Table: state_fiscal_year_2015_16_regional_model_rates
rating_period state_fiscal_year model county health_plan category_of_aid lower_bound midpoint upper_bound
07/15-06/16 2015-16 Regional Rural Expansion Alpine Anthem Blue Cross Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Amador Anthem Blue Cross Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Butte Anthem Blue Cross Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Calaveras Anthem Blue Cross Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Colusa Anthem Blue Cross Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Anthem Blue Cross Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Glenn Anthem Blue Cross Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Alpine Anthem Blue Cross Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Amador Anthem Blue Cross Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Butte Anthem Blue Cross Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Calaveras Anthem Blue Cross Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Colusa Anthem Blue Cross Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Anthem Blue Cross Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Glenn Anthem Blue Cross Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Inyo Anthem Blue Cross Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Mariposa Anthem Blue Cross Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Mono Anthem Blue Cross Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Nevada Anthem Blue Cross Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Placer Anthem Blue Cross Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Plumas Anthem Blue Cross Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion San Benito Anthem Blue Cross Behavioral Health Treatment 7-20 1791.17 1830.09 1870.28
07/15-06/16 2015-16 Regional Rural Expansion Sierra Anthem Blue Cross Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Sutter Anthem Blue Cross Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Tehama Anthem Blue Cross Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne Anthem Blue Cross Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Yuba Anthem Blue Cross Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Alpine Anthem Blue Cross Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Alpine Anthem Blue Cross Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Amador Anthem Blue Cross Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Amador Anthem Blue Cross Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Butte Anthem Blue Cross Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Butte Anthem Blue Cross Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Calaveras Anthem Blue Cross Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Calaveras Anthem Blue Cross Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Colusa Anthem Blue Cross Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Colusa Anthem Blue Cross Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Anthem Blue Cross Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Anthem Blue Cross Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Glenn Anthem Blue Cross Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Glenn Anthem Blue Cross Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Inyo Anthem Blue Cross Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Inyo Anthem Blue Cross Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Mariposa Anthem Blue Cross Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Mariposa Anthem Blue Cross Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Mono Anthem Blue Cross Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Mono Anthem Blue Cross Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Nevada Anthem Blue Cross Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Nevada Anthem Blue Cross Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Placer Anthem Blue Cross Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Placer Anthem Blue Cross Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Plumas Anthem Blue Cross Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Plumas Anthem Blue Cross Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion San Benito Anthem Blue Cross Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion San Benito Anthem Blue Cross Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Sierra Anthem Blue Cross Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Sierra Anthem Blue Cross Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Sutter Anthem Blue Cross Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Sutter Anthem Blue Cross Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Tehama Anthem Blue Cross Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Tehama Anthem Blue Cross Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne Anthem Blue Cross Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne Anthem Blue Cross Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Yuba Anthem Blue Cross Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Yuba Anthem Blue Cross Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Alpine Anthem Blue Cross Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Amador Anthem Blue Cross Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Butte Anthem Blue Cross Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Calaveras Anthem Blue Cross Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Colusa Anthem Blue Cross Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Anthem Blue Cross Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Glenn Anthem Blue Cross Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Inyo Anthem Blue Cross Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Mariposa Anthem Blue Cross Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Mono Anthem Blue Cross Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Nevada Anthem Blue Cross Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Placer Anthem Blue Cross Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Plumas Anthem Blue Cross Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion San Benito Anthem Blue Cross Adult 247.92 257.48 267.53
07/15-06/16 2015-16 Regional Rural Expansion Sierra Anthem Blue Cross Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Sutter Anthem Blue Cross Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Tehama Anthem Blue Cross Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne Anthem Blue Cross Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Yuba Anthem Blue Cross Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Alpine Anthem Blue Cross Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Amador Anthem Blue Cross Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Butte Anthem Blue Cross Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Calaveras Anthem Blue Cross Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Colusa Anthem Blue Cross Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Anthem Blue Cross Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Glenn Anthem Blue Cross Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Inyo Anthem Blue Cross Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Mariposa Anthem Blue Cross Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Mono Anthem Blue Cross Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Nevada Anthem Blue Cross Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Placer Anthem Blue Cross Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Plumas Anthem Blue Cross Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion San Benito Anthem Blue Cross Aged & Disabled NonDual 886.49 920.01 955.17
