07/15-06/16 |
2015-16 |
COHS |
Orange |
Cal Optima |
Adult |
$272.75 |
$279.35 |
$286.92 |
07/15-06/16 |
2015-16 |
COHS |
Orange |
Cal Optima |
Aged & Disabled Non Dual |
$699.27 |
$715.96 |
$734.61 |
07/15-06/16 |
2015-16 |
COHS |
Orange |
Cal Optima |
Aged Dual |
$161.22 |
$163.63 |
$166.70 |
07/15-06/16 |
2015-16 |
COHS |
Orange |
Cal Optima |
BCCTP |
$1,304.69 |
$1,337.02 |
$1,372.81 |
07/15-06/16 |
2015-16 |
COHS |
Orange |
Cal Optima |
Child |
$86.21 |
$88.20 |
$90.72 |
07/15-06/16 |
2015-16 |
COHS |
Orange |
Cal Optima |
Disabled Dual |
$144.31 |
$146.85 |
$150.03 |
07/15-06/16 |
2015-16 |
COHS |
Orange |
Cal Optima |
LTC Dual |
$5,189.65 |
$5,255.47 |
$5,331.72 |
07/15-06/16 |
2015-16 |
COHS |
Orange |
Cal Optima |
LTC Non Dual |
$8,136.80 |
$8,266.93 |
$8,414.23 |
07/15-06/16 |
2015-16 |
COHS |
Orange |
Cal Optima |
Optional Expansion |
$448.40 |
$465.23 |
$482.82 |
07/15-06/16 |
2015-16 |
COHS |
Orange |
Cal Optima |
Behavioral Health Treatment 0-6 |
$2,240.04 |
$2,288.57 |
$2,338.69 |
07/15-06/16 |
2015-16 |
COHS |
Orange |
Cal Optima |
Behavioral Health Treatment 7-20 |
$2,198.53 |
$2,246.17 |
$2,295.35 |
07/15-06/16 |
2015-16 |
COHS |
Orange |
Cal Optima |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
07/15-06/16 |
2015-16 |
COHS |
Orange |
Cal Optima |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
07/15-06/16 |
2015-16 |
COHS |
San Luis Obispo |
CenCal Health |
Adult |
$297.47 |
$304.68 |
$313.08 |
07/15-06/16 |
2015-16 |
COHS |
Santa Barbara |
CenCal Health |
Adult |
$320.21 |
$327.97 |
$336.97 |
07/15-06/16 |
2015-16 |
COHS |
San Luis Obispo |
CenCal Health |
Aged & Disabled Non Dual |
$823.05 |
$841.66 |
$862.80 |
07/15-06/16 |
2015-16 |
COHS |
Santa Barbara |
CenCal Health |
Aged & Disabled Non Dual |
$1,031.83 |
$1,055.33 |
$1,081.88 |
07/15-06/16 |
2015-16 |
COHS |
San Luis Obispo |
CenCal Health |
Aged Dual |
$230.51 |
$234.22 |
$238.89 |
07/15-06/16 |
2015-16 |
COHS |
Santa Barbara |
CenCal Health |
Aged Dual |
$265.94 |
$270.26 |
$275.61 |
07/15-06/16 |
2015-16 |
COHS |
San Luis Obispo |
CenCal Health |
AIDS Dual |
$61.16 |
$62.56 |
$64.57 |
07/15-06/16 |
2015-16 |
COHS |
Santa Barbara |
CenCal Health |
AIDS Dual |
$70.91 |
$72.55 |
$74.82 |
07/15-06/16 |
2015-16 |
COHS |
San Luis Obispo |
CenCal Health |
AIDS Non Dual |
$1,777.80 |
$1,821.54 |
$1,870.42 |
07/15-06/16 |
2015-16 |
COHS |
Santa Barbara |
CenCal Health |
AIDS Non Dual |
$2,090.16 |
$2,138.44 |
$2,192.51 |
07/15-06/16 |
2015-16 |
COHS |
San Luis Obispo |
CenCal Health |
BCCTP |
$1,632.24 |
$1,671.68 |
$1,715.83 |
07/15-06/16 |
2015-16 |
COHS |
Santa Barbara |
CenCal Health |
BCCTP |
$1,519.00 |
$1,556.16 |
$1,597.71 |
07/15-06/16 |
2015-16 |
COHS |
San Luis Obispo |
CenCal Health |
Child |
