| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'AltaMed Health Services Corporation' |
'Full-Dual - UIS Federally Eligible' |
' $186.38 ' |
' $195.67 ' |
' $205.77 ' |
' $276.05 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'AltaMed Health Services Corporation' |
'Non-Dual - UIS Federally Eligible' |
' $1,349.03 ' |
' $1,418.19 ' |
' $1,493.40 ' |
' $2,094.46 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'AltaMed Health Services Corporation' |
'Full-Dual - UIS State-Only' |
' $4,473.10 ' |
' $4,696.10 ' |
' $4,938.53 ' |
' $6,578.22 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'AltaMed Health Services Corporation' |
'Non-Dual - UIS State-Only' |
' $5,074.92 ' |
' $5,335.10 ' |
' $5,618.02 ' |
' $7,831.06 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'AltaMed Health Services Corporation' |
'Full-Dual - SIS' |
' $4,051.72 ' |
' $4,253.71 ' |
' $4,473.30 ' |
' $5,966.44 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'AltaMed Health Services Corporation' |
'Non-Dual - SIS' |
' $5,839.95 ' |
' $6,139.35 ' |
' $6,464.92 ' |
' $9,038.59 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Orange' |
'AltaMed Health Services Corporation' |
'Full-Dual - UIS Federally Eligible' |
' $180.17 ' |
' $189.15 ' |
' $198.92 ' |
' $263.69 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Orange' |
'AltaMed Health Services Corporation' |
'Non-Dual - UIS Federally Eligible' |
' $1,486.36 ' |
' $1,562.41 ' |
' $1,645.11 ' |
' $2,416.20 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Orange' |
'AltaMed Health Services Corporation' |
'Full-Dual - UIS State-Only' |
' $4,324.00 ' |
' $4,539.62 ' |
' $4,774.02 ' |
' $6,278.99 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Orange' |
'AltaMed Health Services Corporation' |
'Non-Dual - UIS State-Only' |
' $5,591.55 ' |
' $5,877.65 ' |
' $6,188.77 ' |
' $9,046.62 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Orange' |
'AltaMed Health Services Corporation' |
'Full-Dual - SIS' |
' $3,916.67 ' |
' $4,111.97 ' |
' $4,324.29 ' |
' $5,696.20 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Orange' |
'AltaMed Health Services Corporation' |
'Non-Dual - SIS' |
' $6,434.46 ' |
' $6,763.70 ' |
' $7,121.71 ' |
' $10,434.02 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'Brandman Centers for Senior Care, Inc.' |
'Full-Dual - UIS Federally Eligible' |
' $197.52 ' |
' $207.53 ' |
' $218.41 ' |
' $276.05 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'Brandman Centers for Senior Care, Inc.' |
'Non-Dual - UIS Federally Eligible' |
' $1,544.82 ' |
' $1,625.46 ' |
' $1,713.15 ' |
' $2,094.46 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'Brandman Centers for Senior Care, Inc.' |
'Full-Dual - UIS State-Only' |
' $4,740.42 ' |
' $4,980.64 ' |
' $5,241.81 ' |
' $6,578.22 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'Brandman Centers for Senior Care, Inc.' |
'Non-Dual - UIS State-Only' |
' $5,811.46 ' |
' $6,114.81 ' |
' $6,444.72 ' |
' $7,831.06 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'Brandman Centers for Senior Care, Inc.' |
'Full-Dual - SIS' |
' $4,293.86 ' |
' $4,511.45 ' |
' $4,748.02 ' |
' $5,966.44 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'Brandman Centers for Senior Care, Inc.' |
'Non-Dual - SIS' |
' $6,687.53 ' |
' $7,036.60 ' |
' $7,416.25 ' |
' $9,038.59 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Orange' |
'Orange County Health Authority' |
'Full-Dual - UIS Federally Eligible' |
' $168.13 ' |
' $176.52 ' |
' $185.63 ' |
' $263.69 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Orange' |
'Orange County Health Authority' |
'Non-Dual - UIS Federally Eligible' |
' $1,581.54 ' |
' $1,662.32 ' |
' $1,750.16 ' |
' $2,416.20 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Orange' |
'Orange County Health Authority' |
'Full-Dual - UIS State-Only' |
' $4,035.12 ' |
' $4,236.39 ' |
' $4,455.19 ' |
' $6,278.99 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Orange' |
'Orange County Health Authority' |
'Non-Dual - UIS State-Only' |
' $5,949.59 ' |
' $6,253.49 ' |
' $6,583.95 ' |
' $9,046.62 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Orange' |
'Orange County Health Authority' |
'Full-Dual - SIS' |
' $3,655.00 ' |
' $3,837.31 ' |
' $4,035.50 ' |
' $5,696.20 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Orange' |
'Orange County Health Authority' |
'Non-Dual - SIS' |
' $6,846.48 ' |
' $7,196.19 ' |
' $7,576.47 ' |
' $10,434.02 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Alameda' |
'Coalition Center for Elders Independence' |
'Full-Dual - UIS Federally Eligible' |
' $262.98 ' |
' $276.76 ' |
' $291.75 ' |
' $322.45 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Alameda' |
'Coalition Center for Elders Independence' |
'Non-Dual - UIS Federally Eligible' |
' $1,711.15 ' |
' $1,802.02 ' |
' $1,900.86 ' |
' $2,469.86 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Alameda' |
'Coalition Center for Elders Independence' |
'Full-Dual - UIS State-Only' |
' $6,311.42 ' |
' $6,642.23 ' |
' $7,002.00 ' |
' $7,708.08 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Alameda' |
'Coalition Center for Elders Independence' |
'Non-Dual - UIS State-Only' |
' $6,437.18 ' |
' $6,779.03 ' |
' $7,150.86 ' |
' $9,246.46 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Alameda' |
'Coalition Center for Elders Independence' |
'Full-Dual - SIS' |
' $5,716.87 ' |
' $6,016.51 ' |
' $6,342.39 ' |
' $6,984.29 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Alameda' |
'Coalition Center for Elders Independence' |
'Non-Dual - SIS' |
' $7,407.57 ' |
' $7,800.95 ' |
' $8,228.84 ' |
' $10,663.37 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Contra Costa' |
'Coalition Center for Elders Independence' |
'Full-Dual - UIS Federally Eligible' |
' $265.39 ' |
' $279.30 ' |
' $294.42 ' |
' $288.27 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Contra Costa' |
'Coalition Center for Elders Independence' |
'Non-Dual - UIS Federally Eligible' |
' $1,685.79 ' |
' $1,775.44 ' |
' $1,872.94 ' |
' $2,461.97 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Contra Costa' |
'Coalition Center for Elders Independence' |
'Full-Dual - UIS State-Only' |
' $6,369.48 ' |
' $6,703.14 ' |
' $7,066.00 ' |
' $6,855.80 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Contra Costa' |
'Coalition Center for Elders Independence' |
'Non-Dual - UIS State-Only' |
' $6,341.80 ' |
' $6,679.02 ' |
' $7,045.83 ' |
' $9,207.70 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Contra Costa' |
'Coalition Center for Elders Independence' |
'Full-Dual - SIS' |
' $5,769.46 ' |
' $6,071.68 ' |
' $6,400.36 ' |
' $6,222.89 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Contra Costa' |
'Coalition Center for Elders Independence' |
'Non-Dual - SIS' |
' $7,297.81 ' |
' $7,685.87 ' |
' $8,107.97 ' |
' $10,652.60 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Joaquin' |
'Golden Valley Health Centers' |
'Full-Dual - UIS Federally Eligible' |
' $239.06 ' |
' $251.15 ' |
' $264.30 ' |
' $265.89 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Joaquin' |
'Golden Valley Health Centers' |
'Non-Dual - UIS Federally Eligible' |
' $1,701.12 ' |
' $1,789.94 ' |
' $1,886.54 ' |
' $2,401.03 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Joaquin' |
'Golden Valley Health Centers' |
'Full-Dual - UIS State-Only' |
' $5,737.45 ' |
' $6,027.69 ' |
' $6,343.26 ' |
' $6,352.48 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Joaquin' |
'Golden Valley Health Centers' |
'Non-Dual - UIS State-Only' |
' $6,399.43 ' |
' $6,733.58 ' |
' $7,096.98 ' |
' $8,995.40 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Joaquin' |
'Golden Valley Health Centers' |
'Full-Dual - SIS' |
' $5,196.97 ' |
' $5,459.87 ' |
' $5,745.71 ' |
' $5,754.54 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Joaquin' |
'Golden Valley Health Centers' |
'Non-Dual - SIS' |
' $7,364.14 ' |
' $7,748.65 ' |
' $8,166.84 ' |
' $10,366.75 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Stanislaus' |
'Golden Valley Health Centers' |
'Full-Dual - UIS Federally Eligible' |
' $239.06 ' |
' $251.15 ' |
' $264.30 ' |
' $265.89 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Stanislaus' |
'Golden Valley Health Centers' |
'Non-Dual - UIS Federally Eligible' |
' $1,701.12 ' |
' $1,789.94 ' |
' $1,886.54 ' |
' $2,401.03 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Stanislaus' |
'Golden Valley Health Centers' |
'Full-Dual - UIS State-Only' |
' $5,737.45 ' |
' $6,027.69 ' |
' $6,343.26 ' |
' $6,352.48 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Stanislaus' |
'Golden Valley Health Centers' |
'Non-Dual - UIS State-Only' |