07/15-06/16 2015-16 Regional Rural Expansion Sierra Anthem Blue Cross Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Sutter Anthem Blue Cross Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Tehama Anthem Blue Cross Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne Anthem Blue Cross Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Yuba Anthem Blue Cross Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Alpine Anthem Blue Cross Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Amador Anthem Blue Cross Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Butte Anthem Blue Cross Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Calaveras Anthem Blue Cross Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Colusa Anthem Blue Cross Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Anthem Blue Cross Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Glenn Anthem Blue Cross Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Inyo Anthem Blue Cross Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Mariposa Anthem Blue Cross Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Mono Anthem Blue Cross Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Nevada Anthem Blue Cross Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Placer Anthem Blue Cross Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Plumas Anthem Blue Cross Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion San Benito Anthem Blue Cross Aged Dual 90.93 94.05 97.34
07/15-06/16 2015-16 Regional Rural Expansion Sierra Anthem Blue Cross Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Sutter Anthem Blue Cross Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Tehama Anthem Blue Cross Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne Anthem Blue Cross Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Yuba Anthem Blue Cross Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Alpine Anthem Blue Cross BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Amador Anthem Blue Cross BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Butte Anthem Blue Cross BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Calaveras Anthem Blue Cross BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Colusa Anthem Blue Cross BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Anthem Blue Cross BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Glenn Anthem Blue Cross BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Inyo Anthem Blue Cross BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Mariposa Anthem Blue Cross BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Mono Anthem Blue Cross BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Nevada Anthem Blue Cross BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Placer Anthem Blue Cross BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Plumas Anthem Blue Cross BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion San Benito Anthem Blue Cross BCCTP 1252.82 1300.56 1350.62
07/15-06/16 2015-16 Regional Rural Expansion Sierra Anthem Blue Cross BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Sutter Anthem Blue Cross BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Tehama Anthem Blue Cross BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne Anthem Blue Cross BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Yuba Anthem Blue Cross BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Alpine Anthem Blue Cross Child 75.09 77.92 80.9
07/15-06/16 2015-16 Regional Rural Expansion Amador Anthem Blue Cross Child 75.09 77.92 80.9
07/15-06/16 2015-16 Regional Rural Expansion Butte Anthem Blue Cross Child 75.09 77.92 80.9
07/15-06/16 2015-16 Regional Rural Expansion Calaveras Anthem Blue Cross Child 75.09 77.92 80.9
07/15-06/16 2015-16 Regional Rural Expansion Colusa Anthem Blue Cross Child 75.09 77.92 80.9
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Anthem Blue Cross Child 75.09 77.92 80.9
07/15-06/16 2015-16 Regional Rural Expansion Glenn Anthem Blue Cross Child 75.09 77.92 80.9
07/15-06/16 2015-16 Regional Rural Expansion Inyo Anthem Blue Cross Child 75.09 77.92 80.9
07/15-06/16 2015-16 Regional Rural Expansion Mariposa Anthem Blue Cross Child 75.09 77.92 80.9
07/15-06/16 2015-16 Regional Rural Expansion Mono Anthem Blue Cross Child 75.09 77.92 80.9
07/15-06/16 2015-16 Regional Rural Expansion Nevada Anthem Blue Cross Child 75.09 77.92 80.9
07/15-06/16 2015-16 Regional Rural Expansion Placer Anthem Blue Cross Child 75.09 77.92 80.9
07/15-06/16 2015-16 Regional Rural Expansion Plumas Anthem Blue Cross Child 75.09 77.92 80.9
07/15-06/16 2015-16 Regional Rural Expansion San Benito Anthem Blue Cross Child 73.95 76.73 79.66
07/15-06/16 2015-16 Regional Rural Expansion Sierra Anthem Blue Cross Child 75.09 77.92 80.9
07/15-06/16 2015-16 Regional Rural Expansion Sutter Anthem Blue Cross Child 75.09 77.92 80.9
07/15-06/16 2015-16 Regional Rural Expansion Tehama Anthem Blue Cross Child 75.09 77.92 80.9
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne Anthem Blue Cross Child 75.09 77.92 80.9
07/15-06/16 2015-16 Regional Rural Expansion Yuba Anthem Blue Cross Child 75.09 77.92 80.9
07/15-06/16 2015-16 Regional Rural Expansion Alpine Anthem Blue Cross Maternity 7912.23 8214.93 8532.43
07/15-06/16 2015-16 Regional Rural Expansion Amador Anthem Blue Cross Maternity 7912.23 8214.93 8532.43
07/15-06/16 2015-16 Regional Rural Expansion Butte Anthem Blue Cross Maternity 7912.23 8214.93 8532.43
07/15-06/16 2015-16 Regional Rural Expansion Calaveras Anthem Blue Cross Maternity 7912.23 8214.93 8532.43
07/15-06/16 2015-16 Regional Rural Expansion Colusa Anthem Blue Cross Maternity 7912.23 8214.93 8532.43
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Anthem Blue Cross Maternity 7912.23 8214.93 8532.43
07/15-06/16 2015-16 Regional Rural Expansion Glenn Anthem Blue Cross Maternity 7912.23 8214.93 8532.43
07/15-06/16 2015-16 Regional Rural Expansion Inyo Anthem Blue Cross Maternity 7912.23 8214.93 8532.43
07/15-06/16 2015-16 Regional Rural Expansion Mariposa Anthem Blue Cross Maternity 7912.23 8214.93 8532.43
07/15-06/16 2015-16 Regional Rural Expansion Mono Anthem Blue Cross Maternity 7912.23 8214.93 8532.43
07/15-06/16 2015-16 Regional Rural Expansion Nevada Anthem Blue Cross Maternity 7912.23 8214.93 8532.43
07/15-06/16 2015-16 Regional Rural Expansion Placer Anthem Blue Cross Maternity 7912.23 8214.93 8532.43