$67.44 |
$68.92 |
$71.03 |
07/15-06/16 |
2015-16 |
COHS |
Santa Barbara |
CenCal Health |
Child |
$90.85 |
$92.93 |
$95.66 |
07/15-06/16 |
2015-16 |
COHS |
San Luis Obispo |
CenCal Health |
Disabled Dual |
$139.56 |
$142.33 |
$145.87 |
07/15-06/16 |
2015-16 |
COHS |
Santa Barbara |
CenCal Health |
Disabled Dual |
$193.37 |
$197.13 |
$201.77 |
07/15-06/16 |
2015-16 |
COHS |
San Luis Obispo |
CenCal Health |
LTC Dual |
$4,905.74 |
$4,930.84 |
$5,001.37 |
07/15-06/16 |
2015-16 |
COHS |
Santa Barbara |
CenCal Health |
LTC Dual |
$6,519.77 |
$6,601.65 |
$6,698.06 |
07/15-06/16 |
2015-16 |
COHS |
San Luis Obispo |
CenCal Health |
LTC Non Dual |
$7,417.38 |
$7,484.54 |
$7,618.20 |
07/15-06/16 |
2015-16 |
COHS |
Santa Barbara |
CenCal Health |
LTC Non Dual |
$12,752.07 |
$12,940.26 |
$13,157.59 |
07/15-06/16 |
2015-16 |
COHS |
San Luis Obispo |
CenCal Health |
Optional Expansion |
$449.23 |
$466.09 |
$483.71 |
07/15-06/16 |
2015-16 |
COHS |
Santa Barbara |
CenCal Health |
Optional Expansion |
$532.02 |
$552.01 |
$572.90 |
07/15-06/16 |
2015-16 |
COHS |
San Luis Obispo |
CenCal Health |
Behavioral Health Treatment 0-6 |
$2,230.05 |
$2,278.23 |
$2,327.99 |
07/15-06/16 |
2015-16 |
COHS |
Santa Barbara |
CenCal Health |
Behavioral Health Treatment 0-6 |
$2,224.57 |
$2,272.62 |
$2,322.23 |
07/15-06/16 |
2015-16 |
COHS |
San Luis Obispo |
CenCal Health |
Behavioral Health Treatment 7-20 |
$1,749.11 |
$1,786.73 |
$1,825.58 |
07/15-06/16 |
2015-16 |
COHS |
Santa Barbara |
CenCal Health |
Behavioral Health Treatment 7-20 |
$1,747.21 |
$1,784.87 |
$1,823.76 |
07/15-06/16 |
2015-16 |
COHS |
San Luis Obispo |
CenCal Health |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
07/15-06/16 |
2015-16 |
COHS |
San Luis Obispo |
CenCal Health |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
07/15-06/16 |
2015-16 |
COHS |
Santa Barbara |
CenCal Health |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
07/15-06/16 |
2015-16 |
COHS |
Santa Barbara |
CenCal Health |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
07/15-06/16 |
2015-16 |
COHS |
Merced |
Central California Alliance |
Behavioral Health Treatment 0-6 |
$2,344.35 |
$2,395.08 |
$2,447.46 |
07/15-06/16 |
2015-16 |
COHS |
Monterey |
Central California Alliance |
Behavioral Health Treatment 0-6 |
$2,258.60 |
$2,307.48 |
$2,357.95 |
07/15-06/16 |
2015-16 |
COHS |
Santa Cruz |
Central California Alliance |
Behavioral Health Treatment 0-6 |
$2,281.27 |
$2,330.52 |
$2,381.37 |
07/15-06/16 |
2015-16 |
COHS |
Merced |
Central California Alliance |
Behavioral Health Treatment 7-20 |
$1,784.93 |
$1,823.34 |
$1,863.00 |
07/15-06/16 |
2015-16 |
COHS |
Monterey |
Central California Alliance |
Behavioral Health Treatment 7-20 |
$1,744.56 |
$1,782.36 |
