1/22-12/22 |
2022 |
COHS |
Del Norte |
Partnership Health Plan |
Child |
$91.00 |
$94.65 |
$98.47 |
1/22-12/22 |
2022 |
COHS |
Del Norte |
Partnership Health Plan |
Adult |
$342.79 |
$353.67 |
$364.99 |
1/22-12/22 |
2022 |
COHS |
Del Norte |
Partnership Health Plan |
Adult Expansion |
$415.41 |
$428.17 |
$441.43 |
1/22-12/22 |
2022 |
COHS |
Del Norte |
Partnership Health Plan |
SPD |
$1,100.71 |
$1,131.19 |
$1,162.76 |
1/22-12/22 |
2022 |
COHS |
Del Norte |
Partnership Health Plan |
SPD Dual |
$270.22 |
$276.80 |
$283.63 |
1/22-12/22 |
2022 |
COHS |
Del Norte |
Partnership Health Plan |
LTC |
$8,992.79 |
$9,112.14 |
$9,234.60 |
1/22-12/22 |
2022 |
COHS |
Del Norte |
Partnership Health Plan |
LTC Dual |
$7,661.48 |
$7,749.03 |
$7,838.62 |
1/22-12/22 |
2022 |
COHS |
Del Norte |
Partnership Health Plan |
WCM |
$1,927.40 |
$1,984.15 |
$2,042.92 |
1/22-12/22 |
2022 |
COHS |
Del Norte |
Partnership Health Plan |
Maternity |
$11,833.18 |
$12,167.96 |
$12,513.97 |
1/22-12/22 |
2022 |
COHS |
Del Norte |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,879.40 |
$2,968.35 |
$3,060.45 |
1/22-12/22 |
2022 |
COHS |
Del Norte |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$2,300.51 |
$2,371.58 |
$2,445.17 |
1/22-12/22 |
2022 |
COHS |
Humboldt |
Partnership Health Plan |
Child |
$91.00 |
$94.65 |
$98.47 |
1/22-12/22 |
2022 |
COHS |
Humboldt |
Partnership Health Plan |
Adult |
$342.79 |
$353.67 |
$364.99 |
1/22-12/22 |
2022 |
COHS |
Humboldt |
Partnership Health Plan |
Adult Expansion |
$415.41 |
$428.17 |
$441.43 |
1/22-12/22 |
2022 |
COHS |
Humboldt |
Partnership Health Plan |
SPD |
$1,100.71 |
$1,131.19 |
$1,162.76 |
1/22-12/22 |
2022 |
COHS |
Humboldt |
Partnership Health Plan |
SPD Dual |
$270.22 |
$276.80 |
$283.63 |
1/22-12/22 |
2022 |
COHS |
Humboldt |
Partnership Health Plan |
LTC |
$8,992.79 |
$9,112.14 |
$9,234.60 |
1/22-12/22 |
2022 |
COHS |
Humboldt |
Partnership Health Plan |
LTC Dual |
$7,661.48 |
$7,749.03 |
$7,838.62 |
1/22-12/22 |
2022 |
COHS |
Humboldt |
Partnership Health Plan |
WCM |
$1,927.40 |
$1,984.15 |
$2,042.92 |
1/22-12/22 |
2022 |
COHS |
Humboldt |
Partnership Health Plan |
Maternity |
$11,833.18 |
$12,167.96 |
$12,513.97 |
1/22-12/22 |
2022 |
COHS |
Humboldt |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,879.40 |
$2,968.35 |
$3,060.45 |
1/22-12/22 |
2022 |
COHS |
Humboldt |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$2,300.51 |
$2,371.58 |
$2,445.17 |
1/22-12/22 |
2022 |
COHS |
Lake |
Partnership Health Plan |
Child |
$91.00 |
$94.65 |
$98.47 |
1/22-12/22 |
2022 |
COHS |
Lake |
Partnership Health Plan |
Adult |
$342.79 |
$353.67 |
$364.99 |
1/22-12/22 |
2022 |
COHS |
Lake |
Partnership Health Plan |
Adult Expansion |
$415.41 |
$428.17 |
$441.43 |
1/22-12/22 |
2022 |
COHS |
Lake |
Partnership Health Plan |
SPD |
$1,100.71 |
$1,131.19 |
$1,162.76 |
1/22-12/22 |
2022 |
COHS |
Lake |
Partnership Health Plan |
SPD Dual |
$270.22 |
$276.80 |
$283.63 |
1/22-12/22 |
2022 |
COHS |
Lake |
Partnership Health Plan |
LTC |
$8,992.79 |
$9,112.14 |
$9,234.60 |
1/22-12/22 |
2022 |
COHS |
Lake |
Partnership Health Plan |
LTC Dual |
$7,661.48 |
$7,749.03 |
$7,838.62 |
1/22-12/22 |
2022 |
COHS |
Lake |
Partnership Health Plan |
WCM |
$1,927.40 |
$1,984.15 |
$2,042.92 |
1/22-12/22 |
2022 |
COHS |
Lake |