' $6,399.43 ' |
' $6,733.58 ' |
' $7,096.98 ' |
' $8,995.40 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Stanislaus' |
'Golden Valley Health Centers' |
'Full-Dual - SIS' |
' $5,196.97 ' |
' $5,459.87 ' |
' $5,745.71 ' |
' $5,754.54 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Stanislaus' |
'Golden Valley Health Centers' |
'Non-Dual - SIS' |
' $7,364.14 ' |
' $7,748.65 ' |
' $8,166.84 ' |
' $10,366.75 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'ConcertoHealth PACE of Los Angeles, LLC' |
'Full-Dual - UIS Federally Eligible' |
' $235.58 ' |
' $247.56 ' |
' $260.59 ' |
' $276.05 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'ConcertoHealth PACE of Los Angeles, LLC' |
'Non-Dual - UIS Federally Eligible' |
' $1,764.65 ' |
' $1,856.93 ' |
' $1,957.30 ' |
' $2,094.46 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'ConcertoHealth PACE of Los Angeles, LLC' |
'Full-Dual - UIS State-Only' |
' $5,654.00 ' |
' $5,941.50 ' |
' $6,254.11 ' |
' $6,578.22 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'ConcertoHealth PACE of Los Angeles, LLC' |
'Non-Dual - UIS State-Only' |
' $6,638.44 ' |
' $6,985.60 ' |
' $7,363.17 ' |
' $7,831.06 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'ConcertoHealth PACE of Los Angeles, LLC' |
'Full-Dual - SIS' |
' $5,121.37 ' |
' $5,381.80 ' |
' $5,664.95 ' |
' $5,966.44 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'ConcertoHealth PACE of Los Angeles, LLC' |
'Non-Dual - SIS' |
' $7,639.17 ' |
' $8,038.66 ' |
' $8,473.15 ' |
' $9,038.59 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Family Health Centers of San Diego, Inc' |
'Full-Dual - UIS Federally Eligible' |
' $198.94 ' |
' $208.95 ' |
' $219.84 ' |
' $267.66 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Family Health Centers of San Diego, Inc' |
'Non-Dual - UIS Federally Eligible' |
' $1,602.03 ' |
' $1,685.46 ' |
' $1,776.19 ' |
' $2,346.26 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Family Health Centers of San Diego, Inc' |
'Full-Dual - UIS State-Only' |
' $4,774.51 ' |
' $5,014.86 ' |
' $5,276.16 ' |
' $6,381.58 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Family Health Centers of San Diego, Inc' |
'Non-Dual - UIS State-Only' |
' $6,026.68 ' |
' $6,340.54 ' |
' $6,681.87 ' |
' $8,785.43 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Family Health Centers of San Diego, Inc' |
'Full-Dual - SIS' |
' $4,324.74 ' |
' $4,542.44 ' |
' $4,779.13 ' |
' $5,783.42 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Family Health Centers of San Diego, Inc' |
'Non-Dual - SIS' |
' $6,935.19 ' |
' $7,296.36 ' |
' $7,689.15 ' |
' $10,131.29 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Gary & Mary West Senior Services, Inc.' |
'Full-Dual - UIS Federally Eligible' |
' $206.12 ' |
' $216.50 ' |
' $227.78 ' |
' $267.66 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Gary & Mary West Senior Services, Inc.' |
'Non-Dual - UIS Federally Eligible' |
' $1,757.18 ' |
' $1,848.68 ' |
' $1,948.20 ' |
' $2,346.26 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Gary & Mary West Senior Services, Inc.' |
'Full-Dual - UIS State-Only' |
' $4,946.98 ' |
' $5,195.99 ' |
' $5,466.72 ' |
' $6,381.58 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Gary & Mary West Senior Services, Inc.' |
'Non-Dual - UIS State-Only' |
' $6,610.35 ' |
' $6,954.57 ' |
' $7,328.94 ' |
' $8,785.43 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Gary & Mary West Senior Services, Inc.' |
'Full-Dual - SIS' |
' $4,480.96 ' |
' $4,706.51 ' |
' $4,951.74 ' |
' $5,783.42 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Gary & Mary West Senior Services, Inc.' |
'Non-Dual - SIS' |
' $7,606.84 ' |
' $8,002.96 ' |
' $8,433.76 ' |
' $10,131.29 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Fresno' |
'Innovative Integrated Health, Inc. ' |
'Full-Dual - UIS Federally Eligible' |
' $169.71 ' |
' $178.05 ' |
' $187.11 ' |
' $233.28 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Fresno' |
'Innovative Integrated Health, Inc. ' |
'Non-Dual - UIS Federally Eligible' |
' $1,254.00 ' |
' $1,317.63 ' |
' $1,386.82 ' |
' $2,113.30 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Fresno' |
'Innovative Integrated Health, Inc. ' |
'Full-Dual - UIS State-Only' |
' $4,073.09 ' |
' $4,273.17 ' |
' $4,490.66 ' |
' $5,504.70 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Fresno' |
'Innovative Integrated Health, Inc. ' |
'Non-Dual - UIS State-Only' |
' $4,717.41 ' |
' $4,956.79 ' |
' $5,217.08 ' |
' $7,905.84 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Fresno' |
'Innovative Integrated Health, Inc. ' |
'Full-Dual - SIS' |
' $3,689.39 ' |
' $3,870.62 ' |
' $4,067.63 ' |
' $4,989.43 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Fresno' |
'Innovative Integrated Health, Inc. ' |
'Non-Dual - SIS' |
' $5,428.55 ' |
' $5,704.02 ' |
' $6,003.55 ' |
' $9,123.15 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Orange' |
'Innovative Integrated Health, Inc. ' |
'Full-Dual - UIS Federally Eligible' |
' $185.91 ' |
' $195.26 ' |
' $205.43 ' |
' $263.69 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Orange' |
'Innovative Integrated Health, Inc. ' |
'Non-Dual - UIS Federally Eligible' |
' $1,587.32 ' |
' $1,669.29 ' |
' $1,758.43 ' |
' $2,416.20 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Orange' |
'Innovative Integrated Health, Inc. ' |
'Full-Dual - UIS State-Only' |
' $4,461.84 ' |
' $4,686.33 ' |
' $4,930.40 ' |
' $6,278.99 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Orange' |
'Innovative Integrated Health, Inc. ' |
'Non-Dual - UIS State-Only' |
' $5,971.33 ' |
' $6,279.69 ' |
' $6,615.03 ' |
' $9,046.62 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Orange' |
'Innovative Integrated Health, Inc. ' |
'Full-Dual - SIS' |
' $4,041.52 ' |
' $4,244.87 ' |
' $4,465.94 ' |
' $5,696.20 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Orange' |
'Innovative Integrated Health, Inc. ' |
'Non-Dual - SIS' |
' $6,871.49 ' |
' $7,226.34 ' |
' $7,612.23 ' |
' $10,434.02 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'Innovative Integrated Health, Inc. ' |
'Full-Dual - UIS Federally Eligible' |
' $206.83 ' |
' $217.13 ' |
' $228.33 ' |
' $233.15 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'Innovative Integrated Health, Inc. ' |
'Non-Dual - UIS Federally Eligible' |
' $1,456.57 ' |
' $1,531.93 ' |
' $1,613.89 ' |
' $2,225.37 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'Innovative Integrated Health, Inc. ' |
'Full-Dual - UIS State-Only' |
' $4,964.04 ' |
' $5,211.21 ' |
' $5,479.92 ' |
' $5,542.99 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'Innovative Integrated Health, Inc. ' |
'Non-Dual - UIS State-Only' |
' $5,479.47 ' |
' $5,762.98 ' |
' $6,071.30 ' |
' $8,327.85 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'Innovative Integrated Health, Inc. ' |
'Full-Dual - SIS' |
' $4,496.41 ' |
' $4,720.30 ' |
' $4,963.70 ' |
' $5,022.62 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'Innovative Integrated Health, Inc. ' |
'Non-Dual - SIS' |
' $6,305.48 ' |
' $6,631.74 ' |
' $6,986.54 ' |
' $9,603.73 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kern' |
'Innovative Integrated Health, Inc. ' |
'Full-Dual - UIS Federally Eligible' |
' $206.83 ' |
' $217.13 ' |
' $228.33 ' |
' $233.15 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kern' |
'Innovative Integrated Health, Inc. ' |
'Non-Dual - UIS Federally Eligible' |
' $1,456.57 ' |
' $1,531.93 ' |
' $1,613.89 ' |
' $2,225.37 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kern' |
'Innovative Integrated Health, Inc. ' |
'Full-Dual - UIS State-Only' |
' $4,964.04 ' |
' $5,211.21 ' |
' $5,479.92 ' |
' $5,542.99 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kern' |
'Innovative Integrated Health, Inc. ' |
'Non-Dual - UIS State-Only' |
' $5,479.47 ' |
' $5,762.98 ' |
' $6,071.30 ' |
' $8,327.85 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kern' |
'Innovative Integrated Health, Inc. ' |
'Full-Dual - SIS' |
' $4,496.41 ' |
' $4,720.30 ' |
' $4,963.70 ' |
' $5,022.62 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kern' |
'Innovative Integrated Health, Inc. ' |
'Non-Dual - SIS' |
' $6,305.48 ' |
' $6,631.74 ' |
' $6,986.54 ' |
' $9,603.73 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sacramento' |
'InnovAge California PACE-Sacramento, LLC' |
'Full-Dual - UIS Federally Eligible' |
' $232.79 ' |
' $244.57 ' |
' $257.38 ' |
' $258.18 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sacramento' |
'InnovAge California PACE-Sacramento, LLC' |
'Non-Dual - UIS Federally Eligible' |
' $1,702.07 ' |
' $1,791.39 ' |
' $1,888.54 ' |
