| 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 |