$1,821.38 |
07/15-06/16 |
2015-16 |
COHS |
Santa Cruz |
Central California Alliance |
Behavioral Health Treatment 7-20 |
$1,785.66 |
$1,824.12 |
$1,863.83 |
07/15-06/16 |
2015-16 |
COHS |
Merced |
Central California Alliance |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
07/15-06/16 |
2015-16 |
COHS |
Merced |
Central California Alliance |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
07/15-06/16 |
2015-16 |
COHS |
Monterey |
Central California Alliance |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
07/15-06/16 |
2015-16 |
COHS |
Monterey |
Central California Alliance |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
07/15-06/16 |
2015-16 |
COHS |
Santa Cruz |
Central California Alliance |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
07/15-06/16 |
2015-16 |
COHS |
Santa Cruz |
Central California Alliance |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
07/15-06/16 |
2015-16 |
COHS |
Merced |
Central Coast Alliance |
Adult |
$276.43 |
$283.03 |
$291.07 |
07/15-06/16 |
2015-16 |
COHS |
Monterey |
Central Coast Alliance |
Adult |
$364.23 |
$372.98 |
$383.41 |
07/15-06/16 |
2015-16 |
COHS |
Santa Cruz |
Central Coast Alliance |
Adult |
$324.85 |
$332.64 |
$341.89 |
07/15-06/16 |
2015-16 |
COHS |
Merced |
Central Coast Alliance |
Aged & Disabled Non Dual |
$753.81 |
$771.27 |
$791.74 |
07/15-06/16 |
2015-16 |
COHS |
Monterey |
Central Coast Alliance |
Aged & Disabled Non Dual |
$947.55 |
$969.66 |
$995.35 |
07/15-06/16 |
2015-16 |
COHS |
Santa Cruz |
Central Coast Alliance |
Aged & Disabled Non Dual |
$892.45 |
$912.50 |
$935.68 |
07/15-06/16 |
2015-16 |
COHS |
Merced |
Central Coast Alliance |
Aged Dual |
$172.14 |
$175.02 |
$178.94 |
07/15-06/16 |
2015-16 |
COHS |
Monterey |
Central Coast Alliance |
Aged Dual |
$195.85 |
$199.01 |
$203.25 |
07/15-06/16 |
2015-16 |
COHS |
Santa Cruz |
Central Coast Alliance |
Aged Dual |
$218.79 |
$222.32 |
$226.93 |
07/15-06/16 |
2015-16 |
COHS |
Merced |
Central Coast Alliance |
BCCTP |
$1,285.74 |
$1,317.16 |
$1,353.49 |
07/15-06/16 |
2015-16 |
COHS |
Monterey |
Central Coast Alliance |
BCCTP |
$1,430.92 |
$1,465.89 |
$1,506.09 |
07/15-06/16 |
2015-16 |
COHS |
Santa Cruz |
Central Coast Alliance |
BCCTP |
$1,062.57 |
$1,088.51 |
$1,118.17 |
07/15-06/16 |
2015-16 |
COHS |
Merced |
Central Coast Alliance |
Child |
$78.72 |
$80.46 |
$82.97 |
07/15-06/16 |
2015-16 |
COHS |
Monterey |
Central Coast Alliance |
Child |
$81.26 |
$83.06 |
$85.64 |
07/15-06/16 |
2015-16 |
COHS |
Santa Cruz |
Central Coast Alliance |
Child |
$82.76 |
$84.61 |
$87.21 |
07/15-06/16 |
2015-16 |
COHS |
Merced |
Central Coast Alliance |
Disabled Dual |
$158.63 |
$161.60 |
$165.58 |
07/15-06/16 |
2015-16 |
COHS |
Monterey |
Central Coast Alliance |