Partnership Health Plan |
Maternity |
$11,833.18 |
$12,167.96 |
$12,513.97 |
1/22-12/22 |
2022 |
COHS |
Lake |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,879.40 |
$2,968.35 |
$3,060.45 |
1/22-12/22 |
2022 |
COHS |
Lake |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$2,300.51 |
$2,371.58 |
$2,445.17 |
1/22-12/22 |
2022 |
COHS |
Lassen |
Partnership Health Plan |
Child |
$91.00 |
$94.65 |
$98.47 |
1/22-12/22 |
2022 |
COHS |
Lassen |
Partnership Health Plan |
Adult |
$342.79 |
$353.67 |
$364.99 |
1/22-12/22 |
2022 |
COHS |
Lassen |
Partnership Health Plan |
Adult Expansion |
$415.41 |
$428.17 |
$441.43 |
1/22-12/22 |
2022 |
COHS |
Lassen |
Partnership Health Plan |
SPD |
$1,100.71 |
$1,131.19 |
$1,162.76 |
1/22-12/22 |
2022 |
COHS |
Lassen |
Partnership Health Plan |
SPD Dual |
$270.22 |
$276.80 |
$283.63 |
1/22-12/22 |
2022 |
COHS |
Lassen |
Partnership Health Plan |
LTC |
$8,992.79 |
$9,112.14 |
$9,234.60 |
1/22-12/22 |
2022 |
COHS |
Lassen |
Partnership Health Plan |
LTC Dual |
$7,661.48 |
$7,749.03 |
$7,838.62 |
1/22-12/22 |
2022 |
COHS |
Lassen |
Partnership Health Plan |
WCM |
$1,927.40 |
$1,984.15 |
$2,042.92 |
1/22-12/22 |
2022 |
COHS |
Lassen |
Partnership Health Plan |
Maternity |
$11,833.18 |
$12,167.96 |
$12,513.97 |
1/22-12/22 |
2022 |
COHS |
Lassen |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,879.40 |
$2,968.35 |
$3,060.45 |
1/22-12/22 |
2022 |
COHS |
Lassen |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$2,300.51 |
$2,371.58 |
$2,445.17 |
1/22-12/22 |
2022 |
COHS |
Marin |
Partnership Health Plan |
Child |
$91.00 |
$94.65 |
$98.47 |
1/22-12/22 |
2022 |
COHS |
Marin |
Partnership Health Plan |
Adult |
$342.79 |
$353.67 |
$364.99 |
1/22-12/22 |
2022 |
COHS |
Marin |
Partnership Health Plan |
Adult Expansion |
$415.41 |
$428.17 |
$441.43 |
1/22-12/22 |
2022 |
COHS |
Marin |
Partnership Health Plan |
SPD |
$1,100.71 |
$1,131.19 |
$1,162.76 |
1/22-12/22 |
2022 |
COHS |
Marin |
Partnership Health Plan |
SPD Dual |
$270.22 |
$276.80 |
$283.63 |
1/22-12/22 |
2022 |
COHS |
Marin |
Partnership Health Plan |
LTC |
$8,992.79 |
$9,112.14 |
$9,234.60 |
1/22-12/22 |
2022 |
COHS |
Marin |
Partnership Health Plan |
LTC Dual |
$7,661.48 |
$7,749.03 |
$7,838.62 |
1/22-12/22 |
2022 |
COHS |
Marin |
Partnership Health Plan |
WCM |
$1,927.40 |
$1,984.15 |
$2,042.92 |
1/22-12/22 |
2022 |
COHS |
Marin |
Partnership Health Plan |
Maternity |
$11,833.18 |
$12,167.96 |
$12,513.97 |
1/22-12/22 |
2022 |
COHS |
Marin |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,879.40 |
$2,968.35 |
$3,060.45 |
1/22-12/22 |
2022 |
COHS |
Marin |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$2,300.51 |
$2,371.58 |
$2,445.17 |
1/22-12/22 |
2022 |
COHS |
Mendocino |
Partnership Health Plan |
Child |
$91.00 |
$94.65 |
$98.47 |
1/22-12/22 |
2022 |
COHS |
Mendocino |
Partnership Health Plan |
Adult |
$342.79 |
$353.67 |
$364.99 |
1/22-12/22 |
2022 |
COHS |
Mendocino |
Partnership Health Plan |
Adult Expansion |
$415.41 |
$428.17 |
$441.43 |
1/22-12/22 |
2022 |
COHS |
Mendocino |
Partnership Health Plan |
SPD |
$1,100.71 |
$1,131.19 |
$1,162.76 |
1/22-12/22 |
2022 |
COHS |
Mendocino |
Partnership Health Plan |
SPD Dual |
$270.22 |
$276.80 |
$283.63 |
1/22-12/22 |
2022 |
COHS |
Mendocino |
Partnership Health Plan |
