Table: bridge_period_2019_20_two_plan_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 Two-Plan Alameda Alameda Alliance for Health Adult 245.68 254.62 264
1/20-6/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health Adult Expansion 336.86 348.46 360.61
1/20-6/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health BCCTP 1174.3 1210.53 1248.29
1/20-6/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health Behavioral Health Treatment 0-6 3238.87 3325.71 3415.62
1/20-6/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health Behavioral Health Treatment 7-20 2281.79 2342.97 2406.31
1/20-6/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health Child 93.56 97.94 102.58
1/20-6/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health Health Homes Dual 157.73 166.93 177.15
1/20-6/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health Health Homes Non-Dual 631.89 669.64 710.37
1/20-6/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health Maternity 8277.9 8521.37 8773.82
1/20-6/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health SPD 883.62 911.17 939.9
1/20-6/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health SPD Dual 162.79 169.02 175.59
1/20-6/20 Bridge Period Two-Plan Alameda Anthem Blue Cross Adult 222.48 230.56 239.04
1/20-6/20 Bridge Period Two-Plan Alameda Anthem Blue Cross Adult Expansion 263.63 272.77 282.33
1/20-6/20 Bridge Period Two-Plan Alameda Anthem Blue Cross BCCTP 1091.7 1125.19 1160.07
1/20-6/20 Bridge Period Two-Plan Alameda Anthem Blue Cross Behavioral Health Treatment 0-6 3761.88 3862.75 3967.17
1/20-6/20 Bridge Period Two-Plan Alameda Anthem Blue Cross Behavioral Health Treatment 7-20 2600.14 2669.86 2742.03
1/20-6/20 Bridge Period Two-Plan Alameda Anthem Blue Cross Child 84.18 88.15 92.35
1/20-6/20 Bridge Period Two-Plan Alameda Anthem Blue Cross Health Homes Dual 150.17 159.27 169.38
1/20-6/20 Bridge Period Two-Plan Alameda Anthem Blue Cross Health Homes Non-Dual 623.89 662.21 703.59
1/20-6/20 Bridge Period Two-Plan Alameda Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Alameda Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Alameda Anthem Blue Cross Maternity 8277.9 8521.37 8773.82
1/20-6/20 Bridge Period Two-Plan Alameda Anthem Blue Cross SPD 870.2 897.26 925.46
1/20-6/20 Bridge Period Two-Plan Alameda Anthem Blue Cross SPD Dual 149.28 154.89 160.79
1/20-6/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Adult 224.52 232.55 240.97
1/20-6/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Adult Expansion 250.11 258.69 267.66
1/20-6/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross BCCTP 1118.29 1152.41 1187.95
1/20-6/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Behavioral Health Treatment 0-6 3349.2 3439 3531.97
1/20-6/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Behavioral Health Treatment 7-20 2202.69 2261.75 2322.89
1/20-6/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Child 79.47 83.23 87.22
1/20-6/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Maternity 8684.08 8939.47 9204.28
1/20-6/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross SPD 755.99 779.52 804.04
1/20-6/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross SPD Dual 144.19 149.53 155.14
1/20-6/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Adult 261.46 270.88 280.76
1/20-6/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Adult Expansion 337.8 349.43 361.59
1/20-6/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan BCCTP 1135.76 1170.38 1206.42
1/20-6/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Behavioral Health Treatment 0-6 3400.88 3492.07 3586.47
1/20-6/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Behavioral Health Treatment 7-20 2521.93 2589.55 2659.55
1/20-6/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Child 82.69 86.68 90.91
1/20-6/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Maternity 8684.08 8939.47 9204.28
1/20-6/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan SPD 972.78 1003.09 1034.68
1/20-6/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan SPD Dual 128.72 133.91 139.39
1/20-6/20 Bridge Period Two-Plan Fresno Anthem Blue Cross Adult 234.96 243.25 251.93
1/20-6/20 Bridge Period Two-Plan Fresno Anthem Blue Cross Adult Expansion 271.08 280.28 289.91
1/20-6/20 Bridge Period Two-Plan Fresno Anthem Blue Cross BCCTP 1055.9 1088.23 1121.92
1/20-6/20 Bridge Period Two-Plan Fresno Anthem Blue Cross Behavioral Health Treatment 0-6 3928.52 4033.86 4142.9
1/20-6/20 Bridge Period Two-Plan Fresno Anthem Blue Cross Behavioral Health Treatment 7-20 2772.47 2846.8 2923.76
1/20-6/20 Bridge Period Two-Plan Fresno Anthem Blue Cross Child 72.9 76.3 79.89
1/20-6/20 Bridge Period Two-Plan Fresno Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Fresno Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Fresno Anthem Blue Cross Maternity 7659.56 7884.83 8118.42
1/20-6/20 Bridge Period Two-Plan Fresno Anthem Blue Cross SPD 715 737.15 760.24
1/20-6/20 Bridge Period Two-Plan Fresno Anthem Blue Cross SPD Dual 149.29 154.76 160.51
1/20-6/20 Bridge Period Two-Plan Fresno CalViva Health Adult 265.24 274.6 284.41
1/20-6/20 Bridge Period Two-Plan Fresno CalViva Health Adult Expansion 320.95 331.84 343.23
1/20-6/20 Bridge Period Two-Plan Fresno CalViva Health BCCTP 1159.28 1194.76 1231.71
1/20-6/20 Bridge Period Two-Plan Fresno CalViva Health Behavioral Health Treatment 0-6 3698.49 3797.65 3900.32
1/20-6/20 Bridge Period Two-Plan Fresno CalViva Health Behavioral Health Treatment 7-20 2728.26 2801.41 2877.14
1/20-6/20 Bridge Period Two-Plan Fresno CalViva Health Child 79.13 82.82 86.72
1/20-6/20 Bridge Period Two-Plan Fresno CalViva Health Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Fresno CalViva Health Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Fresno CalViva Health Maternity 7659.56 7884.83 8118.42
1/20-6/20 Bridge Period Two-Plan Fresno CalViva Health SPD 878.45 905.6 933.89
1/20-6/20 Bridge Period Two-Plan Fresno CalViva Health SPD Dual 179.92 186.58 193.59
1/20-6/20 Bridge Period Two-Plan Kern Health Net of California Adult 246.7 255.41 264.52
1/20-6/20 Bridge Period Two-Plan Kern Health Net of California Adult Expansion 310.03 320.48 331.42
1/20-6/20 Bridge Period Two-Plan Kern Health Net of California BCCTP 1089.75 1123.02 1157.66
1/20-6/20 Bridge Period Two-Plan Kern Health Net of California Behavioral Health Treatment 0-6 3149.55 3234 3321.42
1/20-6/20 Bridge Period Two-Plan Kern Health Net of California Behavioral Health Treatment 7-20 2375.66 2439.36 2505.3
1/20-6/20 Bridge Period Two-Plan Kern Health Net of California Child 66.72 69.98 73.43
1/20-6/20 Bridge Period Two-Plan Kern Health Net of California Health Homes Dual 123.59 130.76 138.72
1/20-6/20 Bridge Period Two-Plan Kern Health Net of California Health Homes Non-Dual 547.6 580.05 615.06
1/20-6/20 Bridge Period Two-Plan Kern Health Net of California Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Kern Health Net of California Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Kern Health Net of California Maternity 6474.23 6664.65 6862.1
1/20-6/20 Bridge Period Two-Plan Kern Health Net of California SPD 820.07 845.38 871.74
1/20-6/20 Bridge Period Two-Plan Kern Health Net of California SPD Dual 152.46 158.04 163.9
1/20-6/20 Bridge Period Two-Plan Kern Kern Health Systems Adult 273.21 282.79 292.82
1/20-6/20 Bridge Period Two-Plan Kern Kern Health Systems Adult Expansion 340.49 351.95 363.93
1/20-6/20 Bridge Period Two-Plan Kern Kern Health Systems BCCTP 1151.41 1186.91 1223.91
1/20-6/20 Bridge Period Two-Plan Kern Kern Health Systems Behavioral Health Treatment 0-6 3856.97 3960.38 4067.44
1/20-6/20 Bridge Period Two-Plan Kern Kern Health Systems Behavioral Health Treatment 7-20 2765.14 2839.28 2916.03
1/20-6/20 Bridge Period Two-Plan Kern Kern Health Systems Child 72.44 75.92 79.61
1/20-6/20 Bridge Period Two-Plan Kern Kern Health Systems Health Homes Dual 118.4 125.49 133.37
1/20-6/20 Bridge Period Two-Plan Kern Kern Health Systems Health Homes Non-Dual 529.32 561.29 595.78
1/20-6/20 Bridge Period Two-Plan Kern Kern Health Systems Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Kern Kern Health Systems Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Kern Kern Health Systems Maternity 6474.23 6664.65 6862.1
1/20-6/20 Bridge Period Two-Plan Kern Kern Health Systems SPD 890.01 917.41 945.94
1/20-6/20 Bridge Period Two-Plan Kern Kern Health Systems SPD Dual 160.96 166.95 173.25
1/20-6/20 Bridge Period Two-Plan Kings Anthem Blue Cross Adult 222.84 230.71 238.96
1/20-6/20 Bridge Period Two-Plan Kings Anthem Blue Cross Adult Expansion 285.72 295.39 305.5
1/20-6/20 Bridge Period Two-Plan Kings Anthem Blue Cross BCCTP 1139.03 1173.63 1209.67
1/20-6/20 Bridge Period Two-Plan Kings Anthem Blue Cross Behavioral Health Treatment 0-6 3363.42 3453.6 3546.96
1/20-6/20 Bridge Period Two-Plan Kings Anthem Blue Cross Behavioral Health Treatment 7-20 2635 2705.65 2778.79
1/20-6/20 Bridge Period Two-Plan Kings Anthem Blue Cross Child 64.56 67.64 70.9
1/20-6/20 Bridge Period Two-Plan Kings Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Kings Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Kings Anthem Blue Cross Maternity 7712.21 7939.02 8174.22
1/20-6/20 Bridge Period Two-Plan Kings Anthem Blue Cross SPD 647.65 667.53 688.23
1/20-6/20 Bridge Period Two-Plan Kings Anthem Blue Cross SPD Dual 136.27 141.18 146.35
1/20-6/20 Bridge Period Two-Plan Kings CalViva Health Adult 246.74 255.49 264.66
1/20-6/20 Bridge Period Two-Plan Kings CalViva Health Adult Expansion 337.12 348.52 360.44
1/20-6/20 Bridge Period Two-Plan Kings CalViva Health BCCTP 1079.77 1113.36 1148.38
1/20-6/20 Bridge Period Two-Plan Kings CalViva Health Behavioral Health Treatment 0-6 3356.6 3446.6 3539.77
1/20-6/20 Bridge Period Two-Plan Kings CalViva Health Behavioral Health Treatment 7-20 2632.19 2702.76 2775.82
1/20-6/20 Bridge Period Two-Plan Kings CalViva Health Child 66.86 70.08 73.49
1/20-6/20 Bridge Period Two-Plan Kings CalViva Health Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Kings CalViva Health Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Kings CalViva Health Maternity 7712.21 7939.02 8174.22
1/20-6/20 Bridge Period Two-Plan Kings CalViva Health SPD 733.51 755.98 779.38
1/20-6/20 Bridge Period Two-Plan Kings CalViva Health SPD Dual 136.46 141.67 147.17
1/20-6/20 Bridge Period Two-Plan Los Angeles Health Net of California Health Homes Dual 141.16 149.29 158.32
1/20-6/20 Bridge Period Two-Plan Los Angeles Health Net of California Health Homes Non-Dual 601.16 636.72 675.08
1/20-6/20 Bridge Period Two-Plan Los Angeles Health Net of California Adult 196.12 203.23 210.69
1/20-6/20 Bridge Period Two-Plan Los Angeles Health Net of California Adult Expansion 286.61 296.35 306.54
1/20-6/20 Bridge Period Two-Plan Los Angeles Health Net of California BCCTP 1037.37 1069.35 1102.68
1/20-6/20 Bridge Period Two-Plan Los Angeles Health Net of California Behavioral Health Treatment 0-6 3000.21 3080.65 3163.93
1/20-6/20 Bridge Period Two-Plan Los Angeles Health Net of California Behavioral Health Treatment 7-20 2430.08 2495.24 2562.69
1/20-6/20 Bridge Period Two-Plan Los Angeles Health Net of California Child 72.12 75.48 79.04
1/20-6/20 Bridge Period Two-Plan Los Angeles Health Net of California Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Los Angeles Health Net of California Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Los Angeles Health Net of California Maternity 7042.04 7249.17 7463.94