Disabled Dual |
$156.22 |
$159.15 |
$163.06 |
07/15-06/16 |
2015-16 |
COHS |
Santa Cruz |
Central Coast Alliance |
Disabled Dual |
$145.92 |
$148.65 |
$152.28 |
07/15-06/16 |
2015-16 |
COHS |
Merced |
Central Coast Alliance |
LTC Dual |
$5,001.14 |
$5,062.79 |
$5,139.84 |
07/15-06/16 |
2015-16 |
COHS |
Monterey |
Central Coast Alliance |
LTC Dual |
$6,346.27 |
$6,424.17 |
$6,520.66 |
07/15-06/16 |
2015-16 |
COHS |
Santa Cruz |
Central Coast Alliance |
LTC Dual |
$5,454.93 |
$5,522.94 |
$5,605.58 |
07/15-06/16 |
2015-16 |
COHS |
Merced |
Central Coast Alliance |
LTC Non Dual |
$8,434.32 |
$8,549.09 |
$8,689.90 |
07/15-06/16 |
2015-16 |
COHS |
Monterey |
Central Coast Alliance |
LTC Non Dual |
$9,985.12 |
$10,128.68 |
$10,302.04 |
07/15-06/16 |
2015-16 |
COHS |
Santa Cruz |
Central Coast Alliance |
LTC Non Dual |
$7,048.59 |
$7,152.29 |
$7,275.35 |
07/15-06/16 |
2015-16 |
COHS |
Merced |
Central Coast Alliance |
Optional Expansion |
$389.74 |
$404.35 |
$419.63 |
07/15-06/16 |
2015-16 |
COHS |
Monterey |
Central Coast Alliance |
Optional Expansion |
$527.50 |
$547.32 |
$568.04 |
07/15-06/16 |
2015-16 |
COHS |
Santa Cruz |
Central Coast Alliance |
Optional Expansion |
$447.26 |
$464.04 |
$481.59 |
07/15-06/16 |
2015-16 |
COHS |
Ventura |
Gold Coast |
Adult |
$321.39 |
$328.94 |
$338.34 |
07/15-06/16 |
2015-16 |
COHS |
Ventura |
Gold Coast |
Aged & Disabled Non Dual |
$811.63 |
$829.14 |
$850.25 |
07/15-06/16 |
2015-16 |
COHS |
Ventura |
Gold Coast |
Aged Dual |
$216.60 |
$219.89 |
$224.54 |
07/15-06/16 |
2015-16 |
COHS |
Ventura |
Gold Coast |
BCCTP |
$1,599.65 |
$1,638.43 |
$1,683.99 |
07/15-06/16 |
2015-16 |
COHS |
Ventura |
Gold Coast |
Child |
$63.88 |
$65.19 |
$67.44 |
07/15-06/16 |
2015-16 |
COHS |
Ventura |
Gold Coast |
Disabled Dual |
$195.91 |
$199.35 |
$204.11 |
07/15-06/16 |
2015-16 |
COHS |
Ventura |
Gold Coast |
LTC Dual |
$5,677.22 |
$5,748.35 |
$5,839.43 |
07/15-06/16 |
2015-16 |
COHS |
Ventura |
Gold Coast |
LTC Non Dual |
$11,738.81 |
$11,899.62 |
$12,101.59 |
07/15-06/16 |
2015-16 |
COHS |
Ventura |
Gold Coast |
Optional Expansion |
$441.48 |
$458.04 |
$475.36 |
07/15-06/16 |
2015-16 |
COHS |
Ventura |
Gold Coast |
Behavioral Health Treatment 0-6 |
$2,307.00 |
$2,356.80 |
$2,408.23 |
07/15-06/16 |
2015-16 |
COHS |
Ventura |
Gold Coast |
Behavioral Health Treatment 7-20 |
$1,817.42 |
$1,856.50 |
$1,896.86 |
07/15-06/16 |
2015-16 |
COHS |
Ventura |
Gold Coast |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
07/15-06/16 |
2015-16 |
COHS |
Ventura |
Gold Coast |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
07/15-06/16 |
2015-16 |
COHS |
San Mateo |
Health Plan of San Mateo |
Adult |
$336.34 |
$343.88 |
$352.85 |
07/15-06/16 |
2015-16 |
COHS |
San Mateo |
