7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Aetna Better Health |
Behavioral Health Treatment 0-6 |
$2,464.45 |
$2,517.89 |
$2,573.06 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Aetna Better Health |
Behavioral Health Treatment 0-6 |
$1,826.67 |
$1,866.25 |
$1,907.14 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Aetna Better Health |
Behavioral Health Treatment 7-20 |
$1,523.97 |
$1,556.88 |
$1,590.87 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Aetna Better Health |
Behavioral Health Treatment 7-20 |
$1,500.03 |
$1,532.45 |
$1,565.94 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Aetna Better Health |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Aetna Better Health |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Aetna Better Health |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Aetna Better Health |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Anthem Blue Cross |
Adult & Family (19 & Over) |
$218.67 |
$226.07 |
$233.83 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Anthem Blue Cross |
Aged/Disabled/Non-Dual |
$707.86 |
$728.44 |
$749.86 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Anthem Blue Cross |
Aged/Dual Eligible |
$132.94 |
$137.27 |
$141.83 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Anthem Blue Cross |
BCCTP |
$982.00 |
$1,010.91 |
$1,041.02 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Anthem Blue Cross |
Behavioral Health Treatment 0-6 |
$2,464.45 |
$2,517.89 |
$2,573.06 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Anthem Blue Cross |
Behavioral Health Treatment 7-20 |
$1,523.97 |
$1,556.88 |
$1,590.87 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Anthem Blue Cross |
Child |
$72.99 |
$76.18 |
$79.54 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Anthem Blue Cross |
Disabled/Dual Eligible |
$126.77 |
$131.35 |
$136.17 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Anthem Blue Cross |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Anthem Blue Cross |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Anthem Blue Cross |
Maternity |
$7,893.14 |
$8,115.26 |
$8,345.40 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Anthem Blue Cross |
Optional Expansion |
$372.93 |
$386.92 |
$401.54 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Anthem Blue Cross |
Optional Expansion - Maternity |
$7,893.14 |
$8,115.26 |
$8,345.40 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Care 1st Health Plan |
Adult & Family (19 & Over) |
$240.51 |
$248.57 |
$257.01 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Care 1st Health Plan |
Aged/Disabled/Non-Dual |
$750.20 |
$772.13 |
$794.96 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Care 1st Health Plan |
Aged/Dual Eligible |
$- |
$- |
$- |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Care 1st Health Plan |
BCCTP |
$996.87 |
$1,026.60 |
$1,057.59 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Care 1st Health Plan |
Child |
$84.07 |
$87.67 |
$91.47 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Care 1st Health Plan |
Disabled/Dual Eligible |
$124.62 |
$129.56 |
$134.77 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Care 1st Health Plan |
Maternity |
$6,419.59 |
$6,600.25 |
$6,787.43 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Care 1st Health Plan |
Optional Expansion |
$462.71 |
$480.09 |
$498.26 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Care 1st Health Plan |
Optional Expansion - Maternity |
$6,419.59 |
$6,600.25 |
$6,787.43 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Care 1st Health Plan |
Behavioral Health Treatment 0-6 |
$1,826.67 |
$1,866.25 |
$1,907.14 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Care 1st Health Plan |
Behavioral Health Treatment 7-20 |
$1,500.03 |
$1,532.45 |
$1,565.94 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Care 1st Health Plan |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Care 1st Health Plan |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Community Health Group |
Adult & Family (19 & Over) |
$269.25 |
$278.09 |
$287.33 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Community Health Group |
Aged/Disabled/Non-Dual |
$776.46 |
$799.00 |
$822.46 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Community Health Group |
Aged/Dual Eligible |
$- |
$- |
$- |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Community Health Group |
BCCTP |
$954.93 |
$983.13 |
$1,012.50 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Community Health Group |
Behavioral Health Treatment 0-6 |
$1,826.67 |
$1,866.25 |
$1,907.14 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Community Health Group |
Behavioral Health Treatment 7-20 |
$1,500.03 |
$1,532.45 |
$1,565.94 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Community Health Group |
Child |
$83.20 |
$86.66 |
$90.32 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Community Health Group |
Disabled/Dual Eligible |
$109.93 |
$114.12 |
$118.53 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Community Health Group |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Community Health Group |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Community Health Group |
Maternity |
$6,419.59 |
$6,600.25 |
