Table: state_fiscal_year_2017_18_regional_model_rates

rating_period	state_fiscal_year	model	county	health_plan	category_of_aid	lower_bound	midpoint	upper_bound
07/17-06/18	2017-18	Regional Rural Expansion	Del Norte	Partnership Health Plan	Adult	$325.03	$334.36	$343.69
07/17-06/18	2017-18	Regional Rural Expansion	Del Norte	Partnership Health Plan	BCCTP	$1,426.75	$1,467.93	$1,509.11
07/17-06/18	2017-18	Regional Rural Expansion	Del Norte	Partnership Health Plan	Child	$89.56	$92.17	$94.78
07/17-06/18	2017-18	Regional Rural Expansion	Del Norte	Partnership Health Plan	LTC	$7,174.68	$7,310.86	$7,447.05
07/17-06/18	2017-18	Regional Rural Expansion	Del Norte	Partnership Health Plan	LTC/Full-Dual	$5,933.42	$6,030.13	$6,126.83
07/17-06/18	2017-18	Regional Rural Expansion	Del Norte	Partnership Health Plan	OBRA	$-	$-	$-
07/17-06/18	2017-18	Regional Rural Expansion	Del Norte	Partnership Health Plan	Optional Expansion	$411.20	$424.81	$439.05
07/17-06/18	2017-18	Regional Rural Expansion	Del Norte	Partnership Health Plan	SPD	$962.48	$989.20	$1,015.91
07/17-06/18	2017-18	Regional Rural Expansion	Del Norte	Partnership Health Plan	SPD/Full-Dual	$164.23	$168.05	$171.86
07/17-06/18	2017-18	Regional Rural Expansion	Humboldt	Partnership Health Plan	Adult	$325.03	$334.36	$343.69
07/17-06/18	2017-18	Regional Rural Expansion	Lake	Partnership Health Plan	Adult	$325.03	$334.36	$343.69
07/17-06/18	2017-18	Regional Rural Expansion	Lassen	Partnership Health Plan	Adult	$325.03	$334.36	$343.69
07/17-06/18	2017-18	Regional Rural Expansion	Modoc	Partnership Health Plan	Adult	$325.03	$334.36	$343.69
07/17-06/18	2017-18	Regional Rural Expansion	Shasta	Partnership Health Plan	Adult	$325.03	$334.36	$343.69
07/17-06/18	2017-18	Regional Rural Expansion	Siskiyou	Partnership Health Plan	Adult	$325.03	$334.36	$343.69
07/17-06/18	2017-18	Regional Rural Expansion	Trinity	Partnership Health Plan	Adult	$325.03	$334.36	$343.69
07/17-06/18	2017-18	Regional Rural Expansion	Humboldt	Partnership Health Plan	BCCTP	$1,426.75	$1,467.93	$1,509.11
07/17-06/18	2017-18	Regional Rural Expansion	Lake	Partnership Health Plan	BCCTP	$1,426.75	$1,467.93	$1,509.11
07/17-06/18	2017-18	Regional Rural Expansion	Lassen	Partnership Health Plan	BCCTP	$1,426.75	$1,467.93	$1,509.11
07/17-06/18	2017-18	Regional Rural Expansion	Modoc	Partnership Health Plan	BCCTP	$1,426.75	$1,467.93	$1,509.11
07/17-06/18	2017-18	Regional Rural Expansion	Shasta	Partnership Health Plan	BCCTP	$1,426.75	$1,467.93	$1,509.11
07/17-06/18	2017-18	Regional Rural Expansion	Siskiyou	Partnership Health Plan	BCCTP	$1,426.75	$1,467.93	$1,509.11
07/17-06/18	2017-18	Regional Rural Expansion	Trinity	Partnership Health Plan	BCCTP	$1,426.75	$1,467.93	$1,509.11
07/17-06/18	2017-18	Regional Rural Expansion	Humboldt	Partnership Health Plan	Child	$89.56	$92.17	$94.78
07/17-06/18	2017-18	Regional Rural Expansion	Lake	Partnership Health Plan	Child	$89.56	$92.17	$94.78
07/17-06/18	2017-18	Regional Rural Expansion	Lassen	Partnership Health Plan	Child	$89.56	$92.17	$94.78
07/17-06/18	2017-18	Regional Rural Expansion	Modoc	Partnership Health Plan	Child	$89.56	$92.17	$94.78
07/17-06/18	2017-18	Regional Rural Expansion	Shasta	Partnership Health Plan	Child	$89.56	$92.17	$94.78
07/17-06/18	2017-18	Regional Rural Expansion	Siskiyou	Partnership Health Plan	Child	$89.56	$92.17	$94.78
07/17-06/18	2017-18	Regional Rural Expansion	Trinity	Partnership Health Plan	Child	$89.56	$92.17	$94.78
07/17-06/18	2017-18	Regional Rural Expansion	Humboldt	Partnership Health Plan	LTC	$7,174.68	$7,310.86	$7,447.05
07/17-06/18	2017-18	Regional Rural Expansion	Lake	Partnership Health Plan	LTC	$7,174.68	$7,310.86	$7,447.05
07/17-06/18	2017-18	Regional Rural Expansion	Lassen	Partnership Health Plan	LTC	$7,174.68	$7,310.86	$7,447.05
07/17-06/18	2017-18	Regional Rural Expansion	Modoc	Partnership Health Plan	LTC	$7,174.68	$7,310.86	$7,447.05
07/17-06/18	2017-18	Regional Rural Expansion	Shasta	Partnership Health Plan	LTC	$7,174.68	$7,310.86	$7,447.05
07/17-06/18	2017-18	Regional Rural Expansion	Siskiyou	Partnership Health Plan	LTC	$7,174.68	$7,310.86	$7,447.05
07/17-06/18	2017-18	Regional Rural Expansion	Trinity	Partnership Health Plan	LTC	$7,174.68	$7,310.86	$7,447.05