Health Plan of San Mateo |
Aged & Disabled Non Dual |
$839.43 |
$857.62 |
$879.37 |
07/15-06/16 |
2015-16 |
COHS |
San Mateo |
Health Plan of San Mateo |
Aged Dual |
$236.80 |
$240.37 |
$244.91 |
07/15-06/16 |
2015-16 |
COHS |
San Mateo |
Health Plan of San Mateo |
AIDS Dual |
$202.84 |
$207.03 |
$212.07 |
07/15-06/16 |
2015-16 |
COHS |
San Mateo |
Health Plan of San Mateo |
AIDS Non Dual |
$3,639.97 |
$3,718.79 |
$3,813.21 |
07/15-06/16 |
2015-16 |
COHS |
San Mateo |
Health Plan of San Mateo |
BCCTP |
$1,240.03 |
$1,267.66 |
$1,300.62 |
07/15-06/16 |
2015-16 |
COHS |
San Mateo |
Health Plan of San Mateo |
Child |
$91.94 |
$94.06 |
$96.57 |
07/15-06/16 |
2015-16 |
COHS |
San Mateo |
Health Plan of San Mateo |
Disabled Dual |
$232.47 |
$236.24 |
$240.97 |
07/15-06/16 |
2015-16 |
COHS |
San Mateo |
Health Plan of San Mateo |
LTC Dual |
$7,423.39 |
$7,498.12 |
$7,601.57 |
07/15-06/16 |
2015-16 |
COHS |
San Mateo |
Health Plan of San Mateo |
LTC Non Dual |
$12,075.26 |
$12,218.87 |
$12,409.96 |
07/15-06/16 |
2015-16 |
COHS |
San Mateo |
Health Plan of San Mateo |
Optional Expansion |
$462.36 |
$479.72 |
$497.86 |
07/15-06/16 |
2015-16 |
COHS |
San Mateo |
Health Plan of San Mateo |
Behavioral Health Treatment 0-6 |
$2,257.04 |
$2,305.80 |
$2,356.14 |
07/15-06/16 |
2015-16 |
COHS |
San Mateo |
Health Plan of San Mateo |
Behavioral Health Treatment 7-20 |
$1,768.69 |
$1,806.82 |
$1,846.19 |
07/15-06/16 |
2015-16 |
COHS |
San Mateo |
Health Plan of San Mateo |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
07/15-06/16 |
2015-16 |
COHS |
San Mateo |
Health Plan of San Mateo |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
07/15-06/16 |
2015-16 |
COHS |
Marin |
Partnership Health Plan |
Adult |
$297.11 |
$304.34 |
$312.65 |
07/15-06/16 |
2015-16 |
COHS |
Mendocino |
Partnership Health Plan |
Adult |
$293.96 |
$301.08 |
$309.40 |
07/15-06/16 |
2015-16 |
COHS |
Napa |
Partnership Health Plan |
Adult |
$380.72 |
$389.92 |
$400.43 |
07/15-06/16 |
2015-16 |
COHS |
Solano |
Partnership Health Plan |
Adult |
$252.65 |
$258.75 |
$265.87 |
07/15-06/16 |
2015-16 |
COHS |
Sonoma |
Partnership Health Plan |
Adult |
$314.13 |
$321.74 |
$330.56 |
07/15-06/16 |
2015-16 |
COHS |
Yolo |
Partnership Health Plan |
Adult |
$251.12 |
$257.19 |
$264.29 |
07/15-06/16 |
2015-16 |
COHS |
Marin |
Partnership Health Plan |
Aged & Disabled Non Dual |
$1,013.64 |
$1,036.32 |
$1,061.55 |
07/15-06/16 |
2015-16 |
COHS |
Mendocino |
Partnership Health Plan |
Aged & Disabled Non Dual |
$887.00 |
$908.08 |
$931.92 |
07/15-06/16 |
2015-16 |
COHS |
Napa |
Partnership Health Plan |
Aged & Disabled Non Dual |
$910.07 |
$931.22 |
$954.89 |
07/15-06/16 |
2015-16 |
COHS |
Solano |
Partnership Health Plan |
Aged & Disabled Non Dual |