LTC |
$8,992.79 |
$9,112.14 |
$9,234.60 |
1/22-12/22 |
2022 |
COHS |
Mendocino |
Partnership Health Plan |
LTC Dual |
$7,661.48 |
$7,749.03 |
$7,838.62 |
1/22-12/22 |
2022 |
COHS |
Mendocino |
Partnership Health Plan |
WCM |
$1,927.40 |
$1,984.15 |
$2,042.92 |
1/22-12/22 |
2022 |
COHS |
Mendocino |
Partnership Health Plan |
Maternity |
$11,833.18 |
$12,167.96 |
$12,513.97 |
1/22-12/22 |
2022 |
COHS |
Mendocino |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,879.40 |
$2,968.35 |
$3,060.45 |
1/22-12/22 |
2022 |
COHS |
Mendocino |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$2,300.51 |
$2,371.58 |
$2,445.17 |
1/22-12/22 |
2022 |
COHS |
Modoc |
Partnership Health Plan |
Child |
$91.00 |
$94.65 |
$98.47 |
1/22-12/22 |
2022 |
COHS |
Modoc |
Partnership Health Plan |
Adult |
$342.79 |
$353.67 |
$364.99 |
1/22-12/22 |
2022 |
COHS |
Modoc |
Partnership Health Plan |
Adult Expansion |
$415.41 |
$428.17 |
$441.43 |
1/22-12/22 |
2022 |
COHS |
Modoc |
Partnership Health Plan |
SPD |
$1,100.71 |
$1,131.19 |
$1,162.76 |
1/22-12/22 |
2022 |
COHS |
Modoc |
Partnership Health Plan |
SPD Dual |
$270.22 |
$276.80 |
$283.63 |
1/22-12/22 |
2022 |
COHS |
Modoc |
Partnership Health Plan |
LTC |
$8,992.79 |
$9,112.14 |
$9,234.60 |
1/22-12/22 |
2022 |
COHS |
Modoc |
Partnership Health Plan |
LTC Dual |
$7,661.48 |
$7,749.03 |
$7,838.62 |
1/22-12/22 |
2022 |
COHS |
Modoc |
Partnership Health Plan |
WCM |
$1,927.40 |
$1,984.15 |
$2,042.92 |
1/22-12/22 |
2022 |
COHS |
Modoc |
Partnership Health Plan |
Maternity |
$11,833.18 |
$12,167.96 |
$12,513.97 |
1/22-12/22 |
2022 |
COHS |
Modoc |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,879.40 |
$2,968.35 |
$3,060.45 |
1/22-12/22 |
2022 |
COHS |
Modoc |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$2,300.51 |
$2,371.58 |
$2,445.17 |
1/22-12/22 |
2022 |
COHS |
Napa |
Partnership Health Plan |
Child |
$91.00 |
$94.65 |
$98.47 |
1/22-12/22 |
2022 |
COHS |
Napa |
Partnership Health Plan |
Adult |
$342.79 |
$353.67 |
$364.99 |
1/22-12/22 |
2022 |
COHS |
Napa |
Partnership Health Plan |
Adult Expansion |
$415.41 |
$428.17 |
$441.43 |
1/22-12/22 |
2022 |
COHS |
Napa |
Partnership Health Plan |
SPD |
$1,100.71 |
$1,131.19 |
$1,162.76 |
1/22-12/22 |
2022 |
COHS |
Napa |
Partnership Health Plan |
SPD Dual |
$270.22 |
$276.80 |
$283.63 |
1/22-12/22 |
2022 |
COHS |
Napa |
Partnership Health Plan |
LTC |
$8,992.79 |
$9,112.14 |
$9,234.60 |
1/22-12/22 |
2022 |
COHS |
Napa |
Partnership Health Plan |
LTC Dual |
$7,661.48 |
$7,749.03 |
$7,838.62 |
1/22-12/22 |
2022 |
COHS |
Napa |
Partnership Health Plan |
WCM |
$1,927.40 |
$1,984.15 |
$2,042.92 |
1/22-12/22 |
2022 |
COHS |
Napa |
Partnership Health Plan |
Maternity |
$11,833.18 |
$12,167.96 |
$12,513.97 |
1/22-12/22 |
2022 |
COHS |
Napa |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,879.40 |
$2,968.35 |
$3,060.45 |
1/22-12/22 |
2022 |
COHS |
Napa |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$2,300.51 |
$2,371.58 |
$2,445.17 |
1/22-12/22 |
2022 |
COHS |
Shasta |
Partnership Health Plan |
Child |
$91.00 |
$94.65 |
$98.47 |
1/22-12/22 |
2022 |
COHS |
Shasta |
Partnership Health Plan |
Adult |
$342.79 |
$353.67 |
$364.99 |
1/22-12/22 |
2022 |
COHS |
Shasta |
Partnership Health Plan |
Adult Expansion |
$415.41 |
$428.17 |
$441.43 |