' $2,209.84 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sacramento' |
'InnovAge California PACE-Sacramento, LLC' |
'Full-Dual - UIS State-Only' |
' $5,586.99 ' |
' $5,869.69 ' |
' $6,177.04 ' |
' $6,143.93 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sacramento' |
'InnovAge California PACE-Sacramento, LLC' |
'Non-Dual - UIS State-Only' |
' $6,403.03 ' |
' $6,739.05 ' |
' $7,104.50 ' |
' $8,266.80 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sacramento' |
'InnovAge California PACE-Sacramento, LLC' |
'Full-Dual - SIS' |
' $5,060.68 ' |
' $5,316.75 ' |
' $5,595.15 ' |
' $5,571.50 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sacramento' |
'InnovAge California PACE-Sacramento, LLC' |
'Non-Dual - SIS' |
' $7,368.27 ' |
' $7,754.95 ' |
' $8,175.49 ' |
' $9,543.80 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Joaquin' |
'InnovAge California PACE-Sacramento, LLC' |
'Full-Dual - UIS Federally Eligible' |
' $232.79 ' |
' $244.57 ' |
' $257.38 ' |
' $258.18 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Joaquin' |
'InnovAge California PACE-Sacramento, LLC' |
'Non-Dual - UIS Federally Eligible' |
' $1,702.07 ' |
' $1,791.39 ' |
' $1,888.54 ' |
' $2,209.84 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Joaquin' |
'InnovAge California PACE-Sacramento, LLC' |
'Full-Dual - UIS State-Only' |
' $5,586.99 ' |
' $5,869.69 ' |
' $6,177.04 ' |
' $6,143.93 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Joaquin' |
'InnovAge California PACE-Sacramento, LLC' |
'Non-Dual - UIS State-Only' |
' $6,403.03 ' |
' $6,739.05 ' |
' $7,104.50 ' |
' $8,266.80 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Joaquin' |
'InnovAge California PACE-Sacramento, LLC' |
'Full-Dual - SIS' |
' $5,060.68 ' |
' $5,316.75 ' |
' $5,595.15 ' |
' $5,571.50 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Joaquin' |
'InnovAge California PACE-Sacramento, LLC' |
'Non-Dual - SIS' |
' $7,368.27 ' |
' $7,754.95 ' |
' $8,175.49 ' |
' $9,543.80 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sutter' |
'InnovAge California PACE-Sacramento, LLC' |
'Full-Dual - UIS Federally Eligible' |
' $232.79 ' |
' $244.57 ' |
' $257.38 ' |
' $258.18 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sutter' |
'InnovAge California PACE-Sacramento, LLC' |
'Non-Dual - UIS Federally Eligible' |
' $1,702.07 ' |
' $1,791.39 ' |
' $1,888.54 ' |
' $2,209.84 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sutter' |
'InnovAge California PACE-Sacramento, LLC' |
'Full-Dual - UIS State-Only' |
' $5,586.99 ' |
' $5,869.69 ' |
' $6,177.04 ' |
' $6,143.93 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sutter' |
'InnovAge California PACE-Sacramento, LLC' |
'Non-Dual - UIS State-Only' |
' $6,403.03 ' |
' $6,739.05 ' |
' $7,104.50 ' |
' $8,266.80 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sutter' |
'InnovAge California PACE-Sacramento, LLC' |
'Full-Dual - SIS' |
' $5,060.68 ' |
' $5,316.75 ' |
' $5,595.15 ' |
' $5,571.50 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sutter' |
'InnovAge California PACE-Sacramento, LLC' |
'Non-Dual - SIS' |
' $7,368.27 ' |
' $7,754.95 ' |
' $8,175.49 ' |
' $9,543.80 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Placer' |
'InnovAge California PACE-Sacramento, LLC' |
'Full-Dual - UIS Federally Eligible' |
' $232.79 ' |
' $244.57 ' |
' $257.38 ' |
' $258.18 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Placer' |
'InnovAge California PACE-Sacramento, LLC' |
'Non-Dual - UIS Federally Eligible' |
' $1,702.07 ' |
' $1,791.39 ' |
' $1,888.54 ' |
' $2,209.84 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Placer' |
'InnovAge California PACE-Sacramento, LLC' |
'Full-Dual - UIS State-Only' |
' $5,586.99 ' |
' $5,869.69 ' |
' $6,177.04 ' |
' $6,143.93 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Placer' |
'InnovAge California PACE-Sacramento, LLC' |
'Non-Dual - UIS State-Only' |
' $6,403.03 ' |
' $6,739.05 ' |
' $7,104.50 ' |
' $8,266.80 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Placer' |
'InnovAge California PACE-Sacramento, LLC' |
'Full-Dual - SIS' |
' $5,060.68 ' |
' $5,316.75 ' |
' $5,595.15 ' |
' $5,571.50 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Placer' |
'InnovAge California PACE-Sacramento, LLC' |
'Non-Dual - SIS' |
' $7,368.27 ' |
' $7,754.95 ' |
' $8,175.49 ' |
' $9,543.80 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Yuba' |
'InnovAge California PACE-Sacramento, LLC' |
'Full-Dual - UIS Federally Eligible' |
' $232.79 ' |
' $244.57 ' |
' $257.38 ' |
' $258.18 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Yuba' |
'InnovAge California PACE-Sacramento, LLC' |
'Non-Dual - UIS Federally Eligible' |
' $1,702.07 ' |
' $1,791.39 ' |
' $1,888.54 ' |
' $2,209.84 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Yuba' |
'InnovAge California PACE-Sacramento, LLC' |
'Full-Dual - UIS State-Only' |
' $5,586.99 ' |
' $5,869.69 ' |
' $6,177.04 ' |
' $6,143.93 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Yuba' |
'InnovAge California PACE-Sacramento, LLC' |
'Non-Dual - UIS State-Only' |
' $6,403.03 ' |
' $6,739.05 ' |
' $7,104.50 ' |
' $8,266.80 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Yuba' |
'InnovAge California PACE-Sacramento, LLC' |
'Full-Dual - SIS' |
' $5,060.68 ' |
' $5,316.75 ' |
' $5,595.15 ' |
' $5,571.50 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Yuba' |
'InnovAge California PACE-Sacramento, LLC' |
'Non-Dual - SIS' |
' $7,368.27 ' |
' $7,754.95 ' |
' $8,175.49 ' |
' $9,543.80 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'El Dorado' |
'InnovAge California PACE-Sacramento, LLC' |
'Full-Dual - UIS Federally Eligible' |
' $232.79 ' |
' $244.57 ' |
' $257.38 ' |
' $258.18 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'El Dorado' |
'InnovAge California PACE-Sacramento, LLC' |
'Non-Dual - UIS Federally Eligible' |
' $1,702.07 ' |
' $1,791.39 ' |
' $1,888.54 ' |
' $2,209.84 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'El Dorado' |
'InnovAge California PACE-Sacramento, LLC' |
'Full-Dual - UIS State-Only' |
' $5,586.99 ' |
' $5,869.69 ' |
' $6,177.04 ' |
' $6,143.93 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'El Dorado' |
'InnovAge California PACE-Sacramento, LLC' |
'Non-Dual - UIS State-Only' |
' $6,403.03 ' |
' $6,739.05 ' |
' $7,104.50 ' |
' $8,266.80 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'El Dorado' |
'InnovAge California PACE-Sacramento, LLC' |
'Full-Dual - SIS' |
' $5,060.68 ' |
' $5,316.75 ' |
' $5,595.15 ' |
' $5,571.50 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'El Dorado' |
'InnovAge California PACE-Sacramento, LLC' |
'Non-Dual - SIS' |
' $7,368.27 ' |
' $7,754.95 ' |
' $8,175.49 ' |
' $9,543.80 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Total Longterm Care, Inc.' |
'Full-Dual - UIS Federally Eligible' |
' $181.69 ' |
' $191.16 ' |
' $201.47 ' |
' $228.64 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Total Longterm Care, Inc.' |
'Non-Dual - UIS Federally Eligible' |
' $1,594.45 ' |
' $1,679.03 ' |
' $1,771.02 ' |
' $2,364.50 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Total Longterm Care, Inc.' |
'Full-Dual - UIS State-Only' |
' $4,360.52 ' |
' $4,587.94 ' |
' $4,835.23 ' |
' $5,450.32 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Total Longterm Care, Inc.' |
'Non-Dual - UIS State-Only' |
' $5,998.18 ' |
' $6,316.36 ' |
' $6,662.42 ' |
' $8,858.27 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Total Longterm Care, Inc.' |
'Full-Dual - SIS' |
' $3,949.74 ' |
' $4,155.74 ' |
' $4,379.74 ' |
' $4,938.63 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Total Longterm Care, Inc.' |
'Non-Dual - SIS' |
' $6,902.39 ' |
' $7,268.54 ' |
' $7,666.77 ' |
' $10,209.13 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Total Longterm Care, Inc.' |
'Full-Dual - UIS Federally Eligible' |
' $181.69 ' |
' $191.16 ' |
' $201.47 ' |
' $228.64 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Total Longterm Care, Inc.' |
'Non-Dual - UIS Federally Eligible' |
' $1,594.45 ' |
' $1,679.03 ' |
' $1,771.02 ' |
' $2,364.50 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Total Longterm Care, Inc.' |
'Full-Dual - UIS State-Only' |
' $4,360.52 ' |
' $4,587.94 ' |
' $4,835.23 ' |
' $5,450.32 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Total Longterm Care, Inc.' |
'Non-Dual - UIS State-Only' |
' $5,998.18 ' |
' $6,316.36 ' |
' $6,662.42 ' |
' $8,858.27 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Total Longterm Care, Inc.' |
'Full-Dual - SIS' |
' $3,949.74 ' |
' $4,155.74 ' |
' $4,379.74 ' |
' $4,938.63 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Total Longterm Care, Inc.' |
'Non-Dual - SIS' |
' $6,902.39 ' |
' $7,268.54 ' |