$841.39 |
$860.78 |
$882.54 |
07/15-06/16 |
2015-16 |
COHS |
Sonoma |
Partnership Health Plan |
Aged & Disabled Non Dual |
$992.07 |
$1,015.45 |
$1,041.68 |
07/15-06/16 |
2015-16 |
COHS |
Yolo |
Partnership Health Plan |
Aged & Disabled Non Dual |
$991.61 |
$1,013.63 |
$1,038.37 |
07/15-06/16 |
2015-16 |
COHS |
Marin |
Partnership Health Plan |
Aged Dual |
$243.89 |
$247.51 |
$251.98 |
07/15-06/16 |
2015-16 |
COHS |
Mendocino |
Partnership Health Plan |
Aged Dual |
$127.70 |
$129.99 |
$133.03 |
07/15-06/16 |
2015-16 |
COHS |
Napa |
Partnership Health Plan |
Aged Dual |
$236.44 |
$240.55 |
$245.56 |
07/15-06/16 |
2015-16 |
COHS |
Solano |
Partnership Health Plan |
Aged Dual |
$253.69 |
$258.09 |
$263.46 |
07/15-06/16 |
2015-16 |
COHS |
Sonoma |
Partnership Health Plan |
Aged Dual |
$215.49 |
$218.84 |
$223.09 |
07/15-06/16 |
2015-16 |
COHS |
Yolo |
Partnership Health Plan |
Aged Dual |
$262.32 |
$266.77 |
$272.18 |
07/15-06/16 |
2015-16 |
COHS |
Marin |
Partnership Health Plan |
BCCTP |
$2,399.09 |
$2,458.72 |
$2,524.11 |
07/15-06/16 |
2015-16 |
COHS |
Mendocino |
Partnership Health Plan |
BCCTP |
$1,332.74 |
$1,364.30 |
$1,399.75 |
07/15-06/16 |
2015-16 |
COHS |
Napa |
Partnership Health Plan |
BCCTP |
$1,821.20 |
$1,866.48 |
$1,916.49 |
07/15-06/16 |
2015-16 |
COHS |
Solano |
Partnership Health Plan |
BCCTP |
$2,148.02 |
$2,200.99 |
$2,259.57 |
07/15-06/16 |
2015-16 |
COHS |
Sonoma |
Partnership Health Plan |
BCCTP |
$1,505.07 |
$1,542.30 |
$1,583.74 |
07/15-06/16 |
2015-16 |
COHS |
Yolo |
Partnership Health Plan |
BCCTP |
$2,028.76 |
$2,077.99 |
$2,132.53 |
07/15-06/16 |
2015-16 |
COHS |
Marin |
Partnership Health Plan |
Child |
$112.43 |
$115.05 |
$118.36 |
07/15-06/16 |
2015-16 |
COHS |
Mendocino |
Partnership Health Plan |
Child |
$97.66 |
$99.91 |
$102.84 |
07/15-06/16 |
2015-16 |
COHS |
Napa |
Partnership Health Plan |
Child |
$118.79 |
$121.56 |
$125.05 |
07/15-06/16 |
2015-16 |
COHS |
Solano |
Partnership Health Plan |
Child |
$127.35 |
$130.34 |
$134.05 |
07/15-06/16 |
2015-16 |
COHS |
Sonoma |
Partnership Health Plan |
Child |
$86.56 |
$88.55 |
$91.17 |
07/15-06/16 |
2015-16 |
COHS |
Yolo |
Partnership Health Plan |
Child |
$117.90 |
$120.66 |
$124.13 |
07/15-06/16 |
2015-16 |
COHS |
Marin |
Partnership Health Plan |
Disabled Dual |
$156.80 |
$159.47 |
$162.86 |
07/15-06/16 |
2015-16 |
COHS |
Mendocino |
Partnership Health Plan |
Disabled Dual |
$132.04 |
$134.74 |
$138.21 |
07/15-06/16 |
2015-16 |
COHS |
Napa |
Partnership Health Plan |
Disabled Dual |
$417.21 |
$425.15 |
$434.41 |
07/15-06/16 |
2015-16 |
COHS |
Solano |
Partnership Health Plan |
Disabled Dual |
$341.88 |
$348.62 |
$356.54 |
07/15-06/16 |
2015-16 |
COHS |
Sonoma |
Partnership Health Plan |
Disabled Dual |