07/15-06/16 2015-16 Regional Rural Expansion Plumas Anthem Blue Cross Maternity 7912.23 8214.93 8532.43
07/15-06/16 2015-16 Regional Rural Expansion San Benito Anthem Blue Cross Maternity 9755.49 10128.64 10520.05
07/15-06/16 2015-16 Regional Rural Expansion Sierra Anthem Blue Cross Maternity 7912.23 8214.93 8532.43
07/15-06/16 2015-16 Regional Rural Expansion Sutter Anthem Blue Cross Maternity 7912.23 8214.93 8532.43
07/15-06/16 2015-16 Regional Rural Expansion Tehama Anthem Blue Cross Maternity 7912.23 8214.93 8532.43
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne Anthem Blue Cross Maternity 7912.23 8214.93 8532.43
07/15-06/16 2015-16 Regional Rural Expansion Yuba Anthem Blue Cross Maternity 7912.23 8214.93 8532.43
07/15-06/16 2015-16 Regional Rural Expansion Alpine Anthem Blue Cross Optional Expansion 407.57 422.87 438.86
07/15-06/16 2015-16 Regional Rural Expansion Amador Anthem Blue Cross Optional Expansion 407.57 422.87 438.86
07/15-06/16 2015-16 Regional Rural Expansion Butte Anthem Blue Cross Optional Expansion 407.57 422.87 438.86
07/15-06/16 2015-16 Regional Rural Expansion Calaveras Anthem Blue Cross Optional Expansion 407.57 422.87 438.86
07/15-06/16 2015-16 Regional Rural Expansion Colusa Anthem Blue Cross Optional Expansion 407.57 422.87 438.86
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Anthem Blue Cross Optional Expansion 407.57 422.87 438.86
07/15-06/16 2015-16 Regional Rural Expansion Glenn Anthem Blue Cross Optional Expansion 407.57 422.87 438.86
07/15-06/16 2015-16 Regional Rural Expansion Inyo Anthem Blue Cross Optional Expansion 407.57 422.87 438.86
07/15-06/16 2015-16 Regional Rural Expansion Mariposa Anthem Blue Cross Optional Expansion 407.57 422.87 438.86
07/15-06/16 2015-16 Regional Rural Expansion Mono Anthem Blue Cross Optional Expansion 407.57 422.87 438.86
07/15-06/16 2015-16 Regional Rural Expansion Nevada Anthem Blue Cross Optional Expansion 407.57 422.87 438.86
07/15-06/16 2015-16 Regional Rural Expansion Placer Anthem Blue Cross Optional Expansion 407.57 422.87 438.86
07/15-06/16 2015-16 Regional Rural Expansion Plumas Anthem Blue Cross Optional Expansion 407.57 422.87 438.86
07/15-06/16 2015-16 Regional Rural Expansion San Benito Anthem Blue Cross Optional Expansion 453.95 471 488.82
07/15-06/16 2015-16 Regional Rural Expansion Sierra Anthem Blue Cross Optional Expansion 407.57 422.87 438.86
07/15-06/16 2015-16 Regional Rural Expansion Sutter Anthem Blue Cross Optional Expansion 407.57 422.87 438.86
07/15-06/16 2015-16 Regional Rural Expansion Tehama Anthem Blue Cross Optional Expansion 407.57 422.87 438.86
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne Anthem Blue Cross Optional Expansion 407.57 422.87 438.86
07/15-06/16 2015-16 Regional Rural Expansion Yuba Anthem Blue Cross Optional Expansion 407.57 422.87 438.86
07/15-06/16 2015-16 Regional Rural Expansion Alpine Anthem Blue Cross Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Amador Anthem Blue Cross Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Butte Anthem Blue Cross Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Calaveras Anthem Blue Cross Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Colusa Anthem Blue Cross Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Anthem Blue Cross Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Glenn Anthem Blue Cross Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Inyo Anthem Blue Cross Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Mariposa Anthem Blue Cross Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Mono Anthem Blue Cross Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Nevada Anthem Blue Cross Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Placer Anthem Blue Cross Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Plumas Anthem Blue Cross Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion San Benito Anthem Blue Cross Optional Expansion - Maternity 9371.36 9729.83 10105.82
07/15-06/16 2015-16 Regional Rural Expansion Sierra Anthem Blue Cross Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Sutter Anthem Blue Cross Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Tehama Anthem Blue Cross Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne Anthem Blue Cross Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Yuba Anthem Blue Cross Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Inyo Anthem Blue Cross Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Mariposa Anthem Blue Cross Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Mono Anthem Blue Cross Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Nevada Anthem Blue Cross Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Placer Anthem Blue Cross Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Plumas Anthem Blue Cross Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion San Benito Anthem Blue Cross Behavioral Health Treatment 0-6 2315.8 2365.57 2416.95
07/15-06/16 2015-16 Regional Rural Expansion Sierra Anthem Blue Cross Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Sutter Anthem Blue Cross Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Tehama Anthem Blue Cross Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne Anthem Blue Cross Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Yuba Anthem Blue Cross Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Alpine California Health & Wellness Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Amador California Health & Wellness Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Butte California Health & Wellness Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Calaveras California Health & Wellness Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Colusa California Health & Wellness Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion El Dorado California Health & Wellness Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Glenn California Health & Wellness Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Imperial California Health & Wellness Behavioral Health Treatment 0-6 2306.89 2357.06 2408.87
07/15-06/16 2015-16 Regional Rural Expansion Inyo California Health & Wellness Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Mariposa California Health & Wellness Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Mono California Health & Wellness Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Nevada California Health & Wellness Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Placer California Health & Wellness Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Plumas California Health & Wellness Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Alpine California Health & Wellness Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Amador California Health & Wellness Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Butte California Health & Wellness Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Calaveras California Health & Wellness Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Colusa California Health & Wellness Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion El Dorado California Health & Wellness Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Glenn California Health & Wellness Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Imperial California Health & Wellness Behavioral Health Treatment 7-20 1849.48 1888.96 1929.74