' $7,666.77 ' |
' $10,209.13 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Neighborhood Healthcare PACE' |
'Full-Dual - UIS Federally Eligible' |
' $178.03 ' |
' $187.26 ' |
' $197.30 ' |
' $228.64 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Neighborhood Healthcare PACE' |
'Non-Dual - UIS Federally Eligible' |
' $1,602.61 ' |
' $1,687.33 ' |
' $1,779.47 ' |
' $2,364.50 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Neighborhood Healthcare PACE' |
'Full-Dual - UIS State-Only' |
' $4,272.71 ' |
' $4,494.24 ' |
' $4,735.11 ' |
' $5,450.32 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Neighborhood Healthcare PACE' |
'Non-Dual - UIS State-Only' |
' $6,028.86 ' |
' $6,347.56 ' |
' $6,694.19 ' |
' $8,858.27 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Neighborhood Healthcare PACE' |
'Full-Dual - SIS' |
' $3,870.21 ' |
' $4,070.87 ' |
' $4,289.05 ' |
' $4,938.63 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Neighborhood Healthcare PACE' |
'Non-Dual - SIS' |
' $6,937.70 ' |
' $7,304.45 ' |
' $7,703.32 ' |
' $10,209.13 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Neighborhood Healthcare PACE' |
'Full-Dual - UIS Federally Eligible' |
' $178.03 ' |
' $187.26 ' |
' $197.30 ' |
' $228.64 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Neighborhood Healthcare PACE' |
'Non-Dual - UIS Federally Eligible' |
' $1,602.61 ' |
' $1,687.33 ' |
' $1,779.47 ' |
' $2,364.50 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Neighborhood Healthcare PACE' |
'Full-Dual - UIS State-Only' |
' $4,272.71 ' |
' $4,494.24 ' |
' $4,735.11 ' |
' $5,450.32 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Neighborhood Healthcare PACE' |
'Non-Dual - UIS State-Only' |
' $6,028.86 ' |
' $6,347.56 ' |
' $6,694.19 ' |
' $8,858.27 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Neighborhood Healthcare PACE' |
'Full-Dual - SIS' |
' $3,870.21 ' |
' $4,070.87 ' |
' $4,289.05 ' |
' $4,938.63 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Neighborhood Healthcare PACE' |
'Non-Dual - SIS' |
' $6,937.70 ' |
' $7,304.45 ' |
' $7,703.32 ' |
' $10,209.13 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Francisco' |
'North East Medical Services' |
'Full-Dual - UIS Federally Eligible' |
' $381.81 ' |
' $400.37 ' |
' $420.55 ' |
' $406.35 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Francisco' |
'North East Medical Services' |
'Non-Dual - UIS Federally Eligible' |
' $1,990.01 ' |
' $2,091.93 ' |
' $2,202.75 ' |
' $3,197.51 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Francisco' |
'North East Medical Services' |
'Full-Dual - UIS State-Only' |
' $9,163.34 ' |
' $9,608.87 ' |
' $10,093.13 ' |
' $9,696.26 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Francisco' |
'North East Medical Services' |
'Non-Dual - UIS State-Only' |
' $7,486.23 ' |
' $7,869.63 ' |
' $8,286.54 ' |
' $11,972.02 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Francisco' |
'North East Medical Services' |
'Full-Dual - SIS' |
' $8,300.13 ' |
' $8,703.69 ' |
' $9,142.33 ' |
' $8,798.08 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Francisco' |
'North East Medical Services' |
'Non-Dual - SIS' |
' $8,614.76 ' |
' $9,055.96 ' |
' $9,535.72 ' |
' $13,827.22 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Alameda' |
'OnLok Senior Health Services' |
'Full-Dual - UIS Federally Eligible' |
' $318.01 ' |
' $333.92 ' |
' $351.22 ' |
' $322.45 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Alameda' |
'OnLok Senior Health Services' |
'Non-Dual - UIS Federally Eligible' |
' $1,598.17 ' |
' $1,681.59 ' |
' $1,772.32 ' |
' $2,469.86 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Alameda' |
'OnLok Senior Health Services' |
'Full-Dual - UIS State-Only' |
' $7,632.23 ' |
' $8,014.14 ' |
' $8,429.35 ' |
' $7,708.08 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Alameda' |
'OnLok Senior Health Services' |
'Non-Dual - UIS State-Only' |
' $6,012.17 ' |
' $6,325.99 ' |
' $6,667.29 ' |
' $9,246.46 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Alameda' |
'OnLok Senior Health Services' |
'Full-Dual - SIS' |
' $6,913.25 ' |
' $7,259.18 ' |
' $7,635.28 ' |
' $6,984.29 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Alameda' |
'OnLok Senior Health Services' |
'Non-Dual - SIS' |
' $6,918.49 ' |
' $7,279.62 ' |
' $7,672.37 ' |
' $10,663.37 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Francisco' |
'OnLok Senior Health Services' |
'Full-Dual - UIS Federally Eligible' |
' $381.81 ' |
' $400.37 ' |
' $420.55 ' |
' $406.35 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Francisco' |
'OnLok Senior Health Services' |
'Non-Dual - UIS Federally Eligible' |
' $1,990.01 ' |
' $2,091.93 ' |
' $2,202.75 ' |
' $3,197.51 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Francisco' |
'OnLok Senior Health Services' |
'Full-Dual - UIS State-Only' |
' $9,163.34 ' |
' $9,608.87 ' |
' $10,093.13 ' |
' $9,696.26 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Francisco' |
'OnLok Senior Health Services' |
'Non-Dual - UIS State-Only' |
' $7,486.23 ' |
' $7,869.63 ' |
' $8,286.54 ' |
' $11,972.02 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Francisco' |
'OnLok Senior Health Services' |
'Full-Dual - SIS' |
' $8,300.13 ' |
' $8,703.69 ' |
' $9,142.33 ' |
' $8,798.08 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Francisco' |
'OnLok Senior Health Services' |
'Non-Dual - SIS' |
' $8,614.76 ' |
' $9,055.96 ' |
' $9,535.72 ' |
' $13,827.22 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Santa Clara' |
'OnLok Senior Health Services' |
'Full-Dual - UIS Federally Eligible' |
' $331.87 ' |
' $348.53 ' |
' $366.65 ' |
' $340.94 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Santa Clara' |
'OnLok Senior Health Services' |
'Non-Dual - UIS Federally Eligible' |
' $1,786.67 ' |
' $1,879.45 ' |
' $1,980.36 ' |
' $2,422.93 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Santa Clara' |
'OnLok Senior Health Services' |
'Full-Dual - UIS State-Only' |
' $7,964.77 ' |
' $8,364.70 ' |
' $8,799.52 ' |
' $8,142.30 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Santa Clara' |
'OnLok Senior Health Services' |
'Non-Dual - UIS State-Only' |
' $6,721.27 ' |
' $7,070.32 ' |
' $7,449.91 ' |
' $9,079.20 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Santa Clara' |
'OnLok Senior Health Services' |
'Full-Dual - SIS' |
' $7,214.46 ' |
' $7,576.72 ' |
' $7,970.58 ' |
' $7,375.74 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Santa Clara' |
'OnLok Senior Health Services' |
'Non-Dual - SIS' |
' $7,734.49 ' |
' $8,136.15 ' |
' $8,572.97 ' |
' $10,457.76 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Napa' |
'Collabria Care' |
'Full-Dual - UIS Federally Eligible' |
' $238.88 ' |
' $251.13 ' |
' $264.45 ' |
' $282.82 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Napa' |
'Collabria Care' |
'Non-Dual - UIS Federally Eligible' |
' $1,723.51 ' |
' $1,814.23 ' |
' $1,912.90 ' |
' $2,754.90 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Napa' |
'Collabria Care' |
'Full-Dual - UIS State-Only' |
' $5,733.08 ' |
' $6,027.13 ' |
' $6,346.87 ' |
' $6,744.73 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Napa' |
'Collabria Care' |
'Non-Dual - UIS State-Only' |
' $6,483.70 ' |
' $6,824.97 ' |
' $7,196.15 ' |
' $10,324.84 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Napa' |
'Collabria Care' |
'Full-Dual - SIS' |
' $5,193.00 ' |
' $5,459.36 ' |
' $5,748.97 ' |
' $6,112.36 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Napa' |
'Collabria Care' |
'Non-Dual - SIS' |
' $7,461.10 ' |
' $7,853.82 ' |
' $8,280.95 ' |
' $11,901.96 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Solano' |
'Collabria Care' |
'Full-Dual - UIS Federally Eligible' |
' $238.88 ' |
' $251.13 ' |
' $264.45 ' |
' $282.82 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Solano' |
'Collabria Care' |
'Non-Dual - UIS Federally Eligible' |
' $1,723.51 ' |
' $1,814.23 ' |
' $1,912.90 ' |
' $2,754.90 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Solano' |
'Collabria Care' |
'Full-Dual - UIS State-Only' |
' $5,733.08 ' |
' $6,027.13 ' |
' $6,346.87 ' |
' $6,744.73 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Solano' |
'Collabria Care' |
'Non-Dual - UIS State-Only' |
' $6,483.70 ' |
' $6,824.97 ' |
' $7,196.15 ' |
' $10,324.84 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Solano' |
'Collabria Care' |
'Full-Dual - SIS' |
' $5,193.00 ' |
' $5,459.36 ' |
' $5,748.97 ' |
' $6,112.36 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Solano' |
'Collabria Care' |
'Non-Dual - SIS' |
' $7,461.10 ' |
' $7,853.82 ' |
' $8,280.95 ' |
' $11,901.96 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sonoma' |