$169.88 |
$173.09 |
$177.13 |
07/15-06/16 |
2015-16 |
COHS |
Yolo |
Partnership Health Plan |
Disabled Dual |
$266.55 |
$271.69 |
$277.85 |
07/15-06/16 |
2015-16 |
COHS |
Marin |
Partnership Health Plan |
LTC Dual |
$5,632.01 |
$5,703.06 |
$5,784.42 |
07/15-06/16 |
2015-16 |
COHS |
Mendocino |
Partnership Health Plan |
LTC Dual |
$5,009.16 |
$5,073.04 |
$5,148.43 |
07/15-06/16 |
2015-16 |
COHS |
Napa |
Partnership Health Plan |
LTC Dual |
$4,509.10 |
$4,566.43 |
$4,632.80 |
07/15-06/16 |
2015-16 |
COHS |
Solano |
Partnership Health Plan |
LTC Dual |
$5,462.53 |
$5,532.92 |
$5,614.51 |
07/15-06/16 |
2015-16 |
COHS |
Sonoma |
Partnership Health Plan |
LTC Dual |
$3,861.93 |
$3,910.97 |
$3,968.38 |
07/15-06/16 |
2015-16 |
COHS |
Yolo |
Partnership Health Plan |
LTC Dual |
$5,123.02 |
$5,188.16 |
$5,263.80 |
07/15-06/16 |
2015-16 |
COHS |
Marin |
Partnership Health Plan |
LTC Non Dual |
$8,366.41 |
$8,510.80 |
$8,671.79 |
07/15-06/16 |
2015-16 |
COHS |
Mendocino |
Partnership Health Plan |
LTC Non Dual |
$11,135.09 |
$11,345.26 |
$11,583.13 |
07/15-06/16 |
2015-16 |
COHS |
Napa |
Partnership Health Plan |
LTC Non Dual |
$5,315.92 |
$5,407.78 |
$5,511.15 |
07/15-06/16 |
2015-16 |
COHS |
Solano |
Partnership Health Plan |
LTC Non Dual |
$9,835.28 |
$10,010.90 |
$10,208.25 |
07/15-06/16 |
2015-16 |
COHS |
Sonoma |
Partnership Health Plan |
LTC Non Dual |
$10,001.94 |
$10,172.14 |
$10,365.02 |
07/15-06/16 |
2015-16 |
COHS |
Yolo |
Partnership Health Plan |
LTC Non Dual |
$7,954.68 |
$8,089.77 |
$8,242.21 |
07/15-06/16 |
2015-16 |
COHS |
Napa |
Partnership Health Plan |
OBRA |
$547.86 |
$561.42 |
$576.70 |
07/15-06/16 |
2015-16 |
COHS |
Solano |
Partnership Health Plan |
OBRA |
$187.14 |
$191.69 |
$197.12 |
07/15-06/16 |
2015-16 |
COHS |
Yolo |
Partnership Health Plan |
OBRA |
$237.70 |
$243.52 |
$250.33 |
07/15-06/16 |
2015-16 |
COHS |
Marin |
Partnership Health Plan |
Optional Expansion |
$506.46 |
$525.48 |
$545.37 |
07/15-06/16 |
2015-16 |
COHS |
Mendocino |
Partnership Health Plan |
Optional Expansion |
$471.52 |
$489.22 |
$507.73 |
07/15-06/16 |
2015-16 |
COHS |
Napa |
Partnership Health Plan |
Optional Expansion |
$584.99 |
$606.98 |
$629.96 |
07/15-06/16 |
2015-16 |
COHS |
Solano |
Partnership Health Plan |
Optional Expansion |
$436.67 |
$453.05 |
$470.18 |
07/15-06/16 |
2015-16 |
COHS |
Sonoma |
Partnership Health Plan |
Optional Expansion |
$518.48 |
$537.95 |
$558.31 |
07/15-06/16 |
2015-16 |
COHS |
Yolo |
Partnership Health Plan |
Optional Expansion |
$445.94 |
$462.68 |
$480.17 |
07/15-06/16 |
2015-16 |
COHS |
Solano |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$1,751.91 |
$1,789.77 |
$1,828.88 |
07/15-06/16 |
2015-16 |
COHS |
Marin |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,238.67 |