07/15-06/16 2015-16 Regional Rural Expansion Inyo California Health & Wellness Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Mariposa California Health & Wellness Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Mono California Health & Wellness Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Nevada California Health & Wellness Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Placer California Health & Wellness Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Plumas California Health & Wellness Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Sierra California Health & Wellness Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Sutter California Health & Wellness Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Tehama California Health & Wellness Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne California Health & Wellness Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Yuba California Health & Wellness Behavioral Health Treatment 7-20 1761.95 1800.17 1839.63
07/15-06/16 2015-16 Regional Rural Expansion Alpine California Health & Wellness Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Alpine California Health & Wellness Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Amador California Health & Wellness Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Amador California Health & Wellness Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Butte California Health & Wellness Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Butte California Health & Wellness Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Calaveras California Health & Wellness Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Calaveras California Health & Wellness Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Colusa California Health & Wellness Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Colusa California Health & Wellness Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion El Dorado California Health & Wellness Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion El Dorado California Health & Wellness Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Glenn California Health & Wellness Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Glenn California Health & Wellness Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Imperial California Health & Wellness Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Imperial California Health & Wellness Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Inyo California Health & Wellness Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Inyo California Health & Wellness Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Mariposa California Health & Wellness Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Mariposa California Health & Wellness Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Mono California Health & Wellness Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Mono California Health & Wellness Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Nevada California Health & Wellness Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Nevada California Health & Wellness Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Placer California Health & Wellness Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Placer California Health & Wellness Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Plumas California Health & Wellness Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Plumas California Health & Wellness Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Sierra California Health & Wellness Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Sierra California Health & Wellness Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Sutter California Health & Wellness Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Sutter California Health & Wellness Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Tehama California Health & Wellness Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Tehama California Health & Wellness Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne California Health & Wellness Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne California Health & Wellness Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Yuba California Health & Wellness Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Yuba California Health & Wellness Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Alpine California Health & Wellness Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Amador California Health & Wellness Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Butte California Health & Wellness Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Calaveras California Health & Wellness Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Colusa California Health & Wellness Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion El Dorado California Health & Wellness Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Glenn California Health & Wellness Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Imperial California Health & Wellness Adult 196.96 204.57 212.56
07/15-06/16 2015-16 Regional Rural Expansion Inyo California Health & Wellness Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Mariposa California Health & Wellness Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Mono California Health & Wellness Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Nevada California Health & Wellness Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Placer California Health & Wellness Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Plumas California Health & Wellness Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Sierra California Health & Wellness Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Sutter California Health & Wellness Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Tehama California Health & Wellness Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne California Health & Wellness Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Yuba California Health & Wellness Adult 242.22 251.56 261.36
07/15-06/16 2015-16 Regional Rural Expansion Alpine California Health & Wellness Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Amador California Health & Wellness Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Butte California Health & Wellness Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Calaveras California Health & Wellness Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Colusa California Health & Wellness Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion El Dorado California Health & Wellness Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Glenn California Health & Wellness Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Imperial California Health & Wellness Aged & Disabled NonDual 839.78 871.56 904.91
