| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Orange' |
'Cal Optima' |
'Child' |
'$92.15 ' |
'$94.78 ' |
'$97.51 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Orange' |
'Cal Optima' |
'Adult' |
'$295.52 ' |
'$303.87 ' |
'$312.54 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Orange' |
'Cal Optima' |
'SPD' |
'$747.70 ' |
'$768.70 ' |
'$790.49 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Orange' |
'Cal Optima' |
'SPD/Full-Dual' |
'$103.51 ' |
'$106.35 ' |
'$109.30 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Orange' |
'Cal Optima' |
'BCCTP' |
'$1,383.43 ' |
'$1,422.53 ' |
'$1,463.08 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Orange' |
'Cal Optima' |
'LTC' |
'$9,564.50 ' |
'$9,734.55 ' |
'$9,910.23 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Orange' |
'Cal Optima' |
'LTC/Full-Dual' |
'$5,492.81 ' |
'$5,581.21 ' |
'$5,672.45 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Orange' |
'Cal Optima' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Orange' |
'Cal Optima' |
'Optional Expansion' |
'$439.93 ' |
'$454.63 ' |
'$469.97 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Orange' |
'Cal Optima' |
'Behavioral Health Treatment 0-6' |
'$2,364.57 ' |
'$2,421.90 ' |
'$2,481.17 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Orange' |
'Cal Optima' |
'Behavioral Health Treatment 7-20' |
'$2,209.60 ' |
'$2,263.18 ' |
'$2,318.57 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Orange' |
'Cal Optima' |
'Hepatitis C 340B' |
'$4,910.81 ' |
'$5,014.95 ' |
'$5,123.59 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Orange' |
'Cal Optima' |
'Hepatitis C Non-340B' |
'$6,121.25 ' |
'$6,397.48 ' |
'$6,685.67 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'Child' |
'$74.18 ' |
'$76.32 ' |
'$78.54 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'Adult' |
'$293.23 ' |
'$301.59 ' |
'$310.26 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'SPD' |
'$891.70 ' |
'$915.62 ' |
'$940.40 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'SPD/Full-Dual' |
'$173.07 ' |
'$176.86 ' |
'$180.78 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'BCCTP' |
'$1,083.24 ' |
'$1,113.59 ' |
'$1,145.05 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'LTC' |
'$5,910.75 ' |
'$6,012.23 ' |
'$6,117.03 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'LTC/Full-Dual' |
'$5,071.39 ' |
'$5,151.98 ' |
'$5,235.15 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'Optional Expansion' |
'$408.07 ' |
'$421.71 ' |
'$435.94 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'Child' |
'$105.28 ' |
'$108.31 ' |
'$111.47 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'Adult' |
'$316.81 ' |
'$325.83 ' |
'$335.20 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'SPD' |
'$1,086.06 ' |
'$1,114.99 ' |
'$1,144.98 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'SPD/Full-Dual' |
'$223.32 ' |
'$228.14 ' |
'$233.14 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'BCCTP' |
'$1,198.19 ' |
'$1,232.31 ' |
'$1,267.69 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'LTC' |
'$12,242.34 ' |
'$12,449.43 ' |
'$12,663.26 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'LTC/Full-Dual' |
'$6,590.97 ' |
'$6,695.39 ' |
'$6,803.15 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'Optional Expansion' |
'$465.17 ' |
'$480.72 ' |
'$496.94 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'Behavioral Health Treatment 0-6' |
'$2,370.15 ' |
'$2,427.66 ' |
'$2,487.12 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'Behavioral Health Treatment 0-6' |
'$2,366.49 ' |
'$2,423.87 ' |
'$2,483.20 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'Behavioral Health Treatment 0-6' |
'$2,366.49 ' |
'$2,423.87 ' |
'$2,483.20 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'Behavioral Health Treatment 0-6' |
'$2,366.49 ' |
'$2,423.87 ' |
'$2,483.20 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'Behavioral Health Treatment 7-20' |
'$1,784.83 ' |
'$1,828.02 ' |
'$1,872.68 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'Behavioral Health Treatment 7-20' |
'$1,802.85 ' |
'$1,846.56 ' |
'$1,891.74 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'Behavioral Health Treatment 7-20' |
'$1,802.85 ' |
'$1,846.56 ' |