07/17-06/18	2017-18	Regional Rural Expansion	Humboldt	Partnership Health Plan	LTC/Full-Dual	$5,933.42	$6,030.13	$6,126.83
07/17-06/18	2017-18	Regional Rural Expansion	Lake	Partnership Health Plan	LTC/Full-Dual	$5,933.42	$6,030.13	$6,126.83
07/17-06/18	2017-18	Regional Rural Expansion	Lassen	Partnership Health Plan	LTC/Full-Dual	$5,933.42	$6,030.13	$6,126.83
07/17-06/18	2017-18	Regional Rural Expansion	Modoc	Partnership Health Plan	LTC/Full-Dual	$5,933.42	$6,030.13	$6,126.83
07/17-06/18	2017-18	Regional Rural Expansion	Shasta	Partnership Health Plan	LTC/Full-Dual	$5,933.42	$6,030.13	$6,126.83
07/17-06/18	2017-18	Regional Rural Expansion	Siskiyou	Partnership Health Plan	LTC/Full-Dual	$5,933.42	$6,030.13	$6,126.83
07/17-06/18	2017-18	Regional Rural Expansion	Trinity	Partnership Health Plan	LTC/Full-Dual	$5,933.42	$6,030.13	$6,126.83
07/17-06/18	2017-18	Regional Rural Expansion	Humboldt	Partnership Health Plan	OBRA	$-	$-	$-
07/17-06/18	2017-18	Regional Rural Expansion	Lake	Partnership Health Plan	OBRA	$-	$-	$-
07/17-06/18	2017-18	Regional Rural Expansion	Lassen	Partnership Health Plan	OBRA	$-	$-	$-
07/17-06/18	2017-18	Regional Rural Expansion	Modoc	Partnership Health Plan	OBRA	$-	$-	$-
07/17-06/18	2017-18	Regional Rural Expansion	Shasta	Partnership Health Plan	OBRA	$-	$-	$-
07/17-06/18	2017-18	Regional Rural Expansion	Siskiyou	Partnership Health Plan	OBRA	$-	$-	$-
07/17-06/18	2017-18	Regional Rural Expansion	Trinity	Partnership Health Plan	OBRA	$-	$-	$-
07/17-06/18	2017-18	Regional Rural Expansion	Humboldt	Partnership Health Plan	Optional Expansion	$411.20	$424.81	$439.05
07/17-06/18	2017-18	Regional Rural Expansion	Lake	Partnership Health Plan	Optional Expansion	$411.20	$424.81	$439.05
07/17-06/18	2017-18	Regional Rural Expansion	Lassen	Partnership Health Plan	Optional Expansion	$411.20	$424.81	$439.05
07/17-06/18	2017-18	Regional Rural Expansion	Modoc	Partnership Health Plan	Optional Expansion	$411.20	$424.81	$439.05
07/17-06/18	2017-18	Regional Rural Expansion	Shasta	Partnership Health Plan	Optional Expansion	$411.20	$424.81	$439.05
07/17-06/18	2017-18	Regional Rural Expansion	Siskiyou	Partnership Health Plan	Optional Expansion	$411.20	$424.81	$439.05
07/17-06/18	2017-18	Regional Rural Expansion	Trinity	Partnership Health Plan	Optional Expansion	$411.20	$424.81	$439.05
07/17-06/18	2017-18	Regional Rural Expansion	Humboldt	Partnership Health Plan	SPD	$962.48	$989.20	$1,015.91
07/17-06/18	2017-18	Regional Rural Expansion	Lake	Partnership Health Plan	SPD	$962.48	$989.20	$1,015.91
07/17-06/18	2017-18	Regional Rural Expansion	Lassen	Partnership Health Plan	SPD	$962.48	$989.20	$1,015.91
07/17-06/18	2017-18	Regional Rural Expansion	Modoc	Partnership Health Plan	SPD	$962.48	$989.20	$1,015.91
07/17-06/18	2017-18	Regional Rural Expansion	Shasta	Partnership Health Plan	SPD	$962.48	$989.20	$1,015.91
07/17-06/18	2017-18	Regional Rural Expansion	Siskiyou	Partnership Health Plan	SPD	$962.48	$989.20	$1,015.91
07/17-06/18	2017-18	Regional Rural Expansion	Trinity	Partnership Health Plan	SPD	$962.48	$989.20	$1,015.91
07/17-06/18	2017-18	Regional Rural Expansion	Humboldt	Partnership Health Plan	SPD/Full-Dual	$164.23	$168.05	$171.86
07/17-06/18	2017-18	Regional Rural Expansion	Lake	Partnership Health Plan	SPD/Full-Dual	$164.23	$168.05	$171.86
07/17-06/18	2017-18	Regional Rural Expansion	Lassen	Partnership Health Plan	SPD/Full-Dual	$164.23	$168.05	$171.86
07/17-06/18	2017-18	Regional Rural Expansion	Modoc	Partnership Health Plan	SPD/Full-Dual	$164.23	$168.05	$171.86
07/17-06/18	2017-18	Regional Rural Expansion	Shasta	Partnership Health Plan	SPD/Full-Dual	$164.23	$168.05	$171.86
07/17-06/18	2017-18	Regional Rural Expansion	Siskiyou	Partnership Health Plan	SPD/Full-Dual	$164.23	$168.05	$171.86
07/17-06/18	2017-18	Regional Rural Expansion	Trinity	Partnership Health Plan	SPD/Full-Dual	$164.23	$168.05	$171.86
07/17-06/18	2017-18	Regional Rural Expansion	Del Norte	Partnership Health Plan	Behavioral Health Treatment 0-6	$2,178.94	$2,230.26	$2,283.31
07/17-06/18	2017-18	Regional Rural Expansion	Humboldt	Partnership Health Plan	Behavioral Health Treatment 0-6	$2,178.94	$2,230.26	$2,283.31