07/15-06/16 2015-16 Regional Rural Expansion Inyo California Health & Wellness Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Mariposa California Health & Wellness Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Mono California Health & Wellness Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Nevada California Health & Wellness Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Placer California Health & Wellness Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Plumas California Health & Wellness Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Sierra California Health & Wellness Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Sutter California Health & Wellness Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Tehama California Health & Wellness Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne California Health & Wellness Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Yuba California Health & Wellness Aged & Disabled NonDual 887.43 921.03 956.27
07/15-06/16 2015-16 Regional Rural Expansion Alpine California Health & Wellness Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Amador California Health & Wellness Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Butte California Health & Wellness Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Calaveras California Health & Wellness Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Colusa California Health & Wellness Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion El Dorado California Health & Wellness Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Glenn California Health & Wellness Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Imperial California Health & Wellness Aged Dual 365.24 376.93 391.5
07/15-06/16 2015-16 Regional Rural Expansion Inyo California Health & Wellness Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Mariposa California Health & Wellness Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Mono California Health & Wellness Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Nevada California Health & Wellness Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Placer California Health & Wellness Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Plumas California Health & Wellness Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Sierra California Health & Wellness Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Sutter California Health & Wellness Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Tehama California Health & Wellness Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne California Health & Wellness Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Yuba California Health & Wellness Aged Dual 99.73 103.2 106.93
07/15-06/16 2015-16 Regional Rural Expansion Alpine California Health & Wellness BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Amador California Health & Wellness BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Butte California Health & Wellness BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Calaveras California Health & Wellness BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Colusa California Health & Wellness BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion El Dorado California Health & Wellness BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Glenn California Health & Wellness BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Imperial California Health & Wellness BCCTP 1264.21 1312.39 1362.93
07/15-06/16 2015-16 Regional Rural Expansion Inyo California Health & Wellness BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Mariposa California Health & Wellness BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Mono California Health & Wellness BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Nevada California Health & Wellness BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Placer California Health & Wellness BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Plumas California Health & Wellness BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Sierra California Health & Wellness BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Sutter California Health & Wellness BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Tehama California Health & Wellness BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne California Health & Wellness BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Yuba California Health & Wellness BCCTP 1305.17 1354.86 1406.99
07/15-06/16 2015-16 Regional Rural Expansion Alpine California Health & Wellness Child 74.26 77.12 80.12
07/15-06/16 2015-16 Regional Rural Expansion Amador California Health & Wellness Child 74.26 77.12 80.12
07/15-06/16 2015-16 Regional Rural Expansion Butte California Health & Wellness Child 74.26 77.12 80.12
07/15-06/16 2015-16 Regional Rural Expansion Calaveras California Health & Wellness Child 74.26 77.12 80.12
07/15-06/16 2015-16 Regional Rural Expansion Colusa California Health & Wellness Child 74.26 77.12 80.12
07/15-06/16 2015-16 Regional Rural Expansion El Dorado California Health & Wellness Child 74.26 77.12 80.12
07/15-06/16 2015-16 Regional Rural Expansion Glenn California Health & Wellness Child 74.26 77.12 80.12
07/15-06/16 2015-16 Regional Rural Expansion Imperial California Health & Wellness Child 74.22 77.08 80.09
07/15-06/16 2015-16 Regional Rural Expansion Inyo California Health & Wellness Child 74.26 77.12 80.12
07/15-06/16 2015-16 Regional Rural Expansion Mariposa California Health & Wellness Child 74.26 77.12 80.12
07/15-06/16 2015-16 Regional Rural Expansion Mono California Health & Wellness Child 74.26 77.12 80.12
07/15-06/16 2015-16 Regional Rural Expansion Nevada California Health & Wellness Child 74.26 77.12 80.12
07/15-06/16 2015-16 Regional Rural Expansion Placer California Health & Wellness Child 74.26 77.12 80.12
07/15-06/16 2015-16 Regional Rural Expansion Plumas California Health & Wellness Child 74.26 77.12 80.12
07/15-06/16 2015-16 Regional Rural Expansion Sierra California Health & Wellness Child 74.26 77.12 80.12
07/15-06/16 2015-16 Regional Rural Expansion Sutter California Health & Wellness Child 74.26 77.12 80.12
07/15-06/16 2015-16 Regional Rural Expansion Tehama California Health & Wellness Child 74.26 77.12 80.12
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne California Health & Wellness Child 74.26 77.12 80.12
07/15-06/16 2015-16 Regional Rural Expansion Yuba California Health & Wellness Child 74.26 77.12 80.12
07/15-06/16 2015-16 Regional Rural Expansion Alpine California Health & Wellness Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Amador California Health & Wellness Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Butte California Health & Wellness Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Calaveras California Health & Wellness Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Colusa California Health & Wellness Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion El Dorado California Health & Wellness Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Glenn California Health & Wellness Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Imperial California Health & Wellness Maternity 6530.68 6780.55 7042.65