1/22-12/22 |
2022 |
COHS |
Shasta |
Partnership Health Plan |
SPD |
$1,100.71 |
$1,131.19 |
$1,162.76 |
1/22-12/22 |
2022 |
COHS |
Shasta |
Partnership Health Plan |
SPD Dual |
$270.22 |
$276.80 |
$283.63 |
1/22-12/22 |
2022 |
COHS |
Shasta |
Partnership Health Plan |
LTC |
$8,992.79 |
$9,112.14 |
$9,234.60 |
1/22-12/22 |
2022 |
COHS |
Shasta |
Partnership Health Plan |
LTC Dual |
$7,661.48 |
$7,749.03 |
$7,838.62 |
1/22-12/22 |
2022 |
COHS |
Shasta |
Partnership Health Plan |
WCM |
$1,927.40 |
$1,984.15 |
$2,042.92 |
1/22-12/22 |
2022 |
COHS |
Shasta |
Partnership Health Plan |
Maternity |
$11,833.18 |
$12,167.96 |
$12,513.97 |
1/22-12/22 |
2022 |
COHS |
Shasta |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,879.40 |
$2,968.35 |
$3,060.45 |
1/22-12/22 |
2022 |
COHS |
Shasta |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$2,300.51 |
$2,371.58 |
$2,445.17 |
1/22-12/22 |
2022 |
COHS |
Siskiyou |
Partnership Health Plan |
Child |
$91.00 |
$94.65 |
$98.47 |
1/22-12/22 |
2022 |
COHS |
Siskiyou |
Partnership Health Plan |
Adult |
$342.79 |
$353.67 |
$364.99 |
1/22-12/22 |
2022 |
COHS |
Siskiyou |
Partnership Health Plan |
Adult Expansion |
$415.41 |
$428.17 |
$441.43 |
1/22-12/22 |
2022 |
COHS |
Siskiyou |
Partnership Health Plan |
SPD |
$1,100.71 |
$1,131.19 |
$1,162.76 |
1/22-12/22 |
2022 |
COHS |
Siskiyou |
Partnership Health Plan |
SPD Dual |
$270.22 |
$276.80 |
$283.63 |
1/22-12/22 |
2022 |
COHS |
Siskiyou |
Partnership Health Plan |
LTC |
$8,992.79 |
$9,112.14 |
$9,234.60 |
1/22-12/22 |
2022 |
COHS |
Siskiyou |
Partnership Health Plan |
LTC Dual |
$7,661.48 |
$7,749.03 |
$7,838.62 |
1/22-12/22 |
2022 |
COHS |
Siskiyou |
Partnership Health Plan |
WCM |
$1,927.40 |
$1,984.15 |
$2,042.92 |
1/22-12/22 |
2022 |
COHS |
Siskiyou |
Partnership Health Plan |
Maternity |
$11,833.18 |
$12,167.96 |
$12,513.97 |
1/22-12/22 |
2022 |
COHS |
Siskiyou |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,879.40 |
$2,968.35 |
$3,060.45 |
1/22-12/22 |
2022 |
COHS |
Siskiyou |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$2,300.51 |
$2,371.58 |
$2,445.17 |
1/22-12/22 |
2022 |
COHS |
Solano |
Partnership Health Plan |
Child |
$91.00 |
$94.65 |
$98.47 |
1/22-12/22 |
2022 |
COHS |
Solano |
Partnership Health Plan |
Adult |
$342.79 |
$353.67 |
$364.99 |
1/22-12/22 |
2022 |
COHS |
Solano |
Partnership Health Plan |
Adult Expansion |
$415.41 |
$428.17 |
$441.43 |
1/22-12/22 |
2022 |
COHS |
Solano |
Partnership Health Plan |
SPD |
$1,100.71 |
$1,131.19 |
$1,162.76 |
1/22-12/22 |
2022 |
COHS |
Solano |
Partnership Health Plan |
SPD Dual |
$270.22 |
$276.80 |
$283.63 |
1/22-12/22 |
2022 |
COHS |
Solano |
Partnership Health Plan |
LTC |
$8,992.79 |
$9,112.14 |
$9,234.60 |
1/22-12/22 |
2022 |
COHS |
Solano |
Partnership Health Plan |
LTC Dual |
$7,661.48 |
$7,749.03 |
$7,838.62 |
1/22-12/22 |
2022 |
COHS |
Solano |
Partnership Health Plan |
WCM |
$1,927.40 |
$1,984.15 |
$2,042.92 |
1/22-12/22 |
2022 |
COHS |
Solano |
Partnership Health Plan |
Maternity |
$11,833.18 |
$12,167.96 |
$12,513.97 |
1/22-12/22 |
2022 |
COHS |
Solano |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,879.40 |
$2,968.35 |
$3,060.45 |
1/22-12/22 |
2022 |
COHS |
Solano |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$2,300.51 |
$2,371.58 |
$2,445.17 |