'Collabria Care' |
'Full-Dual - UIS Federally Eligible' |
' $238.88 ' |
' $251.13 ' |
' $264.45 ' |
' $282.82 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sonoma' |
'Collabria Care' |
'Non-Dual - UIS Federally Eligible' |
' $1,723.51 ' |
' $1,814.23 ' |
' $1,912.90 ' |
' $2,754.90 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sonoma' |
'Collabria Care' |
'Full-Dual - UIS State-Only' |
' $5,733.08 ' |
' $6,027.13 ' |
' $6,346.87 ' |
' $6,744.73 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sonoma' |
'Collabria Care' |
'Non-Dual - UIS State-Only' |
' $6,483.70 ' |
' $6,824.97 ' |
' $7,196.15 ' |
' $10,324.84 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sonoma' |
'Collabria Care' |
'Full-Dual - SIS' |
' $5,193.00 ' |
' $5,459.36 ' |
' $5,748.97 ' |
' $6,112.36 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sonoma' |
'Collabria Care' |
'Non-Dual - SIS' |
' $7,461.10 ' |
' $7,853.82 ' |
' $8,280.95 ' |
' $11,901.96 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Humboldt' |
'Humboldt Senior Resource Center, Incorporated' |
'Full-Dual - UIS Federally Eligible' |
' $238.86 ' |
' $250.62 ' |
' $263.41 ' |
' $305.70 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Humboldt' |
'Humboldt Senior Resource Center, Incorporated' |
'Non-Dual - UIS Federally Eligible' |
' $1,873.59 ' |
' $1,969.44 ' |
' $2,073.67 ' |
' $2,710.39 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Humboldt' |
'Humboldt Senior Resource Center, Incorporated' |
'Full-Dual - UIS State-Only' |
' $5,732.65 ' |
' $6,014.97 ' |
' $6,321.87 ' |
' $7,292.99 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Humboldt' |
'Humboldt Senior Resource Center, Incorporated' |
'Non-Dual - UIS State-Only' |
' $7,048.26 ' |
' $7,408.84 ' |
' $7,800.95 ' |
' $10,155.86 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Humboldt' |
'Humboldt Senior Resource Center, Incorporated' |
'Full-Dual - SIS' |
' $5,192.62 ' |
' $5,448.34 ' |
' $5,726.33 ' |
' $6,609.52 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Humboldt' |
'Humboldt Senior Resource Center, Incorporated' |
'Non-Dual - SIS' |
' $8,110.77 ' |
' $8,525.71 ' |
' $8,976.92 ' |
' $11,709.09 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Centro de Salud de la Comunidad de San Ysidro, Inc.' |
'Full-Dual - UIS Federally Eligible' |
' $182.26 ' |
' $191.54 ' |
' $201.63 ' |
' $267.66 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Centro de Salud de la Comunidad de San Ysidro, Inc.' |
'Non-Dual - UIS Federally Eligible' |
' $1,767.89 ' |
' $1,860.44 ' |
' $1,961.10 ' |
' $2,346.26 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Centro de Salud de la Comunidad de San Ysidro, Inc.' |
'Full-Dual - UIS State-Only' |
' $4,374.32 ' |
' $4,596.96 ' |
' $4,839.03 ' |
' $6,381.58 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Centro de Salud de la Comunidad de San Ysidro, Inc.' |
'Non-Dual - UIS State-Only' |
' $6,650.63 ' |
' $6,998.80 ' |
' $7,377.46 ' |
' $8,785.43 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Centro de Salud de la Comunidad de San Ysidro, Inc.' |
'Full-Dual - SIS' |
' $3,962.25 ' |
' $4,163.91 ' |
' $4,383.18 ' |
' $5,783.42 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Centro de Salud de la Comunidad de San Ysidro, Inc.' |
'Non-Dual - SIS' |
' $7,653.20 ' |
' $8,053.85 ' |
' $8,489.59 ' |
' $10,131.29 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Community Eldercare of San Diego' |
'Full-Dual - UIS Federally Eligible' |
' $162.54 ' |
' $170.92 ' |
' $180.03 ' |
' $267.66 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Community Eldercare of San Diego' |
'Non-Dual - UIS Federally Eligible' |
' $1,590.82 ' |
' $1,674.54 ' |
' $1,765.60 ' |
' $2,346.26 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Community Eldercare of San Diego' |
'Full-Dual - UIS State-Only' |
' $3,900.88 ' |
' $4,102.00 ' |
' $4,320.70 ' |
' $6,381.58 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Community Eldercare of San Diego' |
'Non-Dual - UIS State-Only' |
' $5,984.52 ' |
' $6,299.47 ' |
' $6,642.02 ' |
' $8,785.43 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Community Eldercare of San Diego' |
'Full-Dual - SIS' |
' $3,533.40 ' |
' $3,715.58 ' |
' $3,913.68 ' |
' $5,783.42 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Diego' |
'Community Eldercare of San Diego' |
'Non-Dual - SIS' |
' $6,886.67 ' |
' $7,249.10 ' |
' $7,643.29 ' |
' $10,131.29 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sacramento' |
'Sutter Valley Hospitals' |
'Full-Dual - UIS Federally Eligible' |
' $250.17 ' |
' $262.70 ' |
' $276.33 ' |
' $272.07 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sacramento' |
'Sutter Valley Hospitals' |
'Non-Dual - UIS Federally Eligible' |
' $1,720.40 ' |
' $1,810.29 ' |
' $1,908.06 ' |
' $2,210.23 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sacramento' |
'Sutter Valley Hospitals' |
'Full-Dual - UIS State-Only' |
' $6,004.04 ' |
' $6,304.91 ' |
' $6,632.02 ' |
' $6,474.61 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sacramento' |
'Sutter Valley Hospitals' |
'Non-Dual - UIS State-Only' |
' $6,471.98 ' |
' $6,810.16 ' |
' $7,177.94 ' |
' $8,262.25 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sacramento' |
'Sutter Valley Hospitals' |
'Full-Dual - SIS' |
' $5,438.44 ' |
' $5,710.97 ' |
' $6,007.26 ' |
' $5,873.10 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sacramento' |
'Sutter Valley Hospitals' |
'Non-Dual - SIS' |
' $7,447.62 ' |
' $7,836.77 ' |
' $8,260.01 ' |
' $9,543.60 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'LA Coast PACE, LLC' |
'Full-Dual - UIS Federally Eligible' |
' $233.83 ' |
' $245.72 ' |
' $258.65 ' |
' $276.05 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'LA Coast PACE, LLC' |
'Non-Dual - UIS Federally Eligible' |
' $1,751.51 ' |
' $1,843.11 ' |
' $1,942.73 ' |
' $2,094.46 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'LA Coast PACE, LLC' |
'Full-Dual - UIS State-Only' |
' $5,611.91 ' |
' $5,897.27 ' |
' $6,207.55 ' |
' $6,578.22 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'LA Coast PACE, LLC' |
'Non-Dual - UIS State-Only' |
' $6,589.02 ' |
' $6,933.60 ' |
' $7,308.35 ' |
' $7,831.06 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'LA Coast PACE, LLC' |
'Full-Dual - SIS' |
' $5,083.25 ' |
' $5,341.73 ' |
' $5,622.78 ' |
' $5,966.44 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'LA Coast PACE, LLC' |
'Non-Dual - SIS' |
' $7,582.30 ' |
' $7,978.82 ' |
' $8,410.07 ' |
' $9,038.59 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'Pacific PACE, LLC' |
'Full-Dual - UIS Federally Eligible' |
' $232.11 ' |
' $244.02 ' |
' $256.97 ' |
' $276.05 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'Pacific PACE, LLC' |
'Non-Dual - UIS Federally Eligible' |
' $1,784.40 ' |
' $1,878.17 ' |
' $1,980.16 ' |
' $2,094.46 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'Pacific PACE, LLC' |
'Full-Dual - UIS State-Only' |
' $5,570.69 ' |
' $5,856.46 ' |
' $6,167.21 ' |
' $6,578.22 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'Pacific PACE, LLC' |
'Non-Dual - UIS State-Only' |
' $6,712.75 ' |
' $7,065.51 ' |
' $7,449.18 ' |
' $7,831.06 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'Pacific PACE, LLC' |
'Full-Dual - SIS' |
' $5,045.91 ' |
' $5,304.77 ' |
' $5,586.24 ' |
' $5,966.44 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'Pacific PACE, LLC' |
'Non-Dual - SIS' |
' $7,724.69 ' |
' $8,130.62 ' |
' $8,572.12 ' |
' $9,038.59 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kings' |
'Sequoia PACE, LLC' |
'Full-Dual - UIS Federally Eligible' |
' $212.72 ' |
' $223.58 ' |
' $235.38 ' |
' $242.06 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kings' |
'Sequoia PACE, LLC' |
'Non-Dual - UIS Federally Eligible' |
' $1,577.55 ' |
' $1,659.81 ' |
' $1,749.26 ' |
' $1,962.61 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kings' |
'Sequoia PACE, LLC' |
'Full-Dual - UIS State-Only' |
' $5,105.31 ' |
' $5,365.86 ' |
' $5,649.17 ' |
' $5,702.18 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kings' |
'Sequoia PACE, LLC' |
'Non-Dual - UIS State-Only' |
' $5,934.61 ' |
' $6,244.04 ' |
' $6,580.57 ' |
' $7,335.64 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kings' |
'Sequoia PACE, LLC' |
'Full-Dual - SIS' |
' $4,624.37 ' |
' $4,860.38 ' |
' $5,117.00 ' |
' $5,167.60 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kings' |
'Sequoia PACE, LLC' |
'Non-Dual - SIS' |
' $6,829.24 ' |
' $7,185.32 ' |
' $7,572.57 ' |
' $8,465.77 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'Sequoia PACE, LLC' |
'Full-Dual - UIS Federally Eligible' |
' $212.72 ' |
' $223.58 ' |