07/15-06/16 2015-16 Regional Rural Expansion Inyo California Health & Wellness Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Mariposa California Health & Wellness Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Mono California Health & Wellness Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Nevada California Health & Wellness Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Placer California Health & Wellness Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Plumas California Health & Wellness Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Sierra California Health & Wellness Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Sutter California Health & Wellness Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Tehama California Health & Wellness Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne California Health & Wellness Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Yuba California Health & Wellness Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Alpine California Health & Wellness Optional Expansion 419.72 435.48 451.95
07/15-06/16 2015-16 Regional Rural Expansion Amador California Health & Wellness Optional Expansion 419.72 435.48 451.95
07/15-06/16 2015-16 Regional Rural Expansion Butte California Health & Wellness Optional Expansion 419.72 435.48 451.95
07/15-06/16 2015-16 Regional Rural Expansion Calaveras California Health & Wellness Optional Expansion 419.72 435.48 451.95
07/15-06/16 2015-16 Regional Rural Expansion Colusa California Health & Wellness Optional Expansion 419.72 435.48 451.95
07/15-06/16 2015-16 Regional Rural Expansion El Dorado California Health & Wellness Optional Expansion 419.72 435.48 451.95
07/15-06/16 2015-16 Regional Rural Expansion Glenn California Health & Wellness Optional Expansion 419.72 435.48 451.95
07/15-06/16 2015-16 Regional Rural Expansion Imperial California Health & Wellness Optional Expansion 407.1 422.38 438.35
07/15-06/16 2015-16 Regional Rural Expansion Inyo California Health & Wellness Optional Expansion 419.72 435.48 451.95
07/15-06/16 2015-16 Regional Rural Expansion Mariposa California Health & Wellness Optional Expansion 419.72 435.48 451.95
07/15-06/16 2015-16 Regional Rural Expansion Mono California Health & Wellness Optional Expansion 419.72 435.48 451.95
07/15-06/16 2015-16 Regional Rural Expansion Nevada California Health & Wellness Optional Expansion 419.72 435.48 451.95
07/15-06/16 2015-16 Regional Rural Expansion Placer California Health & Wellness Optional Expansion 419.72 435.48 451.95
07/15-06/16 2015-16 Regional Rural Expansion Plumas California Health & Wellness Optional Expansion 419.72 435.48 451.95
07/15-06/16 2015-16 Regional Rural Expansion Sierra California Health & Wellness Optional Expansion 419.72 435.48 451.95
07/15-06/16 2015-16 Regional Rural Expansion Sutter California Health & Wellness Optional Expansion 419.72 435.48 451.95
07/15-06/16 2015-16 Regional Rural Expansion Tehama California Health & Wellness Optional Expansion 419.72 435.48 451.95
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne California Health & Wellness Optional Expansion 419.72 435.48 451.95
07/15-06/16 2015-16 Regional Rural Expansion Yuba California Health & Wellness Optional Expansion 419.72 435.48 451.95
07/15-06/16 2015-16 Regional Rural Expansion Alpine California Health & Wellness Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Amador California Health & Wellness Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Butte California Health & Wellness Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Calaveras California Health & Wellness Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Colusa California Health & Wellness Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion El Dorado California Health & Wellness Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Glenn California Health & Wellness Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Imperial California Health & Wellness Optional Expansion - Maternity 6530.68 6780.55 7042.65
07/15-06/16 2015-16 Regional Rural Expansion Inyo California Health & Wellness Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Mariposa California Health & Wellness Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Mono California Health & Wellness Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Nevada California Health & Wellness Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Placer California Health & Wellness Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Plumas California Health & Wellness Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Sierra California Health & Wellness Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Sutter California Health & Wellness Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Tehama California Health & Wellness Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne California Health & Wellness Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Yuba California Health & Wellness Optional Expansion - Maternity 7600.69 7891.46 8196.47
07/15-06/16 2015-16 Regional Rural Expansion Sierra California Health & Wellness Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Sutter California Health & Wellness Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Tehama California Health & Wellness Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Tuolumne California Health & Wellness Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Yuba California Health & Wellness Behavioral Health Treatment 0-6 2239.48 2288.13 2338.37
07/15-06/16 2015-16 Regional Rural Expansion Amador Kaiser Foundation Behavioral Health Treatment 0-6 2244.32 2292.99 2343.26
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Kaiser Foundation Behavioral Health Treatment 0-6 2244.32 2292.99 2343.26
07/15-06/16 2015-16 Regional Rural Expansion Placer Kaiser Foundation Behavioral Health Treatment 0-6 2244.32 2292.99 2343.26
07/15-06/16 2015-16 Regional Rural Expansion Amador Kaiser Foundation Adult 228.43 237.23 246.47
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Kaiser Foundation Adult 228.43 237.23 246.47
07/15-06/16 2015-16 Regional Rural Expansion Placer Kaiser Foundation Adult 228.43 237.23 246.47
07/15-06/16 2015-16 Regional Rural Expansion Amador Kaiser Foundation Aged & Disabled NonDual 797.35 827.46 859.04
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Kaiser Foundation Aged & Disabled NonDual 797.35 827.46 859.04
07/15-06/16 2015-16 Regional Rural Expansion Placer Kaiser Foundation Aged & Disabled NonDual 797.35 827.46 859.04
07/15-06/16 2015-16 Regional Rural Expansion Amador Kaiser Foundation Aged Dual 82.24 85.05 88.05
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Kaiser Foundation Aged Dual 82.24 85.05 88.05
07/15-06/16 2015-16 Regional Rural Expansion Placer Kaiser Foundation Aged Dual 82.24 85.05 88.05
07/15-06/16 2015-16 Regional Rural Expansion Amador Kaiser Foundation BCCTP 1210.77 1256.94 1305.36