'$1,891.74 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'Behavioral Health Treatment 7-20' |
'$1,802.85 ' |
'$1,846.56 ' |
'$1,891.74 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'Hepatitis C 340B' |
'$4,910.81 ' |
'$5,014.95 ' |
'$5,123.59 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'Hepatitis C Non-340B' |
'$6,121.25 ' |
'$6,397.48 ' |
'$6,685.67 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'Hepatitis C 340B' |
'$4,910.81 ' |
'$5,014.95 ' |
'$5,123.59 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'Hepatitis C Non-340B' |
'$6,121.25 ' |
'$6,397.48 ' |
'$6,685.67 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Merced' |
'Central California Alliance' |
'Behavioral Health Treatment 0-6' |
'$2,488.85 ' |
'$2,549.20 ' |
'$2,611.60 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Monterey' |
'Central California Alliance' |
'Behavioral Health Treatment 0-6' |
'$2,420.13 ' |
'$2,478.81 ' |
'$2,539.49 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Cruz' |
'Central California Alliance' |
'Behavioral Health Treatment 0-6' |
'$2,425.28 ' |
'$2,484.01 ' |
'$2,544.73 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Merced' |
'Central California Alliance' |
'Behavioral Health Treatment 7-20' |
'$1,809.17 ' |
'$1,852.90 ' |
'$1,898.10 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Monterey' |
'Central California Alliance' |
'Behavioral Health Treatment 7-20' |
'$1,817.55 ' |
'$1,861.66 ' |
'$1,907.26 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Cruz' |
'Central California Alliance' |
'Behavioral Health Treatment 7-20' |
'$1,821.53 ' |
'$1,865.61 ' |
'$1,911.18 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Merced' |
'Central California Alliance' |
'Hepatitis C 340B' |
'$4,910.81 ' |
'$5,014.95 ' |
'$5,123.59 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Merced' |
'Central California Alliance' |
'Hepatitis C Non-340B' |
'$6,121.25 ' |
'$6,397.48 ' |
'$6,685.67 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Monterey' |
'Central California Alliance' |
'Hepatitis C 340B' |
'$4,910.81 ' |
'$5,014.95 ' |
'$5,123.59 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Monterey' |
'Central California Alliance' |
'Hepatitis C Non-340B' |
'$6,121.25 ' |
'$6,397.48 ' |
'$6,685.67 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Santa Cruz' |
'Central California Alliance' |
'Hepatitis C 340B' |
'$4,910.81 ' |
'$5,014.95 ' |
'$5,123.59 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Santa Cruz' |
'Central California Alliance' |
'Hepatitis C Non-340B' |
'$6,121.25 ' |
'$6,397.48 ' |
'$6,685.67 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Merced' |
'Central Coast Alliance' |
'Child' |
'$79.48 ' |
'$81.83 ' |
'$84.28 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Merced' |
'Central Coast Alliance' |
'Adult' |
'$259.27 ' |
'$266.77 ' |
'$274.56 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Merced' |
'Central Coast Alliance' |
'SPD' |
'$798.17 ' |
'$820.23 ' |
'$843.11 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Merced' |
'Central Coast Alliance' |
'SPD/Full-Dual' |
'$180.16 ' |
'$184.21 ' |
'$188.39 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Merced' |
'Central Coast Alliance' |
'BCCTP' |
'$1,257.96 ' |
'$1,294.04 ' |
'$1,331.48 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Merced' |
'Central Coast Alliance' |
'LTC' |
'$8,206.22 ' |
'$8,351.60 ' |
'$8,501.78 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Merced' |
'Central Coast Alliance' |
'LTC/Full-Dual' |
'$5,095.18 ' |
'$5,177.23 ' |
'$5,261.92 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Merced' |
'Central Coast Alliance' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Merced' |
'Central Coast Alliance' |
'Optional Expansion' |
'$325.67 ' |
'$336.56 ' |
'$347.91 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Monterey' |
'Central Coast Alliance' |
'Child' |
'$84.98 ' |
'$87.50 ' |
'$90.13 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Monterey' |
'Central Coast Alliance' |
'Adult' |
'$318.33 ' |
'$327.49 ' |
'$337.01 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Monterey' |
'Central Coast Alliance' |
'SPD' |
'$943.37 ' |
'$969.28 ' |
'$996.15 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Monterey' |
'Central Coast Alliance' |
'SPD/Full-Dual' |
'$200.50 ' |
'$204.77 ' |
'$209.19 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Monterey' |
'Central Coast Alliance' |
'BCCTP' |
'$1,177.81 ' |
'$1,211.77 ' |
'$1,247.02 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Monterey' |
'Central Coast Alliance' |
'LTC' |
'$10,204.07 ' |
'$10,392.35 ' |
'$10,586.91 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Monterey' |
'Central Coast Alliance' |
'LTC/Full-Dual' |
'$6,506.57 ' |
'$6,609.92 ' |
'$6,716.57 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Monterey' |
'Central Coast Alliance' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Monterey' |
'Central Coast Alliance' |
'Optional Expansion' |
'$424.48 ' |
'$438.67 ' |
'$453.47 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Cruz' |
'Central Coast Alliance' |
'Child' |
'$86.43 ' |
'$89.02 ' |
'$91.72 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Cruz' |
'Central Coast Alliance' |
'Adult' |
'$324.08 ' |
'$333.45 ' |
'$343.18 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Cruz' |
'Central Coast Alliance' |
'SPD' |
'$995.38 ' |
'$1,022.31 ' |
'$1,050.25 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Cruz' |
'Central Coast Alliance' |
'SPD/Full-Dual' |
'$197.85 ' |
'$202.15 ' |
'$206.61 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Cruz' |
'Central Coast Alliance' |
'BCCTP' |
'$1,093.45 ' |
'$1,125.06 ' |
'$1,157.87 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Cruz' |
'Central Coast Alliance' |
'LTC' |
'$6,813.28 ' |
'$6,932.70 ' |
'$7,056.06 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Cruz' |
'Central Coast Alliance' |
'LTC/Full-Dual' |
'$5,445.42 ' |
'$5,534.46 ' |
'$5,626.35 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Cruz' |
'Central Coast Alliance' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Santa Cruz' |
'Central Coast Alliance' |
'Optional Expansion' |
'$379.89 ' |
'$392.59 ' |
'$405.83 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'Child' |
'$75.85 ' |
'$78.12 ' |
'$80.50 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'Adult' |
'$284.76 ' |
'$293.04 ' |
'$301.64 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'SPD' |
'$859.44 ' |
'$882.23 ' |
'$905.87 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'SPD/Full-Dual' |
'$202.90 ' |
'$207.14 ' |
'$211.55 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'BCCTP' |
'$1,331.73 ' |
'$1,369.95 ' |
'$1,409.62 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'LTC' |
'$10,856.36 ' |
'$11,047.01 ' |
'$11,243.94 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'LTC/Full-Dual' |
'$5,843.06 ' |
'$5,937.88 ' |
'$6,035.75 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'Optional Expansion' |
'$378.33 ' |
'$390.98 ' |
'$404.17 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'Behavioral Health Treatment 0-6' |
'$2,420.78 ' |
'$2,479.47 ' |
'$2,540.15 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'Behavioral Health Treatment 7-20' |
'$1,771.20 ' |
'$1,814.02 ' |
'$1,858.30 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'Hepatitis C 340B' |
'$4,910.81 ' |
'$5,014.95 ' |
'$5,123.59 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'Hepatitis C Non-340B' |
'$6,121.25 ' |
'$6,397.48 ' |
'$6,685.67 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'Child' |
'$93.93 ' |
'$96.66 ' |
'$99.51 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'Adult' |
'$320.22 ' |
'$329.39 ' |
'$338.90 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'SPD' |
'$880.70 ' |
'$905.66 ' |
'$931.52 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'SPD/Full-Dual' |
'$106.08 ' |
'$109.04 ' |
'$112.11 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'BCCTP' |
'$1,134.55 ' |
'$1,167.02 ' |
'$1,200.68 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'LTC' |
'$12,164.85 ' |
'$12,384.23 ' |
'$12,610.90 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'LTC/Full-Dual' |
'$5,199.74 ' |
'$5,282.98 ' |
'$5,368.87 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'Optional Expansion' |
'$407.41 ' |
'$421.03 ' |
'$435.24 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'Behavioral Health Treatment 0-6' |
'$2,405.35 ' |
'$2,463.71 ' |
'$2,524.04 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'Behavioral Health Treatment 7-20' |
'$1,800.76 ' |
'$1,844.43 ' |
'$1,889.57 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'Hepatitis C 340B' |
'$4,910.81 ' |
'$5,014.95 ' |
'$5,123.59 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'Hepatitis C Non-340B' |
'$6,121.25 ' |
'$6,397.48 ' |
'$6,685.67 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'Child' |
'$130.21 ' |
'$133.93 ' |
'$137.79 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'Adult' |
'$282.02 ' |
'$290.01 ' |
'$298.29 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'SPD' |
'$1,111.35 ' |
'$1,140.88 ' |
'$1,171.47 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'SPD/Full-Dual' |
'$212.70 ' |
'$216.77 ' |
'$220.98 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'BCCTP' |
'$2,479.06 ' |
'$2,549.50 ' |
'$2,622.52 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'LTC' |
'$10,633.24 ' |
'$10,862.73 ' |
'$11,100.20 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'LTC/Full-Dual' |
'$5,871.54 ' |
'$5,966.98 ' |
'$6,065.49 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'Optional Expansion' |
'$478.43 ' |
'$494.43 ' |
'$511.11 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'Child' |
'$92.44 ' |
'$95.09 ' |
'$97.83 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'Adult' |
'$331.01 ' |
'$340.39 ' |
'$350.11 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'SPD' |
'$986.61 ' |
'$1,013.81 ' |
'$1,041.99 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'SPD/Full-Dual' |
'$115.67 ' |
'$118.40 ' |
'$121.23 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'BCCTP' |
'$1,214.10 ' |
'$1,248.28 ' |
'$1,283.72 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'LTC' |
'$7,460.55 ' |
'$7,589.72 ' |
'$7,723.13 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'LTC/Full-Dual' |
'$5,336.89 ' |
'$5,422.06 ' |
'$5,509.95 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'Optional Expansion' |
'$463.06 ' |
'$478.54 ' |
'$494.69 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'Child' |
'$126.06 ' |
'$129.68 ' |
'$133.44 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'Adult' |
'$289.11 ' |
'$297.29 ' |
'$305.76 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'SPD' |
'$918.33 ' |
'$943.30 ' |
'$969.17 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'SPD/Full-Dual' |
'$333.53 ' |
'$340.68 ' |
'$348.07 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'BCCTP' |
'$1,336.38 ' |
'$1,374.32 ' |
'$1,413.66 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'LTC' |
'$4,886.11 ' |
'$4,971.94 ' |
'$5,060.60 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'LTC/Full-Dual' |
'$4,470.99 ' |
'$4,543.37 ' |
'$4,618.07 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'OBRA' |
'$463.54 ' |
'$476.77 ' |
'$490.48 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'Optional Expansion' |
'$558.38 ' |
'$577.05 ' |
'$596.52 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'Child' |
'$127.12 ' |
'$130.75 ' |
'$134.53 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'Adult' |
'$281.96 ' |
'$289.95 ' |
'$298.25 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'SPD' |
'$946.03 ' |
'$971.60 ' |
'$998.10 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'SPD/Full-Dual' |
'$280.63 ' |
'$286.81 ' |
'$293.21 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'BCCTP' |
'$1,271.67 ' |
'$1,307.67 ' |
'$1,345.00 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'LTC' |
'$6,743.71 ' |
'$6,862.59 ' |
'$6,985.38 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'LTC/Full-Dual' |
'$5,685.48 ' |
'$5,777.50 ' |
'$5,872.47 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'OBRA' |
'$150.32 ' |
'$154.68 ' |
'$159.19 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'Optional Expansion' |
'$429.75 ' |
'$444.12 ' |
'$459.10 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'Child' |
'$83.89 ' |
'$86.30 ' |
'$88.80 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'Adult' |
'$324.95 ' |
'$334.15 ' |
'$343.70 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'SPD' |
'$1,050.07 ' |
'$1,078.74 ' |
'$1,108.45 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'SPD/Full-Dual' |
'$191.21 ' |
'$195.09 ' |
'$199.10 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'BCCTP' |
'$1,404.03 ' |
'$1,443.84 ' |
'$1,485.11 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'LTC' |
'$5,950.30 ' |
'$6,055.86 ' |
'$6,164.91 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'LTC/Full-Dual' |
'$4,178.62 ' |
'$4,246.73 ' |
'$4,317.02 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'Optional Expansion' |
'$456.44 ' |
'$471.70 ' |
'$487.62 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'Child' |
'$107.18 ' |
'$110.25 ' |
'$113.44 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'Adult' |
'$276.80 ' |
'$284.66 ' |
'$292.81 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'SPD' |
'$1,071.46 ' |
'$1,099.69 ' |
'$1,128.94 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'SPD/Full-Dual' |
'$281.84 ' |
'$287.87 ' |
'$294.12 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'BCCTP' |
'$891.58 ' |
'$916.81 ' |
'$942.97 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'LTC' |
'$6,794.93 ' |
'$6,912.19 ' |
'$7,033.29 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'LTC/Full-Dual' |
'$5,426.62 ' |
'$5,513.77 ' |
'$5,603.70 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'OBRA' |
'$263.79 ' |
'$271.37 ' |
'$279.22 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'Optional Expansion' |
'$399.36 ' |
'$412.71 ' |
'$426.63 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'Behavioral Health Treatment 0-6' |
'$2,422.20 ' |
'$2,480.80 ' |
'$2,541.39 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'Behavioral Health Treatment 0-6' |
'$2,428.11 ' |
'$2,487.16 ' |
'$2,548.22 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'Behavioral Health Treatment 0-6' |
'$2,423.77 ' |
'$2,482.55 ' |
'$2,543.32 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'Behavioral Health Treatment 0-6' |
'$2,420.61 ' |
'$2,479.32 ' |
'$2,540.02 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'Behavioral Health Treatment 0-6' |
'$2,418.92 ' |
'$2,477.59 ' |
'$2,538.25 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'Behavioral Health Treatment 0-6' |
'$2,419.99 ' |
'$2,478.66 ' |
'$2,539.32 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'Behavioral Health Treatment 7-20' |
'$1,819.64 ' |
'$1,863.68 ' |
'$1,909.20 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'Behavioral Health Treatment 7-20' |
'$1,876.52 ' |
'$1,922.14 ' |
'$1,969.31 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'Behavioral Health Treatment 7-20' |
'$1,794.84 ' |
'$1,838.23 ' |
'$1,883.09 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'Behavioral Health Treatment 7-20' |
'$1,797.16 ' |
'$1,840.65 ' |
'$1,885.62 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'Behavioral Health Treatment 7-20' |
'$1,834.38 ' |
'$1,878.87 ' |
'$1,924.87 ' |
| ' 07/16-06/17 ' |
' 2016-17 ' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'Behavioral Health Treatment 7-20' |
'$1,798.69 ' |
'$1,842.22 ' |
'$1,887.22 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'Hepatitis C 340B' |
'$4,910.81 ' |
'$5,014.95 ' |
'$5,123.59 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'Hepatitis C Non-340B' |
'$6,121.25 ' |
'$6,397.48 ' |
'$6,685.67 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'Hepatitis C 340B' |
'$4,910.81 ' |
'$5,014.95 ' |
'$5,123.59 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'Hepatitis C Non-340B' |
'$6,121.25 ' |
'$6,397.48 ' |
'$6,685.67 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'Hepatitis C 340B' |
'$4,910.81 ' |
'$5,014.95 ' |
'$5,123.59 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'Hepatitis C Non-340B' |
'$6,121.25 ' |
'$6,397.48 ' |
'$6,685.67 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'Hepatitis C 340B' |
'$4,910.81 ' |
'$5,014.95 ' |
'$5,123.59 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'Hepatitis C Non-340B' |
'$6,121.25 ' |
'$6,397.48 ' |
'$6,685.67 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'Hepatitis C 340B' |
'$4,910.81 ' |
'$5,014.95 ' |
'$5,123.59 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'Hepatitis C Non-340B' |
'$6,121.25 ' |
'$6,397.48 ' |
'$6,685.67 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'Hepatitis C 340B' |
'$4,910.81 ' |
'$5,014.95 ' |
'$5,123.59 ' |
| ' 07/16-06/17 ' |
'2016-17' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'Hepatitis C Non-340B' |
'$6,121.25 ' |
'$6,397.48 ' |
'$6,685.67 ' |