' $235.38 ' |
' $242.06 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'Sequoia PACE, LLC' |
'Non-Dual - UIS Federally Eligible' |
' $1,577.55 ' |
' $1,659.81 ' |
' $1,749.26 ' |
' $1,962.61 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'Sequoia PACE, LLC' |
'Full-Dual - UIS State-Only' |
' $5,105.31 ' |
' $5,365.86 ' |
' $5,649.17 ' |
' $5,702.18 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'Sequoia PACE, LLC' |
'Non-Dual - UIS State-Only' |
' $5,934.61 ' |
' $6,244.04 ' |
' $6,580.57 ' |
' $7,335.64 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'Sequoia PACE, LLC' |
'Full-Dual - SIS' |
' $4,624.37 ' |
' $4,860.38 ' |
' $5,117.00 ' |
' $5,167.60 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'Sequoia PACE, LLC' |
'Non-Dual - SIS' |
' $6,829.24 ' |
' $7,185.32 ' |
' $7,572.57 ' |
' $8,465.77 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Madera' |
'Sequoia PACE, LLC' |
'Full-Dual - UIS Federally Eligible' |
' $212.72 ' |
' $223.58 ' |
' $235.38 ' |
' $242.06 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Madera' |
'Sequoia PACE, LLC' |
'Non-Dual - UIS Federally Eligible' |
' $1,577.55 ' |
' $1,659.81 ' |
' $1,749.26 ' |
' $1,962.61 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Madera' |
'Sequoia PACE, LLC' |
'Full-Dual - UIS State-Only' |
' $5,105.31 ' |
' $5,365.86 ' |
' $5,649.17 ' |
' $5,702.18 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Madera' |
'Sequoia PACE, LLC' |
'Non-Dual - UIS State-Only' |
' $5,934.61 ' |
' $6,244.04 ' |
' $6,580.57 ' |
' $7,335.64 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Madera' |
'Sequoia PACE, LLC' |
'Full-Dual - SIS' |
' $4,624.37 ' |
' $4,860.38 ' |
' $5,117.00 ' |
' $5,167.60 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Madera' |
'Sequoia PACE, LLC' |
'Non-Dual - SIS' |
' $6,829.24 ' |
' $7,185.32 ' |
' $7,572.57 ' |
' $8,465.77 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Fresno' |
'Sequoia PACE, LLC' |
'Full-Dual - UIS Federally Eligible' |
' $212.72 ' |
' $223.58 ' |
' $235.38 ' |
' $242.06 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Fresno' |
'Sequoia PACE, LLC' |
'Non-Dual - UIS Federally Eligible' |
' $1,577.55 ' |
' $1,659.81 ' |
' $1,749.26 ' |
' $1,962.61 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Fresno' |
'Sequoia PACE, LLC' |
'Full-Dual - UIS State-Only' |
' $5,105.31 ' |
' $5,365.86 ' |
' $5,649.17 ' |
' $5,702.18 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Fresno' |
'Sequoia PACE, LLC' |
'Non-Dual - UIS State-Only' |
' $5,934.61 ' |
' $6,244.04 ' |
' $6,580.57 ' |
' $7,335.64 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Fresno' |
'Sequoia PACE, LLC' |
'Full-Dual - SIS' |
' $4,624.37 ' |
' $4,860.38 ' |
' $5,117.00 ' |
' $5,167.60 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Fresno' |
'Sequoia PACE, LLC' |
'Non-Dual - SIS' |
' $6,829.24 ' |
' $7,185.32 ' |
' $7,572.57 ' |
' $8,465.77 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Stanislaus' |
'Stockton PACE, LLC' |
'Full-Dual - UIS Federally Eligible' |
' $246.36 ' |
' $258.92 ' |
' $272.57 ' |
' $265.89 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Stanislaus' |
'Stockton PACE, LLC' |
'Non-Dual - UIS Federally Eligible' |
' $1,777.58 ' |
' $1,870.61 ' |
' $1,971.79 ' |
' $2,401.03 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Stanislaus' |
'Stockton PACE, LLC' |
'Full-Dual - UIS State-Only' |
' $5,912.62 ' |
' $6,214.01 ' |
' $6,541.71 ' |
' $6,352.48 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Stanislaus' |
'Stockton PACE, LLC' |
'Non-Dual - UIS State-Only' |
' $6,687.07 ' |
' $7,037.05 ' |
' $7,417.68 ' |
' $8,995.40 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Stanislaus' |
'Stockton PACE, LLC' |
'Full-Dual - SIS' |
' $5,355.64 ' |
' $5,628.63 ' |
' $5,925.46 ' |
' $5,754.54 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Stanislaus' |
'Stockton PACE, LLC' |
'Non-Dual - SIS' |
' $7,695.13 ' |
' $8,097.87 ' |
' $8,535.88 ' |
' $10,366.75 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Joaquin' |
'Stockton PACE, LLC' |
'Full-Dual - UIS Federally Eligible' |
' $246.36 ' |
' $258.92 ' |
' $272.57 ' |
' $265.89 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Joaquin' |
'Stockton PACE, LLC' |
'Non-Dual - UIS Federally Eligible' |
' $1,777.58 ' |
' $1,870.61 ' |
' $1,971.79 ' |
' $2,401.03 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Joaquin' |
'Stockton PACE, LLC' |
'Full-Dual - UIS State-Only' |
' $5,912.62 ' |
' $6,214.01 ' |
' $6,541.71 ' |
' $6,352.48 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Joaquin' |
'Stockton PACE, LLC' |
'Non-Dual - UIS State-Only' |
' $6,687.07 ' |
' $7,037.05 ' |
' $7,417.68 ' |
' $8,995.40 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Joaquin' |
'Stockton PACE, LLC' |
'Full-Dual - SIS' |
' $5,355.64 ' |
' $5,628.63 ' |
' $5,925.46 ' |
' $5,754.54 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Joaquin' |
'Stockton PACE, LLC' |
'Non-Dual - SIS' |
' $7,695.13 ' |
' $8,097.87 ' |
' $8,535.88 ' |
' $10,366.75 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Marin' |
'AgeWell PACE' |
'Full-Dual - UIS Federally Eligible' |
' $252.40 ' |
' $265.34 ' |
' $279.42 ' |
' $282.82 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Marin' |
'AgeWell PACE' |
'Non-Dual - UIS Federally Eligible' |
' $1,821.06 ' |
' $1,916.91 ' |
' $2,021.17 ' |
' $2,754.90 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Marin' |
'AgeWell PACE' |
'Full-Dual - UIS State-Only' |
' $6,057.56 ' |
' $6,368.25 ' |
' $6,706.09 ' |
' $6,744.73 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Marin' |
'AgeWell PACE' |
'Non-Dual - UIS State-Only' |
' $6,850.66 ' |
' $7,211.25 ' |
' $7,603.43 ' |
' $10,324.84 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Marin' |
'AgeWell PACE' |
'Full-Dual - SIS' |
' $5,486.92 ' |
' $5,768.34 ' |
' $6,074.35 ' |
' $6,112.36 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Marin' |
'AgeWell PACE' |
'Non-Dual - SIS' |
' $7,883.38 ' |
' $8,298.33 ' |
' $8,749.63 ' |
' $11,901.96 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sonoma' |
'AgeWell PACE' |
'Full-Dual - UIS Federally Eligible' |
' $252.40 ' |
' $265.34 ' |
' $279.42 ' |
' $282.82 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sonoma' |
'AgeWell PACE' |
'Non-Dual - UIS Federally Eligible' |
' $1,821.06 ' |
' $1,916.91 ' |
' $2,021.17 ' |
' $2,754.90 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sonoma' |
'AgeWell PACE' |
'Full-Dual - UIS State-Only' |
' $6,057.56 ' |
' $6,368.25 ' |
' $6,706.09 ' |
' $6,744.73 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sonoma' |
'AgeWell PACE' |
'Non-Dual - UIS State-Only' |
' $6,850.66 ' |
' $7,211.25 ' |
' $7,603.43 ' |
' $10,324.84 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sonoma' |
'AgeWell PACE' |
'Full-Dual - SIS' |
' $5,486.92 ' |
' $5,768.34 ' |
' $6,074.35 ' |
' $6,112.36 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Sonoma' |
'AgeWell PACE' |
'Non-Dual - SIS' |
' $7,883.38 ' |
' $8,298.33 ' |
' $8,749.63 ' |
' $11,901.96 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'myPlace Health ' |
'Full-Dual - UIS Federally Eligible' |
' $240.84 ' |
' $253.09 ' |
' $266.41 ' |
' $276.05 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'myPlace Health ' |
'Non-Dual - UIS Federally Eligible' |
' $1,804.06 ' |
' $1,898.40 ' |
' $2,001.01 ' |
' $2,094.46 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'myPlace Health ' |
'Full-Dual - UIS State-Only' |
' $5,780.26 ' |
' $6,074.19 ' |
' $6,393.78 ' |
' $6,578.22 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'myPlace Health ' |
'Non-Dual - UIS State-Only' |
' $6,786.69 ' |
' $7,141.61 ' |
' $7,527.60 ' |
' $7,831.06 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'myPlace Health ' |
'Full-Dual - SIS' |
' $5,235.75 ' |
' $5,501.98 ' |
' $5,791.46 ' |
' $5,966.44 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'myPlace Health ' |
'Non-Dual - SIS' |
' $7,809.77 ' |
' $8,218.19 ' |
' $8,662.38 ' |
' $9,038.59 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Alameda' |
'WelbeHealth Bay Area' |
'Full-Dual - UIS Federally Eligible' |
' $305.54 ' |
' $321.19 ' |
' $338.21 ' |
' $322.84 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Alameda' |
'WelbeHealth Bay Area' |
'Non-Dual - UIS Federally Eligible' |
' $1,801.89 ' |
' $1,896.53 ' |
' $1,999.47 ' |
' $2,400.09 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Alameda' |
'WelbeHealth Bay Area' |
'Full-Dual - UIS State-Only' |
' $7,332.94 ' |
' $7,708.53 ' |
' $8,116.94 ' |
' $7,711.68 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Alameda' |
'WelbeHealth Bay Area' |
'Non-Dual - UIS State-Only' |