$6,787.43 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Community Health Group |
Optional Expansion |
$465.23 |
$482.71 |
$500.98 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Community Health Group |
Optional Expansion - Maternity |
$6,419.59 |
$6,600.25 |
$6,787.43 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Health Net of California |
Adult & Family (19 & Over) |
$196.85 |
$203.56 |
$210.60 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Health Net of California |
Adult & Family (19 & Over) |
$232.85 |
$240.52 |
$248.55 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Health Net of California |
Aged/Disabled/Non-Dual |
$679.97 |
$699.69 |
$720.22 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Health Net of California |
Aged/Disabled/Non-Dual |
$772.15 |
$794.60 |
$817.97 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Health Net of California |
Aged/Dual Eligible |
$215.02 |
$220.63 |
$226.51 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Health Net of California |
Aged/Dual Eligible |
$- |
$- |
$- |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Health Net of California |
BCCTP |
$930.22 |
$957.85 |
$986.64 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Health Net of California |
BCCTP |
$942.83 |
$970.89 |
$1,000.13 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Health Net of California |
Behavioral Health Treatment 0-6 |
$2,464.45 |
$2,517.89 |
$2,573.06 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Health Net of California |
Behavioral Health Treatment 0-6 |
$1,826.67 |
$1,866.25 |
$1,907.14 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Health Net of California |
Behavioral Health Treatment 7-20 |
$1,523.97 |
$1,556.88 |
$1,590.87 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Health Net of California |
Behavioral Health Treatment 7-20 |
$1,500.03 |
$1,532.45 |
$1,565.94 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Health Net of California |
Child |
$67.64 |
$70.61 |
$73.75 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Health Net of California |
Child |
$88.05 |
$91.67 |
$95.49 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Health Net of California |
Disabled/Dual Eligible |
$133.47 |
$138.02 |
$142.80 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Health Net of California |
Disabled/Dual Eligible |
$101.94 |
$105.89 |
$110.06 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Health Net of California |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Health Net of California |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Health Net of California |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Health Net of California |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Health Net of California |
Maternity |
$7,893.14 |
$8,115.26 |
$8,345.40 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Health Net of California |
Maternity |
$6,419.59 |
$6,600.25 |
$6,787.43 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Health Net of California |
Optional Expansion |
$362.95 |
$376.56 |
$390.79 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Health Net of California |
Optional Expansion |
$439.81 |
$456.33 |
$473.59 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Health Net of California |
Optional Expansion - Maternity |
$7,893.14 |
$8,115.26 |
$8,345.40 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Health Net of California |
Optional Expansion - Maternity |
$6,419.59 |
$6,600.25 |
$6,787.43 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Kaiser Foundation |
Adult & Family (19 & Over) |
$240.13 |
$248.12 |
$256.48 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Kaiser Foundation |
Adult & Family (19 & Over) |
$273.92 |
$282.79 |
$292.07 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Kaiser Foundation |
Aged/Disabled/Non-Dual |
$636.48 |
$655.17 |
$674.65 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Kaiser Foundation |
Aged/Disabled/Non-Dual |
$597.31 |
$614.64 |
$632.67 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Kaiser Foundation |
Aged/Dual Eligible |
$94.27 |
$97.63 |
$101.17 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Kaiser Foundation |
Aged/Dual Eligible |
$- |
$- |
$- |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Kaiser Foundation |
BCCTP |
$1,017.21 |
$1,047.02 |
$1,078.05 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Kaiser Foundation |
BCCTP |
$958.65 |
$986.85 |
$1,016.23 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Kaiser Foundation |
Child |
$76.58 |
$79.79 |
$83.18 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Kaiser Foundation |
Child |
$87.31 |
$90.84 |
$94.56 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Kaiser Foundation |
Disabled/Dual Eligible |
$111.39 |
$115.37 |
$119.56 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Kaiser Foundation |
Disabled/Dual Eligible |
$107.72 |
$111.64 |
$115.76 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Kaiser Foundation |
Maternity |
$7,893.14 |
$8,115.26 |
$8,345.40 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Kaiser Foundation |
Maternity |
$6,419.59 |
$6,600.25 |
$6,787.43 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Kaiser Foundation |
Optional Expansion |
$410.84 |
$426.26 |