07/17-06/18	2017-18	Regional Rural Expansion	Lake	Partnership Health Plan	Behavioral Health Treatment 0-6	$2,178.94	$2,230.26	$2,283.31
07/17-06/18	2017-18	Regional Rural Expansion	Lassen	Partnership Health Plan	Behavioral Health Treatment 0-6	$2,178.94	$2,230.26	$2,283.31
07/17-06/18	2017-18	Regional Rural Expansion	Modoc	Partnership Health Plan	Behavioral Health Treatment 0-6	$2,178.94	$2,230.26	$2,283.31
07/17-06/18	2017-18	Regional Rural Expansion	Shasta	Partnership Health Plan	Behavioral Health Treatment 0-6	$2,178.94	$2,230.26	$2,283.31
07/17-06/18	2017-18	Regional Rural Expansion	Siskiyou	Partnership Health Plan	Behavioral Health Treatment 0-6	$2,178.94	$2,230.26	$2,283.31
07/17-06/18	2017-18	Regional Rural Expansion	Trinity	Partnership Health Plan	Behavioral Health Treatment 0-6	$2,178.94	$2,230.26	$2,283.31
07/17-06/18	2017-18	Regional Rural Expansion	Del Norte	Partnership Health Plan	Behavioral Health Treatment 7-20	$1,782.85	$1,824.85	$1,868.25
07/17-06/18	2017-18	Regional Rural Expansion	Humboldt	Partnership Health Plan	Behavioral Health Treatment 7-20	$1,782.85	$1,824.85	$1,868.25
07/17-06/18	2017-18	Regional Rural Expansion	Lake	Partnership Health Plan	Behavioral Health Treatment 7-20	$1,782.85	$1,824.85	$1,868.25
07/17-06/18	2017-18	Regional Rural Expansion	Lassen	Partnership Health Plan	Behavioral Health Treatment 7-20	$1,782.85	$1,824.85	$1,868.25
07/17-06/18	2017-18	Regional Rural Expansion	Modoc	Partnership Health Plan	Behavioral Health Treatment 7-20	$1,782.85	$1,824.85	$1,868.25
07/17-06/18	2017-18	Regional Rural Expansion	Shasta	Partnership Health Plan	Behavioral Health Treatment 7-20	$1,782.85	$1,824.85	$1,868.25
07/17-06/18	2017-18	Regional Rural Expansion	Siskiyou	Partnership Health Plan	Behavioral Health Treatment 7-20	$1,782.85	$1,824.85	$1,868.25
07/17-06/18	2017-18	Regional Rural Expansion	Trinity	Partnership Health Plan	Behavioral Health Treatment 7-20	$1,782.85	$1,824.85	$1,868.25
01/18-06/18	2017-18	Regional Rural Expansion	Del Norte	Partnership Health Plan	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Del Norte	Partnership Health Plan	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Humboldt	Partnership Health Plan	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Humboldt	Partnership Health Plan	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Lake	Partnership Health Plan	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Lake	Partnership Health Plan	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Lassen	Partnership Health Plan	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Lassen	Partnership Health Plan	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Modoc	Partnership Health Plan	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Modoc	Partnership Health Plan	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Shasta	Partnership Health Plan	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Shasta	Partnership Health Plan	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Siskiyou	Partnership Health Plan	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Siskiyou	Partnership Health Plan	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Trinity	Partnership Health Plan	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Trinity	Partnership Health Plan	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Del Norte	Partnership Health Plan	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Del Norte	Partnership Health Plan	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Humboldt	Partnership Health Plan	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Humboldt	Partnership Health Plan	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Lake	Partnership Health Plan	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Lake	Partnership Health Plan	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Lassen	Partnership Health Plan	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Lassen	Partnership Health Plan	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Modoc	Partnership Health Plan	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Modoc	Partnership Health Plan	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Shasta	Partnership Health Plan	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Shasta	Partnership Health Plan	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Siskiyou	Partnership Health Plan	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Siskiyou	Partnership Health Plan	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Trinity	Partnership Health Plan	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Trinity	Partnership Health Plan	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