' $6,778.54 ' |
' $7,134.58 ' |
' $7,521.81 ' |
' $8,991.43 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Alameda' |
'WelbeHealth Bay Area' |
'Full-Dual - SIS' |
' $6,642.15 ' |
' $6,982.37 ' |
' $7,352.30 ' |
' $6,985.93 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Alameda' |
'WelbeHealth Bay Area' |
'Non-Dual - SIS' |
' $7,800.39 ' |
' $8,210.11 ' |
' $8,655.71 ' |
' $10,360.40 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Santa Clara' |
'WelbeHealth Bay Area' |
'Full-Dual - UIS Federally Eligible' |
' $305.54 ' |
' $321.19 ' |
' $338.21 ' |
' $322.84 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Santa Clara' |
'WelbeHealth Bay Area' |
'Non-Dual - UIS Federally Eligible' |
' $1,801.89 ' |
' $1,896.53 ' |
' $1,999.47 ' |
' $2,400.09 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Santa Clara' |
'WelbeHealth Bay Area' |
'Full-Dual - UIS State-Only' |
' $7,332.94 ' |
' $7,708.53 ' |
' $8,116.94 ' |
' $7,711.68 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Santa Clara' |
'WelbeHealth Bay Area' |
'Non-Dual - UIS State-Only' |
' $6,778.54 ' |
' $7,134.58 ' |
' $7,521.81 ' |
' $8,991.43 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Santa Clara' |
'WelbeHealth Bay Area' |
'Full-Dual - SIS' |
' $6,642.15 ' |
' $6,982.37 ' |
' $7,352.30 ' |
' $6,985.93 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Santa Clara' |
'WelbeHealth Bay Area' |
'Non-Dual - SIS' |
' $7,800.39 ' |
' $8,210.11 ' |
' $8,655.71 ' |
' $10,360.40 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Loma Linda University Health' |
'Full-Dual - UIS Federally Eligible' |
' $194.19 ' |
' $204.29 ' |
' $215.28 ' |
' $228.64 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Loma Linda University Health' |
'Non-Dual - UIS Federally Eligible' |
' $1,663.70 ' |
' $1,751.78 ' |
' $1,847.57 ' |
' $2,364.50 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Loma Linda University Health' |
'Full-Dual - UIS State-Only' |
' $4,660.58 ' |
' $4,903.08 ' |
' $5,166.76 ' |
' $5,450.32 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Loma Linda University Health' |
'Non-Dual - UIS State-Only' |
' $6,258.68 ' |
' $6,590.02 ' |
' $6,950.40 ' |
' $8,858.27 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Loma Linda University Health' |
'Full-Dual - SIS' |
' $4,221.54 ' |
' $4,441.19 ' |
' $4,680.04 ' |
' $4,938.63 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Loma Linda University Health' |
'Non-Dual - SIS' |
' $7,202.16 ' |
' $7,583.46 ' |
' $7,998.16 ' |
' $10,209.13 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Loma Linda University Health' |
'Full-Dual - UIS Federally Eligible' |
' $194.19 ' |
' $204.29 ' |
' $215.28 ' |
' $228.64 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Loma Linda University Health' |
'Non-Dual - UIS Federally Eligible' |
' $1,663.70 ' |
' $1,751.78 ' |
' $1,847.57 ' |
' $2,364.50 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Loma Linda University Health' |
'Full-Dual - UIS State-Only' |
' $4,660.58 ' |
' $4,903.08 ' |
' $5,166.76 ' |
' $5,450.32 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Loma Linda University Health' |
'Non-Dual - UIS State-Only' |
' $6,258.68 ' |
' $6,590.02 ' |
' $6,950.40 ' |
' $8,858.27 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Loma Linda University Health' |
'Full-Dual - SIS' |
' $4,221.54 ' |
' $4,441.19 ' |
' $4,680.04 ' |
' $4,938.63 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Loma Linda University Health' |
'Non-Dual - SIS' |
' $7,202.16 ' |
' $7,583.46 ' |
' $7,998.16 ' |
' $10,209.13 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Fresno' |
'Valley PACE' |
'Full-Dual - UIS Federally Eligible' |
' $198.91 ' |
' $208.91 ' |
' $219.78 ' |
' $225.71 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Fresno' |
'Valley PACE' |
'Non-Dual - UIS Federally Eligible' |
' $1,445.25 ' |
' $1,520.64 ' |
' $1,602.65 ' |
' $1,960.61 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Fresno' |
'Valley PACE' |
'Full-Dual - UIS State-Only' |
' $4,773.92 ' |
' $5,013.86 ' |
' $5,274.77 ' |
' $5,319.79 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Fresno' |
'Valley PACE' |
'Non-Dual - UIS State-Only' |
' $5,436.90 ' |
' $5,720.50 ' |
' $6,029.02 ' |
' $7,331.49 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Fresno' |
'Valley PACE' |
'Full-Dual - SIS' |
' $4,324.21 ' |
' $4,541.54 ' |
' $4,777.87 ' |
' $4,821.47 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Fresno' |
'Valley PACE' |
'Non-Dual - SIS' |
' $6,256.50 ' |
' $6,582.85 ' |
' $6,937.88 ' |
' $8,461.44 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Madera' |
'Valley PACE' |
'Full-Dual - UIS Federally Eligible' |
' $198.91 ' |
' $208.91 ' |
' $219.78 ' |
' $225.71 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Madera' |
'Valley PACE' |
'Non-Dual - UIS Federally Eligible' |
' $1,445.25 ' |
' $1,520.64 ' |
' $1,602.65 ' |
' $1,960.61 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Madera' |
'Valley PACE' |
'Full-Dual - UIS State-Only' |
' $4,773.92 ' |
' $5,013.86 ' |
' $5,274.77 ' |
' $5,319.79 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Madera' |
'Valley PACE' |
'Non-Dual - UIS State-Only' |
' $5,436.90 ' |
' $5,720.50 ' |
' $6,029.02 ' |
' $7,331.49 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Madera' |
'Valley PACE' |
'Full-Dual - SIS' |
' $4,324.21 ' |
' $4,541.54 ' |
' $4,777.87 ' |
' $4,821.47 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Madera' |
'Valley PACE' |
'Non-Dual - SIS' |
' $6,256.50 ' |
' $6,582.85 ' |
' $6,937.88 ' |
' $8,461.44 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Welbe Health Inland Empire PACE' |
'Full-Dual - UIS Federally Eligible' |
' $195.32 ' |
' $205.71 ' |
' $217.00 ' |
' $228.64 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Welbe Health Inland Empire PACE' |
'Non-Dual - UIS Federally Eligible' |
' $1,677.08 ' |
' $1,767.90 ' |
' $1,866.73 ' |
' $2,364.50 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Welbe Health Inland Empire PACE' |
'Full-Dual - UIS State-Only' |
' $4,687.78 ' |
' $4,936.96 ' |
' $5,208.02 ' |
' $5,450.32 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Welbe Health Inland Empire PACE' |
'Non-Dual - UIS State-Only' |
' $6,309.01 ' |
' $6,650.69 ' |
' $7,022.47 ' |
' $8,858.27 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Welbe Health Inland Empire PACE' |
'Full-Dual - SIS' |
' $4,246.17 ' |
' $4,471.88 ' |
' $4,717.41 ' |
' $4,938.63 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Riverside' |
'Welbe Health Inland Empire PACE' |
'Non-Dual - SIS' |
' $7,260.08 ' |
' $7,653.27 ' |
' $8,081.09 ' |
' $10,209.13 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Welbe Health Inland Empire PACE' |
'Full-Dual - UIS Federally Eligible' |
' $195.32 ' |
' $205.71 ' |
' $217.00 ' |
' $228.64 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Welbe Health Inland Empire PACE' |
'Non-Dual - UIS Federally Eligible' |
' $1,677.08 ' |
' $1,767.90 ' |
' $1,866.73 ' |
' $2,364.50 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Welbe Health Inland Empire PACE' |
'Full-Dual - UIS State-Only' |
' $4,687.78 ' |
' $4,936.96 ' |
' $5,208.02 ' |
' $5,450.32 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Welbe Health Inland Empire PACE' |
'Non-Dual - UIS State-Only' |
' $6,309.01 ' |
' $6,650.69 ' |
' $7,022.47 ' |
' $8,858.27 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Welbe Health Inland Empire PACE' |
'Full-Dual - SIS' |
' $4,246.17 ' |
' $4,471.88 ' |
' $4,717.41 ' |
' $4,938.63 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'Welbe Health Inland Empire PACE' |
'Non-Dual - SIS' |
' $7,260.08 ' |
' $7,653.27 ' |
' $8,081.09 ' |
' $10,209.13 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kern' |
'ConcertoCare PACE of Bakersfield, LLC.' |
'Full-Dual - UIS Federally Eligible' |
' $214.41 ' |
' $225.28 ' |
' $237.11 ' |
' $233.15 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kern' |
'ConcertoCare PACE of Bakersfield, LLC.' |
'Non-Dual - UIS Federally Eligible' |
' $1,513.22 ' |
' $1,593.19 ' |
' $1,680.19 ' |
' $2,225.37 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kern' |
'ConcertoCare PACE of Bakersfield, LLC.' |
'Full-Dual - UIS State-Only' |
' $5,145.88 ' |
' $5,406.84 ' |
' $5,690.63 ' |
' $5,542.99 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kern' |
'ConcertoCare PACE of Bakersfield, LLC.' |
'Non-Dual - UIS State-Only' |
' $5,692.58 ' |
' $5,993.42 ' |
' $6,320.72 ' |
' $8,327.85 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kern' |
'ConcertoCare PACE of Bakersfield, LLC.' |
'Full-Dual - SIS' |
' $4,661.13 ' |
' $4,897.50 ' |
' $5,154.56 ' |
