge Period	Regional	Butte	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
1/20-6/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
1/20-6/20	Bridge Period	Regional	Colusa	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
1/20-6/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
1/20-6/20	Bridge Period	Regional	Glenn	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
1/20-6/20	Bridge Period	Regional	Imperial	CA Health & Wellness	SPD Dual	251.03	259.35	268.08
1/20-6/20	Bridge Period	Regional	Inyo	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
1/20-6/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
1/20-6/20	Bridge Period	Regional	Mono	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
1/20-6/20	Bridge Period	Regional	Nevada	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
1/20-6/20	Bridge Period	Regional	Placer	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
1/20-6/20	Bridge Period	Regional	Plumas	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
1/20-6/20	Bridge Period	Regional	Sierra	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
1/20-6/20	Bridge Period	Regional	Sutter	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
1/20-6/20	Bridge Period	Regional	Tehama	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
1/20-6/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
1/20-6/20	Bridge Period	Regional	Yuba	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/19-12/19	Bridge Period	Regional	Alpine	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/19-12/19	Bridge Period	Regional	Amador	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/19-12/19	Bridge Period	Regional	Butte	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/19-12/19	Bridge Period	Regional	Calaveras	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/19-12/19	Bridge Period	Regional	Colusa	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/19-12/19	Bridge Period	Regional	El Dorado	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/19-12/19	Bridge Period	Regional	Glenn	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/19-12/19	Bridge Period	Regional	Imperial	CA Health & Wellness	SPD Dual	251.03	259.35	268.08
7/19-12/19	Bridge Period	Regional	Inyo	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/19-12/19	Bridge Period	Regional	Mariposa	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/19-12/19	Bridge Period	Regional	Mono	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/19-12/19	Bridge Period	Regional	Nevada	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/19-12/19	Bridge Period	Regional	Placer	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/19-12/19	Bridge Period	Regional	Plumas	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/19-12/19	Bridge Period	Regional	Sierra	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/19-12/19	Bridge Period	Regional	Sutter	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/19-12/19	Bridge Period	Regional	Tehama	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/19-12/19	Bridge Period	Regional	Tuolumne	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/19-12/19	Bridge Period	Regional	Yuba	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/20-12/20	Bridge Period	Regional	Alpine	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/20-12/20	Bridge Period	Regional	Amador	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/20-12/20	Bridge Period	Regional	Butte	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/20-12/20	Bridge Period	Regional	Calaveras	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/20-12/20	Bridge Period	Regional	Colusa	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/20-12/20	Bridge Period	Regional	El Dorado	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/20-12/20	Bridge Period	Regional	Glenn	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/20-12/20	Bridge Period	Regional	Imperial	CA Health & Wellness	SPD Dual	251.03	259.35	268.08
7/20-12/20	Bridge Period	Regional	Inyo	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/20-12/20	Bridge Period	Regional	Mariposa	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/20-12/20	Bridge Period	Regional	Mono	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/20-12/20	Bridge Period	Regional	Nevada	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/20-12/20	Bridge Period	Regional	Placer	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/20-12/20	Bridge Period	Regional	Plumas	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/20-12/20	Bridge Period	Regional	Sierra	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/20-12/20	Bridge Period	Regional	Sutter	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/20-12/20	Bridge Period	Regional	Tehama	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/20-12/20	Bridge Period	Regional	Tuolumne	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
7/20-12/20	Bridge Period	Regional	Yuba	CA Health & Wellness	SPD Dual	166.77	173.13	179.84
1/20-6/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	SPD Dual	147.43	152.67	158.19
1/20-6/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	SPD Dual	147.43	152.67	158.19
1/20-6/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	SPD Dual	147.43	152.67	158.19
7/19-12/19	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	SPD Dual	147.43	152.67	158.19
7/19-12/19	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	SPD Dual	147.43	152.67	158.19
7/19-12/19	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	SPD Dual	147.43	152.67	158.19
7/20-12/20	Bridge Period	Regional	Amador	Kaiser Foundation Health Plan	SPD Dual	147.43	152.67	158.19
7/20-12/20	Bridge Period	Regional	El Dorado	Kaiser Foundation Health Plan	SPD Dual	147.43	152.67	158.19
7/20-12/20	Bridge Period	Regional	Placer	Kaiser Foundation Health Plan	SPD Dual	147.43	152.67	158.19
1/20-6/20	Bridge Period	Regional	Imperial	Molina Healthcare	SPD Dual	289.41	298.39	307.80
7/19-12/19	Bridge Period	Regional	Imperial	Molina Healthcare	SPD Dual	289.41	298.39	307.80
7/20-12/20	Bridge Period	Regional	Imperial	Molina Healthcare	SPD Dual	289.41	298.39	307.80