07/17-06/18	2017-18	Regional Rural Expansion	Alpine	Anthem Blue Cross	Behavioral Health Treatment 0-6	$2,340.07	$2,395.20	$2,452.16
07/17-06/18	2017-18	Regional Rural Expansion	Amador	Anthem Blue Cross	Behavioral Health Treatment 0-6	$2,340.07	$2,395.20	$2,452.16
07/17-06/18	2017-18	Regional Rural Expansion	Butte	Anthem Blue Cross	Behavioral Health Treatment 0-6	$2,340.07	$2,395.20	$2,452.16
07/17-06/18	2017-18	Regional Rural Expansion	Calaveras	Anthem Blue Cross	Behavioral Health Treatment 0-6	$2,340.07	$2,395.20	$2,452.16
07/17-06/18	2017-18	Regional Rural Expansion	Colusa	Anthem Blue Cross	Behavioral Health Treatment 0-6	$2,340.07	$2,395.20	$2,452.16
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	Anthem Blue Cross	Behavioral Health Treatment 0-6	$2,340.07	$2,395.20	$2,452.16
07/17-06/18	2017-18	Regional Rural Expansion	Glenn	Anthem Blue Cross	Behavioral Health Treatment 0-6	$2,340.07	$2,395.20	$2,452.16
07/17-06/18	2017-18	Regional Rural Expansion	Inyo	Anthem Blue Cross	Behavioral Health Treatment 0-6	$2,340.07	$2,395.20	$2,452.16
07/17-06/18	2017-18	Regional Rural Expansion	Mariposa	Anthem Blue Cross	Behavioral Health Treatment 0-6	$2,340.07	$2,395.20	$2,452.16
07/17-06/18	2017-18	Regional Rural Expansion	Mono	Anthem Blue Cross	Behavioral Health Treatment 0-6	$2,340.07	$2,395.20	$2,452.16
07/17-06/18	2017-18	Regional Rural Expansion	Nevada	Anthem Blue Cross	Behavioral Health Treatment 0-6	$2,340.07	$2,395.20	$2,452.16
07/17-06/18	2017-18	Regional Rural Expansion	Placer	Anthem Blue Cross	Behavioral Health Treatment 0-6	$2,340.07	$2,395.20	$2,452.16
07/17-06/18	2017-18	Regional Rural Expansion	Plumas	Anthem Blue Cross	Behavioral Health Treatment 0-6	$2,340.07	$2,395.20	$2,452.16
07/17-06/18	2017-18	Regional Rural Expansion	San Benito	Anthem Blue Cross	Behavioral Health Treatment 0-6	$2,315.70	$2,370.24	$2,426.62
07/17-06/18	2017-18	Regional Rural Expansion	Sierra	Anthem Blue Cross	Behavioral Health Treatment 0-6	$2,340.07	$2,395.20	$2,452.16
07/17-06/18	2017-18	Regional Rural Expansion	Sutter	Anthem Blue Cross	Behavioral Health Treatment 0-6	$2,340.07	$2,395.20	$2,452.16
07/17-06/18	2017-18	Regional Rural Expansion	Tehama	Anthem Blue Cross	Behavioral Health Treatment 0-6	$2,340.07	$2,395.20	$2,452.16
07/17-06/18	2017-18	Regional Rural Expansion	Tuolumne	Anthem Blue Cross	Behavioral Health Treatment 0-6	$2,340.07	$2,395.20	$2,452.16
07/17-06/18	2017-18	Regional Rural Expansion	Yuba	Anthem Blue Cross	Behavioral Health Treatment 0-6	$2,340.07	$2,395.20	$2,452.16
07/17-06/18	2017-18	Regional Rural Expansion	Alpine	Anthem Blue Cross	Behavioral Health Treatment 7-20	$1,875.08	$1,919.25	$1,964.90
07/17-06/18	2017-18	Regional Rural Expansion	Amador	Anthem Blue Cross	Behavioral Health Treatment 7-20	$1,875.08	$1,919.25	$1,964.90
07/17-06/18	2017-18	Regional Rural Expansion	Butte	Anthem Blue Cross	Behavioral Health Treatment 7-20	$1,875.08	$1,919.25	$1,964.90
07/17-06/18	2017-18	Regional Rural Expansion	Calaveras	Anthem Blue Cross	Behavioral Health Treatment 7-20	$1,875.08	$1,919.25	$1,964.90
07/17-06/18	2017-18	Regional Rural Expansion	Colusa	Anthem Blue Cross	Behavioral Health Treatment 7-20	$1,875.08	$1,919.25	$1,964.90
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	Anthem Blue Cross	Behavioral Health Treatment 7-20	$1,875.08	$1,919.25	$1,964.90
07/17-06/18	2017-18	Regional Rural Expansion	Glenn	Anthem Blue Cross	Behavioral Health Treatment 7-20	$1,875.08	$1,919.25	$1,964.90
07/17-06/18	2017-18	Regional Rural Expansion	Inyo	Anthem Blue Cross	Behavioral Health Treatment 7-20	$1,875.08	$1,919.25	$1,964.90
07/17-06/18	2017-18	Regional Rural Expansion	Mariposa	Anthem Blue Cross	Behavioral Health Treatment 7-20	$1,875.08	$1,919.25	$1,964.90
07/17-06/18	2017-18	Regional Rural Expansion	Mono	Anthem Blue Cross	Behavioral Health Treatment 7-20	$1,875.08	$1,919.25	$1,964.90
07/17-06/18	2017-18	Regional Rural Expansion	Nevada	Anthem Blue Cross	Behavioral Health Treatment 7-20	$1,875.08	$1,919.25	$1,964.90
07/17-06/18	2017-18	Regional Rural Expansion	Placer	Anthem Blue Cross	Behavioral Health Treatment 7-20	$1,875.08	$1,919.25	$1,964.90
07/17-06/18	2017-18	Regional Rural Expansion	Plumas	Anthem Blue Cross	Behavioral Health Treatment 7-20	$1,875.08	$1,919.25	$1,964.90
07/17-06/18	2017-18	Regional Rural Expansion	San Benito	Anthem Blue Cross	Behavioral Health Treatment 7-20	$1,857.20	$1,900.95	$1,946.17
07/17-06/18	2017-18	Regional Rural Expansion	Sierra	Anthem Blue Cross	Behavioral Health Treatment 7-20	$1,875.08	$1,919.25	$1,964.90
07/17-06/18	2017-18	Regional Rural Expansion	Sutter	Anthem Blue Cross	Behavioral Health Treatment 7-20	$1,875.08	$1,919.25	$1,964.90
07/17-06/18	2017-18	Regional Rural Expansion	Tehama	Anthem Blue Cross	Behavioral Health Treatment 7-20	$1,875.08	$1,919.25	$1,964.90
07/17-06/18	2017-18	Regional Rural Expansion	Tuolumne	Anthem Blue Cross	Behavioral Health Treatment 7-20	$1,875.08	$1,919.25	$1,964.90
07/17-06/18	2017-18	Regional Rural Expansion	Yuba	Anthem Blue Cross	Behavioral Health Treatment 7-20	$1,875.08	$1,919.25	$1,964.90
01/18-06/18	2017-18	Regional Rural Expansion	Alpine	Anthem Blue Cross	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Alpine	Anthem Blue Cross	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Amador	Anthem Blue Cross	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Amador	Anthem Blue Cross	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Butte	Anthem Blue Cross	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Butte	Anthem Blue Cross	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Calaveras	Anthem Blue Cross	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Calaveras	Anthem Blue Cross	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Colusa	Anthem Blue Cross	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Colusa	Anthem Blue Cross	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	El Dorado	Anthem Blue Cross	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	El Dorado	Anthem Blue Cross	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Glenn	Anthem Blue Cross	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Glenn	Anthem Blue Cross	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Inyo	Anthem Blue Cross	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Inyo	Anthem Blue Cross	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Mariposa	Anthem Blue Cross	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Mariposa	Anthem Blue Cross	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Mono	Anthem Blue Cross	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Mono	Anthem Blue Cross	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Nevada	Anthem Blue Cross	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Nevada	Anthem Blue Cross	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Placer	Anthem Blue Cross	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Placer	Anthem Blue Cross	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Plumas	Anthem Blue Cross	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Plumas	Anthem Blue Cross	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	San Benito	Anthem Blue Cross	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	San Benito	Anthem Blue Cross	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Sierra	Anthem Blue Cross	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Sierra	Anthem Blue Cross	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Sutter	Anthem Blue Cross	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Sutter	Anthem Blue Cross	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Tehama	Anthem Blue Cross	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Tehama	Anthem Blue Cross	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Tuolumne	Anthem Blue Cross	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Tuolumne	Anthem Blue Cross	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Yuba	Anthem Blue Cross	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Yuba	Anthem Blue Cross	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Alpine	Anthem Blue Cross	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Alpine	Anthem Blue Cross	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Amador	Anthem Blue Cross	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Amador	Anthem Blue Cross	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Butte	Anthem Blue Cross	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Butte	Anthem Blue Cross	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Calaveras	Anthem Blue Cross	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Calaveras	Anthem Blue Cross	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Colusa	Anthem Blue Cross	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Colusa	Anthem Blue Cross	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	El Dorado	Anthem Blue Cross	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	El Dorado	Anthem Blue Cross	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Glenn	Anthem Blue Cross	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Glenn	Anthem Blue Cross	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Inyo	Anthem Blue Cross	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Inyo	Anthem Blue Cross	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Mariposa	Anthem Blue Cross	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Mariposa	Anthem Blue Cross	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Mono	Anthem Blue Cross	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Mono	Anthem Blue Cross	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Nevada	Anthem Blue Cross	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Nevada	Anthem Blue Cross	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Placer	Anthem Blue Cross	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Placer	Anthem Blue Cross	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Plumas	Anthem Blue Cross	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Plumas	Anthem Blue Cross	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	San Benito	Anthem Blue Cross	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	San Benito	Anthem Blue Cross	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Sierra	Anthem Blue Cross	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Sierra	Anthem Blue Cross	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Sutter	Anthem Blue Cross	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Sutter	Anthem Blue Cross	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Tehama	Anthem Blue Cross	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Tehama	Anthem Blue Cross	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Tuolumne	Anthem Blue Cross	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Tuolumne	Anthem Blue Cross	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Yuba	Anthem Blue Cross	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Yuba	Anthem Blue Cross	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
07/17-06/18	2017-18	Regional Rural Expansion	Alpine	Anthem Blue Cross	Adult	$232.37	$240.15	$248.30
07/17-06/18	2017-18	Regional Rural Expansion	Amador	Anthem Blue Cross	Adult	$232.37	$240.15	$248.30
07/17-06/18	2017-18	Regional Rural Expansion	Butte	Anthem Blue Cross	Adult	$232.37	$240.15	$248.30
07/17-06/18	2017-18	Regional Rural Expansion	Calaveras	Anthem Blue Cross	Adult	$232.37	$240.15	$248.30
07/17-06/18	2017-18	Regional Rural Expansion	Colusa	Anthem Blue Cross	Adult	$232.37	$240.15	$248.30
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	Anthem Blue Cross	Adult	$232.37	$240.15	$248.30
07/17-06/18	2017-18	Regional Rural Expansion	Glenn	Anthem Blue Cross	Adult	$232.37	$240.15	$248.30
07/17-06/18	2017-18	Regional Rural Expansion	Inyo	Anthem Blue Cross	Adult	$232.37	$240.15	$248.30
07/17-06/18	2017-18	Regional Rural Expansion	Mariposa	Anthem Blue Cross	Adult	$232.37	$240.15	$248.30
07/17-06/18	2017-18	Regional Rural Expansion	Mono	Anthem Blue Cross	Adult	$232.37	$240.15	$248.30
07/17-06/18	2017-18	Regional Rural Expansion	Nevada	Anthem Blue Cross	Adult	$232.37	$240.15	$248.30
07/17-06/18	2017-18	Regional Rural Expansion	Placer	Anthem Blue Cross	Adult	$232.37	$240.15	$248.30
07/17-06/18	2017-18	Regional Rural Expansion	Plumas	Anthem Blue Cross	Adult	$232.37	$240.15	$248.30
07/17-06/18	2017-18	Regional Rural Expansion	San Benito	Anthem Blue Cross	Adult	$156.14	$161.12	$166.33
07/17-06/18	2017-18	Regional Rural Expansion	Sierra	Anthem Blue Cross	Adult	$232.37	$240.15	$248.30
07/17-06/18	2017-18	Regional Rural Expansion	Sutter	Anthem Blue Cross	Adult	$232.37	$240.15	$248.30
07/17-06/18	2017-18	Regional Rural Expansion	Tehama	Anthem Blue Cross	Adult	$232.37	$240.15	$248.30
07/17-06/18	2017-18	Regional Rural Expansion	Tuolumne	Anthem Blue Cross	Adult	$232.37	$240.15	$248.30
07/17-06/18	2017-18	Regional Rural Expansion	Yuba	Anthem Blue Cross	Adult	$232.37	$240.15	$248.30
07/17-06/18	2017-18	Regional Rural Expansion	Alpine	Anthem Blue Cross	BCCTP	$1,154.48	$1,189.09	$1,225.16
07/17-06/18	2017-18	Regional Rural Expansion	Amador	Anthem Blue Cross	BCCTP	$1,154.48	$1,189.09	$1,225.16
07/17-06/18	2017-18	Regional Rural Expansion	Butte	Anthem Blue Cross	BCCTP	$1,154.48	$1,189.09	$1,225.16
07/17-06/18	2017-18	Regional Rural Expansion	Calaveras	Anthem Blue Cross	BCCTP	$1,154.48	$1,189.09	$1,225.16
07/17-06/18	2017-18	Regional Rural Expansion	Colusa	Anthem Blue Cross	BCCTP	$1,154.48	$1,189.09	$1,225.16
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	Anthem Blue Cross	BCCTP	$1,154.48	$1,189.09	$1,225.16
07/17-06/18	2017-18	Regional Rural Expansion	Glenn	Anthem Blue Cross	BCCTP	$1,154.48	$1,189.09	$1,225.16
07/17-06/18	2017-18	Regional Rural Expansion	Inyo	Anthem Blue Cross	BCCTP	$1,154.48	$1,189.09	$1,225.16
07/17-06/18	2017-18	Regional Rural Expansion	Mariposa	Anthem Blue Cross	BCCTP	$1,154.48	$1,189.09	$1,225.16
07/17-06/18	2017-18	Regional Rural Expansion	Mono	Anthem Blue Cross	BCCTP	$1,154.48	$1,189.09	$1,225.16
07/17-06/18	2017-18	Regional Rural Expansion	Nevada	Anthem Blue Cross	BCCTP	$1,154.48	$1,189.09	$1,225.16
07/17-06/18	2017-18	Regional Rural Expansion	Placer	Anthem Blue Cross	BCCTP	$1,154.48	$1,189.09	$1,225.16
07/17-06/18	2017-18	Regional Rural Expansion	Plumas	Anthem Blue Cross	BCCTP	$1,154.48	$1,189.09	$1,225.16
07/17-06/18	2017-18	Regional Rural Expansion	San Benito	Anthem Blue Cross	BCCTP	$1,038.55	$1,068.69	$1,100.06
07/17-06/18	2017-18	Regional Rural Expansion	Sierra	Anthem Blue Cross	BCCTP	$1,154.48	$1,189.09	$1,225.16
07/17-06/18	2017-18	Regional Rural Expansion	Sutter	Anthem Blue Cross	BCCTP	$1,154.48	$1,189.09	$1,225.16
07/17-06/18	2017-18	Regional Rural Expansion	Tehama	Anthem Blue Cross	BCCTP	$1,154.48	$1,189.09	$1,225.16
07/17-06/18	2017-18	Regional Rural Expansion	Tuolumne	Anthem Blue Cross	BCCTP	$1,154.48	$1,189.09	$1,225.16
07/17-06/18	2017-18	Regional Rural Expansion	Yuba	Anthem Blue Cross	BCCTP	$1,154.48	$1,189.09	$1,225.16
07/17-06/18	2017-18	Regional Rural Expansion	Alpine	Anthem Blue Cross	Child	$65.34	$68.29	$71.42
07/17-06/18	2017-18	Regional Rural Expansion	Amador	Anthem Blue Cross	Child	$65.34	$68.29	$71.42
07/17-06/18	2017-18	Regional Rural Expansion	Butte	Anthem Blue Cross	Child	$65.34	$68.29	$71.42
07/17-06/18	2017-18	Regional Rural Expansion	Calaveras	Anthem Blue Cross	Child	$65.34	$68.29	$71.42
07/17-06/18	2017-18	Regional Rural Expansion	Colusa	Anthem Blue Cross	Child	$65.34	$68.29	$71.42
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	Anthem Blue Cross	Child	$65.34	$68.29	$71.42
07/17-06/18	2017-18	Regional Rural Expansion	Glenn	Anthem Blue Cross	Child	$65.34	$68.29	$71.42
07/17-06/18	2017-18	Regional Rural Expansion	Inyo	Anthem Blue Cross	Child	$65.34	$68.29	$71.42
07/17-06/18	2017-18	Regional Rural Expansion	Mariposa	Anthem Blue Cross	Child	$65.34	$68.29	$71.42
07/17-06/18	2017-18	Regional Rural Expansion	Mono	Anthem Blue Cross	Child	$65.34	$68.29	$71.42