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Kaiser Foundation BCCTP 1210.77 1256.94 1305.36
07/15-06/16 2015-16 Regional Rural Expansion Placer Kaiser Foundation BCCTP 1210.77 1256.94 1305.36
07/15-06/16 2015-16 Regional Rural Expansion Amador Kaiser Foundation Child 69.92 72.43 75.07
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Kaiser Foundation Child 69.92 72.43 75.07
07/15-06/16 2015-16 Regional Rural Expansion Placer Kaiser Foundation Child 69.92 72.43 75.07
07/15-06/16 2015-16 Regional Rural Expansion Amador Kaiser Foundation Maternity 7397.09 7680.09 7976.93
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Kaiser Foundation Maternity 7397.09 7680.09 7976.93
07/15-06/16 2015-16 Regional Rural Expansion Placer Kaiser Foundation Maternity 7397.09 7680.09 7976.93
07/15-06/16 2015-16 Regional Rural Expansion Amador Kaiser Foundation Optional Expansion 388.92 403.51 418.77
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Kaiser Foundation Optional Expansion 388.92 403.51 418.77
07/15-06/16 2015-16 Regional Rural Expansion Placer Kaiser Foundation Optional Expansion 388.92 403.51 418.77
07/15-06/16 2015-16 Regional Rural Expansion Amador Kaiser Foundation Optional Expansion - Maternity 7397.09 7680.09 7976.93
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Kaiser Foundation Optional Expansion - Maternity 7397.09 7680.09 7976.93
07/15-06/16 2015-16 Regional Rural Expansion Placer Kaiser Foundation Optional Expansion - Maternity 7397.09 7680.09 7976.93
07/15-06/16 2015-16 Regional Rural Expansion Amador Kaiser Foundation Behavioral Health Treatment 7-20 1744.09 1781.83 1820.8
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Kaiser Foundation Behavioral Health Treatment 7-20 1744.09 1781.83 1820.8
07/15-06/16 2015-16 Regional Rural Expansion Placer Kaiser Foundation Behavioral Health Treatment 7-20 1744.09 1781.83 1820.8
07/15-06/16 2015-16 Regional Rural Expansion Amador Kaiser Foundation Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Amador Kaiser Foundation Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Kaiser Foundation Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion El Dorado Kaiser Foundation Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Placer Kaiser Foundation Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Placer Kaiser Foundation Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Imperial Molina Healthcare Behavioral Health Treatment 0-6 2306.89 2357.06 2408.87
07/15-06/16 2015-16 Regional Rural Expansion Imperial Molina Healthcare Behavioral Health Treatment 7-20 1849.48 1888.96 1929.74
07/15-06/16 2015-16 Regional Rural Expansion Imperial Molina Healthcare Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Imperial Molina Healthcare Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Imperial Molina Healthcare Adult 196.96 204.57 212.56
07/15-06/16 2015-16 Regional Rural Expansion Imperial Molina Healthcare Aged & Disabled NonDual 839.78 871.56 904.91
07/15-06/16 2015-16 Regional Rural Expansion Imperial Molina Healthcare Aged Dual 365.24 376.93 391.5
07/15-06/16 2015-16 Regional Rural Expansion Imperial Molina Healthcare BCCTP 1264.21 1312.39 1362.93
07/15-06/16 2015-16 Regional Rural Expansion Imperial Molina Healthcare Child 74.18 77.03 80.02
07/15-06/16 2015-16 Regional Rural Expansion Imperial Molina Healthcare Maternity 6530.68 6780.55 7042.65
07/15-06/16 2015-16 Regional Rural Expansion Imperial Molina Healthcare Optional Expansion 393.48 408.24 423.67
07/15-06/16 2015-16 Regional Rural Expansion Imperial Molina Healthcare Optional Expansion - Maternity 6530.68 6780.55 7042.65
07/15-06/16 2015-16 Regional Rural Expansion Del Norte Partnership Health Plan Behavioral Health Treatment 0-6 2252.3 2301.28 2351.85
07/15-06/16 2015-16 Regional Rural Expansion Humboldt Partnership Health Plan Behavioral Health Treatment 0-6 2252.3 2301.28 2351.85
07/15-06/16 2015-16 Regional Rural Expansion Lake Partnership Health Plan Behavioral Health Treatment 0-6 2252.3 2301.28 2351.85
07/15-06/16 2015-16 Regional Rural Expansion Lassen Partnership Health Plan Behavioral Health Treatment 0-6 2252.3 2301.28 2351.85
07/15-06/16 2015-16 Regional Rural Expansion Modoc Partnership Health Plan Behavioral Health Treatment 0-6 2252.3 2301.28 2351.85
07/15-06/16 2015-16 Regional Rural Expansion Shasta Partnership Health Plan Behavioral Health Treatment 0-6 2252.3 2301.28 2351.85
07/15-06/16 2015-16 Regional Rural Expansion Siskiyou Partnership Health Plan Behavioral Health Treatment 0-6 2252.3 2301.28 2351.85
07/15-06/16 2015-16 Regional Rural Expansion Del Norte Partnership Health Plan Adult 304.86 316.55 328.81
07/15-06/16 2015-16 Regional Rural Expansion Humboldt Partnership Health Plan Adult 304.86 316.55 328.81
07/15-06/16 2015-16 Regional Rural Expansion Lake Partnership Health Plan Adult 304.86 316.55 328.81
07/15-06/16 2015-16 Regional Rural Expansion Lassen Partnership Health Plan Adult 304.86 316.55 328.81
07/15-06/16 2015-16 Regional Rural Expansion Modoc Partnership Health Plan Adult 304.86 316.55 328.81
07/15-06/16 2015-16 Regional Rural Expansion Shasta Partnership Health Plan Adult 304.86 316.55 328.81
07/15-06/16 2015-16 Regional Rural Expansion Siskiyou Partnership Health Plan Adult 304.86 316.55 328.81
07/15-06/16 2015-16 Regional Rural Expansion Trinity Partnership Health Plan Adult 304.86 316.55 328.81
07/15-06/16 2015-16 Regional Rural Expansion Del Norte Partnership Health Plan Aged & Disabled NonDual 928.92 963.15 999.06
07/15-06/16 2015-16 Regional Rural Expansion Humboldt Partnership Health Plan Aged & Disabled NonDual 928.92 963.15 999.06
07/15-06/16 2015-16 Regional Rural Expansion Lake Partnership Health Plan Aged & Disabled NonDual 928.92 963.15 999.06
07/15-06/16 2015-16 Regional Rural Expansion Lassen Partnership Health Plan Aged & Disabled NonDual 928.92 963.15 999.06
07/15-06/16 2015-16 Regional Rural Expansion Modoc Partnership Health Plan Aged & Disabled NonDual 928.92 963.15 999.06
07/15-06/16 2015-16 Regional Rural Expansion Shasta Partnership Health Plan Aged & Disabled NonDual 928.92 963.15 999.06
07/15-06/16 2015-16 Regional Rural Expansion Siskiyou Partnership Health Plan Aged & Disabled NonDual 928.92 963.15 999.06
07/15-06/16 2015-16 Regional Rural Expansion Trinity Partnership Health Plan Aged & Disabled NonDual 928.92 963.15 999.06
07/15-06/16 2015-16 Regional Rural Expansion Del Norte Partnership Health Plan Aged Dual 148.42 153.21 158.25
07/15-06/16 2015-16 Regional Rural Expansion Humboldt Partnership Health Plan Aged Dual 148.42 153.21 158.25
07/15-06/16 2015-16 Regional Rural Expansion Lake Partnership Health Plan Aged Dual 148.42 153.21 158.25
07/15-06/16 2015-16 Regional Rural Expansion Lassen Partnership Health Plan Aged Dual 148.42 153.21 158.25
07/15-06/16 2015-16 Regional Rural Expansion Modoc Partnership Health Plan Aged Dual 148.42 153.21 158.25
07/15-06/16 2015-16 Regional Rural Expansion Shasta Partnership Health Plan Aged Dual 148.42 153.21 158.25
07/15-06/16 2015-16 Regional Rural Expansion Siskiyou Partnership Health Plan Aged Dual 148.42 153.21 158.25
07/15-06/16 2015-16 Regional Rural Expansion Trinity Partnership Health Plan Aged Dual 148.42 153.21 158.25
07/15-06/16 2015-16 Regional Rural Expansion Del Norte Partnership Health Plan BCCTP 1237.26 1284.25 1333.54
07/15-06/16 2015-16 Regional Rural Expansion Humboldt Partnership Health Plan BCCTP 1237.26 1284.25 1333.54
07/15-06/16 2015-16 Regional Rural Expansion Lake Partnership Health Plan BCCTP 1237.26 1284.25 1333.54
07/15-06/16 2015-16 Regional Rural Expansion Lassen Partnership Health Plan BCCTP 1237.26 1284.25 1333.54
07/15-06/16 2015-16 Regional Rural Expansion Modoc Partnership Health Plan BCCTP 1237.26 1284.25 1333.54
07/15-06/16 2015-16 Regional Rural Expansion Shasta Partnership Health Plan BCCTP 1237.26 1284.25 1333.54
07/15-06/16 2015-16 Regional Rural Expansion Siskiyou Partnership Health Plan BCCTP 1237.26 1284.25 1333.54
07/15-06/16 2015-16 Regional Rural Expansion Trinity Partnership Health Plan BCCTP 1237.26 1284.25 1333.54
07/15-06/16 2015-16 Regional Rural Expansion Del Norte Partnership Health Plan Child 79.13 82.15 85.32
07/15-06/16 2015-16 Regional Rural Expansion Humboldt Partnership Health Plan Child 79.13 82.15 85.32
07/15-06/16 2015-16 Regional Rural Expansion Lake Partnership Health Plan Child 79.13 82.15 85.32
07/15-06/16 2015-16 Regional Rural Expansion Lassen Partnership Health Plan Child 79.13 82.15 85.32
07/15-06/16 2015-16 Regional Rural Expansion Modoc Partnership Health Plan Child 79.13 82.15 85.32
07/15-06/16 2015-16 Regional Rural Expansion Shasta Partnership Health Plan Child 79.13 82.15 85.32
07/15-06/16 2015-16 Regional Rural Expansion Siskiyou Partnership Health Plan Child 79.13 82.15 85.32
07/15-06/16 2015-16 Regional Rural Expansion Trinity Partnership Health Plan Child 79.13 82.15 85.32
07/15-06/16 2015-16 Regional Rural Expansion Del Norte Partnership Health Plan LTC 7435.51 7615.62 7803.6
07/15-06/16 2015-16 Regional Rural Expansion Humboldt Partnership Health Plan LTC 7435.51 7615.62 7803.6
07/15-06/16 2015-16 Regional Rural Expansion Lake Partnership Health Plan LTC 7435.51 7615.62 7803.6
07/15-06/16 2015-16 Regional Rural Expansion Lassen Partnership Health Plan LTC 7435.51 7615.62 7803.6
07/15-06/16 2015-16 Regional Rural Expansion Modoc Partnership Health Plan LTC 7435.51 7615.62 7803.6
07/15-06/16 2015-16 Regional Rural Expansion Shasta Partnership Health Plan LTC 7435.51 7615.62 7803.6
07/15-06/16 2015-16 Regional Rural Expansion Siskiyou Partnership Health Plan LTC 7435.51 7615.62 7803.6
07/15-06/16 2015-16 Regional Rural Expansion Trinity Partnership Health Plan LTC 7435.51 7615.62 7803.6
07/15-06/16 2015-16 Regional Rural Expansion Del Norte Partnership Health Plan LTC/Full-Dual 5368.31 5478.71 5593.69
07/15-06/16 2015-16 Regional Rural Expansion Humboldt Partnership Health Plan LTC/Full-Dual 5368.31 5478.71 5593.69
07/15-06/16 2015-16 Regional Rural Expansion Lake Partnership Health Plan LTC/Full-Dual 5368.31 5478.71 5593.69
07/15-06/16 2015-16 Regional Rural Expansion Lassen Partnership Health Plan LTC/Full-Dual 5368.31 5478.71 5593.69
07/15-06/16 2015-16 Regional Rural Expansion Modoc Partnership Health Plan LTC/Full-Dual 5368.31 5478.71 5593.69
07/15-06/16 2015-16 Regional Rural Expansion Shasta Partnership Health Plan LTC/Full-Dual 5368.31 5478.71 5593.69
07/15-06/16 2015-16 Regional Rural Expansion Siskiyou Partnership Health Plan LTC/Full-Dual 5368.31 5478.71 5593.69
07/15-06/16 2015-16 Regional Rural Expansion Trinity Partnership Health Plan LTC/Full-Dual 5368.31 5478.71 5593.69
07/15-06/16 2015-16 Regional Rural Expansion Del Norte Partnership Health Plan Optional Expansion 446.94 463.71 481.25
07/15-06/16 2015-16 Regional Rural Expansion Humboldt Partnership Health Plan Optional Expansion 446.94 463.71 481.25
07/15-06/16 2015-16 Regional Rural Expansion Lake Partnership Health Plan Optional Expansion 446.94 463.71 481.25
07/15-06/16 2015-16 Regional Rural Expansion Lassen Partnership Health Plan Optional Expansion 446.94 463.71 481.25
07/15-06/16 2015-16 Regional Rural Expansion Modoc Partnership Health Plan Optional Expansion 446.94 463.71 481.25
07/15-06/16 2015-16 Regional Rural Expansion Shasta Partnership Health Plan Optional Expansion 446.94 463.71 481.25
07/15-06/16 2015-16 Regional Rural Expansion Siskiyou Partnership Health Plan Optional Expansion 446.94 463.71 481.25
07/15-06/16 2015-16 Regional Rural Expansion Trinity Partnership Health Plan Optional Expansion 446.94 463.71 481.25
07/15-06/16 2015-16 Regional Rural Expansion Trinity Partnership Health Plan Behavioral Health Treatment 0-6 2252.3 2301.28 2351.85
07/15-06/16 2015-16 Regional Rural Expansion Del Norte Partnership Health Plan Behavioral Health Treatment 7-20 1868.3 1908.92 1950.87
07/15-06/16 2015-16 Regional Rural Expansion Humboldt Partnership Health Plan Behavioral Health Treatment 7-20 1868.3 1908.92 1950.87
07/15-06/16 2015-16 Regional Rural Expansion Lake Partnership Health Plan Behavioral Health Treatment 7-20 1868.3 1908.92 1950.87
07/15-06/16 2015-16 Regional Rural Expansion Lassen Partnership Health Plan Behavioral Health Treatment 7-20 1868.3 1908.92 1950.87
07/15-06/16 2015-16 Regional Rural Expansion Modoc Partnership Health Plan Behavioral Health Treatment 7-20 1868.3 1908.92 1950.87
07/15-06/16 2015-16 Regional Rural Expansion Shasta Partnership Health Plan Behavioral Health Treatment 7-20 1868.3 1908.92 1950.87
07/15-06/16 2015-16 Regional Rural Expansion Siskiyou Partnership Health Plan Behavioral Health Treatment 7-20 1868.3 1908.92 1950.87
07/15-06/16 2015-16 Regional Rural Expansion Trinity Partnership Health Plan Behavioral Health Treatment 7-20 1868.3 1908.92 1950.87
07/15-06/16 2015-16 Regional Rural Expansion Del Norte Partnership Health Plan Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Del Norte Partnership Health Plan Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Humboldt Partnership Health Plan Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Humboldt Partnership Health Plan Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Lake Partnership Health Plan Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Lake Partnership Health Plan Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Lassen Partnership Health Plan Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Lassen Partnership Health Plan Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Modoc Partnership Health Plan Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Modoc Partnership Health Plan Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Shasta Partnership Health Plan Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Shasta Partnership Health Plan Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Siskiyou Partnership Health Plan Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Siskiyou Partnership Health Plan Hepatitis C Non-340B 7987.96 8258.54 8539.63
07/15-06/16 2015-16 Regional Rural Expansion Trinity Partnership Health Plan Hepatitis C 340B 6390.37 6606.83 6831.7
07/15-06/16 2015-16 Regional Rural Expansion Trinity Partnership Health Plan Hepatitis C Non-340B 7987.96 8258.54 8539.63