1/22-12/22 |
2022 |
COHS |
Sonoma |
Partnership Health Plan |
Child |
$91.00 |
$94.65 |
$98.47 |
1/22-12/22 |
2022 |
COHS |
Sonoma |
Partnership Health Plan |
Adult |
$342.79 |
$353.67 |
$364.99 |
1/22-12/22 |
2022 |
COHS |
Sonoma |
Partnership Health Plan |
Adult Expansion |
$415.41 |
$428.17 |
$441.43 |
1/22-12/22 |
2022 |
COHS |
Sonoma |
Partnership Health Plan |
SPD |
$1,100.71 |
$1,131.19 |
$1,162.76 |
1/22-12/22 |
2022 |
COHS |
Sonoma |
Partnership Health Plan |
SPD Dual |
$270.22 |
$276.80 |
$283.63 |
1/22-12/22 |
2022 |
COHS |
Sonoma |
Partnership Health Plan |
LTC |
$8,992.79 |
$9,112.14 |
$9,234.60 |
1/22-12/22 |
2022 |
COHS |
Sonoma |
Partnership Health Plan |
LTC Dual |
$7,661.48 |
$7,749.03 |
$7,838.62 |
1/22-12/22 |
2022 |
COHS |
Sonoma |
Partnership Health Plan |
WCM |
$1,927.40 |
$1,984.15 |
$2,042.92 |
1/22-12/22 |
2022 |
COHS |
Sonoma |
Partnership Health Plan |
Maternity |
$11,833.18 |
$12,167.96 |
$12,513.97 |
1/22-12/22 |
2022 |
COHS |
Sonoma |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,879.40 |
$2,968.35 |
$3,060.45 |
1/22-12/22 |
2022 |
COHS |
Sonoma |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$2,300.51 |
$2,371.58 |
$2,445.17 |
1/22-12/22 |
2022 |
COHS |
Trinity |
Partnership Health Plan |
Child |
$91.00 |
$94.65 |
$98.47 |
1/22-12/22 |
2022 |
COHS |
Trinity |
Partnership Health Plan |
Adult |
$342.79 |
$353.67 |
$364.99 |
1/22-12/22 |
2022 |
COHS |
Trinity |
Partnership Health Plan |
Adult Expansion |
$415.41 |
$428.17 |
$441.43 |
1/22-12/22 |
2022 |
COHS |
Trinity |
Partnership Health Plan |
SPD |
$1,100.71 |
$1,131.19 |
$1,162.76 |
1/22-12/22 |
2022 |
COHS |
Trinity |
Partnership Health Plan |
SPD Dual |
$270.22 |
$276.80 |
$283.63 |
1/22-12/22 |
2022 |
COHS |
Trinity |
Partnership Health Plan |
LTC |
$8,992.79 |
$9,112.14 |
$9,234.60 |
1/22-12/22 |
2022 |
COHS |
Trinity |
Partnership Health Plan |
LTC Dual |
$7,661.48 |
$7,749.03 |
$7,838.62 |
1/22-12/22 |
2022 |
COHS |
Trinity |
Partnership Health Plan |
WCM |
$1,927.40 |
$1,984.15 |
$2,042.92 |
1/22-12/22 |
2022 |
COHS |
Trinity |
Partnership Health Plan |
Maternity |
$11,833.18 |
$12,167.96 |
$12,513.97 |
1/22-12/22 |
2022 |
COHS |
Trinity |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,879.40 |
$2,968.35 |
$3,060.45 |
1/22-12/22 |
2022 |
COHS |
Trinity |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$2,300.51 |
$2,371.58 |
$2,445.17 |
1/22-12/22 |
2022 |
COHS |
Yolo |
Partnership Health Plan |
Child |
$91.00 |
$94.65 |
$98.47 |
1/22-12/22 |
2022 |
COHS |
Yolo |
Partnership Health Plan |
Adult |
$342.79 |
$353.67 |
$364.99 |
1/22-12/22 |
2022 |
COHS |
Yolo |
Partnership Health Plan |
Adult Expansion |
$415.41 |
$428.17 |
$441.43 |
1/22-12/22 |
2022 |
COHS |
Yolo |
Partnership Health Plan |
SPD |
$1,100.71 |
$1,131.19 |
$1,162.76 |
1/22-12/22 |
2022 |
COHS |
Yolo |
Partnership Health Plan |
SPD Dual |
$270.22 |
$276.80 |
$283.63 |
1/22-12/22 |
2022 |
COHS |
Yolo |
Partnership Health Plan |
LTC |
$8,992.79 |
$9,112.14 |
$9,234.60 |
1/22-12/22 |
2022 |
COHS |
Yolo |
Partnership Health Plan |
LTC Dual |
$7,661.48 |
$7,749.03 |
$7,838.62 |
1/22-12/22 |
2022 |
COHS |
Yolo |
Partnership Health Plan |
WCM |
$1,927.40 |
$1,984.15 |
$2,042.92 |
1/22-12/22 |
2022 |
COHS |
Yolo |
Partnership Health Plan |
Maternity |