$2,287.15 |
$2,337.22 |
07/15-06/16 |
2015-16 |
COHS |
Mendocino |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,295.71 |
$2,345.70 |
$2,397.34 |
07/15-06/16 |
2015-16 |
COHS |
Napa |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,264.59 |
$2,313.66 |
$2,364.34 |
07/15-06/16 |
2015-16 |
COHS |
Solano |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,253.02 |
$2,301.86 |
$2,352.28 |
07/15-06/16 |
2015-16 |
COHS |
Sonoma |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,250.16 |
$2,298.96 |
$2,349.34 |
07/15-06/16 |
2015-16 |
COHS |
Yolo |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,250.52 |
$2,299.27 |
$2,349.61 |
07/15-06/16 |
2015-16 |
COHS |
Marin |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$1,756.46 |
$1,794.46 |
$1,833.70 |
07/15-06/16 |
2015-16 |
COHS |
Mendocino |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$1,779.90 |
$1,818.64 |
$1,858.64 |
07/15-06/16 |
2015-16 |
COHS |
Napa |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$1,757.93 |
$1,795.89 |
$1,835.09 |
07/15-06/16 |
2015-16 |
COHS |
Sonoma |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$1,761.20 |
$1,799.36 |
$1,838.78 |
07/15-06/16 |
2015-16 |
COHS |
Yolo |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$1,753.72 |
$1,791.62 |
$1,830.76 |
07/15-06/16 |
2015-16 |
COHS |
Marin |
Partnership Health Plan |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
07/15-06/16 |
2015-16 |
COHS |
Marin |
Partnership Health Plan |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
07/15-06/16 |
2015-16 |
COHS |
Mendocino |
Partnership Health Plan |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
07/15-06/16 |
2015-16 |
COHS |
Mendocino |
Partnership Health Plan |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
07/15-06/16 |
2015-16 |
COHS |
Napa |
Partnership Health Plan |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
07/15-06/16 |
2015-16 |
COHS |
Napa |
Partnership Health Plan |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
07/15-06/16 |
2015-16 |
COHS |
Solano |
Partnership Health Plan |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
07/15-06/16 |
2015-16 |
COHS |
Solano |
Partnership Health Plan |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
07/15-06/16 |
2015-16 |
COHS |
Sonoma |
Partnership Health Plan |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
07/15-06/16 |
2015-16 |
COHS |
Sonoma |
Partnership Health Plan |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
07/15-06/16 |
2015-16 |
COHS |
Yolo |
Partnership Health Plan |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
07/15-06/16 |
2015-16 |
COHS |
Yolo |
Partnership Health Plan |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |