Table: state_fiscal_year_2016_17_regional_model_rates
rating_period state_fiscal_year model county health_plan category_of_aid lower_bound midpoint upper_bound
07/16-06/17 2016-17 Regional Rural Expansion Calaveras Anthem Blue Cross Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Calaveras Anthem Blue Cross Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Calaveras California Health & Wellness Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Calaveras California Health & Wellness Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Del Norte Partnership Health Plan Adult 306.76 315.5 324.56
07/16-06/17 2016-17 Regional Rural Expansion Del Norte Partnership Health Plan BCCTP 1154.25 1187.04 1221.03
07/16-06/17 2016-17 Regional Rural Expansion Del Norte Partnership Health Plan Child 85.16 87.62 90.18
07/16-06/17 2016-17 Regional Rural Expansion Del Norte Partnership Health Plan LTC 6474.17 6589.55 6708.73
07/16-06/17 2016-17 Regional Rural Expansion Del Norte Partnership Health Plan LTC/Full-Dual 5655.1 5745.83 5839.47
07/16-06/17 2016-17 Regional Rural Expansion Del Norte Partnership Health Plan OBRA 0 0 0
07/16-06/17 2016-17 Regional Rural Expansion Del Norte Partnership Health Plan Optional Expansion 413.04 426.85 441.25
07/16-06/17 2016-17 Regional Rural Expansion Del Norte Partnership Health Plan SPD 943.77 969.72 996.62
07/16-06/17 2016-17 Regional Rural Expansion Del Norte Partnership Health Plan SPD/Full-Dual 128.53 131.49 134.56
07/16-06/17 2016-17 Regional Rural Expansion Alpine Anthem Blue Cross Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Amador Anthem Blue Cross Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Butte Anthem Blue Cross Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Colusa Anthem Blue Cross Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Anthem Blue Cross Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Glenn Anthem Blue Cross Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Inyo Anthem Blue Cross Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Mariposa Anthem Blue Cross Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Mono Anthem Blue Cross Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Nevada Anthem Blue Cross Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Placer Anthem Blue Cross Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Plumas Anthem Blue Cross Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion San Benito Anthem Blue Cross Behavioral Health Treatment 0-6 2429.13 2487.94 2548.75
07/16-06/17 2016-17 Regional Rural Expansion Sierra Anthem Blue Cross Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Sutter Anthem Blue Cross Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Tehama Anthem Blue Cross Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne Anthem Blue Cross Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Yuba Anthem Blue Cross Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Alpine Anthem Blue Cross Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Amador Anthem Blue Cross Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Butte Anthem Blue Cross Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Colusa Anthem Blue Cross Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Anthem Blue Cross Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Glenn Anthem Blue Cross Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Inyo Anthem Blue Cross Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Mariposa Anthem Blue Cross Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Mono Anthem Blue Cross Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Nevada Anthem Blue Cross Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Placer Anthem Blue Cross Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Plumas Anthem Blue Cross Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion San Benito Anthem Blue Cross Behavioral Health Treatment 7-20 1844.51 1889.21 1935.41
07/16-06/17 2016-17 Regional Rural Expansion Sierra Anthem Blue Cross Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Sutter Anthem Blue Cross Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Tehama Anthem Blue Cross Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne Anthem Blue Cross Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Yuba Anthem Blue Cross Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Alpine Anthem Blue Cross Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Alpine Anthem Blue Cross Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Amador Anthem Blue Cross Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Amador Anthem Blue Cross Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Butte Anthem Blue Cross Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Butte Anthem Blue Cross Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Calaveras Anthem Blue Cross Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Calaveras Anthem Blue Cross Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Colusa Anthem Blue Cross Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Colusa Anthem Blue Cross Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Anthem Blue Cross Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Anthem Blue Cross Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Glenn Anthem Blue Cross Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Glenn Anthem Blue Cross Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Inyo Anthem Blue Cross Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Inyo Anthem Blue Cross Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Mariposa Anthem Blue Cross Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Mariposa Anthem Blue Cross Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Mono Anthem Blue Cross Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Mono Anthem Blue Cross Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Nevada Anthem Blue Cross Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Nevada Anthem Blue Cross Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Placer Anthem Blue Cross Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Placer Anthem Blue Cross Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Plumas Anthem Blue Cross Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Plumas Anthem Blue Cross Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion San Benito Anthem Blue Cross Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion San Benito Anthem Blue Cross Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Sierra Anthem Blue Cross Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Sierra Anthem Blue Cross Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Sutter Anthem Blue Cross Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Sutter Anthem Blue Cross Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Tehama Anthem Blue Cross Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Tehama Anthem Blue Cross Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne Anthem Blue Cross Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne Anthem Blue Cross Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Yuba Anthem Blue Cross Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Yuba Anthem Blue Cross Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Alpine Anthem Blue Cross Adult 224.34 231.83 239.68
07/16-06/17 2016-17 Regional Rural Expansion Amador Anthem Blue Cross Adult 224.34 231.83 239.68
07/16-06/17 2016-17 Regional Rural Expansion Butte Anthem Blue Cross Adult 224.34 231.83 239.68
07/16-06/17 2016-17 Regional Rural Expansion Calaveras Anthem Blue Cross Adult 224.34 231.83 239.68
07/16-06/17 2016-17 Regional Rural Expansion Colusa Anthem Blue Cross Adult 224.34 231.83 239.68
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Anthem Blue Cross Adult 224.34 231.83 239.68
07/16-06/17 2016-17 Regional Rural Expansion Glenn Anthem Blue Cross Adult 224.34 231.83 239.68
07/16-06/17 2016-17 Regional Rural Expansion Inyo Anthem Blue Cross Adult 224.34 231.83 239.68
07/16-06/17 2016-17 Regional Rural Expansion Mariposa Anthem Blue Cross Adult 224.34 231.83 239.68
07/16-06/17 2016-17 Regional Rural Expansion Mono Anthem Blue Cross Adult 224.34 231.83 239.68
07/16-06/17 2016-17 Regional Rural Expansion Nevada Anthem Blue Cross Adult 224.34 231.83 239.68
07/16-06/17 2016-17 Regional Rural Expansion Placer Anthem Blue Cross Adult 224.34 231.83 239.68
07/16-06/17 2016-17 Regional Rural Expansion Plumas Anthem Blue Cross Adult 224.34 231.83 239.68
07/16-06/17 2016-17 Regional Rural Expansion San Benito Anthem Blue Cross Adult 186.88 192.75 198.88
07/16-06/17 2016-17 Regional Rural Expansion Sierra Anthem Blue Cross Adult 224.34 231.83 239.68
07/16-06/17 2016-17 Regional Rural Expansion Sutter Anthem Blue Cross Adult 224.34 231.83 239.68
07/16-06/17 2016-17 Regional Rural Expansion Tehama Anthem Blue Cross Adult 224.34 231.83 239.68
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne Anthem Blue Cross Adult 224.34 231.83 239.68
07/16-06/17 2016-17 Regional Rural Expansion Yuba Anthem Blue Cross Adult 224.34 231.83 239.68
07/16-06/17 2016-17 Regional Rural Expansion Alpine Anthem Blue Cross BCCTP 1082.76 1115.23 1149.06
07/16-06/17 2016-17 Regional Rural Expansion Amador Anthem Blue Cross BCCTP 1082.76 1115.23 1149.06
07/16-06/17 2016-17 Regional Rural Expansion Butte Anthem Blue Cross BCCTP 1082.76 1115.23 1149.06
07/16-06/17 2016-17 Regional Rural Expansion Calaveras Anthem Blue Cross BCCTP 1082.76 1115.23 1149.06
07/16-06/17 2016-17 Regional Rural Expansion Colusa Anthem Blue Cross BCCTP 1082.76 1115.23 1149.06
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Anthem Blue Cross BCCTP 1082.76 1115.23 1149.06
07/16-06/17 2016-17 Regional Rural Expansion Glenn Anthem Blue Cross BCCTP 1082.76 1115.23 1149.06
07/16-06/17 2016-17 Regional Rural Expansion Inyo Anthem Blue Cross BCCTP 1082.76 1115.23 1149.06
07/16-06/17 2016-17 Regional Rural Expansion Mariposa Anthem Blue Cross BCCTP 1082.76 1115.23 1149.06
07/16-06/17 2016-17 Regional Rural Expansion Mono Anthem Blue Cross BCCTP 1082.76 1115.23 1149.06
07/16-06/17 2016-17 Regional Rural Expansion Nevada Anthem Blue Cross BCCTP 1082.76 1115.23 1149.06
07/16-06/17 2016-17 Regional Rural Expansion Placer Anthem Blue Cross BCCTP 1082.76 1115.23 1149.06
07/16-06/17 2016-17 Regional Rural Expansion Plumas Anthem Blue Cross BCCTP 1082.76 1115.23 1149.06
07/16-06/17 2016-17 Regional Rural Expansion San Benito Anthem Blue Cross BCCTP 1040.63 1070.89 1102.37
07/16-06/17 2016-17 Regional Rural Expansion Sierra Anthem Blue Cross BCCTP 1082.76 1115.23 1149.06
07/16-06/17 2016-17 Regional Rural Expansion Sutter Anthem Blue Cross BCCTP 1082.76 1115.23 1149.06
07/16-06/17 2016-17 Regional Rural Expansion Tehama Anthem Blue Cross BCCTP 1082.76 1115.23 1149.06
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne Anthem Blue Cross BCCTP 1082.76 1115.23 1149.06
07/16-06/17 2016-17 Regional Rural Expansion Yuba Anthem Blue Cross BCCTP 1082.76 1115.23 1149.06
07/16-06/17 2016-17 Regional Rural Expansion Alpine Anthem Blue Cross Child 64.91 67.79 70.84
07/16-06/17 2016-17 Regional Rural Expansion Amador Anthem Blue Cross Child 64.91 67.79 70.84
07/16-06/17 2016-17 Regional Rural Expansion Butte Anthem Blue Cross Child 64.91 67.79 70.84
07/16-06/17 2016-17 Regional Rural Expansion Calaveras Anthem Blue Cross Child 64.91 67.79 70.84
07/16-06/17 2016-17 Regional Rural Expansion Colusa Anthem Blue Cross Child 64.91 67.79 70.84
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Anthem Blue Cross Child 64.91 67.79 70.84
07/16-06/17 2016-17 Regional Rural Expansion Glenn Anthem Blue Cross Child 64.91 67.79 70.84
07/16-06/17 2016-17 Regional Rural Expansion Inyo Anthem Blue Cross Child 64.91 67.79 70.84
07/16-06/17 2016-17 Regional Rural Expansion Mariposa Anthem Blue Cross Child 64.91 67.79 70.84
07/16-06/17 2016-17 Regional Rural Expansion Mono Anthem Blue Cross Child 64.91 67.79 70.84
07/16-06/17 2016-17 Regional Rural Expansion Nevada Anthem Blue Cross Child 64.91 67.79 70.84
07/16-06/17 2016-17 Regional Rural Expansion Placer Anthem Blue Cross Child 64.91 67.79 70.84
07/16-06/17 2016-17 Regional Rural Expansion Plumas Anthem Blue Cross Child 64.91 67.79 70.84
07/16-06/17 2016-17 Regional Rural Expansion San Benito Anthem Blue Cross Child 57.31 59.42 61.64
07/16-06/17 2016-17 Regional Rural Expansion Sierra Anthem Blue Cross Child 64.91 67.79 70.84
07/16-06/17 2016-17 Regional Rural Expansion Sutter Anthem Blue Cross Child 64.91 67.79 70.84
07/16-06/17 2016-17 Regional Rural Expansion Tehama Anthem Blue Cross Child 64.91 67.79 70.84
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne Anthem Blue Cross Child 64.91 67.79 70.84
07/16-06/17 2016-17 Regional Rural Expansion Yuba Anthem Blue Cross Child 64.91 67.79 70.84
07/16-06/17 2016-17 Regional Rural Expansion Alpine Anthem Blue Cross Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Amador Anthem Blue Cross Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Butte Anthem Blue Cross Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Calaveras Anthem Blue Cross Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Colusa Anthem Blue Cross Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Anthem Blue Cross Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Glenn Anthem Blue Cross Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Inyo Anthem Blue Cross Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Mariposa Anthem Blue Cross Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Mono Anthem Blue Cross Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Nevada Anthem Blue Cross Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Placer Anthem Blue Cross Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Plumas Anthem Blue Cross Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion San Benito Anthem Blue Cross Maternity 8839.64 9088.11 9345.53
07/16-06/17 2016-17 Regional Rural Expansion Sierra Anthem Blue Cross Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Sutter Anthem Blue Cross Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Tehama Anthem Blue Cross Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne Anthem Blue Cross Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Yuba Anthem Blue Cross Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Alpine Anthem Blue Cross Optional Expansion 367.29 379.57 392.38
07/16-06/17 2016-17 Regional Rural Expansion Amador Anthem Blue Cross Optional Expansion 367.29 379.57 392.38
07/16-06/17 2016-17 Regional Rural Expansion Butte Anthem Blue Cross Optional Expansion 367.29 379.57 392.38
07/16-06/17 2016-17 Regional Rural Expansion Calaveras Anthem Blue Cross Optional Expansion 367.29 379.57 392.38
07/16-06/17 2016-17 Regional Rural Expansion Colusa Anthem Blue Cross Optional Expansion 367.29 379.57 392.38
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Anthem Blue Cross Optional Expansion 367.29 379.57 392.38
07/16-06/17 2016-17 Regional Rural Expansion Glenn Anthem Blue Cross Optional Expansion 367.29 379.57 392.38
07/16-06/17 2016-17 Regional Rural Expansion Inyo Anthem Blue Cross Optional Expansion 367.29 379.57 392.38
07/16-06/17 2016-17 Regional Rural Expansion Mariposa Anthem Blue Cross Optional Expansion 367.29 379.57 392.38
07/16-06/17 2016-17 Regional Rural Expansion Mono Anthem Blue Cross Optional Expansion 367.29 379.57 392.38
07/16-06/17 2016-17 Regional Rural Expansion Nevada Anthem Blue Cross Optional Expansion 367.29 379.57 392.38
07/16-06/17 2016-17 Regional Rural Expansion Placer Anthem Blue Cross Optional Expansion 367.29 379.57 392.38
07/16-06/17 2016-17 Regional Rural Expansion Plumas Anthem Blue Cross Optional Expansion 367.29 379.57 392.38
07/16-06/17 2016-17 Regional Rural Expansion San Benito Anthem Blue Cross Optional Expansion 352.46 364.25 376.54
07/16-06/17 2016-17 Regional Rural Expansion Sierra Anthem Blue Cross Optional Expansion 367.29 379.57 392.38
07/16-06/17 2016-17 Regional Rural Expansion Sutter Anthem Blue Cross Optional Expansion 367.29 379.57 392.38
07/16-06/17 2016-17 Regional Rural Expansion Tehama Anthem Blue Cross Optional Expansion 367.29 379.57 392.38
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne Anthem Blue Cross Optional Expansion 367.29 379.57 392.38
07/16-06/17 2016-17 Regional Rural Expansion Yuba Anthem Blue Cross Optional Expansion 367.29 379.57 392.38
07/16-06/17 2016-17 Regional Rural Expansion Alpine Anthem Blue Cross Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Amador Anthem Blue Cross Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Butte Anthem Blue Cross Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Calaveras Anthem Blue Cross Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Colusa Anthem Blue Cross Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Anthem Blue Cross Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Glenn Anthem Blue Cross Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Inyo Anthem Blue Cross Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Mariposa Anthem Blue Cross Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Mono Anthem Blue Cross Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Nevada Anthem Blue Cross Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Placer Anthem Blue Cross Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Plumas Anthem Blue Cross Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion San Benito Anthem Blue Cross Optional Expansion - Maternity 8839.644196 9088.108076 9345.530877
07/16-06/17 2016-17 Regional Rural Expansion Sierra Anthem Blue Cross Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Sutter Anthem Blue Cross Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Tehama Anthem Blue Cross Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne Anthem Blue Cross Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Yuba Anthem Blue Cross Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Alpine Anthem Blue Cross SPD 846.22 894.97 945.85
07/16-06/17 2016-17 Regional Rural Expansion Amador Anthem Blue Cross SPD 846.22 894.97 945.85
07/16-06/17 2016-17 Regional Rural Expansion Butte Anthem Blue Cross SPD 846.22 894.97 945.85
07/16-06/17 2016-17 Regional Rural Expansion Calaveras Anthem Blue Cross SPD 846.22 894.97 945.85
07/16-06/17 2016-17 Regional Rural Expansion Colusa Anthem Blue Cross SPD 846.22 894.97 945.85
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Anthem Blue Cross SPD 846.22 894.97 945.85
07/16-06/17 2016-17 Regional Rural Expansion Glenn Anthem Blue Cross SPD 846.22 894.97 945.85
07/16-06/17 2016-17 Regional Rural Expansion Inyo Anthem Blue Cross SPD 846.22 894.97 945.85
07/16-06/17 2016-17 Regional Rural Expansion Mariposa Anthem Blue Cross SPD 846.22 894.97 945.85
07/16-06/17 2016-17 Regional Rural Expansion Mono Anthem Blue Cross SPD 846.22 894.97 945.85
07/16-06/17 2016-17 Regional Rural Expansion Nevada Anthem Blue Cross SPD 846.22 894.97 945.85
07/16-06/17 2016-17 Regional Rural Expansion Placer Anthem Blue Cross SPD 846.22 894.97 945.85
07/16-06/17 2016-17 Regional Rural Expansion Plumas Anthem Blue Cross SPD 846.22 894.97 945.85
07/16-06/17 2016-17 Regional Rural Expansion San Benito Anthem Blue Cross SPD 845.35 899.85 956.75
07/16-06/17 2016-17 Regional Rural Expansion Sierra Anthem Blue Cross SPD 846.22 894.97 945.85
07/16-06/17 2016-17 Regional Rural Expansion Sutter Anthem Blue Cross SPD 846.22 894.97 945.85
07/16-06/17 2016-17 Regional Rural Expansion Tehama Anthem Blue Cross SPD 846.22 894.97 945.85
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne Anthem Blue Cross SPD 846.22 894.97 945.85
07/16-06/17 2016-17 Regional Rural Expansion Yuba Anthem Blue Cross SPD 846.22 894.97 945.85
07/16-06/17 2016-17 Regional Rural Expansion Alpine Anthem Blue Cross SPD/Full-Dual 113.43 117.66 122.12
07/16-06/17 2016-17 Regional Rural Expansion Amador Anthem Blue Cross SPD/Full-Dual 113.43 117.66 122.12
07/16-06/17 2016-17 Regional Rural Expansion Butte Anthem Blue Cross SPD/Full-Dual 113.43 117.66 122.12
07/16-06/17 2016-17 Regional Rural Expansion Calaveras Anthem Blue Cross SPD/Full-Dual 113.43 117.66 122.12
07/16-06/17 2016-17 Regional Rural Expansion Colusa Anthem Blue Cross SPD/Full-Dual 113.43 117.66 122.12
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Anthem Blue Cross SPD/Full-Dual 113.43 117.66 122.12
07/16-06/17 2016-17 Regional Rural Expansion Glenn Anthem Blue Cross SPD/Full-Dual 113.43 117.66 122.12
07/16-06/17 2016-17 Regional Rural Expansion Inyo Anthem Blue Cross SPD/Full-Dual 113.43 117.66 122.12
07/16-06/17 2016-17 Regional Rural Expansion Mariposa Anthem Blue Cross SPD/Full-Dual 113.43 117.66 122.12
07/16-06/17 2016-17 Regional Rural Expansion Mono Anthem Blue Cross SPD/Full-Dual 113.43 117.66 122.12
07/16-06/17 2016-17 Regional Rural Expansion Nevada Anthem Blue Cross SPD/Full-Dual 113.43 117.66 122.12
07/16-06/17 2016-17 Regional Rural Expansion Placer Anthem Blue Cross SPD/Full-Dual 113.43 117.66 122.12
07/16-06/17 2016-17 Regional Rural Expansion Plumas Anthem Blue Cross SPD/Full-Dual 113.43 117.66 122.12
07/16-06/17 2016-17 Regional Rural Expansion San Benito Anthem Blue Cross SPD/Full-Dual 98.98 102.39 105.95
07/16-06/17 2016-17 Regional Rural Expansion Sierra Anthem Blue Cross SPD/Full-Dual 113.43 117.66 122.12
07/16-06/17 2016-17 Regional Rural Expansion Sutter Anthem Blue Cross SPD/Full-Dual 113.43 117.66 122.12
07/16-06/17 2016-17 Regional Rural Expansion Tehama Anthem Blue Cross SPD/Full-Dual 113.43 117.66 122.12
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne Anthem Blue Cross SPD/Full-Dual 113.43 117.66 122.12
07/16-06/17 2016-17 Regional Rural Expansion Yuba Anthem Blue Cross SPD/Full-Dual 113.43 117.66 122.12
07/16-06/17 2016-17 Regional Rural Expansion Alpine California Health & Wellness Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Amador California Health & Wellness Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Butte California Health & Wellness Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Colusa California Health & Wellness Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion El Dorado California Health & Wellness Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Glenn California Health & Wellness Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Inyo California Health & Wellness Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Imperial California Health & Wellness Behavioral Health Treatment 0-6 2428.52 2487.58 2548.64
07/16-06/17 2016-17 Regional Rural Expansion Mariposa California Health & Wellness Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Mono California Health & Wellness Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Nevada California Health & Wellness Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Placer California Health & Wellness Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Plumas California Health & Wellness Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Sierra California Health & Wellness Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Sutter California Health & Wellness Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Tehama California Health & Wellness Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne California Health & Wellness Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Yuba California Health & Wellness Behavioral Health Treatment 0-6 2401.26 2459.6 2519.92
07/16-06/17 2016-17 Regional Rural Expansion Alpine California Health & Wellness Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Amador California Health & Wellness Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Butte California Health & Wellness Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Colusa California Health & Wellness Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion El Dorado California Health & Wellness Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Glenn California Health & Wellness Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Inyo California Health & Wellness Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Imperial California Health & Wellness Behavioral Health Treatment 7-20 1839.3 1883.97 1930.14
07/16-06/17 2016-17 Regional Rural Expansion Mariposa California Health & Wellness Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Mono California Health & Wellness Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Nevada California Health & Wellness Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Placer California Health & Wellness Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Plumas California Health & Wellness Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Sierra California Health & Wellness Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Sutter California Health & Wellness Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Tehama California Health & Wellness Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne California Health & Wellness Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Yuba California Health & Wellness Behavioral Health Treatment 7-20 1844.11 1888.86 1935.13
07/16-06/17 2016-17 Regional Rural Expansion Alpine California Health & Wellness Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Alpine California Health & Wellness Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Amador California Health & Wellness Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Amador California Health & Wellness Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Butte California Health & Wellness Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Butte California Health & Wellness Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Calaveras California Health & Wellness Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Calaveras California Health & Wellness Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Colusa California Health & Wellness Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Colusa California Health & Wellness Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion El Dorado California Health & Wellness Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion El Dorado California Health & Wellness Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Glenn California Health & Wellness Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Glenn California Health & Wellness Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Imperial California Health & Wellness Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Imperial California Health & Wellness Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Inyo California Health & Wellness Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Inyo California Health & Wellness Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Mariposa California Health & Wellness Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Mariposa California Health & Wellness Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Mono California Health & Wellness Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Mono California Health & Wellness Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Nevada California Health & Wellness Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Nevada California Health & Wellness Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Placer California Health & Wellness Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Placer California Health & Wellness Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Plumas California Health & Wellness Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Plumas California Health & Wellness Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Sierra California Health & Wellness Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Sierra California Health & Wellness Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Sutter California Health & Wellness Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Sutter California Health & Wellness Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Tehama California Health & Wellness Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Tehama California Health & Wellness Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne California Health & Wellness Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne California Health & Wellness Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Yuba California Health & Wellness Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Yuba California Health & Wellness Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Alpine California Health & Wellness Adult 227.94 235.58 243.58
07/16-06/17 2016-17 Regional Rural Expansion Amador California Health & Wellness Adult 227.94 235.58 243.58
07/16-06/17 2016-17 Regional Rural Expansion Butte California Health & Wellness Adult 227.94 235.58 243.58
07/16-06/17 2016-17 Regional Rural Expansion Calaveras California Health & Wellness Adult 227.94 235.58 243.58
07/16-06/17 2016-17 Regional Rural Expansion Colusa California Health & Wellness Adult 227.94 235.58 243.58
07/16-06/17 2016-17 Regional Rural Expansion El Dorado California Health & Wellness Adult 227.94 235.58 243.58
07/16-06/17 2016-17 Regional Rural Expansion Glenn California Health & Wellness Adult 227.94 235.58 243.58
07/16-06/17 2016-17 Regional Rural Expansion Imperial California Health & Wellness Adult 199 205.63 212.57
07/16-06/17 2016-17 Regional Rural Expansion Inyo California Health & Wellness Adult 227.94 235.58 243.58
07/16-06/17 2016-17 Regional Rural Expansion Mariposa California Health & Wellness Adult 227.94 235.58 243.58
07/16-06/17 2016-17 Regional Rural Expansion Mono California Health & Wellness Adult 227.94 235.58 243.58
07/16-06/17 2016-17 Regional Rural Expansion Nevada California Health & Wellness Adult 227.94 235.58 243.58
07/16-06/17 2016-17 Regional Rural Expansion Placer California Health & Wellness Adult 227.94 235.58 243.58
07/16-06/17 2016-17 Regional Rural Expansion Plumas California Health & Wellness Adult 227.94 235.58 243.58
07/16-06/17 2016-17 Regional Rural Expansion Sierra California Health & Wellness Adult 227.94 235.58 243.58
07/16-06/17 2016-17 Regional Rural Expansion Sutter California Health & Wellness Adult 227.94 235.58 243.58
07/16-06/17 2016-17 Regional Rural Expansion Tehama California Health & Wellness Adult 227.94 235.58 243.58
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne California Health & Wellness Adult 227.94 235.58 243.58
07/16-06/17 2016-17 Regional Rural Expansion Yuba California Health & Wellness Adult 227.94 235.58 243.58
07/16-06/17 2016-17 Regional Rural Expansion Alpine California Health & Wellness BCCTP 1123.8 1157.43 1192.48
07/16-06/17 2016-17 Regional Rural Expansion Amador California Health & Wellness BCCTP 1123.8 1157.43 1192.48
07/16-06/17 2016-17 Regional Rural Expansion Butte California Health & Wellness BCCTP 1123.8 1157.43 1192.48
07/16-06/17 2016-17 Regional Rural Expansion Calaveras California Health & Wellness BCCTP 1123.8 1157.43 1192.48
07/16-06/17 2016-17 Regional Rural Expansion Colusa California Health & Wellness BCCTP 1123.8 1157.43 1192.48
07/16-06/17 2016-17 Regional Rural Expansion El Dorado California Health & Wellness BCCTP 1123.8 1157.43 1192.48
07/16-06/17 2016-17 Regional Rural Expansion Glenn California Health & Wellness BCCTP 1123.8 1157.43 1192.48
07/16-06/17 2016-17 Regional Rural Expansion Imperial California Health & Wellness BCCTP 1088.98 1121.36 1155.08
07/16-06/17 2016-17 Regional Rural Expansion Inyo California Health & Wellness BCCTP 1123.8 1157.43 1192.48
07/16-06/17 2016-17 Regional Rural Expansion Mariposa California Health & Wellness BCCTP 1123.8 1157.43 1192.48
07/16-06/17 2016-17 Regional Rural Expansion Mono California Health & Wellness BCCTP 1123.8 1157.43 1192.48
07/16-06/17 2016-17 Regional Rural Expansion Nevada California Health & Wellness BCCTP 1123.8 1157.43 1192.48
07/16-06/17 2016-17 Regional Rural Expansion Placer California Health & Wellness BCCTP 1123.8 1157.43 1192.48
07/16-06/17 2016-17 Regional Rural Expansion Plumas California Health & Wellness BCCTP 1123.8 1157.43 1192.48
07/16-06/17 2016-17 Regional Rural Expansion Sierra California Health & Wellness BCCTP 1123.8 1157.43 1192.48
07/16-06/17 2016-17 Regional Rural Expansion Sutter California Health & Wellness BCCTP 1123.8 1157.43 1192.48
07/16-06/17 2016-17 Regional Rural Expansion Tehama California Health & Wellness BCCTP 1123.8 1157.43 1192.48
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne California Health & Wellness BCCTP 1123.8 1157.43 1192.48
07/16-06/17 2016-17 Regional Rural Expansion Yuba California Health & Wellness BCCTP 1123.8 1157.43 1192.48
07/16-06/17 2016-17 Regional Rural Expansion Alpine California Health & Wellness Child 68.71 71.75 74.97
07/16-06/17 2016-17 Regional Rural Expansion Amador California Health & Wellness Child 68.71 71.75 74.97
07/16-06/17 2016-17 Regional Rural Expansion Butte California Health & Wellness Child 68.71 71.75 74.97
07/16-06/17 2016-17 Regional Rural Expansion Calaveras California Health & Wellness Child 68.71 71.75 74.97
07/16-06/17 2016-17 Regional Rural Expansion Colusa California Health & Wellness Child 68.71 71.75 74.97
07/16-06/17 2016-17 Regional Rural Expansion El Dorado California Health & Wellness Child 68.71 71.75 74.97
07/16-06/17 2016-17 Regional Rural Expansion Glenn California Health & Wellness Child 68.71 71.75 74.97
07/16-06/17 2016-17 Regional Rural Expansion Imperial California Health & Wellness Child 81.28 84.52 87.95
07/16-06/17 2016-17 Regional Rural Expansion Inyo California Health & Wellness Child 68.71 71.75 74.97
07/16-06/17 2016-17 Regional Rural Expansion Mariposa California Health & Wellness Child 68.71 71.75 74.97
07/16-06/17 2016-17 Regional Rural Expansion Mono California Health & Wellness Child 68.71 71.75 74.97
07/16-06/17 2016-17 Regional Rural Expansion Nevada California Health & Wellness Child 68.71 71.75 74.97
07/16-06/17 2016-17 Regional Rural Expansion Placer California Health & Wellness Child 68.71 71.75 74.97
07/16-06/17 2016-17 Regional Rural Expansion Plumas California Health & Wellness Child 68.71 71.75 74.97
07/16-06/17 2016-17 Regional Rural Expansion Sierra California Health & Wellness Child 68.71 71.75 74.97
07/16-06/17 2016-17 Regional Rural Expansion Sutter California Health & Wellness Child 68.71 71.75 74.97
07/16-06/17 2016-17 Regional Rural Expansion Tehama California Health & Wellness Child 68.71 71.75 74.97
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne California Health & Wellness Child 68.71 71.75 74.97
07/16-06/17 2016-17 Regional Rural Expansion Yuba California Health & Wellness Child 68.71 71.75 74.97
07/16-06/17 2016-17 Regional Rural Expansion Alpine California Health & Wellness Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Amador California Health & Wellness Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Butte California Health & Wellness Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Calaveras California Health & Wellness Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Colusa California Health & Wellness Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion El Dorado California Health & Wellness Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Glenn California Health & Wellness Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Imperial California Health & Wellness Maternity 7286.54 7491.36 7703.57
07/16-06/17 2016-17 Regional Rural Expansion Inyo California Health & Wellness Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Mariposa California Health & Wellness Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Mono California Health & Wellness Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Nevada California Health & Wellness Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Placer California Health & Wellness Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Plumas California Health & Wellness Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Sierra California Health & Wellness Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Sutter California Health & Wellness Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Tehama California Health & Wellness Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne California Health & Wellness Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Yuba California Health & Wellness Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Alpine California Health & Wellness Optional Expansion 377.49 390.11 403.27
07/16-06/17 2016-17 Regional Rural Expansion Amador California Health & Wellness Optional Expansion 377.49 390.11 403.27
07/16-06/17 2016-17 Regional Rural Expansion Butte California Health & Wellness Optional Expansion 377.49 390.11 403.27
07/16-06/17 2016-17 Regional Rural Expansion Calaveras California Health & Wellness Optional Expansion 377.49 390.11 403.27
07/16-06/17 2016-17 Regional Rural Expansion Colusa California Health & Wellness Optional Expansion 377.49 390.11 403.27
07/16-06/17 2016-17 Regional Rural Expansion El Dorado California Health & Wellness Optional Expansion 377.49 390.11 403.27
07/16-06/17 2016-17 Regional Rural Expansion Glenn California Health & Wellness Optional Expansion 377.49 390.11 403.27
07/16-06/17 2016-17 Regional Rural Expansion Imperial California Health & Wellness Optional Expansion 349.98 361.68 373.88
07/16-06/17 2016-17 Regional Rural Expansion Inyo California Health & Wellness Optional Expansion 377.49 390.11 403.27
07/16-06/17 2016-17 Regional Rural Expansion Mariposa California Health & Wellness Optional Expansion 377.49 390.11 403.27
07/16-06/17 2016-17 Regional Rural Expansion Mono California Health & Wellness Optional Expansion 377.49 390.11 403.27
07/16-06/17 2016-17 Regional Rural Expansion Nevada California Health & Wellness Optional Expansion 377.49 390.11 403.27
07/16-06/17 2016-17 Regional Rural Expansion Placer California Health & Wellness Optional Expansion 377.49 390.11 403.27
07/16-06/17 2016-17 Regional Rural Expansion Plumas California Health & Wellness Optional Expansion 377.49 390.11 403.27
07/16-06/17 2016-17 Regional Rural Expansion Sierra California Health & Wellness Optional Expansion 377.49 390.11 403.27
07/16-06/17 2016-17 Regional Rural Expansion Sutter California Health & Wellness Optional Expansion 377.49 390.11 403.27
07/16-06/17 2016-17 Regional Rural Expansion Tehama California Health & Wellness Optional Expansion 377.49 390.11 403.27
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne California Health & Wellness Optional Expansion 377.49 390.11 403.27
07/16-06/17 2016-17 Regional Rural Expansion Yuba California Health & Wellness Optional Expansion 377.49 390.11 403.27
07/16-06/17 2016-17 Regional Rural Expansion Alpine California Health & Wellness Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Amador California Health & Wellness Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Butte California Health & Wellness Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Calaveras California Health & Wellness Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Colusa California Health & Wellness Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion El Dorado California Health & Wellness Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Glenn California Health & Wellness Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Imperial California Health & Wellness Optional Expansion - Maternity 7286.53912 7491.361891 7703.570217
07/16-06/17 2016-17 Regional Rural Expansion Inyo California Health & Wellness Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Mariposa California Health & Wellness Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Mono California Health & Wellness Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Nevada California Health & Wellness Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Placer California Health & Wellness Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Plumas California Health & Wellness Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Sierra California Health & Wellness Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Sutter California Health & Wellness Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Tehama California Health & Wellness Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne California Health & Wellness Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Yuba California Health & Wellness Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Alpine California Health & Wellness SPD 861.94 911.4 963.03
07/16-06/17 2016-17 Regional Rural Expansion Amador California Health & Wellness SPD 861.94 911.4 963.03
07/16-06/17 2016-17 Regional Rural Expansion Butte California Health & Wellness SPD 861.94 911.4 963.03
07/16-06/17 2016-17 Regional Rural Expansion Calaveras California Health & Wellness SPD 861.94 911.4 963.03
07/16-06/17 2016-17 Regional Rural Expansion Colusa California Health & Wellness SPD 861.94 911.4 963.03
07/16-06/17 2016-17 Regional Rural Expansion El Dorado California Health & Wellness SPD 861.94 911.4 963.03
07/16-06/17 2016-17 Regional Rural Expansion Glenn California Health & Wellness SPD 861.94 911.4 963.03
07/16-06/17 2016-17 Regional Rural Expansion Imperial California Health & Wellness SPD 873.63 922.18 972.85
07/16-06/17 2016-17 Regional Rural Expansion Inyo California Health & Wellness SPD 861.94 911.4 963.03
07/16-06/17 2016-17 Regional Rural Expansion Mariposa California Health & Wellness SPD 861.94 911.4 963.03
07/16-06/17 2016-17 Regional Rural Expansion Mono California Health & Wellness SPD 861.94 911.4 963.03
07/16-06/17 2016-17 Regional Rural Expansion Nevada California Health & Wellness SPD 861.94 911.4 963.03
07/16-06/17 2016-17 Regional Rural Expansion Placer California Health & Wellness SPD 861.94 911.4 963.03
07/16-06/17 2016-17 Regional Rural Expansion Plumas California Health & Wellness SPD 861.94 911.4 963.03
07/16-06/17 2016-17 Regional Rural Expansion Sierra California Health & Wellness SPD 861.94 911.4 963.03
07/16-06/17 2016-17 Regional Rural Expansion Sutter California Health & Wellness SPD 861.94 911.4 963.03
07/16-06/17 2016-17 Regional Rural Expansion Tehama California Health & Wellness SPD 861.94 911.4 963.03
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne California Health & Wellness SPD 861.94 911.4 963.03
07/16-06/17 2016-17 Regional Rural Expansion Yuba California Health & Wellness SPD 861.94 911.4 963.03
07/16-06/17 2016-17 Regional Rural Expansion Alpine California Health & Wellness SPD/Full-Dual 117.45 121.97 126.73
07/16-06/17 2016-17 Regional Rural Expansion Amador California Health & Wellness SPD/Full-Dual 117.45 121.97 126.73
07/16-06/17 2016-17 Regional Rural Expansion Butte California Health & Wellness SPD/Full-Dual 117.45 121.97 126.73
07/16-06/17 2016-17 Regional Rural Expansion Calaveras California Health & Wellness SPD/Full-Dual 117.45 121.97 126.73
07/16-06/17 2016-17 Regional Rural Expansion Colusa California Health & Wellness SPD/Full-Dual 117.45 121.97 126.73
07/16-06/17 2016-17 Regional Rural Expansion El Dorado California Health & Wellness SPD/Full-Dual 117.45 121.97 126.73
07/16-06/17 2016-17 Regional Rural Expansion Glenn California Health & Wellness SPD/Full-Dual 117.45 121.97 126.73
07/16-06/17 2016-17 Regional Rural Expansion Imperial California Health & Wellness SPD/Full-Dual 336 344.05 352.46
07/16-06/17 2016-17 Regional Rural Expansion Inyo California Health & Wellness SPD/Full-Dual 117.45 121.97 126.73
07/16-06/17 2016-17 Regional Rural Expansion Mariposa California Health & Wellness SPD/Full-Dual 117.45 121.97 126.73
07/16-06/17 2016-17 Regional Rural Expansion Mono California Health & Wellness SPD/Full-Dual 117.45 121.97 126.73
07/16-06/17 2016-17 Regional Rural Expansion Nevada California Health & Wellness SPD/Full-Dual 117.45 121.97 126.73
07/16-06/17 2016-17 Regional Rural Expansion Placer California Health & Wellness SPD/Full-Dual 117.45 121.97 126.73
07/16-06/17 2016-17 Regional Rural Expansion Plumas California Health & Wellness SPD/Full-Dual 117.45 121.97 126.73
07/16-06/17 2016-17 Regional Rural Expansion Sierra California Health & Wellness SPD/Full-Dual 117.45 121.97 126.73
07/16-06/17 2016-17 Regional Rural Expansion Sutter California Health & Wellness SPD/Full-Dual 117.45 121.97 126.73
07/16-06/17 2016-17 Regional Rural Expansion Tehama California Health & Wellness SPD/Full-Dual 117.45 121.97 126.73
07/16-06/17 2016-17 Regional Rural Expansion Tuolumne California Health & Wellness SPD/Full-Dual 117.45 121.97 126.73
07/16-06/17 2016-17 Regional Rural Expansion Yuba California Health & Wellness SPD/Full-Dual 117.45 121.97 126.73
07/16-06/17 2016-17 Regional Rural Expansion Amador Kaiser Foundation Adult 213.62 220.45 227.59
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Kaiser Foundation Adult 213.62 220.45 227.59
07/16-06/17 2016-17 Regional Rural Expansion Placer Kaiser Foundation Adult 213.62 220.45 227.59
07/16-06/17 2016-17 Regional Rural Expansion Amador Kaiser Foundation BCCTP 1109.76 1142.74 1177.09
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Kaiser Foundation BCCTP 1109.76 1142.74 1177.09
07/16-06/17 2016-17 Regional Rural Expansion Placer Kaiser Foundation BCCTP 1109.76 1142.74 1177.09
07/16-06/17 2016-17 Regional Rural Expansion Amador Kaiser Foundation Child 63.83 66.34 69
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Kaiser Foundation Child 63.83 66.34 69
07/16-06/17 2016-17 Regional Rural Expansion Placer Kaiser Foundation Child 63.83 66.34 69
07/16-06/17 2016-17 Regional Rural Expansion Amador Kaiser Foundation Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Kaiser Foundation Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Placer Kaiser Foundation Maternity 8760.3 9006.54 9261.66
07/16-06/17 2016-17 Regional Rural Expansion Amador Kaiser Foundation Optional Expansion 357.93 369.89 382.37
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Kaiser Foundation Optional Expansion 357.93 369.89 382.37
07/16-06/17 2016-17 Regional Rural Expansion Placer Kaiser Foundation Optional Expansion 357.93 369.89 382.37
07/16-06/17 2016-17 Regional Rural Expansion Amador Kaiser Foundation Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Kaiser Foundation Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Placer Kaiser Foundation Optional Expansion - Maternity 8760.304626 9006.541973 9261.658012
07/16-06/17 2016-17 Regional Rural Expansion Amador Kaiser Foundation SPD 787.47 836.5 887.66
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Kaiser Foundation SPD 787.47 836.5 887.66
07/16-06/17 2016-17 Regional Rural Expansion Placer Kaiser Foundation SPD 787.47 836.5 887.66
07/16-06/17 2016-17 Regional Rural Expansion Amador Kaiser Foundation SPD/Full-Dual 103.71 107.51 111.51
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Kaiser Foundation SPD/Full-Dual 103.71 107.51 111.51
07/16-06/17 2016-17 Regional Rural Expansion Placer Kaiser Foundation SPD/Full-Dual 103.71 107.51 111.51
07/16-06/17 2016-17 Regional Rural Expansion Amador Kaiser Foundation Behavioral Health Treatment 0-6 2418.81 2477.5 2538.17
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Kaiser Foundation Behavioral Health Treatment 0-6 2418.81 2477.5 2538.17
07/16-06/17 2016-17 Regional Rural Expansion Placer Kaiser Foundation Behavioral Health Treatment 0-6 2418.81 2477.5 2538.17
07/16-06/17 2016-17 Regional Rural Expansion Amador Kaiser Foundation Behavioral Health Treatment 7-20 1805.83 1849.57 1894.8
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Kaiser Foundation Behavioral Health Treatment 7-20 1805.83 1849.57 1894.8
07/16-06/17 2016-17 Regional Rural Expansion Placer Kaiser Foundation Behavioral Health Treatment 7-20 1805.83 1849.57 1894.8
07/16-06/17 2016-17 Regional Rural Expansion Amador Kaiser Foundation Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Amador Kaiser Foundation Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Kaiser Foundation Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion El Dorado Kaiser Foundation Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Placer Kaiser Foundation Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Placer Kaiser Foundation Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Imperial Molina Healthcare Behavioral Health Treatment 0-6 2428.52 2487.58 2548.64
07/16-06/17 2016-17 Regional Rural Expansion Imperial Molina Healthcare Behavioral Health Treatment 7-20 1839.3 1883.97 1930.14
07/16-06/17 2016-17 Regional Rural Expansion Imperial Molina Healthcare Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Imperial Molina Healthcare Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Imperial Molina Healthcare Adult 166.82 172.5 178.45
07/16-06/17 2016-17 Regional Rural Expansion Imperial Molina Healthcare BCCTP 1056.01 1086.92 1119.1
07/16-06/17 2016-17 Regional Rural Expansion Imperial Molina Healthcare Child 67.22 70.02 72.98
07/16-06/17 2016-17 Regional Rural Expansion Imperial Molina Healthcare Maternity 7286.54 7491.36 7703.57
07/16-06/17 2016-17 Regional Rural Expansion Imperial Molina Healthcare Optional Expansion 347.35 358.96 371.07
07/16-06/17 2016-17 Regional Rural Expansion Imperial Molina Healthcare Optional Expansion - Maternity 7286.53912 7491.361891 7703.570217
07/16-06/17 2016-17 Regional Rural Expansion Imperial Molina Healthcare SPD 885.83 935.54 987.42
07/16-06/17 2016-17 Regional Rural Expansion Imperial Molina Healthcare SPD/Full-Dual 312.06 319.58 327.43
07/16-06/17 2016-17 Regional Rural Expansion Humboldt Partnership Health Plan Adult 306.76 315.5 324.56
07/16-06/17 2016-17 Regional Rural Expansion Lake Partnership Health Plan Adult 306.76 315.5 324.56
07/16-06/17 2016-17 Regional Rural Expansion Lassen Partnership Health Plan Adult 306.76 315.5 324.56
07/16-06/17 2016-17 Regional Rural Expansion Modoc Partnership Health Plan Adult 306.76 315.5 324.56
07/16-06/17 2016-17 Regional Rural Expansion Shasta Partnership Health Plan Adult 306.76 315.5 324.56
07/16-06/17 2016-17 Regional Rural Expansion Siskiyou Partnership Health Plan Adult 306.76 315.5 324.56
07/16-06/17 2016-17 Regional Rural Expansion Trinity Partnership Health Plan Adult 306.76 315.5 324.56
07/16-06/17 2016-17 Regional Rural Expansion Humboldt Partnership Health Plan BCCTP 1154.25 1187.04 1221.03
07/16-06/17 2016-17 Regional Rural Expansion Lake Partnership Health Plan BCCTP 1154.25 1187.04 1221.03
07/16-06/17 2016-17 Regional Rural Expansion Lassen Partnership Health Plan BCCTP 1154.25 1187.04 1221.03
07/16-06/17 2016-17 Regional Rural Expansion Modoc Partnership Health Plan BCCTP 1154.25 1187.04 1221.03
07/16-06/17 2016-17 Regional Rural Expansion Shasta Partnership Health Plan BCCTP 1154.25 1187.04 1221.03
07/16-06/17 2016-17 Regional Rural Expansion Siskiyou Partnership Health Plan BCCTP 1154.25 1187.04 1221.03
07/16-06/17 2016-17 Regional Rural Expansion Trinity Partnership Health Plan BCCTP 1154.25 1187.04 1221.03
07/16-06/17 2016-17 Regional Rural Expansion Humboldt Partnership Health Plan Child 85.16 87.62 90.18
07/16-06/17 2016-17 Regional Rural Expansion Lake Partnership Health Plan Child 85.16 87.62 90.18
07/16-06/17 2016-17 Regional Rural Expansion Lassen Partnership Health Plan Child 85.16 87.62 90.18
07/16-06/17 2016-17 Regional Rural Expansion Modoc Partnership Health Plan Child 85.16 87.62 90.18
07/16-06/17 2016-17 Regional Rural Expansion Shasta Partnership Health Plan Child 85.16 87.62 90.18
07/16-06/17 2016-17 Regional Rural Expansion Siskiyou Partnership Health Plan Child 85.16 87.62 90.18
07/16-06/17 2016-17 Regional Rural Expansion Trinity Partnership Health Plan Child 85.16 87.62 90.18
07/16-06/17 2016-17 Regional Rural Expansion Humboldt Partnership Health Plan LTC 6474.17 6589.55 6708.73
07/16-06/17 2016-17 Regional Rural Expansion Lake Partnership Health Plan LTC 6474.17 6589.55 6708.73
07/16-06/17 2016-17 Regional Rural Expansion Lassen Partnership Health Plan LTC 6474.17 6589.55 6708.73
07/16-06/17 2016-17 Regional Rural Expansion Modoc Partnership Health Plan LTC 6474.17 6589.55 6708.73
07/16-06/17 2016-17 Regional Rural Expansion Shasta Partnership Health Plan LTC 6474.17 6589.55 6708.73
07/16-06/17 2016-17 Regional Rural Expansion Siskiyou Partnership Health Plan LTC 6474.17 6589.55 6708.73
07/16-06/17 2016-17 Regional Rural Expansion Trinity Partnership Health Plan LTC 6474.17 6589.55 6708.73
07/16-06/17 2016-17 Regional Rural Expansion Humboldt Partnership Health Plan LTC/Full-Dual 5655.1 5745.83 5839.47
07/16-06/17 2016-17 Regional Rural Expansion Lake Partnership Health Plan LTC/Full-Dual 5655.1 5745.83 5839.47
07/16-06/17 2016-17 Regional Rural Expansion Lassen Partnership Health Plan LTC/Full-Dual 5655.1 5745.83 5839.47
07/16-06/17 2016-17 Regional Rural Expansion Modoc Partnership Health Plan LTC/Full-Dual 5655.1 5745.83 5839.47
07/16-06/17 2016-17 Regional Rural Expansion Shasta Partnership Health Plan LTC/Full-Dual 5655.1 5745.83 5839.47
07/16-06/17 2016-17 Regional Rural Expansion Siskiyou Partnership Health Plan LTC/Full-Dual 5655.1 5745.83 5839.47
07/16-06/17 2016-17 Regional Rural Expansion Trinity Partnership Health Plan LTC/Full-Dual 5655.1 5745.83 5839.47
07/16-06/17 2016-17 Regional Rural Expansion Humboldt Partnership Health Plan OBRA 0 0 0
07/16-06/17 2016-17 Regional Rural Expansion Lake Partnership Health Plan OBRA 0 0 0
07/16-06/17 2016-17 Regional Rural Expansion Lassen Partnership Health Plan OBRA 0 0 0
07/16-06/17 2016-17 Regional Rural Expansion Modoc Partnership Health Plan OBRA 0 0 0
07/16-06/17 2016-17 Regional Rural Expansion Shasta Partnership Health Plan OBRA 0 0 0
07/16-06/17 2016-17 Regional Rural Expansion Siskiyou Partnership Health Plan OBRA 0 0 0
07/16-06/17 2016-17 Regional Rural Expansion Trinity Partnership Health Plan OBRA 0 0 0
07/16-06/17 2016-17 Regional Rural Expansion Humboldt Partnership Health Plan Optional Expansion 413.04 426.85 441.25
07/16-06/17 2016-17 Regional Rural Expansion Lake Partnership Health Plan Optional Expansion 413.04 426.85 441.25
07/16-06/17 2016-17 Regional Rural Expansion Lassen Partnership Health Plan Optional Expansion 413.04 426.85 441.25
07/16-06/17 2016-17 Regional Rural Expansion Modoc Partnership Health Plan Optional Expansion 413.04 426.85 441.25
07/16-06/17 2016-17 Regional Rural Expansion Shasta Partnership Health Plan Optional Expansion 413.04 426.85 441.25
07/16-06/17 2016-17 Regional Rural Expansion Siskiyou Partnership Health Plan Optional Expansion 413.04 426.85 441.25
07/16-06/17 2016-17 Regional Rural Expansion Trinity Partnership Health Plan Optional Expansion 413.04 426.85 441.25
07/16-06/17 2016-17 Regional Rural Expansion Humboldt Partnership Health Plan SPD 943.77 969.72 996.62
07/16-06/17 2016-17 Regional Rural Expansion Lake Partnership Health Plan SPD 943.77 969.72 996.62
07/16-06/17 2016-17 Regional Rural Expansion Lassen Partnership Health Plan SPD 943.77 969.72 996.62
07/16-06/17 2016-17 Regional Rural Expansion Modoc Partnership Health Plan SPD 943.77 969.72 996.62
07/16-06/17 2016-17 Regional Rural Expansion Shasta Partnership Health Plan SPD 943.77 969.72 996.62
07/16-06/17 2016-17 Regional Rural Expansion Siskiyou Partnership Health Plan SPD 943.77 969.72 996.62
07/16-06/17 2016-17 Regional Rural Expansion Trinity Partnership Health Plan SPD 943.77 969.72 996.62
07/16-06/17 2016-17 Regional Rural Expansion Humboldt Partnership Health Plan SPD/Full-Dual 128.53 131.49 134.56
07/16-06/17 2016-17 Regional Rural Expansion Lake Partnership Health Plan SPD/Full-Dual 128.53 131.49 134.56
07/16-06/17 2016-17 Regional Rural Expansion Lassen Partnership Health Plan SPD/Full-Dual 128.53 131.49 134.56
07/16-06/17 2016-17 Regional Rural Expansion Modoc Partnership Health Plan SPD/Full-Dual 128.53 131.49 134.56
07/16-06/17 2016-17 Regional Rural Expansion Shasta Partnership Health Plan SPD/Full-Dual 128.53 131.49 134.56
07/16-06/17 2016-17 Regional Rural Expansion Siskiyou Partnership Health Plan SPD/Full-Dual 128.53 131.49 134.56
07/16-06/17 2016-17 Regional Rural Expansion Trinity Partnership Health Plan SPD/Full-Dual 128.53 131.49 134.56
07/16-06/17 2016-17 Regional Rural Expansion Del Norte Partnership Health Plan Behavioral Health Treatment 0-6 2390.25 2448.34 2508.4
07/16-06/17 2016-17 Regional Rural Expansion Humboldt Partnership Health Plan Behavioral Health Treatment 0-6 2390.25 2448.34 2508.4
07/16-06/17 2016-17 Regional Rural Expansion Lake Partnership Health Plan Behavioral Health Treatment 0-6 2390.25 2448.34 2508.4
07/16-06/17 2016-17 Regional Rural Expansion Lassen Partnership Health Plan Behavioral Health Treatment 0-6 2390.25 2448.34 2508.4
07/16-06/17 2016-17 Regional Rural Expansion Modoc Partnership Health Plan Behavioral Health Treatment 0-6 2390.25 2448.34 2508.4
07/16-06/17 2016-17 Regional Rural Expansion Shasta Partnership Health Plan Behavioral Health Treatment 0-6 2390.25 2448.34 2508.4
07/16-06/17 2016-17 Regional Rural Expansion Siskiyou Partnership Health Plan Behavioral Health Treatment 0-6 2390.25 2448.34 2508.4
07/16-06/17 2016-17 Regional Rural Expansion Trinity Partnership Health Plan Behavioral Health Treatment 0-6 2390.25 2448.34 2508.4
07/16-06/17 2016-17 Regional Rural Expansion Del Norte Partnership Health Plan Behavioral Health Treatment 7-20 1966.66 2014.46 2063.89
07/16-06/17 2016-17 Regional Rural Expansion Humboldt Partnership Health Plan Behavioral Health Treatment 7-20 1966.66 2014.46 2063.89
07/16-06/17 2016-17 Regional Rural Expansion Lake Partnership Health Plan Behavioral Health Treatment 7-20 1966.66 2014.46 2063.89
07/16-06/17 2016-17 Regional Rural Expansion Lassen Partnership Health Plan Behavioral Health Treatment 7-20 1966.66 2014.46 2063.89
07/16-06/17 2016-17 Regional Rural Expansion Modoc Partnership Health Plan Behavioral Health Treatment 7-20 1966.66 2014.46 2063.89
07/16-06/17 2016-17 Regional Rural Expansion Shasta Partnership Health Plan Behavioral Health Treatment 7-20 1966.66 2014.46 2063.89
07/16-06/17 2016-17 Regional Rural Expansion Siskiyou Partnership Health Plan Behavioral Health Treatment 7-20 1966.66 2014.46 2063.89
07/16-06/17 2016-17 Regional Rural Expansion Trinity Partnership Health Plan Behavioral Health Treatment 7-20 1966.66 2014.46 2063.89
07/16-06/17 2016-17 Regional Rural Expansion Del Norte Partnership Health Plan Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Del Norte Partnership Health Plan Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Humboldt Partnership Health Plan Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Humboldt Partnership Health Plan Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Lake Partnership Health Plan Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Lake Partnership Health Plan Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Lassen Partnership Health Plan Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Lassen Partnership Health Plan Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Modoc Partnership Health Plan Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Modoc Partnership Health Plan Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Shasta Partnership Health Plan Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Shasta Partnership Health Plan Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Siskiyou Partnership Health Plan Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Siskiyou Partnership Health Plan Hepatitis C Non-340B 6121.25 6397.48 6685.67
07/16-06/17 2016-17 Regional Rural Expansion Trinity Partnership Health Plan Hepatitis C 340B 4910.81 5014.95 5123.59
07/16-06/17 2016-17 Regional Rural Expansion Trinity Partnership Health Plan Hepatitis C Non-340B 6121.25 6397.48 6685.67