$11,833.18 |
$12,167.96 |
$12,513.97 |
1/22-12/22 |
2022 |
COHS |
Yolo |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,879.40 |
$2,968.35 |
$3,060.45 |
1/22-12/22 |
2022 |
COHS |
Yolo |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$2,300.51 |
$2,371.58 |
$2,445.17 |
1/22-12/22 |
2022 |
COHS |
San Mateo |
Health Plan of San Mateo |
Child |
$90.88 |
$94.42 |
$98.12 |
1/22-12/22 |
2022 |
COHS |
San Mateo |
Health Plan of San Mateo |
Adult |
$311.17 |
$321.11 |
$331.46 |
1/22-12/22 |
2022 |
COHS |
San Mateo |
Health Plan of San Mateo |
Adult Expansion |
$331.71 |
$342.07 |
$352.85 |
1/22-12/22 |
2022 |
COHS |
San Mateo |
Health Plan of San Mateo |
SPD |
$814.45 |
$838.03 |
$862.49 |
1/22-12/22 |
2022 |
COHS |
San Mateo |
Health Plan of San Mateo |
SPD Dual |
$326.73 |
$333.52 |
$340.56 |
1/22-12/22 |
2022 |
COHS |
San Mateo |
Health Plan of San Mateo |
LTC |
$14,940.19 |
$15,130.14 |
$15,324.88 |
1/22-12/22 |
2022 |
COHS |
San Mateo |
Health Plan of San Mateo |
LTC Dual |
$7,743.11 |
$7,830.66 |
$7,920.23 |
1/22-12/22 |
2022 |
COHS |
San Mateo |
Health Plan of San Mateo |
WCM |
$1,990.57 |
$2,047.42 |
$2,106.33 |
1/22-12/22 |
2022 |
COHS |
San Mateo |
Health Plan of San Mateo |
Maternity |
$10,226.00 |
$10,517.41 |
$10,818.70 |
1/22-12/22 |
2022 |
COHS |
San Mateo |
Health Plan of San Mateo |
Behavioral Health Treatment 0-6 |
$2,777.66 |
$2,864.03 |
$2,953.50 |
1/22-12/22 |
2022 |
COHS |
San Mateo |
Health Plan of San Mateo |
Behavioral Health Treatment 7-20 |
$2,070.07 |
$2,134.44 |
$2,201.11 |
1/22-12/22 |
2022 |
COHS |
Ventura |
Gold Coast |
Child |
$84.30 |
$87.67 |
$91.21 |
1/22-12/22 |
2022 |
COHS |
Ventura |
Gold Coast |
Adult |
$294.68 |
$304.22 |
$314.15 |
1/22-12/22 |
2022 |
COHS |
Ventura |
Gold Coast |
Adult Expansion |
$383.54 |
$395.24 |
$407.40 |
1/22-12/22 |
2022 |
COHS |
Ventura |
Gold Coast |
SPD |
$967.05 |
$993.03 |
$1,019.96 |
1/22-12/22 |
2022 |
COHS |
Ventura |
Gold Coast |
SPD Dual |
$274.98 |
$281.67 |
$288.63 |
1/22-12/22 |
2022 |
COHS |
Ventura |
Gold Coast |
LTC |
$12,928.13 |
$13,106.46 |
$13,289.57 |
1/22-12/22 |
2022 |
COHS |
Ventura |
Gold Coast |
LTC Dual |
$8,973.35 |
$9,074.23 |
$9,177.43 |
1/22-12/22 |
2022 |
COHS |
Ventura |
Gold Coast |
Maternity |
$8,902.69 |
$9,156.79 |
$9,419.52 |
1/22-12/22 |
2022 |
COHS |
Ventura |
Gold Coast |
Behavioral Health Treatment 0-6 |
$2,450.90 |
$2,527.23 |
$2,606.30 |
1/22-12/22 |
2022 |
COHS |
Ventura |
Gold Coast |
Behavioral Health Treatment 7-20 |
$1,712.15 |
$1,765.47 |
$1,820.71 |
1/22-12/22 |
2022 |
COHS |
Merced |
Central CA Alliance for Health |
Child |
$81.71 |
$85.02 |
$88.50 |
1/22-12/22 |
2022 |
COHS |
Merced |
Central CA Alliance for Health |
Adult |
$345.14 |
$356.15 |
$367.59 |
1/22-12/22 |
2022 |
COHS |
Merced |
Central CA Alliance for Health |
Adult Expansion |
$361.01 |
$372.23 |
$383.89 |
1/22-12/22 |
2022 |
COHS |
Merced |
Central CA Alliance for Health |
SPD |
$1,081.32 |
$1,111.67 |
$1,143.13 |
1/22-12/22 |
2022 |
COHS |
Merced |
Central CA Alliance for Health |
SPD Dual |
$237.14 |
$243.10 |
$249.30 |
1/22-12/22 |
2022 |
COHS |
Merced |
Central CA Alliance for Health |
LTC |
$10,342.46 |
$10,486.62 |
$10,634.67 |
1/22-12/22 |
2022 |
COHS |
Merced |
Central CA Alliance for Health |
LTC Dual |
$7,399.84 |
$7,484.78 |