$442.38 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Kaiser Foundation |
Optional Expansion |
$458.80 |
$476.03 |
$494.04 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Kaiser Foundation |
Optional Expansion - Maternity |
$7,893.14 |
$8,115.26 |
$8,345.40 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Kaiser Foundation |
Optional Expansion - Maternity |
$6,419.59 |
$6,600.25 |
$6,787.43 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Kaiser Foundation |
Behavioral Health Treatment 0-6 |
$2,464.45 |
$2,517.89 |
$2,573.06 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Kaiser Foundation |
Behavioral Health Treatment 0-6 |
$1,826.67 |
$1,866.25 |
$1,907.14 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Kaiser Foundation |
Behavioral Health Treatment 7-20 |
$1,523.97 |
$1,556.88 |
$1,590.87 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Kaiser Foundation |
Behavioral Health Treatment 7-20 |
$1,500.03 |
$1,532.45 |
$1,565.94 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Kaiser Foundation |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Kaiser Foundation |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Kaiser Foundation |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Kaiser Foundation |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Molina Healthcare |
Adult & Family (19 & Over) |
$209.88 |
$217.05 |
$224.56 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Molina Healthcare |
Adult & Family (19 & Over) |
$251.75 |
$260.02 |
$268.67 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Molina Healthcare |
Aged/Disabled/Non-Dual |
$669.31 |
$688.81 |
$709.11 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Molina Healthcare |
Aged/Disabled/Non-Dual |
$766.39 |
$788.69 |
$811.90 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Molina Healthcare |
Aged/Dual Eligible |
$195.87 |
$201.24 |
$206.89 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Molina Healthcare |
Aged/Dual Eligible |
$- |
$- |
$- |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Molina Healthcare |
BCCTP |
$931.61 |
$959.10 |
$987.73 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Molina Healthcare |
BCCTP |
$955.85 |
$984.01 |
$1,013.34 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Molina Healthcare |
Behavioral Health Treatment 0-6 |
$2,464.45 |
$2,517.89 |
$2,573.06 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Molina Healthcare |
Behavioral Health Treatment 0-6 |
$1,826.67 |
$1,866.25 |
$1,907.14 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Molina Healthcare |
Behavioral Health Treatment 7-20 |
$1,523.97 |
$1,556.88 |
$1,590.87 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Molina Healthcare |
Behavioral Health Treatment 7-20 |
$1,500.03 |
$1,532.45 |
$1,565.94 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Molina Healthcare |
Child |
$70.01 |
$73.08 |
$76.33 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Molina Healthcare |
Child |
$81.74 |
$85.10 |
$88.66 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Molina Healthcare |
Disabled/Dual Eligible |
$136.02 |
$140.65 |
$145.52 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Molina Healthcare |
Disabled/Dual Eligible |
$105.53 |
$109.47 |
$113.62 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Molina Healthcare |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Molina Healthcare |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Molina Healthcare |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Molina Healthcare |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Molina Healthcare |
Maternity |
$7,893.14 |
$8,115.26 |
$8,345.40 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Molina Healthcare |
Maternity |
$6,419.59 |
$6,600.25 |
$6,787.43 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Molina Healthcare |
Optional Expansion |
$399.68 |
$414.68 |
$430.36 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Molina Healthcare |
Optional Expansion |
$451.24 |
$468.19 |
$485.90 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
Molina Healthcare |
Optional Expansion - Maternity |
$7,893.14 |
$8,115.26 |
$8,345.40 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
Molina Healthcare |
Optional Expansion - Maternity |
$6,419.59 |
$6,600.25 |
$6,787.43 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
United Healthcare |
Behavioral Health Treatment 0-6 |
$2,464.45 |
$2,517.89 |
$2,573.06 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
United Healthcare |
Behavioral Health Treatment 0-6 |
$1,826.67 |
$1,866.25 |
$1,907.14 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
United Healthcare |
Behavioral Health Treatment 7-20 |
$1,523.97 |
$1,556.88 |
$1,590.87 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
United Healthcare |
Behavioral Health Treatment 7-20 |
$1,500.03 |
$1,532.45 |
$1,565.94 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
United Healthcare |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
United Healthcare |
Hepatitis C 340B |
$6,390.37 |
$6,606.83 |
$6,831.70 |
7/15-6/16 |
2015-16 |
GMC |
Sacramento |
United Healthcare |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |
7/15-6/16 |
2015-16 |
GMC |
San Diego |
United Healthcare |
Hepatitis C Non-340B |
$7,987.96 |
$8,258.54 |
$8,539.63 |