1/20-6/20 Bridge Period Two-Plan Los Angeles Health Net of California SPD 599.9 618.25 637.35
1/20-6/20 Bridge Period Two-Plan Los Angeles Health Net of California SPD Dual 137.69 142.7 147.96
1/20-6/20 Bridge Period Two-Plan Los Angeles LA Care Adult 208.01 215.56 223.49
1/20-6/20 Bridge Period Two-Plan Los Angeles LA Care Adult Expansion 294.26 304.29 314.79
1/20-6/20 Bridge Period Two-Plan Los Angeles LA Care BCCTP 1081.31 1114.88 1149.88
1/20-6/20 Bridge Period Two-Plan Los Angeles LA Care Behavioral Health Treatment 0-6 3008.32 3088.98 3172.49
1/20-6/20 Bridge Period Two-Plan Los Angeles LA Care Behavioral Health Treatment 7-20 2347.22 2410.16 2475.31
1/20-6/20 Bridge Period Two-Plan Los Angeles LA Care Child 77.39 80.98 84.78
1/20-6/20 Bridge Period Two-Plan Los Angeles LA Care Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Los Angeles LA Care Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Los Angeles LA Care Maternity 7042.04 7249.17 7463.94
1/20-6/20 Bridge Period Two-Plan Los Angeles LA Care SPD 735.31 757.3 780.19
1/20-6/20 Bridge Period Two-Plan Los Angeles LA Care SPD Dual 119.38 124.09 129.06
1/20-6/20 Bridge Period Two-Plan Los Angeles LA Care Health Homes Dual 141.67 149.82 158.87
1/20-6/20 Bridge Period Two-Plan Los Angeles LA Care Health Homes Non-Dual 602.71 638.3 676.71
1/20-6/20 Bridge Period Two-Plan Madera Anthem Blue Cross Adult 202.91 210.04 217.5
1/20-6/20 Bridge Period Two-Plan Madera Anthem Blue Cross Adult Expansion 260.37 269.05 278.12
1/20-6/20 Bridge Period Two-Plan Madera Anthem Blue Cross BCCTP 1106.55 1140.36 1175.57
1/20-6/20 Bridge Period Two-Plan Madera Anthem Blue Cross Behavioral Health Treatment 0-6 3450.73 3543.25 3639.03
1/20-6/20 Bridge Period Two-Plan Madera Anthem Blue Cross Behavioral Health Treatment 7-20 2780.41 2854.96 2932.13
1/20-6/20 Bridge Period Two-Plan Madera Anthem Blue Cross Child 70.87 74.04 77.38
1/20-6/20 Bridge Period Two-Plan Madera Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Madera Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Madera Anthem Blue Cross Maternity 6857.88 7059.59 7268.74
1/20-6/20 Bridge Period Two-Plan Madera Anthem Blue Cross SPD 692.85 714.04 736.11
1/20-6/20 Bridge Period Two-Plan Madera Anthem Blue Cross SPD Dual 120 124.41 129.05
1/20-6/20 Bridge Period Two-Plan Madera CalViva Health Adult 238.68 247.05 255.82
1/20-6/20 Bridge Period Two-Plan Madera CalViva Health Adult Expansion 300.19 310.16 320.57
1/20-6/20 Bridge Period Two-Plan Madera CalViva Health BCCTP 1083.49 1117.69 1153.36
1/20-6/20 Bridge Period Two-Plan Madera CalViva Health Behavioral Health Treatment 0-6 3444.6 3536.95 3632.57
1/20-6/20 Bridge Period Two-Plan Madera CalViva Health Behavioral Health Treatment 7-20 2631.29 2701.84 2774.87
1/20-6/20 Bridge Period Two-Plan Madera CalViva Health Child 74.72 78.06 81.6
1/20-6/20 Bridge Period Two-Plan Madera CalViva Health Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Madera CalViva Health Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Madera CalViva Health Maternity 6857.88 7059.59 7268.74
1/20-6/20 Bridge Period Two-Plan Madera CalViva Health SPD 843.86 869.73 896.67
1/20-6/20 Bridge Period Two-Plan Madera CalViva Health SPD Dual 126.91 131.82 136.99
1/20-6/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan Adult 269.38 278.94 288.96
1/20-6/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan Adult Expansion 369.61 382.02 395
1/20-6/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan BCCTP 1164.54 1200.84 1238.69
1/20-6/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan Behavioral Health Treatment 0-6 2457.81 2523.71 2591.93
1/20-6/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan Behavioral Health Treatment 7-20 1893.53 1944.3 1996.86
1/20-6/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan Child 80.24 84.03 88.06
1/20-6/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan Maternity 6606.14 6800.45 7001.93
1/20-6/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan SPD 902.2 930.14 959.25
1/20-6/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan SPD Dual 136.71 142.08 147.75
1/20-6/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan Health Homes Dual 119.53 125.41 131.9
1/20-6/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan Health Homes Non-Dual 505.61 533.96 564.65
1/20-6/20 Bridge Period Two-Plan Riverside Molina Healthcare Adult 196.59 203.63 211
1/20-6/20 Bridge Period Two-Plan Riverside Molina Healthcare Adult Expansion 285.92 295.52 305.55
1/20-6/20 Bridge Period Two-Plan Riverside Molina Healthcare BCCTP 1040.16 1071.83 1104.82
1/20-6/20 Bridge Period Two-Plan Riverside Molina Healthcare Behavioral Health Treatment 0-6 2668.89 2740.45 2814.54
1/20-6/20 Bridge Period Two-Plan Riverside Molina Healthcare Behavioral Health Treatment 7-20 2046.87 2101.75 2158.57
1/20-6/20 Bridge Period Two-Plan Riverside Molina Healthcare Child 73.04 76.42 79.99
1/20-6/20 Bridge Period Two-Plan Riverside Molina Healthcare Health Homes Dual 118.23 123.97 130.32
1/20-6/20 Bridge Period Two-Plan Riverside Molina Healthcare Health Homes Non-Dual 531.47 560.9 592.76
1/20-6/20 Bridge Period Two-Plan Riverside Molina Healthcare Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Riverside Molina Healthcare Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Riverside Molina Healthcare Maternity 6606.14 6800.45 7001.93
1/20-6/20 Bridge Period Two-Plan Riverside Molina Healthcare SPD 653.43 673.66 694.74
1/20-6/20 Bridge Period Two-Plan Riverside Molina Healthcare SPD Dual 111.64 115.76 120.11
1/20-6/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Adult 275.39 285.14 295.36
1/20-6/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Adult Expansion 352.99 364.93 377.41
1/20-6/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan BCCTP 1234.82 1273.23 1313.27
1/20-6/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Behavioral Health Treatment 0-6 2653.98 2725.14 2798.81
1/20-6/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Behavioral Health Treatment 7-20 1887.54 1938.15 1990.54
1/20-6/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Child 79.48 83.28 87.29
1/20-6/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Maternity 6890.81 7093.49 7303.66
1/20-6/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan SPD 893.47 921.07 949.83
1/20-6/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan SPD Dual 126.21 131.25 136.58
1/20-6/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Health Homes Dual 119.25 125.06 131.48
1/20-6/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Health Homes Non-Dual 491.17 518.47 548.01
1/20-6/20 Bridge Period Two-Plan San Bernardino Molina Healthcare Adult 211.31 218.83 226.72
1/20-6/20 Bridge Period Two-Plan San Bernardino Molina Healthcare Adult Expansion 284.97 294.61 304.69
1/20-6/20 Bridge Period Two-Plan San Bernardino Molina Healthcare BCCTP 1083.62 1116.43 1150.6
1/20-6/20 Bridge Period Two-Plan San Bernardino Molina Healthcare Behavioral Health Treatment 0-6 2468.92 2535.12 2603.65
1/20-6/20 Bridge Period Two-Plan San Bernardino Molina Healthcare Behavioral Health Treatment 7-20 1803.72 1852.08 1902.15
1/20-6/20 Bridge Period Two-Plan San Bernardino Molina Healthcare Child 71.47 74.81 78.34
1/20-6/20 Bridge Period Two-Plan San Bernardino Molina Healthcare Health Homes Dual 117.91 123.55 129.78
1/20-6/20 Bridge Period Two-Plan San Bernardino Molina Healthcare Health Homes Non-Dual 504.2 531.9 561.87
1/20-6/20 Bridge Period Two-Plan San Bernardino Molina Healthcare Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan San Bernardino Molina Healthcare Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan San Bernardino Molina Healthcare Maternity 6890.81 7093.49 7303.66
1/20-6/20 Bridge Period Two-Plan San Bernardino Molina Healthcare SPD 695.29 716.78 739.17
1/20-6/20 Bridge Period Two-Plan San Bernardino Molina Healthcare SPD Dual 114.29 118.54 123.01
1/20-6/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross Adult 267.72 277.7 288.18
1/20-6/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross Adult Expansion 338.72 350.6 363.05
1/20-6/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross BCCTP 1132.35 1168.26 1205.73
1/20-6/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross Behavioral Health Treatment 0-6 3018.82 3099.76 3183.55
1/20-6/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross Behavioral Health Treatment 7-20 2311.71 2373.69 2437.86
1/20-6/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross Child 100.29 105.18 110.36
1/20-6/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross Health Homes Dual 96.81 100.78 105.14
1/20-6/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross Health Homes Non-Dual 421.69 442.35 464.85
1/20-6/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross Maternity 8799.24 9058.04 9326.41
1/20-6/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross SPD 884.98 913 942.22
1/20-6/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross SPD Dual 407.63 422.01 437.09
1/20-6/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan Adult 257.14 266.62 276.56
1/20-6/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan Adult Expansion 362.77 375.37 388.57
1/20-6/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan BCCTP 1126.89 1161.86 1198.31
1/20-6/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan Behavioral Health Treatment 0-6 2960.72 3040.1 3122.28
1/20-6/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan Behavioral Health Treatment 7-20 2387.79 2451.82 2518.1
1/20-6/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan Child 112.47 117.65 123.13
1/20-6/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan Health Homes Dual 87.19 90.86 94.89
1/20-6/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan Health Homes Non-Dual 401.29 421 442.45
1/20-6/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan Maternity 8799.24 9058.04 9326.41
1/20-6/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan SPD 811.44 837.15 863.96
1/20-6/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan SPD Dual 158.51 164.88 171.6
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Net of California Adult 221.74 229.56 237.76
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Net of California Adult Expansion 256.84 265.57 274.7
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Net of California BCCTP 1099.83 1133.5 1168.57
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Net of California Behavioral Health Treatment 0-6 3260.17 3347.58 3438.08
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Net of California Behavioral Health Treatment 7-20 2408.25 2472.82 2539.67
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Net of California Child 66 69.13 72.44
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Net of California Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Net of California Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Net of California Maternity 6957.06 7161.69 7373.89
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Net of California SPD 741.91 764.94 788.92
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Net of California SPD Dual 124.5 129.23 134.22
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Adult 280.8 290.62 300.91
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Adult Expansion 310.67 321.19 332.2
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin BCCTP 1228.73 1266.74 1306.36
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Behavioral Health Treatment 0-6 3174.48 3259.59 3347.71
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Behavioral Health Treatment 7-20 2225.6 2285.28 2347.05
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Child 78.84 82.5 86.37
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Maternity 6957.06 7161.69 7373.89
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin SPD 797.11 821.82 847.56
1/20-6/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin SPD Dual 111.79 116.36 121.17
1/20-6/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Adult 230.21 238.43 247.05
1/20-6/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Adult Expansion 271.22 280.51 290.22
1/20-6/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross BCCTP 1087.75 1121.09 1155.82
1/20-6/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Behavioral Health Treatment 0-6 3438.95 3531.16 3626.62
1/20-6/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Behavioral Health Treatment 7-20 2352.98 2416.07 2481.38
1/20-6/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Child 80.13 83.84 87.76
1/20-6/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Health Homes Dual 138.48 146.82 156.08
1/20-6/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Health Homes Non-Dual 607.1 643.97 683.76
1/20-6/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Maternity 7808.18 8037.81 8275.92
1/20-6/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross SPD 578.25 596.42 615.37
1/20-6/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross SPD Dual 129.36 134.06 139.01
1/20-6/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Adult 254.47 263.59 273.14
1/20-6/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Adult 254.47 263.59 273.14
1/20-6/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Adult Expansion 329.14 340.39 352.15
1/20-6/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Adult Expansion 329.14 340.39 352.15
1/20-6/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan BCCTP 1041.79 1073.9 1107.36
1/20-6/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan BCCTP 1041.79 1073.9 1107.36
1/20-6/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Behavioral Health Treatment 0-6 3198.5 3284.26 3373.04
1/20-6/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Behavioral Health Treatment 7-20 2744.39 2817.98 2894.15
1/20-6/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Child 93.28 97.54 102.03
1/20-6/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Maternity 7808.18 8037.81 8275.92
1/20-6/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Maternity 7808.18 8037.81 8275.92
1/20-6/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan SPD 656.9 677.64 699.26
1/20-6/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan SPD 656.9 677.64 699.26
1/20-6/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan SPD Dual 127.13 132.15 137.44
1/20-6/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan SPD Dual 127.13 132.15 137.44
1/20-6/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Health Homes Dual 146.16 154.62 164.01
1/20-6/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Health Homes Non-Dual 633.17 670.72 711.22
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Net of California Adult 250.96 259.82 269.1
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Net of California Adult Expansion 291.48 301.39 311.76
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Net of California BCCTP 1118.96 1153.57 1189.64
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Net of California Behavioral Health Treatment 0-6 3090.48 3173.35 3259.13
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Net of California Behavioral Health Treatment 7-20 2226.38 2286.08 2347.88
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Net of California Child 68.16 71.49 75.03
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Net of California Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Net of California Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Net of California Maternity 7824.54 8054.7 8293.36
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Net of California SPD 873.46 900.35 928.35
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Net of California SPD Dual 138.65 143.8 149.22
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Adult 304.2 314.89 326.1
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Adult Expansion 359.36 371.53 384.27
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin BCCTP 1204.09 1241.43 1280.35
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Behavioral Health Treatment 0-6 3635.82 3733.3 3834.22
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Behavioral Health Treatment 7-20 2316.52 2378.63 2442.94
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Child 77.89 81.69 85.72
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Maternity 7824.54 8054.7 8293.36
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin SPD 1095.53 1129.17 1164.2
1/20-6/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin SPD Dual 132.4 137.69 143.27
1/20-6/20 Bridge Period Two-Plan Tulare Anthem Blue Cross Adult 206.08 213.33 220.92
1/20-6/20 Bridge Period Two-Plan Tulare Anthem Blue Cross Adult Expansion 268.28 277.3 286.73
1/20-6/20 Bridge Period Two-Plan Tulare Anthem Blue Cross BCCTP 1175.93 1212.03 1249.63
1/20-6/20 Bridge Period Two-Plan Tulare Anthem Blue Cross Behavioral Health Treatment 0-6 3862.99 3966.56 4073.79
1/20-6/20 Bridge Period Two-Plan Tulare Anthem Blue Cross Behavioral Health Treatment 7-20 2578.08 2647.21 2718.77
1/20-6/20 Bridge Period Two-Plan Tulare Anthem Blue Cross Child 58.74 61.49 64.41
1/20-6/20 Bridge Period Two-Plan Tulare Anthem Blue Cross Health Homes Dual 112.73 119.73 127.51
1/20-6/20 Bridge Period Two-Plan Tulare Anthem Blue Cross Health Homes Non-Dual 510.95 542.85 577.29
1/20-6/20 Bridge Period Two-Plan Tulare Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Tulare Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Tulare Anthem Blue Cross Maternity 7018.94 7225.37 7439.43
1/20-6/20 Bridge Period Two-Plan Tulare Anthem Blue Cross SPD 639.08 658.8 679.33
1/20-6/20 Bridge Period Two-Plan Tulare Anthem Blue Cross SPD Dual 117.87 122.3 126.96
1/20-6/20 Bridge Period Two-Plan Tulare Health Net of California Adult 211.93 219.4 227.24
1/20-6/20 Bridge Period Two-Plan Tulare Health Net of California Adult Expansion 288.97 298.7 308.87
1/20-6/20 Bridge Period Two-Plan Tulare Health Net of California BCCTP 1067 1100.26 1134.94
1/20-6/20 Bridge Period Two-Plan Tulare Health Net of California Behavioral Health Treatment 0-6 3058.13 3140.12 3225.01
1/20-6/20 Bridge Period Two-Plan Tulare Health Net of California Behavioral Health Treatment 7-20 2290.81 2352.23 2415.82
1/20-6/20 Bridge Period Two-Plan Tulare Health Net of California Child 59.95 62.79 65.79
1/20-6/20 Bridge Period Two-Plan Tulare Health Net of California Health Homes Dual 121.78 128.92 136.85
1/20-6/20 Bridge Period Two-Plan Tulare Health Net of California Health Homes Non-Dual 542.89 574.97 609.56
1/20-6/20 Bridge Period Two-Plan Tulare Health Net of California Hep C 340B 2254.88 2289.97 2326.17
1/20-6/20 Bridge Period Two-Plan Tulare Health Net of California Hep C Non-340B 2615.32 2713.9 2815.6
1/20-6/20 Bridge Period Two-Plan Tulare Health Net of California Maternity 7018.94 7225.37 7439.43
1/20-6/20 Bridge Period Two-Plan Tulare Health Net of California SPD 681.16 702.09 723.89
1/20-6/20 Bridge Period Two-Plan Tulare Health Net of California SPD Dual 129.14 133.98 139.09
7/19-12/19 Bridge Period Two-Plan Alameda Alameda Alliance for Health Adult 245.68 254.62 264
7/19-12/19 Bridge Period Two-Plan Alameda Alameda Alliance for Health Adult Expansion 336.86 348.46 360.61
7/19-12/19 Bridge Period Two-Plan Alameda Alameda Alliance for Health BCCTP 1174.3 1210.53 1248.29
7/19-12/19 Bridge Period Two-Plan Alameda Alameda Alliance for Health Behavioral Health Treatment 0-6 3238.87 3325.71 3415.62
7/19-12/19 Bridge Period Two-Plan Alameda Alameda Alliance for Health Behavioral Health Treatment 7-20 2281.79 2342.97 2406.31
7/19-12/19 Bridge Period Two-Plan Alameda Alameda Alliance for Health Child 93.56 97.94 102.58
7/19-12/19 Bridge Period Two-Plan Alameda Alameda Alliance for Health Health Homes Dual 157.73 166.93 177.15
7/19-12/19 Bridge Period Two-Plan Alameda Alameda Alliance for Health Health Homes Non-Dual 631.89 669.64 710.37
7/19-12/19 Bridge Period Two-Plan Alameda Alameda Alliance for Health Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Alameda Alameda Alliance for Health Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Alameda Alameda Alliance for Health Maternity 8277.9 8521.37 8773.82
7/19-12/19 Bridge Period Two-Plan Alameda Alameda Alliance for Health SPD 883.62 911.17 939.9
7/19-12/19 Bridge Period Two-Plan Alameda Alameda Alliance for Health SPD Dual 162.79 169.02 175.59
7/19-12/19 Bridge Period Two-Plan Alameda Anthem Blue Cross Adult 222.48 230.56 239.04
7/19-12/19 Bridge Period Two-Plan Alameda Anthem Blue Cross Adult Expansion 263.63 272.77 282.33
7/19-12/19 Bridge Period Two-Plan Alameda Anthem Blue Cross BCCTP 1091.7 1125.19 1160.07
7/19-12/19 Bridge Period Two-Plan Alameda Anthem Blue Cross Behavioral Health Treatment 0-6 3761.88 3862.75 3967.17
7/19-12/19 Bridge Period Two-Plan Alameda Anthem Blue Cross Behavioral Health Treatment 7-20 2600.14 2669.86 2742.03
7/19-12/19 Bridge Period Two-Plan Alameda Anthem Blue Cross Child 84.18 88.15 92.35
7/19-12/19 Bridge Period Two-Plan Alameda Anthem Blue Cross Health Homes Dual 150.17 159.27 169.38
7/19-12/19 Bridge Period Two-Plan Alameda Anthem Blue Cross Health Homes Non-Dual 623.89 662.21 703.59
7/19-12/19 Bridge Period Two-Plan Alameda Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Alameda Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Alameda Anthem Blue Cross Maternity 8277.9 8521.37 8773.82
7/19-12/19 Bridge Period Two-Plan Alameda Anthem Blue Cross SPD 870.2 897.26 925.46
7/19-12/19 Bridge Period Two-Plan Alameda Anthem Blue Cross SPD Dual 149.28 154.89 160.79
7/19-12/19 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Adult 224.52 232.55 240.97
7/19-12/19 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Adult Expansion 250.11 258.69 267.66
7/19-12/19 Bridge Period Two-Plan Contra Costa Anthem Blue Cross BCCTP 1118.29 1152.41 1187.95
7/19-12/19 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Behavioral Health Treatment 0-6 3349.2 3439 3531.97
7/19-12/19 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Behavioral Health Treatment 7-20 2202.69 2261.75 2322.89
7/19-12/19 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Child 79.47 83.23 87.22
7/19-12/19 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Maternity 8684.08 8939.47 9204.28
7/19-12/19 Bridge Period Two-Plan Contra Costa Anthem Blue Cross SPD 755.99 779.52 804.04
7/19-12/19 Bridge Period Two-Plan Contra Costa Anthem Blue Cross SPD Dual 144.19 149.53 155.14
7/19-12/19 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Adult 261.46 270.88 280.76
7/19-12/19 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Adult Expansion 337.8 349.43 361.59
7/19-12/19 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan BCCTP 1135.76 1170.38 1206.42
7/19-12/19 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Behavioral Health Treatment 0-6 3400.88 3492.07 3586.47
7/19-12/19 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Behavioral Health Treatment 7-20 2521.93 2589.55 2659.55
7/19-12/19 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Child 82.69 86.68 90.91
7/19-12/19 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Maternity 8684.08 8939.47 9204.28
7/19-12/19 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan SPD 972.78 1003.09 1034.68
7/19-12/19 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan SPD Dual 128.72 133.91 139.39
7/19-12/19 Bridge Period Two-Plan Fresno Anthem Blue Cross Adult 234.96 243.25 251.93
7/19-12/19 Bridge Period Two-Plan Fresno Anthem Blue Cross Adult Expansion 271.08 280.28 289.91
7/19-12/19 Bridge Period Two-Plan Fresno Anthem Blue Cross BCCTP 1055.9 1088.23 1121.92
7/19-12/19 Bridge Period Two-Plan Fresno Anthem Blue Cross Behavioral Health Treatment 0-6 3928.52 4033.86 4142.9
7/19-12/19 Bridge Period Two-Plan Fresno Anthem Blue Cross Behavioral Health Treatment 7-20 2772.47 2846.8 2923.76
7/19-12/19 Bridge Period Two-Plan Fresno Anthem Blue Cross Child 72.9 76.3 79.89
7/19-12/19 Bridge Period Two-Plan Fresno Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Fresno Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Fresno Anthem Blue Cross Maternity 7659.56 7884.83 8118.42
7/19-12/19 Bridge Period Two-Plan Fresno Anthem Blue Cross SPD 715 737.15 760.24
7/19-12/19 Bridge Period Two-Plan Fresno Anthem Blue Cross SPD Dual 149.29 154.76 160.51
7/19-12/19 Bridge Period Two-Plan Fresno CalViva Health Adult 265.24 274.6 284.41
7/19-12/19 Bridge Period Two-Plan Fresno CalViva Health Adult Expansion 320.95 331.84 343.23
7/19-12/19 Bridge Period Two-Plan Fresno CalViva Health BCCTP 1159.28 1194.76 1231.71
7/19-12/19 Bridge Period Two-Plan Fresno CalViva Health Behavioral Health Treatment 0-6 3698.49 3797.65 3900.32
7/19-12/19 Bridge Period Two-Plan Fresno CalViva Health Behavioral Health Treatment 7-20 2728.26 2801.41 2877.14
7/19-12/19 Bridge Period Two-Plan Fresno CalViva Health Child 79.13 82.82 86.72
7/19-12/19 Bridge Period Two-Plan Fresno CalViva Health Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Fresno CalViva Health Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Fresno CalViva Health Maternity 7659.56 7884.83 8118.42
7/19-12/19 Bridge Period Two-Plan Fresno CalViva Health SPD 878.45 905.6 933.89
7/19-12/19 Bridge Period Two-Plan Fresno CalViva Health SPD Dual 179.92 186.58 193.59
7/19-12/19 Bridge Period Two-Plan Kern Health Net of California Adult 246.7 255.41 264.52
7/19-12/19 Bridge Period Two-Plan Kern Health Net of California Adult Expansion 310.03 320.48 331.42
7/19-12/19 Bridge Period Two-Plan Kern Health Net of California BCCTP 1089.75 1123.02 1157.66
7/19-12/19 Bridge Period Two-Plan Kern Health Net of California Behavioral Health Treatment 0-6 3149.55 3234 3321.42
7/19-12/19 Bridge Period Two-Plan Kern Health Net of California Behavioral Health Treatment 7-20 2375.66 2439.36 2505.3
7/19-12/19 Bridge Period Two-Plan Kern Health Net of California Child 66.72 69.98 73.43
7/19-12/19 Bridge Period Two-Plan Kern Health Net of California Health Homes Dual 123.59 130.76 138.72
7/19-12/19 Bridge Period Two-Plan Kern Health Net of California Health Homes Non-Dual 547.6 580.05 615.06
7/19-12/19 Bridge Period Two-Plan Kern Health Net of California Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Kern Health Net of California Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Kern Health Net of California Maternity 6474.23 6664.65 6862.1
7/19-12/19 Bridge Period Two-Plan Kern Health Net of California SPD 820.07 845.38 871.74
7/19-12/19 Bridge Period Two-Plan Kern Health Net of California SPD Dual 152.46 158.04 163.9
7/19-12/19 Bridge Period Two-Plan Kern Kern Health Systems Adult 273.21 282.79 292.82
7/19-12/19 Bridge Period Two-Plan Kern Kern Health Systems Adult Expansion 340.49 351.95 363.93
7/19-12/19 Bridge Period Two-Plan Kern Kern Health Systems BCCTP 1151.41 1186.91 1223.91
7/19-12/19 Bridge Period Two-Plan Kern Kern Health Systems Behavioral Health Treatment 0-6 3856.97 3960.38 4067.44
7/19-12/19 Bridge Period Two-Plan Kern Kern Health Systems Behavioral Health Treatment 7-20 2765.14 2839.28 2916.03
7/19-12/19 Bridge Period Two-Plan Kern Kern Health Systems Child 72.44 75.92 79.61
7/19-12/19 Bridge Period Two-Plan Kern Kern Health Systems Health Homes Dual 118.4 125.49 133.37
7/19-12/19 Bridge Period Two-Plan Kern Kern Health Systems Health Homes Non-Dual 529.32 561.29 595.78
7/19-12/19 Bridge Period Two-Plan Kern Kern Health Systems Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Kern Kern Health Systems Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Kern Kern Health Systems Maternity 6474.23 6664.65 6862.1
7/19-12/19 Bridge Period Two-Plan Kern Kern Health Systems SPD 890.01 917.41 945.94
7/19-12/19 Bridge Period Two-Plan Kern Kern Health Systems SPD Dual 160.96 166.95 173.25
7/19-12/19 Bridge Period Two-Plan Kings Anthem Blue Cross Adult 222.84 230.71 238.96
7/19-12/19 Bridge Period Two-Plan Kings Anthem Blue Cross Adult Expansion 285.72 295.39 305.5
7/19-12/19 Bridge Period Two-Plan Kings Anthem Blue Cross BCCTP 1139.03 1173.63 1209.67
7/19-12/19 Bridge Period Two-Plan Kings Anthem Blue Cross Behavioral Health Treatment 0-6 3363.42 3453.6 3546.96
7/19-12/19 Bridge Period Two-Plan Kings Anthem Blue Cross Behavioral Health Treatment 7-20 2635 2705.65 2778.79
7/19-12/19 Bridge Period Two-Plan Kings Anthem Blue Cross Child 64.56 67.64 70.9
7/19-12/19 Bridge Period Two-Plan Kings Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Kings Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Kings Anthem Blue Cross Maternity 7712.21 7939.02 8174.22
7/19-12/19 Bridge Period Two-Plan Kings Anthem Blue Cross SPD 647.65 667.53 688.23
7/19-12/19 Bridge Period Two-Plan Kings Anthem Blue Cross SPD Dual 136.27 141.18 146.35
7/19-12/19 Bridge Period Two-Plan Kings CalViva Health Adult 246.74 255.49 264.66
7/19-12/19 Bridge Period Two-Plan Kings CalViva Health Adult Expansion 337.12 348.52 360.44
7/19-12/19 Bridge Period Two-Plan Kings CalViva Health BCCTP 1079.77 1113.36 1148.38
7/19-12/19 Bridge Period Two-Plan Kings CalViva Health Behavioral Health Treatment 0-6 3356.6 3446.6 3539.77
7/19-12/19 Bridge Period Two-Plan Kings CalViva Health Behavioral Health Treatment 7-20 2632.19 2702.76 2775.82
7/19-12/19 Bridge Period Two-Plan Kings CalViva Health Child 66.86 70.08 73.49
7/19-12/19 Bridge Period Two-Plan Kings CalViva Health Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Kings CalViva Health Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Kings CalViva Health Maternity 7712.21 7939.02 8174.22
7/19-12/19 Bridge Period Two-Plan Kings CalViva Health SPD 733.51 755.98 779.38
7/19-12/19 Bridge Period Two-Plan Kings CalViva Health SPD Dual 136.46 141.67 147.17
7/19-12/19 Bridge Period Two-Plan Los Angeles Health Net of California Health Homes Dual 141.16 149.29 158.32
7/19-12/19 Bridge Period Two-Plan Los Angeles Health Net of California Health Homes Non-Dual 601.16 636.72 675.08
7/19-12/19 Bridge Period Two-Plan Los Angeles Health Net of California Adult 196.12 203.23 210.69
7/19-12/19 Bridge Period Two-Plan Los Angeles Health Net of California Adult Expansion 286.61 296.35 306.54
7/19-12/19 Bridge Period Two-Plan Los Angeles Health Net of California BCCTP 1037.37 1069.35 1102.68
7/19-12/19 Bridge Period Two-Plan Los Angeles Health Net of California Behavioral Health Treatment 0-6 3000.21 3080.65 3163.93
7/19-12/19 Bridge Period Two-Plan Los Angeles Health Net of California Behavioral Health Treatment 7-20 2430.08 2495.24 2562.69
7/19-12/19 Bridge Period Two-Plan Los Angeles Health Net of California Child 72.12 75.48 79.04
7/19-12/19 Bridge Period Two-Plan Los Angeles Health Net of California Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Los Angeles Health Net of California Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Los Angeles Health Net of California Maternity 7042.04 7249.17 7463.94
7/19-12/19 Bridge Period Two-Plan Los Angeles Health Net of California SPD 599.9 618.25 637.35
7/19-12/19 Bridge Period Two-Plan Los Angeles Health Net of California SPD Dual 137.69 142.7 147.96
7/19-12/19 Bridge Period Two-Plan Los Angeles LA Care Adult 208.01 215.56 223.49
7/19-12/19 Bridge Period Two-Plan Los Angeles LA Care Adult Expansion 294.26 304.29 314.79
7/19-12/19 Bridge Period Two-Plan Los Angeles LA Care BCCTP 1081.31 1114.88 1149.88
7/19-12/19 Bridge Period Two-Plan Los Angeles LA Care Behavioral Health Treatment 0-6 3008.32 3088.98 3172.49
7/19-12/19 Bridge Period Two-Plan Los Angeles LA Care Behavioral Health Treatment 7-20 2347.22 2410.16 2475.31
7/19-12/19 Bridge Period Two-Plan Los Angeles LA Care Child 77.39 80.98 84.78
7/19-12/19 Bridge Period Two-Plan Los Angeles LA Care Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Los Angeles LA Care Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Los Angeles LA Care Maternity 7042.04 7249.17 7463.94
7/19-12/19 Bridge Period Two-Plan Los Angeles LA Care SPD 735.31 757.3 780.19
7/19-12/19 Bridge Period Two-Plan Los Angeles LA Care SPD Dual 119.38 124.09 129.06
7/19-12/19 Bridge Period Two-Plan Los Angeles LA Care Health Homes Dual 141.67 149.82 158.87
7/19-12/19 Bridge Period Two-Plan Los Angeles LA Care Health Homes Non-Dual 602.71 638.3 676.71
7/19-12/19 Bridge Period Two-Plan Madera Anthem Blue Cross Adult 202.91 210.04 217.5
7/19-12/19 Bridge Period Two-Plan Madera Anthem Blue Cross Adult Expansion 260.37 269.05 278.12
7/19-12/19 Bridge Period Two-Plan Madera Anthem Blue Cross BCCTP 1106.55 1140.36 1175.57
7/19-12/19 Bridge Period Two-Plan Madera Anthem Blue Cross Behavioral Health Treatment 0-6 3450.73 3543.25 3639.03
7/19-12/19 Bridge Period Two-Plan Madera Anthem Blue Cross Behavioral Health Treatment 7-20 2780.41 2854.96 2932.13
7/19-12/19 Bridge Period Two-Plan Madera Anthem Blue Cross Child 70.87 74.04 77.38
7/19-12/19 Bridge Period Two-Plan Madera Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Madera Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Madera Anthem Blue Cross Maternity 6857.88 7059.59 7268.74
7/19-12/19 Bridge Period Two-Plan Madera Anthem Blue Cross SPD 692.85 714.04 736.11
7/19-12/19 Bridge Period Two-Plan Madera Anthem Blue Cross SPD Dual 120 124.41 129.05
7/19-12/19 Bridge Period Two-Plan Madera CalViva Health Adult 238.68 247.05 255.82
7/19-12/19 Bridge Period Two-Plan Madera CalViva Health Adult Expansion 300.19 310.16 320.57
7/19-12/19 Bridge Period Two-Plan Madera CalViva Health BCCTP 1083.49 1117.69 1153.36
7/19-12/19 Bridge Period Two-Plan Madera CalViva Health Behavioral Health Treatment 0-6 3444.6 3536.95 3632.57
7/19-12/19 Bridge Period Two-Plan Madera CalViva Health Behavioral Health Treatment 7-20 2631.29 2701.84 2774.87
7/19-12/19 Bridge Period Two-Plan Madera CalViva Health Child 74.72 78.06 81.6
7/19-12/19 Bridge Period Two-Plan Madera CalViva Health Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Madera CalViva Health Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Madera CalViva Health Maternity 6857.88 7059.59 7268.74
7/19-12/19 Bridge Period Two-Plan Madera CalViva Health SPD 843.86 869.73 896.67
7/19-12/19 Bridge Period Two-Plan Madera CalViva Health SPD Dual 126.91 131.82 136.99
7/19-12/19 Bridge Period Two-Plan Riverside Inland Empire Health Plan Adult 269.38 278.94 288.96
7/19-12/19 Bridge Period Two-Plan Riverside Inland Empire Health Plan Adult Expansion 369.61 382.02 395
7/19-12/19 Bridge Period Two-Plan Riverside Inland Empire Health Plan BCCTP 1164.54 1200.84 1238.69
7/19-12/19 Bridge Period Two-Plan Riverside Inland Empire Health Plan Behavioral Health Treatment 0-6 2457.81 2523.71 2591.93
7/19-12/19 Bridge Period Two-Plan Riverside Inland Empire Health Plan Behavioral Health Treatment 7-20 1893.53 1944.3 1996.86
7/19-12/19 Bridge Period Two-Plan Riverside Inland Empire Health Plan Child 80.24 84.03 88.06
7/19-12/19 Bridge Period Two-Plan Riverside Inland Empire Health Plan Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Riverside Inland Empire Health Plan Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Riverside Inland Empire Health Plan Maternity 6606.14 6800.45 7001.93
7/19-12/19 Bridge Period Two-Plan Riverside Inland Empire Health Plan SPD 902.2 930.14 959.25
7/19-12/19 Bridge Period Two-Plan Riverside Inland Empire Health Plan SPD Dual 136.71 142.08 147.75
7/19-12/19 Bridge Period Two-Plan Riverside Inland Empire Health Plan Health Homes Dual 119.53 125.41 131.9
7/19-12/19 Bridge Period Two-Plan Riverside Inland Empire Health Plan Health Homes Non-Dual 505.61 533.96 564.65
7/19-12/19 Bridge Period Two-Plan Riverside Molina Healthcare Adult 196.59 203.63 211
7/19-12/19 Bridge Period Two-Plan Riverside Molina Healthcare Adult Expansion 285.92 295.52 305.55
7/19-12/19 Bridge Period Two-Plan Riverside Molina Healthcare BCCTP 1040.16 1071.83 1104.82
7/19-12/19 Bridge Period Two-Plan Riverside Molina Healthcare Behavioral Health Treatment 0-6 2668.89 2740.45 2814.54
7/19-12/19 Bridge Period Two-Plan Riverside Molina Healthcare Behavioral Health Treatment 7-20 2046.87 2101.75 2158.57
7/19-12/19 Bridge Period Two-Plan Riverside Molina Healthcare Child 73.04 76.42 79.99
7/19-12/19 Bridge Period Two-Plan Riverside Molina Healthcare Health Homes Dual 118.23 123.97 130.32
7/19-12/19 Bridge Period Two-Plan Riverside Molina Healthcare Health Homes Non-Dual 531.47 560.9 592.76
7/19-12/19 Bridge Period Two-Plan Riverside Molina Healthcare Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Riverside Molina Healthcare Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Riverside Molina Healthcare Maternity 6606.14 6800.45 7001.93
7/19-12/19 Bridge Period Two-Plan Riverside Molina Healthcare SPD 653.43 673.66 694.74
7/19-12/19 Bridge Period Two-Plan Riverside Molina Healthcare SPD Dual 111.64 115.76 120.11
7/19-12/19 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Adult 275.39 285.14 295.36
7/19-12/19 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Adult Expansion 352.99 364.93 377.41
7/19-12/19 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan BCCTP 1234.82 1273.23 1313.27
7/19-12/19 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Behavioral Health Treatment 0-6 2653.98 2725.14 2798.81
7/19-12/19 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Behavioral Health Treatment 7-20 1887.54 1938.15 1990.54
7/19-12/19 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Child 79.48 83.28 87.29
7/19-12/19 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Maternity 6890.81 7093.49 7303.66
7/19-12/19 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan SPD 893.47 921.07 949.83
7/19-12/19 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan SPD Dual 126.21 131.25 136.58
7/19-12/19 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Health Homes Dual 119.25 125.06 131.48
7/19-12/19 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Health Homes Non-Dual 491.17 518.47 548.01
7/19-12/19 Bridge Period Two-Plan San Bernardino Molina Healthcare Adult 211.31 218.83 226.72
7/19-12/19 Bridge Period Two-Plan San Bernardino Molina Healthcare Adult Expansion 284.97 294.61 304.69
7/19-12/19 Bridge Period Two-Plan San Bernardino Molina Healthcare BCCTP 1083.62 1116.43 1150.6
7/19-12/19 Bridge Period Two-Plan San Bernardino Molina Healthcare Behavioral Health Treatment 0-6 2468.92 2535.12 2603.65
7/19-12/19 Bridge Period Two-Plan San Bernardino Molina Healthcare Behavioral Health Treatment 7-20 1803.72 1852.08 1902.15
7/19-12/19 Bridge Period Two-Plan San Bernardino Molina Healthcare Child 71.47 74.81 78.34
7/19-12/19 Bridge Period Two-Plan San Bernardino Molina Healthcare Health Homes Dual 117.91 123.55 129.78
7/19-12/19 Bridge Period Two-Plan San Bernardino Molina Healthcare Health Homes Non-Dual 504.2 531.9 561.87
7/19-12/19 Bridge Period Two-Plan San Bernardino Molina Healthcare Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan San Bernardino Molina Healthcare Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan San Bernardino Molina Healthcare Maternity 6890.81 7093.49 7303.66
7/19-12/19 Bridge Period Two-Plan San Bernardino Molina Healthcare SPD 695.29 716.78 739.17
7/19-12/19 Bridge Period Two-Plan San Bernardino Molina Healthcare SPD Dual 114.29 118.54 123.01
7/19-12/19 Bridge Period Two-Plan San Francisco Anthem Blue Cross Adult 267.72 277.7 288.18
7/19-12/19 Bridge Period Two-Plan San Francisco Anthem Blue Cross Adult Expansion 338.72 350.6 363.05
7/19-12/19 Bridge Period Two-Plan San Francisco Anthem Blue Cross BCCTP 1132.35 1168.26 1205.73
7/19-12/19 Bridge Period Two-Plan San Francisco Anthem Blue Cross Behavioral Health Treatment 0-6 3018.82 3099.76 3183.55
7/19-12/19 Bridge Period Two-Plan San Francisco Anthem Blue Cross Behavioral Health Treatment 7-20 2311.71 2373.69 2437.86
7/19-12/19 Bridge Period Two-Plan San Francisco Anthem Blue Cross Child 100.29 105.18 110.36
7/19-12/19 Bridge Period Two-Plan San Francisco Anthem Blue Cross Health Homes Dual 96.81 100.78 105.14
7/19-12/19 Bridge Period Two-Plan San Francisco Anthem Blue Cross Health Homes Non-Dual 421.69 442.35 464.85
7/19-12/19 Bridge Period Two-Plan San Francisco Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan San Francisco Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan San Francisco Anthem Blue Cross Maternity 8799.24 9058.04 9326.41
7/19-12/19 Bridge Period Two-Plan San Francisco Anthem Blue Cross SPD 884.98 913 942.22
7/19-12/19 Bridge Period Two-Plan San Francisco Anthem Blue Cross SPD Dual 407.63 422.01 437.09
7/19-12/19 Bridge Period Two-Plan San Francisco San Francisco Health Plan Adult 257.14 266.62 276.56
7/19-12/19 Bridge Period Two-Plan San Francisco San Francisco Health Plan Adult Expansion 362.77 375.37 388.57
7/19-12/19 Bridge Period Two-Plan San Francisco San Francisco Health Plan BCCTP 1126.89 1161.86 1198.31
7/19-12/19 Bridge Period Two-Plan San Francisco San Francisco Health Plan Behavioral Health Treatment 0-6 2960.72 3040.1 3122.28
7/19-12/19 Bridge Period Two-Plan San Francisco San Francisco Health Plan Behavioral Health Treatment 7-20 2387.79 2451.82 2518.1
7/19-12/19 Bridge Period Two-Plan San Francisco San Francisco Health Plan Child 112.47 117.65 123.13
7/19-12/19 Bridge Period Two-Plan San Francisco San Francisco Health Plan Health Homes Dual 87.19 90.86 94.89
7/19-12/19 Bridge Period Two-Plan San Francisco San Francisco Health Plan Health Homes Non-Dual 401.29 421 442.45
7/19-12/19 Bridge Period Two-Plan San Francisco San Francisco Health Plan Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan San Francisco San Francisco Health Plan Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan San Francisco San Francisco Health Plan Maternity 8799.24 9058.04 9326.41
7/19-12/19 Bridge Period Two-Plan San Francisco San Francisco Health Plan SPD 811.44 837.15 863.96
7/19-12/19 Bridge Period Two-Plan San Francisco San Francisco Health Plan SPD Dual 158.51 164.88 171.6
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Net of California Adult 221.74 229.56 237.76
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Net of California Adult Expansion 256.84 265.57 274.7
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Net of California BCCTP 1099.83 1133.5 1168.57
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Net of California Behavioral Health Treatment 0-6 3260.17 3347.58 3438.08
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Net of California Behavioral Health Treatment 7-20 2408.25 2472.82 2539.67
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Net of California Child 66 69.13 72.44
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Net of California Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Net of California Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Net of California Maternity 6957.06 7161.69 7373.89
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Net of California SPD 741.91 764.94 788.92
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Net of California SPD Dual 124.5 129.23 134.22
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Adult 280.8 290.62 300.91
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Adult Expansion 310.67 321.19 332.2
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin BCCTP 1228.73 1266.74 1306.36
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Behavioral Health Treatment 0-6 3174.48 3259.59 3347.71
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Behavioral Health Treatment 7-20 2225.6 2285.28 2347.05
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Child 78.84 82.5 86.37
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Maternity 6957.06 7161.69 7373.89
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin SPD 797.11 821.82 847.56
7/19-12/19 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin SPD Dual 111.79 116.36 121.17
7/19-12/19 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Adult 230.21 238.43 247.05
7/19-12/19 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Adult Expansion 271.22 280.51 290.22
7/19-12/19 Bridge Period Two-Plan Santa Clara Anthem Blue Cross BCCTP 1087.75 1121.09 1155.82
7/19-12/19 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Behavioral Health Treatment 0-6 3438.95 3531.16 3626.62
7/19-12/19 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Behavioral Health Treatment 7-20 2352.98 2416.07 2481.38
7/19-12/19 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Child 80.13 83.84 87.76
7/19-12/19 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Health Homes Dual 138.48 146.82 156.08
7/19-12/19 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Health Homes Non-Dual 607.1 643.97 683.76
7/19-12/19 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Maternity 7808.18 8037.81 8275.92
7/19-12/19 Bridge Period Two-Plan Santa Clara Anthem Blue Cross SPD 578.25 596.42 615.37
7/19-12/19 Bridge Period Two-Plan Santa Clara Anthem Blue Cross SPD Dual 129.36 134.06 139.01
7/19-12/19 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Behavioral Health Treatment 0-6 3198.5 3284.26 3373.04
7/19-12/19 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Behavioral Health Treatment 7-20 2744.39 2817.98 2894.15
7/19-12/19 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Child 93.28 97.54 102.03
7/19-12/19 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Health Homes Dual 146.16 154.62 164.01
7/19-12/19 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Health Homes Non-Dual 633.17 670.72 711.22
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Net of California Adult 250.96 259.82 269.1
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Net of California Adult Expansion 291.48 301.39 311.76
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Net of California BCCTP 1118.96 1153.57 1189.64
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Net of California Behavioral Health Treatment 0-6 3090.48 3173.35 3259.13
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Net of California Behavioral Health Treatment 7-20 2226.38 2286.08 2347.88
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Net of California Child 68.16 71.49 75.03
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Net of California Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Net of California Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Net of California Maternity 7824.54 8054.7 8293.36
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Net of California SPD 873.46 900.35 928.35
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Net of California SPD Dual 138.65 143.8 149.22
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Adult 304.2 314.89 326.1
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Adult Expansion 359.36 371.53 384.27
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin BCCTP 1204.09 1241.43 1280.35
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Behavioral Health Treatment 0-6 3635.82 3733.3 3834.22
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Behavioral Health Treatment 7-20 2316.52 2378.63 2442.94
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Child 77.89 81.69 85.72
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Maternity 7824.54 8054.7 8293.36
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin SPD 1095.53 1129.17 1164.2
7/19-12/19 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin SPD Dual 132.4 137.69 143.27
7/19-12/19 Bridge Period Two-Plan Tulare Anthem Blue Cross Adult 206.08 213.33 220.92
7/19-12/19 Bridge Period Two-Plan Tulare Anthem Blue Cross Adult Expansion 268.28 277.3 286.73
7/19-12/19 Bridge Period Two-Plan Tulare Anthem Blue Cross BCCTP 1175.93 1212.03 1249.63
7/19-12/19 Bridge Period Two-Plan Tulare Anthem Blue Cross Behavioral Health Treatment 0-6 3862.99 3966.56 4073.79
7/19-12/19 Bridge Period Two-Plan Tulare Anthem Blue Cross Behavioral Health Treatment 7-20 2578.08 2647.21 2718.77
7/19-12/19 Bridge Period Two-Plan Tulare Anthem Blue Cross Child 58.74 61.49 64.41
7/19-12/19 Bridge Period Two-Plan Tulare Anthem Blue Cross Health Homes Dual 112.73 119.73 127.51
7/19-12/19 Bridge Period Two-Plan Tulare Anthem Blue Cross Health Homes Non-Dual 510.95 542.85 577.29
7/19-12/19 Bridge Period Two-Plan Tulare Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Tulare Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Tulare Anthem Blue Cross Maternity 7018.94 7225.37 7439.43
7/19-12/19 Bridge Period Two-Plan Tulare Anthem Blue Cross SPD 639.08 658.8 679.33
7/19-12/19 Bridge Period Two-Plan Tulare Anthem Blue Cross SPD Dual 117.87 122.3 126.96
7/19-12/19 Bridge Period Two-Plan Tulare Health Net of California Adult 211.93 219.4 227.24
7/19-12/19 Bridge Period Two-Plan Tulare Health Net of California Adult Expansion 288.97 298.7 308.87
7/19-12/19 Bridge Period Two-Plan Tulare Health Net of California BCCTP 1067 1100.26 1134.94
7/19-12/19 Bridge Period Two-Plan Tulare Health Net of California Behavioral Health Treatment 0-6 3058.13 3140.12 3225.01
7/19-12/19 Bridge Period Two-Plan Tulare Health Net of California Behavioral Health Treatment 7-20 2290.81 2352.23 2415.82
7/19-12/19 Bridge Period Two-Plan Tulare Health Net of California Child 59.95 62.79 65.79
7/19-12/19 Bridge Period Two-Plan Tulare Health Net of California Health Homes Dual 121.78 128.92 136.85
7/19-12/19 Bridge Period Two-Plan Tulare Health Net of California Health Homes Non-Dual 542.89 574.97 609.56
7/19-12/19 Bridge Period Two-Plan Tulare Health Net of California Hep C 340B 2254.88 2289.97 2326.17
7/19-12/19 Bridge Period Two-Plan Tulare Health Net of California Hep C Non-340B 2615.32 2713.9 2815.6
7/19-12/19 Bridge Period Two-Plan Tulare Health Net of California Maternity 7018.94 7225.37 7439.43
7/19-12/19 Bridge Period Two-Plan Tulare Health Net of California SPD 681.16 702.09 723.89
7/19-12/19 Bridge Period Two-Plan Tulare Health Net of California SPD Dual 129.14 133.98 139.09
7/20-12/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health Adult 247.19 256.18 265.62
7/20-12/20 Bridge Period Two-Plan Alameda Anthem Blue Cross Adult 215.58 223.41 231.63
7/20-12/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Adult 222.03 229.97 238.3
7/20-12/20 Bridge Period Two-Plan Fresno Anthem Blue Cross Adult 232.1 240.28 248.86
7/20-12/20 Bridge Period Two-Plan Kings Anthem Blue Cross Adult 216.45 224.09 232.1
7/20-12/20 Bridge Period Two-Plan Madera Anthem Blue Cross Adult 200.05 207.07 214.43
7/20-12/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross Adult 265.4 275.3 285.69
7/20-12/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Adult 220.97 228.86 237.13
7/20-12/20 Bridge Period Two-Plan Tulare Anthem Blue Cross Adult 205.42 212.65 220.22
7/20-12/20 Bridge Period Two-Plan Fresno CalViva Health Adult 266.07 275.46 285.3
7/20-12/20 Bridge Period Two-Plan Kings CalViva Health Adult 250.07 258.94 268.23
7/20-12/20 Bridge Period Two-Plan Madera CalViva Health Adult 239.83 248.24 257.05
7/20-12/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Adult 261.97 271.41 281.3
7/20-12/20 Bridge Period Two-Plan Kern Health Net of California Adult 243.24 251.83 260.82
7/20-12/20 Bridge Period Two-Plan Los Angeles Health Net of California Adult 196.85 203.99 211.48
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Net of California Adult 222.65 230.5 238.73
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Net of California Adult 252.03 260.92 270.24
7/20-12/20 Bridge Period Two-Plan Tulare Health Net of California Adult 212.64 220.14 228
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Adult 280.76 290.58 300.87
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Adult 303.43 314.1 325.27
7/20-12/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan Adult 270.79 280.4 290.47
7/20-12/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Adult 276.99 286.8 297.07
7/20-12/20 Bridge Period Two-Plan Kern Kern Health Systems Adult 273.67 283.26 293.31
7/20-12/20 Bridge Period Two-Plan Los Angeles LA Care Adult 207.68 215.22 223.14
7/20-12/20 Bridge Period Two-Plan Riverside Molina Healthcare Adult 188.81 195.57 202.66
7/20-12/20 Bridge Period Two-Plan San Bernardino Molina Healthcare Adult 196.14 203.12 210.44
7/20-12/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan Adult 257.45 266.93 276.89
7/20-12/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Adult 257.05 266.25 275.9
7/20-12/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health Adult Expansion 337.4 349.02 361.18
7/20-12/20 Bridge Period Two-Plan Alameda Anthem Blue Cross Adult Expansion 263.43 272.56 282.12
7/20-12/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Adult Expansion 253.02 261.7 270.78
7/20-12/20 Bridge Period Two-Plan Fresno Anthem Blue Cross Adult Expansion 270.09 279.26 288.84
7/20-12/20 Bridge Period Two-Plan Kings Anthem Blue Cross Adult Expansion 282.1 291.65 301.63
7/20-12/20 Bridge Period Two-Plan Madera Anthem Blue Cross Adult Expansion 256.75 265.31 274.25
7/20-12/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross Adult Expansion 338.76 350.65 363.1
7/20-12/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Adult Expansion 268 277.18 286.79
7/20-12/20 Bridge Period Two-Plan Tulare Anthem Blue Cross Adult Expansion 268.51 277.55 286.99
7/20-12/20 Bridge Period Two-Plan Fresno CalViva Health Adult Expansion 321.4 332.3 343.7
7/20-12/20 Bridge Period Two-Plan Kings CalViva Health Adult Expansion 339.26 350.74 362.73
7/20-12/20 Bridge Period Two-Plan Madera CalViva Health Adult Expansion 302.25 312.28 322.77
7/20-12/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Adult Expansion 337.75 349.38 361.54
7/20-12/20 Bridge Period Two-Plan Kern Health Net of California Adult Expansion 306.44 316.78 327.59
7/20-12/20 Bridge Period Two-Plan Los Angeles Health Net of California Adult Expansion 287.15 296.92 307.13
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Net of California Adult Expansion 258.12 266.9 276.07
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Net of California Adult Expansion 293.19 303.16 313.58
7/20-12/20 Bridge Period Two-Plan Tulare Health Net of California Adult Expansion 289.13 298.87 309.05
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Adult Expansion 310.24 320.75 331.74
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Adult Expansion 357.83 369.95 382.63
7/20-12/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan Adult Expansion 371.09 383.55 396.57
7/20-12/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Adult Expansion 354.65 366.64 379.18
7/20-12/20 Bridge Period Two-Plan Kern Kern Health Systems Adult Expansion 340.45 351.91 363.89
7/20-12/20 Bridge Period Two-Plan Los Angeles LA Care Adult Expansion 294 304.03 314.52
7/20-12/20 Bridge Period Two-Plan Riverside Molina Healthcare Adult Expansion 277.48 286.79 296.53
7/20-12/20 Bridge Period Two-Plan San Bernardino Molina Healthcare Adult Expansion 270.74 279.91 289.49
7/20-12/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan Adult Expansion 362.74 375.34 388.54
7/20-12/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Adult Expansion 329.75 341.01 352.8
7/20-12/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health BCCTP 1174.3 1210.53 1248.29
7/20-12/20 Bridge Period Two-Plan Alameda Anthem Blue Cross BCCTP 1091.7 1125.19 1160.07
7/20-12/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross BCCTP 1118.29 1152.41 1187.95
7/20-12/20 Bridge Period Two-Plan Fresno Anthem Blue Cross BCCTP 1055.9 1088.23 1121.92
7/20-12/20 Bridge Period Two-Plan Kings Anthem Blue Cross BCCTP 1139.03 1173.63 1209.67
7/20-12/20 Bridge Period Two-Plan Madera Anthem Blue Cross BCCTP 1106.55 1140.36 1175.57
7/20-12/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross BCCTP 1132.35 1168.26 1205.73
7/20-12/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross BCCTP 1087.75 1121.09 1155.82
7/20-12/20 Bridge Period Two-Plan Tulare Anthem Blue Cross BCCTP 1175.93 1212.03 1249.63
7/20-12/20 Bridge Period Two-Plan Fresno CalViva Health BCCTP 1159.28 1194.76 1231.71
7/20-12/20 Bridge Period Two-Plan Kings CalViva Health BCCTP 1079.77 1113.36 1148.38
7/20-12/20 Bridge Period Two-Plan Madera CalViva Health BCCTP 1083.49 1117.69 1153.36
7/20-12/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan BCCTP 1135.76 1170.38 1206.42
7/20-12/20 Bridge Period Two-Plan Kern Health Net of California BCCTP 1089.75 1123.02 1157.66
7/20-12/20 Bridge Period Two-Plan Los Angeles Health Net of California BCCTP 1037.37 1069.35 1102.68
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Net of California BCCTP 1099.83 1133.5 1168.57
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Net of California BCCTP 1118.96 1153.57 1189.64
7/20-12/20 Bridge Period Two-Plan Tulare Health Net of California BCCTP 1067 1100.26 1134.94
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin BCCTP 1228.73 1266.74 1306.36
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin BCCTP 1204.09 1241.43 1280.35
7/20-12/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan BCCTP 1164.54 1200.84 1238.69
7/20-12/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan BCCTP 1234.82 1273.23 1313.27
7/20-12/20 Bridge Period Two-Plan Kern Kern Health Systems BCCTP 1151.41 1186.91 1223.91
7/20-12/20 Bridge Period Two-Plan Los Angeles LA Care BCCTP 1081.31 1114.88 1149.88
7/20-12/20 Bridge Period Two-Plan Riverside Molina Healthcare BCCTP 1040.16 1071.83 1104.82
7/20-12/20 Bridge Period Two-Plan San Bernardino Molina Healthcare BCCTP 1083.62 1116.43 1150.6
7/20-12/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan BCCTP 1126.89 1161.86 1198.31
7/20-12/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan BCCTP 1041.79 1073.9 1107.36
7/20-12/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health Behavioral Health Treatment 0-6 3238.87 3325.71 3415.62
7/20-12/20 Bridge Period Two-Plan Alameda Anthem Blue Cross Behavioral Health Treatment 0-6 3761.88 3862.75 3967.17
7/20-12/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Behavioral Health Treatment 0-6 3349.2 3439 3531.97
7/20-12/20 Bridge Period Two-Plan Fresno Anthem Blue Cross Behavioral Health Treatment 0-6 3928.52 4033.86 4142.9
7/20-12/20 Bridge Period Two-Plan Kings Anthem Blue Cross Behavioral Health Treatment 0-6 3363.42 3453.6 3546.96
7/20-12/20 Bridge Period Two-Plan Madera Anthem Blue Cross Behavioral Health Treatment 0-6 3450.73 3543.25 3639.03
7/20-12/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross Behavioral Health Treatment 0-6 3018.82 3099.76 3183.55
7/20-12/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Behavioral Health Treatment 0-6 3438.95 3531.16 3626.62
7/20-12/20 Bridge Period Two-Plan Tulare Anthem Blue Cross Behavioral Health Treatment 0-6 3862.99 3966.56 4073.79
7/20-12/20 Bridge Period Two-Plan Fresno CalViva Health Behavioral Health Treatment 0-6 3698.49 3797.65 3900.32
7/20-12/20 Bridge Period Two-Plan Kings CalViva Health Behavioral Health Treatment 0-6 3356.6 3446.6 3539.77
7/20-12/20 Bridge Period Two-Plan Madera CalViva Health Behavioral Health Treatment 0-6 3444.6 3536.95 3632.57
7/20-12/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Behavioral Health Treatment 0-6 3400.88 3492.07 3586.47
7/20-12/20 Bridge Period Two-Plan Kern Health Net of California Behavioral Health Treatment 0-6 3149.55 3234 3321.42
7/20-12/20 Bridge Period Two-Plan Los Angeles Health Net of California Behavioral Health Treatment 0-6 3000.21 3080.65 3163.93
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Net of California Behavioral Health Treatment 0-6 3260.17 3347.58 3438.08
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Net of California Behavioral Health Treatment 0-6 3090.48 3173.35 3259.13
7/20-12/20 Bridge Period Two-Plan Tulare Health Net of California Behavioral Health Treatment 0-6 3058.13 3140.12 3225.01
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Behavioral Health Treatment 0-6 3174.48 3259.59 3347.71
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Behavioral Health Treatment 0-6 3635.82 3733.3 3834.22
7/20-12/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan Behavioral Health Treatment 0-6 2457.81 2523.71 2591.93
7/20-12/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Behavioral Health Treatment 0-6 2653.98 2725.14 2798.81
7/20-12/20 Bridge Period Two-Plan Kern Kern Health Systems Behavioral Health Treatment 0-6 3856.97 3960.38 4067.44
7/20-12/20 Bridge Period Two-Plan Los Angeles LA Care Behavioral Health Treatment 0-6 3008.32 3088.98 3172.49
7/20-12/20 Bridge Period Two-Plan Riverside Molina Healthcare Behavioral Health Treatment 0-6 2668.89 2740.45 2814.54
7/20-12/20 Bridge Period Two-Plan San Bernardino Molina Healthcare Behavioral Health Treatment 0-6 2468.92 2535.12 2603.65
7/20-12/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan Behavioral Health Treatment 0-6 2960.72 3040.1 3122.28
7/20-12/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Behavioral Health Treatment 0-6 3198.5 3284.26 3373.04
7/20-12/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health Behavioral Health Treatment 7-20 2281.79 2342.97 2406.31
7/20-12/20 Bridge Period Two-Plan Alameda Anthem Blue Cross Behavioral Health Treatment 7-20 2600.14 2669.86 2742.03
7/20-12/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Behavioral Health Treatment 7-20 2202.69 2261.75 2322.89
7/20-12/20 Bridge Period Two-Plan Fresno Anthem Blue Cross Behavioral Health Treatment 7-20 2772.47 2846.8 2923.76
7/20-12/20 Bridge Period Two-Plan Kings Anthem Blue Cross Behavioral Health Treatment 7-20 2635 2705.65 2778.79
7/20-12/20 Bridge Period Two-Plan Madera Anthem Blue Cross Behavioral Health Treatment 7-20 2780.41 2854.96 2932.13
7/20-12/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross Behavioral Health Treatment 7-20 2311.71 2373.69 2437.86
7/20-12/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Behavioral Health Treatment 7-20 2352.98 2416.07 2481.38
7/20-12/20 Bridge Period Two-Plan Tulare Anthem Blue Cross Behavioral Health Treatment 7-20 2578.08 2647.21 2718.77
7/20-12/20 Bridge Period Two-Plan Fresno CalViva Health Behavioral Health Treatment 7-20 2728.26 2801.41 2877.14
7/20-12/20 Bridge Period Two-Plan Kings CalViva Health Behavioral Health Treatment 7-20 2632.19 2702.76 2775.82
7/20-12/20 Bridge Period Two-Plan Madera CalViva Health Behavioral Health Treatment 7-20 2631.29 2701.84 2774.87
7/20-12/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Behavioral Health Treatment 7-20 2521.93 2589.55 2659.55
7/20-12/20 Bridge Period Two-Plan Kern Health Net of California Behavioral Health Treatment 7-20 2375.66 2439.36 2505.3
7/20-12/20 Bridge Period Two-Plan Los Angeles Health Net of California Behavioral Health Treatment 7-20 2430.08 2495.24 2562.69
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Net of California Behavioral Health Treatment 7-20 2408.25 2472.82 2539.67
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Net of California Behavioral Health Treatment 7-20 2226.38 2286.08 2347.88
7/20-12/20 Bridge Period Two-Plan Tulare Health Net of California Behavioral Health Treatment 7-20 2290.81 2352.23 2415.82
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Behavioral Health Treatment 7-20 2225.6 2285.28 2347.05
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Behavioral Health Treatment 7-20 2316.52 2378.63 2442.94
7/20-12/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan Behavioral Health Treatment 7-20 1893.53 1944.3 1996.86
7/20-12/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Behavioral Health Treatment 7-20 1887.54 1938.15 1990.54
7/20-12/20 Bridge Period Two-Plan Kern Kern Health Systems Behavioral Health Treatment 7-20 2765.14 2839.28 2916.03
7/20-12/20 Bridge Period Two-Plan Los Angeles LA Care Behavioral Health Treatment 7-20 2347.22 2410.16 2475.31
7/20-12/20 Bridge Period Two-Plan Riverside Molina Healthcare Behavioral Health Treatment 7-20 2046.87 2101.75 2158.57
7/20-12/20 Bridge Period Two-Plan San Bernardino Molina Healthcare Behavioral Health Treatment 7-20 1803.72 1852.08 1902.15
7/20-12/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan Behavioral Health Treatment 7-20 2387.79 2451.82 2518.1
7/20-12/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Behavioral Health Treatment 7-20 2744.39 2817.98 2894.15
7/20-12/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health Child 93.56 97.94 102.57
7/20-12/20 Bridge Period Two-Plan Alameda Anthem Blue Cross Child 84.28 88.25 92.46
7/20-12/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Child 79.46 83.23 87.21
7/20-12/20 Bridge Period Two-Plan Fresno Anthem Blue Cross Child 72.03 75.39 78.95
7/20-12/20 Bridge Period Two-Plan Kings Anthem Blue Cross Child 63.91 66.96 70.19
7/20-12/20 Bridge Period Two-Plan Madera Anthem Blue Cross Child 70.07 73.2 76.5
7/20-12/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross Child 98.5 103.3 108.4
7/20-12/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Child 79.35 83.03 86.91
7/20-12/20 Bridge Period Two-Plan Tulare Anthem Blue Cross Child 58.76 61.52 64.44
7/20-12/20 Bridge Period Two-Plan Fresno CalViva Health Child 79.41 83.11 87.03
7/20-12/20 Bridge Period Two-Plan Kings CalViva Health Child 67.28 70.52 73.95
7/20-12/20 Bridge Period Two-Plan Madera CalViva Health Child 75.1 78.45 82.01
7/20-12/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Child 82.7 86.68 90.91
7/20-12/20 Bridge Period Two-Plan Kern Health Net of California Child 65.88 69.1 72.5
7/20-12/20 Bridge Period Two-Plan Los Angeles Health Net of California Child 72.34 75.71 79.28
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Net of California Child 65.34 68.44 71.72
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Net of California Child 68.73 72.09 75.65
7/20-12/20 Bridge Period Two-Plan Tulare Health Net of California Child 59.94 62.78 65.78
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Child 78.88 82.54 86.42
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Child 77.53 81.31 85.32
7/20-12/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan Child 80.31 84.12 88.14
7/20-12/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Child 79.57 83.37 87.39
7/20-12/20 Bridge Period Two-Plan Kern Kern Health Systems Child 72.58 76.06 79.76
7/20-12/20 Bridge Period Two-Plan Los Angeles LA Care Child 77.28 80.87 84.66
7/20-12/20 Bridge Period Two-Plan Riverside Molina Healthcare Child 72.25 75.59 79.12
7/20-12/20 Bridge Period Two-Plan San Bernardino Molina Healthcare Child 69.69 72.95 76.4
7/20-12/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan Child 112.65 117.84 123.33
7/20-12/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Child 93.44 97.7 102.2
7/20-12/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health Health Homes Dual 120.97 126.15 131.85
7/20-12/20 Bridge Period Two-Plan Alameda Anthem Blue Cross Health Homes Dual 115.99 121.35 127.26
7/20-12/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross Health Homes Dual 72.57 74.71 77.02
7/20-12/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Health Homes Dual 103.45 108.07 113.16
7/20-12/20 Bridge Period Two-Plan Tulare Anthem Blue Cross Health Homes Dual 78.86 82.19 85.84
7/20-12/20 Bridge Period Two-Plan Kern Health Net of California Health Homes Dual 90.68 94.37 98.41
7/20-12/20 Bridge Period Two-Plan Los Angeles Health Net of California Health Homes Dual 104.71 108.9 113.49
7/20-12/20 Bridge Period Two-Plan Tulare Health Net of California Health Homes Dual 87.56 91.01 94.79
7/20-12/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan Health Homes Dual 84.61 87.34 90.3
7/20-12/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Health Homes Dual 83.64 86.29 89.16
7/20-12/20 Bridge Period Two-Plan Kern Kern Health Systems Health Homes Dual 85.27 88.81 92.71
7/20-12/20 Bridge Period Two-Plan Los Angeles LA Care Health Homes Dual 108.1 112.71 117.77
7/20-12/20 Bridge Period Two-Plan Riverside Molina Healthcare Health Homes Dual 82.02 84.58 87.36
7/20-12/20 Bridge Period Two-Plan San Bernardino Molina Healthcare Health Homes Dual 80.54 82.97 85.6
7/20-12/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan Health Homes Dual 63.6 65.55 67.65
7/20-12/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Health Homes Dual 110.91 115.67 120.9
7/20-12/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health Health Homes Non-Dual 502.27 527.93 555.76
7/20-12/20 Bridge Period Two-Plan Alameda Anthem Blue Cross Health Homes Non-Dual 528.22 556.69 587.59
7/20-12/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross Health Homes Non-Dual 241.89 249.85 258.5
7/20-12/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Health Homes Non-Dual 500.13 526.48 555.05
7/20-12/20 Bridge Period Two-Plan Tulare Anthem Blue Cross Health Homes Non-Dual 413.28 435.69 460.01
7/20-12/20 Bridge Period Two-Plan Kern Health Net of California Health Homes Non-Dual 445.72 468.52 493.24
7/20-12/20 Bridge Period Two-Plan Los Angeles Health Net of California Health Homes Non-Dual 508.33 534.62 563.14
7/20-12/20 Bridge Period Two-Plan Tulare Health Net of California Health Homes Non-Dual 424.39 445.68 468.75
7/20-12/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan Health Homes Non-Dual 255.1 264.94 275.72
7/20-12/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Health Homes Non-Dual 247.45 256.78 267
7/20-12/20 Bridge Period Two-Plan Kern Kern Health Systems Health Homes Non-Dual 415.22 436.65 459.89
7/20-12/20 Bridge Period Two-Plan Los Angeles LA Care Health Homes Non-Dual 506.18 532.27 560.55
7/20-12/20 Bridge Period Two-Plan Riverside Molina Healthcare Health Homes Non-Dual 279.69 290.36 302.05
7/20-12/20 Bridge Period Two-Plan San Bernardino Molina Healthcare Health Homes Non-Dual 264.46 274.34 285.16
7/20-12/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan Health Homes Non-Dual 229 236.59 244.85
7/20-12/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Health Homes Non-Dual 516.12 542.52 571.14
7/20-12/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Alameda Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Fresno Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Kings Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Madera Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Tulare Anthem Blue Cross Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Fresno CalViva Health Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Kings CalViva Health Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Madera CalViva Health Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Kern Health Net of California Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Los Angeles Health Net of California Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Net of California Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Net of California Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Tulare Health Net of California Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Kern Kern Health Systems Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Los Angeles LA Care Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Riverside Molina Healthcare Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan San Bernardino Molina Healthcare Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Hep C 340B 2254.88 2289.97 2326.17
7/20-12/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Alameda Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Fresno Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Kings Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Madera Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Tulare Anthem Blue Cross Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Fresno CalViva Health Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Kings CalViva Health Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Madera CalViva Health Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Kern Health Net of California Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Los Angeles Health Net of California Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Net of California Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Net of California Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Tulare Health Net of California Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Kern Kern Health Systems Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Los Angeles LA Care Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Riverside Molina Healthcare Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan San Bernardino Molina Healthcare Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Hep C Non-340B 2615.32 2713.9 2815.6
7/20-12/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health Maternity 8277.9 8521.37 8773.82
7/20-12/20 Bridge Period Two-Plan Alameda Anthem Blue Cross Maternity 8277.9 8521.37 8773.82
7/20-12/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross Maternity 8684.08 8939.47 9204.28
7/20-12/20 Bridge Period Two-Plan Fresno Anthem Blue Cross Maternity 7659.56 7884.83 8118.42
7/20-12/20 Bridge Period Two-Plan Kings Anthem Blue Cross Maternity 7712.21 7939.02 8174.22
7/20-12/20 Bridge Period Two-Plan Madera Anthem Blue Cross Maternity 6857.88 7059.59 7268.74
7/20-12/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross Maternity 8799.24 9058.04 9326.41
7/20-12/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross Maternity 7808.18 8037.81 8275.92
7/20-12/20 Bridge Period Two-Plan Tulare Anthem Blue Cross Maternity 7018.94 7225.37 7439.43
7/20-12/20 Bridge Period Two-Plan Fresno CalViva Health Maternity 7659.56 7884.83 8118.42
7/20-12/20 Bridge Period Two-Plan Kings CalViva Health Maternity 7712.21 7939.02 8174.22
7/20-12/20 Bridge Period Two-Plan Madera CalViva Health Maternity 6857.88 7059.59 7268.74
7/20-12/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan Maternity 8684.08 8939.47 9204.28
7/20-12/20 Bridge Period Two-Plan Kern Health Net of California Maternity 6474.23 6664.65 6862.1
7/20-12/20 Bridge Period Two-Plan Los Angeles Health Net of California Maternity 7042.04 7249.17 7463.94
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Net of California Maternity 6957.06 7161.69 7373.89
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Net of California Maternity 7824.54 8054.7 8293.36
7/20-12/20 Bridge Period Two-Plan Tulare Health Net of California Maternity 7018.94 7225.37 7439.43
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin Maternity 6957.06 7161.69 7373.89
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin Maternity 7824.54 8054.7 8293.36
7/20-12/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan Maternity 6606.14 6800.45 7001.93
7/20-12/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan Maternity 6890.81 7093.49 7303.66
7/20-12/20 Bridge Period Two-Plan Kern Kern Health Systems Maternity 6474.23 6664.65 6862.1
7/20-12/20 Bridge Period Two-Plan Los Angeles LA Care Maternity 7042.04 7249.17 7463.94
7/20-12/20 Bridge Period Two-Plan Riverside Molina Healthcare Maternity 6606.14 6800.45 7001.93
7/20-12/20 Bridge Period Two-Plan San Bernardino Molina Healthcare Maternity 6890.81 7093.49 7303.66
7/20-12/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan Maternity 8799.24 9058.04 9326.41
7/20-12/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan Maternity 7808.18 8037.81 8275.92
7/20-12/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health SPD 888.83 916.54 945.44
7/20-12/20 Bridge Period Two-Plan Alameda Anthem Blue Cross SPD 845.46 871.75 899.14
7/20-12/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross SPD 757.73 781.31 805.89
7/20-12/20 Bridge Period Two-Plan Fresno Anthem Blue Cross SPD 700.85 722.57 745.19
7/20-12/20 Bridge Period Two-Plan Kings Anthem Blue Cross SPD 660.41 680.68 701.79
7/20-12/20 Bridge Period Two-Plan Madera Anthem Blue Cross SPD 686.35 707.34 729.21
7/20-12/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross SPD 876.34 904.09 933.03
7/20-12/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross SPD 559.03 576.59 594.91
7/20-12/20 Bridge Period Two-Plan Tulare Anthem Blue Cross SPD 625.03 644.31 664.4
7/20-12/20 Bridge Period Two-Plan Fresno CalViva Health SPD 883.8 911.12 939.58
7/20-12/20 Bridge Period Two-Plan Kings CalViva Health SPD 725.38 747.6 770.73
7/20-12/20 Bridge Period Two-Plan Madera CalViva Health SPD 846.34 872.29 899.31
7/20-12/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan SPD 973.35 1003.68 1035.29
7/20-12/20 Bridge Period Two-Plan Kern Health Net of California SPD 811.51 836.55 862.65
7/20-12/20 Bridge Period Two-Plan Los Angeles Health Net of California SPD 601.91 620.32 639.49
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Net of California SPD 746.1 769.25 793.38
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Net of California SPD 871.97 898.81 926.77
7/20-12/20 Bridge Period Two-Plan Tulare Health Net of California SPD 692.47 713.75 735.91
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin SPD 796.82 821.52 847.25
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin SPD 1092.33 1125.87 1160.8
7/20-12/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan SPD 903.84 931.83 960.99
7/20-12/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan SPD 895.76 923.44 952.27
7/20-12/20 Bridge Period Two-Plan Kern Kern Health Systems SPD 891.93 919.38 947.98
7/20-12/20 Bridge Period Two-Plan Los Angeles LA Care SPD 733.94 755.89 778.74
7/20-12/20 Bridge Period Two-Plan Riverside Molina Healthcare SPD 634.03 653.66 674.12
7/20-12/20 Bridge Period Two-Plan San Bernardino Molina Healthcare SPD 658.77 679.13 700.35
7/20-12/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan SPD 813.3 839.07 865.95
7/20-12/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan SPD 661.35 682.23 704
7/20-12/20 Bridge Period Two-Plan Alameda Alameda Alliance for Health SPD Dual 162.79 169.02 175.59
7/20-12/20 Bridge Period Two-Plan Alameda Anthem Blue Cross SPD Dual 149.28 154.89 160.79
7/20-12/20 Bridge Period Two-Plan Contra Costa Anthem Blue Cross SPD Dual 144.19 149.53 155.14
7/20-12/20 Bridge Period Two-Plan Fresno Anthem Blue Cross SPD Dual 149.29 154.76 160.51
7/20-12/20 Bridge Period Two-Plan Kings Anthem Blue Cross SPD Dual 136.27 141.18 146.35
7/20-12/20 Bridge Period Two-Plan Madera Anthem Blue Cross SPD Dual 120 124.41 129.05
7/20-12/20 Bridge Period Two-Plan San Francisco Anthem Blue Cross SPD Dual 407.63 422.01 437.09
7/20-12/20 Bridge Period Two-Plan Santa Clara Anthem Blue Cross SPD Dual 129.36 134.06 139.01
7/20-12/20 Bridge Period Two-Plan Tulare Anthem Blue Cross SPD Dual 117.87 122.3 126.96
7/20-12/20 Bridge Period Two-Plan Fresno CalViva Health SPD Dual 179.92 186.58 193.59
7/20-12/20 Bridge Period Two-Plan Kings CalViva Health SPD Dual 136.46 141.67 147.17
7/20-12/20 Bridge Period Two-Plan Madera CalViva Health SPD Dual 126.91 131.82 136.99
7/20-12/20 Bridge Period Two-Plan Contra Costa Contra Costa Health Plan SPD Dual 128.72 133.91 139.39
7/20-12/20 Bridge Period Two-Plan Kern Health Net of California SPD Dual 152.46 158.04 163.9
7/20-12/20 Bridge Period Two-Plan Los Angeles Health Net of California SPD Dual 137.69 142.7 147.96
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Net of California SPD Dual 124.5 129.23 134.22
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Net of California SPD Dual 138.65 143.8 149.22
7/20-12/20 Bridge Period Two-Plan Tulare Health Net of California SPD Dual 129.14 133.98 139.09
7/20-12/20 Bridge Period Two-Plan San Joaquin Health Plan of San Joaquin SPD Dual 111.79 116.36 121.17
7/20-12/20 Bridge Period Two-Plan Stanislaus Health Plan of San Joaquin SPD Dual 132.4 137.69 143.27
7/20-12/20 Bridge Period Two-Plan Riverside Inland Empire Health Plan SPD Dual 136.71 142.08 147.75
7/20-12/20 Bridge Period Two-Plan San Bernardino Inland Empire Health Plan SPD Dual 126.21 131.25 136.58
7/20-12/20 Bridge Period Two-Plan Kern Kern Health Systems SPD Dual 160.96 166.95 173.25
7/20-12/20 Bridge Period Two-Plan Los Angeles LA Care SPD Dual 119.38 124.09 129.06
7/20-12/20 Bridge Period Two-Plan Riverside Molina Healthcare SPD Dual 111.64 115.76 120.11
7/20-12/20 Bridge Period Two-Plan San Bernardino Molina Healthcare SPD Dual 114.29 118.54 123.01
7/20-12/20 Bridge Period Two-Plan San Francisco San Francisco Health Plan SPD Dual 158.51 164.88 171.6
7/20-12/20 Bridge Period Two-Plan Santa Clara Santa Clara Family Health Plan SPD Dual 127.13 132.15 137.44