' $5,022.62 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kern' |
'ConcertoCare PACE of Bakersfield, LLC.' |
'Non-Dual - SIS' |
' $6,550.73 ' |
' $6,896.92 ' |
' $7,273.56 ' |
' $9,603.73 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'ConcertoCare PACE of Bakersfield, LLC.' |
'Full-Dual - UIS Federally Eligible' |
' $214.41 ' |
' $225.28 ' |
' $237.11 ' |
' $233.15 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'ConcertoCare PACE of Bakersfield, LLC.' |
'Non-Dual - UIS Federally Eligible' |
' $1,513.22 ' |
' $1,593.19 ' |
' $1,680.19 ' |
' $2,225.37 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'ConcertoCare PACE of Bakersfield, LLC.' |
'Full-Dual - UIS State-Only' |
' $5,145.88 ' |
' $5,406.84 ' |
' $5,690.63 ' |
' $5,542.99 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'ConcertoCare PACE of Bakersfield, LLC.' |
'Non-Dual - UIS State-Only' |
' $5,692.58 ' |
' $5,993.42 ' |
' $6,320.72 ' |
' $8,327.85 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'ConcertoCare PACE of Bakersfield, LLC.' |
'Full-Dual - SIS' |
' $4,661.13 ' |
' $4,897.50 ' |
' $5,154.56 ' |
' $5,022.62 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'ConcertoCare PACE of Bakersfield, LLC.' |
'Non-Dual - SIS' |
' $6,550.73 ' |
' $6,896.92 ' |
' $7,273.56 ' |
' $9,603.73 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kings' |
'Family Health Care Network (FHCN)' |
'Full-Dual - UIS Federally Eligible' |
' $219.61 ' |
' $231.04 ' |
' $243.48 ' |
' $242.06 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kings' |
'Family Health Care Network (FHCN)' |
'Non-Dual - UIS Federally Eligible' |
' $1,630.31 ' |
' $1,717.18 ' |
' $1,811.70 ' |
' $1,962.61 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kings' |
'Family Health Care Network (FHCN)' |
'Full-Dual - UIS State-Only' |
' $5,270.56 ' |
' $5,545.02 ' |
' $5,843.56 ' |
' $5,702.18 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kings' |
'Family Health Care Network (FHCN)' |
'Non-Dual - UIS State-Only' |
' $6,133.07 ' |
' $6,459.87 ' |
' $6,815.43 ' |
' $7,335.64 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kings' |
'Family Health Care Network (FHCN)' |
'Full-Dual - SIS' |
' $4,774.05 ' |
' $5,022.66 ' |
' $5,293.08 ' |
' $5,167.60 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Kings' |
'Family Health Care Network (FHCN)' |
'Non-Dual - SIS' |
' $7,057.62 ' |
' $7,433.68 ' |
' $7,842.84 ' |
' $8,465.77 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'Family Health Care Network (FHCN)' |
'Full-Dual - UIS Federally Eligible' |
' $219.61 ' |
' $231.04 ' |
' $243.48 ' |
' $242.06 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'Family Health Care Network (FHCN)' |
'Non-Dual - UIS Federally Eligible' |
' $1,630.31 ' |
' $1,717.18 ' |
' $1,811.70 ' |
' $1,962.61 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'Family Health Care Network (FHCN)' |
'Full-Dual - UIS State-Only' |
' $5,270.56 ' |
' $5,545.02 ' |
' $5,843.56 ' |
' $5,702.18 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'Family Health Care Network (FHCN)' |
'Non-Dual - UIS State-Only' |
' $6,133.07 ' |
' $6,459.87 ' |
' $6,815.43 ' |
' $7,335.64 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'Family Health Care Network (FHCN)' |
'Full-Dual - SIS' |
' $4,774.05 ' |
' $5,022.66 ' |
' $5,293.08 ' |
' $5,167.60 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Tulare' |
'Family Health Care Network (FHCN)' |
'Non-Dual - SIS' |
' $7,057.62 ' |
' $7,433.68 ' |
' $7,842.84 ' |
' $8,465.77 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'High Desert PACE' |
'Full-Dual - UIS Federally Eligible' |
' $201.68 ' |
' $212.40 ' |
' $224.06 ' |
' $268.47 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'High Desert PACE' |
'Non-Dual - UIS Federally Eligible' |
' $1,731.65 ' |
' $1,825.44 ' |
' $1,927.48 ' |
' $2,001.34 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'High Desert PACE' |
'Full-Dual - UIS State-Only' |
' $4,840.33 ' |
' $5,097.62 ' |
' $5,377.50 ' |
' $6,397.35 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'High Desert PACE' |
'Non-Dual - UIS State-Only' |
' $6,514.32 ' |
' $6,867.12 ' |
' $7,250.99 ' |
' $7,482.23 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'High Desert PACE' |
'Full-Dual - SIS' |
' $4,384.36 ' |
' $4,617.41 ' |
' $4,870.93 ' |
' $5,801.99 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'San Bernardino' |
'High Desert PACE' |
'Non-Dual - SIS' |
' $7,496.34 ' |
' $7,902.32 ' |
' $8,344.07 ' |
' $8,635.72 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'High Desert PACE' |
'Full-Dual - UIS Federally Eligible' |
' $201.68 ' |
' $212.40 ' |
' $224.06 ' |
' $268.47 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'High Desert PACE' |
'Non-Dual - UIS Federally Eligible' |
' $1,731.65 ' |
' $1,825.44 ' |
' $1,927.48 ' |
' $2,001.34 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'High Desert PACE' |
'Full-Dual - UIS State-Only' |
' $4,840.33 ' |
' $5,097.62 ' |
' $5,377.50 ' |
' $6,397.35 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'High Desert PACE' |
'Non-Dual - UIS State-Only' |
' $6,514.32 ' |
' $6,867.12 ' |
' $7,250.99 ' |
' $7,482.23 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'High Desert PACE' |
'Full-Dual - SIS' |
' $4,384.36 ' |
' $4,617.41 ' |
' $4,870.93 ' |
' $5,801.99 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'High Desert PACE' |
'Non-Dual - SIS' |
' $7,496.34 ' |
' $7,902.32 ' |
' $8,344.07 ' |
' $8,635.72 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'Seen Health PACE' |
'Full-Dual - UIS Federally Eligible' |
' $242.62 ' |
' $255.20 ' |
' $268.89 ' |
' $276.05 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'Seen Health PACE' |
'Non-Dual - UIS Federally Eligible' |
' $1,819.96 ' |
' $1,917.24 ' |
' $2,023.09 ' |
' $2,094.46 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'Seen Health PACE' |
'Full-Dual - UIS State-Only' |
' $5,822.85 ' |
' $6,124.89 ' |
' $6,453.41 ' |
' $6,578.22 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'Seen Health PACE' |
'Non-Dual - UIS State-Only' |
' $6,846.50 ' |
' $7,212.47 ' |
' $7,610.67 ' |
' $7,831.06 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'Seen Health PACE' |
'Full-Dual - SIS' |
' $5,274.32 ' |
' $5,547.91 ' |
' $5,845.48 ' |
' $5,966.44 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'Seen Health PACE' |
'Non-Dual - SIS' |
' $7,878.60 ' |
' $8,299.74 ' |
' $8,757.96 ' |
' $9,038.59 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Merced' |
'Golden Valley Health Centers' |
'Full-Dual - UIS Federally Eligible' |
' $242.89 ' |
' $255.42 ' |
' $269.05 ' |
' $265.89 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Merced' |
'Golden Valley Health Centers' |
'Non-Dual - UIS Federally Eligible' |
' $1,731.73 ' |
' $1,824.14 ' |
' $1,924.69 ' |
' $2,401.03 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Merced' |
'Golden Valley Health Centers' |
'Full-Dual - UIS State-Only' |
' $5,829.45 ' |
' $6,130.14 ' |
' $6,457.20 ' |
' $6,352.48 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Merced' |
'Golden Valley Health Centers' |
'Non-Dual - UIS State-Only' |
' $6,514.60 ' |
' $6,862.25 ' |
' $7,240.50 ' |
' $8,995.40 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Merced' |
'Golden Valley Health Centers' |
'Full-Dual - SIS' |
' $5,280.30 ' |
' $5,552.66 ' |
' $5,848.91 ' |
' $5,754.54 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Merced' |
'Golden Valley Health Centers' |
'Non-Dual - SIS' |
' $7,496.66 ' |
' $7,896.72 ' |
' $8,331.99 ' |
' $10,366.75 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'InnovAge California PACE- Los Angeles, LLC' |
'Full-Dual - UIS Federally Eligible' |
' $242.62 ' |
' $255.20 ' |
' $268.89 ' |
' $276.05 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'InnovAge California PACE- Los Angeles, LLC' |
'Non-Dual - UIS Federally Eligible' |
' $1,819.96 ' |
' $1,917.24 ' |
' $2,023.09 ' |
' $2,094.46 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'InnovAge California PACE- Los Angeles, LLC' |
'Full-Dual - UIS State-Only' |
' $5,822.85 ' |
' $6,124.89 ' |
' $6,453.41 ' |
' $6,578.22 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'InnovAge California PACE- Los Angeles, LLC' |
'Non-Dual - UIS State-Only' |
' $6,846.50 ' |
' $7,212.47 ' |
' $7,610.67 ' |
' $7,831.06 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'InnovAge California PACE- Los Angeles, LLC' |
'Full-Dual - SIS' |
' $5,274.32 ' |
' $5,547.91 ' |
' $5,845.48 ' |
' $5,966.44 ' |
| '01/2024-12/2024' |
'2024' |
'PACE' |
'Los Angeles' |
'InnovAge California PACE- Los Angeles, LLC' |
'Non-Dual - SIS' |
' $7,878.60 ' |
' $8,299.74 ' |
' $8,757.96 ' |
' $9,038.59 ' |