$7,571.71 |
1/22-12/22 |
2022 |
COHS |
Merced |
Central CA Alliance for Health |
WCM |
$1,394.80 |
$1,436.20 |
$1,479.12 |
1/22-12/22 |
2022 |
COHS |
Merced |
Central CA Alliance for Health |
Maternity |
$11,472.33 |
$11,799.71 |
$12,138.21 |
1/22-12/22 |
2022 |
COHS |
Merced |
Central CA Alliance for Health |
Behavioral Health Treatment 0-6 |
$3,534.56 |
$3,644.61 |
$3,758.61 |
1/22-12/22 |
2022 |
COHS |
Merced |
Central CA Alliance for Health |
Behavioral Health Treatment 7-20 |
$2,349.84 |
$2,423.00 |
$2,498.79 |
1/22-12/22 |
2022 |
COHS |
Monterey |
Central CA Alliance for Health |
Child |
$81.71 |
$85.02 |
$88.50 |
1/22-12/22 |
2022 |
COHS |
Monterey |
Central CA Alliance for Health |
Adult |
$345.14 |
$356.15 |
$367.59 |
1/22-12/22 |
2022 |
COHS |
Monterey |
Central CA Alliance for Health |
Adult Expansion |
$361.01 |
$372.23 |
$383.89 |
1/22-12/22 |
2022 |
COHS |
Monterey |
Central CA Alliance for Health |
SPD |
$1,081.32 |
$1,111.67 |
$1,143.13 |
1/22-12/22 |
2022 |
COHS |
Monterey |
Central CA Alliance for Health |
SPD Dual |
$237.14 |
$243.10 |
$249.30 |
1/22-12/22 |
2022 |
COHS |
Monterey |
Central CA Alliance for Health |
LTC |
$10,342.46 |
$10,486.62 |
$10,634.67 |
1/22-12/22 |
2022 |
COHS |
Monterey |
Central CA Alliance for Health |
LTC Dual |
$7,399.84 |
$7,484.78 |
$7,571.71 |
1/22-12/22 |
2022 |
COHS |
Monterey |
Central CA Alliance for Health |
WCM |
$1,394.80 |
$1,436.20 |
$1,479.12 |
1/22-12/22 |
2022 |
COHS |
Monterey |
Central CA Alliance for Health |
Maternity |
$11,472.33 |
$11,799.71 |
$12,138.21 |
1/22-12/22 |
2022 |
COHS |
Monterey |
Central CA Alliance for Health |
Behavioral Health Treatment 0-6 |
$3,534.56 |
$3,644.61 |
$3,758.61 |
1/22-12/22 |
2022 |
COHS |
Monterey |
Central CA Alliance for Health |
Behavioral Health Treatment 7-20 |
$2,349.84 |
$2,423.00 |
$2,498.79 |
1/22-12/22 |
2022 |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Child |
$81.71 |
$85.02 |
$88.50 |
1/22-12/22 |
2022 |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Adult |
$345.14 |
$356.15 |
$367.59 |
1/22-12/22 |
2022 |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Adult Expansion |
$361.01 |
$372.23 |
$383.89 |
1/22-12/22 |
2022 |
COHS |
Santa Cruz |
Central CA Alliance for Health |
SPD |
$1,081.32 |
$1,111.67 |
$1,143.13 |
1/22-12/22 |
2022 |
COHS |
Santa Cruz |
Central CA Alliance for Health |
SPD Dual |
$237.14 |
$243.10 |
$249.30 |
1/22-12/22 |
2022 |
COHS |
Santa Cruz |
Central CA Alliance for Health |
LTC |
$10,342.46 |
$10,486.62 |
$10,634.67 |
1/22-12/22 |
2022 |
COHS |
Santa Cruz |
Central CA Alliance for Health |
LTC Dual |
$7,399.84 |
$7,484.78 |
$7,571.71 |
1/22-12/22 |
2022 |
COHS |
Santa Cruz |
Central CA Alliance for Health |
WCM |
$1,394.80 |
$1,436.20 |
$1,479.12 |
1/22-12/22 |
2022 |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Maternity |
$11,472.33 |
$11,799.71 |
$12,138.21 |
1/22-12/22 |
2022 |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Behavioral Health Treatment 0-6 |
$3,534.56 |
$3,644.61 |
$3,758.61 |
1/22-12/22 |
2022 |
COHS |
Santa Cruz |
Central CA Alliance for Health |
Behavioral Health Treatment 7-20 |
$2,349.84 |
$2,423.00 |
$2,498.79 |
1/22-12/22 |
2022 |
COHS |
San Luis Obispo |
CenCal Health |
Child |
$85.34 |
$88.62 |
$92.05 |
1/22-12/22 |
2022 |
COHS |
San Luis Obispo |
CenCal Health |
Adult |
$289.86 |
$299.09 |
$308.68 |
1/22-12/22 |
2022 |
COHS |
San Luis Obispo |
CenCal Health |
Adult Expansion |
$333.89 |
$344.17 |
$354.85 |
1/22-12/22 |
2022 |
COHS |
San Luis Obispo |
CenCal Health |
SPD |
$886.28 |
$910.30 |
$935.18 |
1/22-12/22 |
2022 |
COHS |
San Luis Obispo |
CenCal Health |
SPD Dual |
$250.00 |
$255.91 |
$262.05 |
1/22-12/22 |
2022 |
COHS |
San Luis Obispo |
CenCal Health |
LTC |
$10,261.55 |
$10,394.16 |
$10,530.18 |
1/22-12/22 |
2022 |
COHS |
San Luis Obispo |
CenCal Health |
LTC Dual |
$7,239.08 |
$7,321.99 |
$7,406.85 |
1/22-12/22 |
2022 |
COHS |
San Luis Obispo |
CenCal Health |
WCM |
$1,655.04 |
$1,703.81 |
$1,754.36 |
1/22-12/22 |
2022 |
COHS |
San Luis Obispo |
CenCal Health |
Maternity |
$7,493.44 |
$7,706.70 |
$7,927.16 |
1/22-12/22 |
2022 |
COHS |
San Luis Obispo |
CenCal Health |
Behavioral Health Treatment 0-6 |
$2,492.75 |
$2,570.15 |
$2,650.32 |
1/22-12/22 |
2022 |
COHS |
San Luis Obispo |
CenCal Health |
Behavioral Health Treatment 7-20 |
$1,808.64 |
$1,864.80 |
$1,922.97 |
1/22-12/22 |
2022 |
COHS |
Santa Barbara |
CenCal Health |
Child |
$85.34 |
$88.62 |
$92.05 |
1/22-12/22 |
2022 |
COHS |
Santa Barbara |
CenCal Health |
Adult |
$289.86 |
$299.09 |
$308.68 |
1/22-12/22 |
2022 |
COHS |
Santa Barbara |
CenCal Health |
Adult Expansion |
$333.89 |
$344.17 |
$354.85 |
1/22-12/22 |
2022 |
COHS |
Santa Barbara |
CenCal Health |
SPD |
$886.28 |
$910.30 |
$935.18 |
1/22-12/22 |
2022 |
COHS |
Santa Barbara |
CenCal Health |
SPD Dual |
$250.00 |
$255.91 |
$262.05 |
1/22-12/22 |
2022 |
COHS |
Santa Barbara |
CenCal Health |
LTC |
$10,261.55 |
$10,394.16 |
$10,530.18 |
1/22-12/22 |
2022 |
COHS |
Santa Barbara |
CenCal Health |
LTC Dual |
$7,239.08 |
$7,321.99 |
$7,406.85 |
1/22-12/22 |
2022 |
COHS |
Santa Barbara |
CenCal Health |
WCM |
$1,655.04 |
$1,703.81 |
$1,754.36 |
1/22-12/22 |
2022 |
COHS |
Santa Barbara |
CenCal Health |
Maternity |
$7,493.44 |
$7,706.70 |
$7,927.16 |
1/22-12/22 |
2022 |
COHS |
Santa Barbara |
CenCal Health |
Behavioral Health Treatment 0-6 |
$2,492.75 |
$2,570.15 |
$2,650.32 |
1/22-12/22 |
2022 |
COHS |
Santa Barbara |
CenCal Health |
Behavioral Health Treatment 7-20 |
$1,808.64 |
$1,864.80 |
$1,922.97 |
1/22-12/22 |
2022 |
COHS |
Orange |
CalOptima |
Child |
$82.55 |
$85.73 |
$89.07 |
1/22-12/22 |
2022 |
COHS |
Orange |
CalOptima |
Adult |
$245.78 |
$253.62 |
$261.77 |
1/22-12/22 |
2022 |
COHS |
Orange |
CalOptima |
Adult Expansion |
$336.90 |
$347.15 |
$357.80 |
1/22-12/22 |
2022 |
COHS |
Orange |
CalOptima |
SPD |
$665.32 |
$684.64 |
$704.66 |
1/22-12/22 |
2022 |
COHS |
Orange |
CalOptima |
SPD Dual |
$211.09 |
$216.38 |
$221.89 |
1/22-12/22 |
2022 |
COHS |
Orange |
CalOptima |
LTC |
$11,919.55 |
$12,081.63 |
$12,247.96 |
1/22-12/22 |
2022 |
COHS |
Orange |
CalOptima |
LTC Dual |
$7,762.15 |
$7,849.29 |
$7,938.42 |
1/22-12/22 |
2022 |
COHS |
Orange |
CalOptima |
WCM |
$1,716.87 |
$1,765.12 |
$1,815.06 |
1/22-12/22 |
2022 |
COHS |
Orange |
CalOptima |
Maternity |
$7,396.27 |
$7,605.51 |
$7,821.75 |
1/22-12/22 |
2022 |
COHS |
Orange |
CalOptima |
Behavioral Health Treatment 0-6 |
$2,347.43 |
$2,419.94 |
$2,495.02 |
1/22-12/22 |
2022 |
COHS |
Orange |
CalOptima |
Behavioral Health Treatment 7-20 |
$1,776.56 |
$1,831.43 |
$1,888.25 |