07/17-06/18	2017-18	Regional Rural Expansion	Nevada	Anthem Blue Cross	Child	$65.34	$68.29	$71.42
07/17-06/18	2017-18	Regional Rural Expansion	Placer	Anthem Blue Cross	Child	$65.34	$68.29	$71.42
07/17-06/18	2017-18	Regional Rural Expansion	Plumas	Anthem Blue Cross	Child	$65.34	$68.29	$71.42
07/17-06/18	2017-18	Regional Rural Expansion	San Benito	Anthem Blue Cross	Child	$55.72	$57.79	$59.98
07/17-06/18	2017-18	Regional Rural Expansion	Sierra	Anthem Blue Cross	Child	$65.34	$68.29	$71.42
07/17-06/18	2017-18	Regional Rural Expansion	Sutter	Anthem Blue Cross	Child	$65.34	$68.29	$71.42
07/17-06/18	2017-18	Regional Rural Expansion	Tehama	Anthem Blue Cross	Child	$65.34	$68.29	$71.42
07/17-06/18	2017-18	Regional Rural Expansion	Tuolumne	Anthem Blue Cross	Child	$65.34	$68.29	$71.42
07/17-06/18	2017-18	Regional Rural Expansion	Yuba	Anthem Blue Cross	Child	$65.34	$68.29	$71.42
07/17-06/18	2017-18	Regional Rural Expansion	Alpine	Anthem Blue Cross	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Amador	Anthem Blue Cross	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Butte	Anthem Blue Cross	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Calaveras	Anthem Blue Cross	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Colusa	Anthem Blue Cross	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	Anthem Blue Cross	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Glenn	Anthem Blue Cross	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Inyo	Anthem Blue Cross	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Mariposa	Anthem Blue Cross	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Mono	Anthem Blue Cross	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Nevada	Anthem Blue Cross	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Placer	Anthem Blue Cross	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Plumas	Anthem Blue Cross	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	San Benito	Anthem Blue Cross	Maternity	$9,060.40	$9,315.45	$9,579.69
07/17-06/18	2017-18	Regional Rural Expansion	Sierra	Anthem Blue Cross	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Sutter	Anthem Blue Cross	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Tehama	Anthem Blue Cross	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Tuolumne	Anthem Blue Cross	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Yuba	Anthem Blue Cross	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Alpine	Anthem Blue Cross	Optional Expansion	$339.08	$350.36	$362.17
07/17-06/18	2017-18	Regional Rural Expansion	Amador	Anthem Blue Cross	Optional Expansion	$339.08	$350.36	$362.17
07/17-06/18	2017-18	Regional Rural Expansion	Butte	Anthem Blue Cross	Optional Expansion	$339.08	$350.36	$362.17
07/17-06/18	2017-18	Regional Rural Expansion	Calaveras	Anthem Blue Cross	Optional Expansion	$339.08	$350.36	$362.17
07/17-06/18	2017-18	Regional Rural Expansion	Colusa	Anthem Blue Cross	Optional Expansion	$339.08	$350.36	$362.17
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	Anthem Blue Cross	Optional Expansion	$339.08	$350.36	$362.17
07/17-06/18	2017-18	Regional Rural Expansion	Glenn	Anthem Blue Cross	Optional Expansion	$339.08	$350.36	$362.17
07/17-06/18	2017-18	Regional Rural Expansion	Inyo	Anthem Blue Cross	Optional Expansion	$339.08	$350.36	$362.17
07/17-06/18	2017-18	Regional Rural Expansion	Mariposa	Anthem Blue Cross	Optional Expansion	$339.08	$350.36	$362.17
07/17-06/18	2017-18	Regional Rural Expansion	Mono	Anthem Blue Cross	Optional Expansion	$339.08	$350.36	$362.17
07/17-06/18	2017-18	Regional Rural Expansion	Nevada	Anthem Blue Cross	Optional Expansion	$339.08	$350.36	$362.17
07/17-06/18	2017-18	Regional Rural Expansion	Placer	Anthem Blue Cross	Optional Expansion	$339.08	$350.36	$362.17
07/17-06/18	2017-18	Regional Rural Expansion	Plumas	Anthem Blue Cross	Optional Expansion	$339.08	$350.36	$362.17
07/17-06/18	2017-18	Regional Rural Expansion	San Benito	Anthem Blue Cross	Optional Expansion	$288.64	$298.27	$308.35
07/17-06/18	2017-18	Regional Rural Expansion	Sierra	Anthem Blue Cross	Optional Expansion	$339.08	$350.36	$362.17
07/17-06/18	2017-18	Regional Rural Expansion	Sutter	Anthem Blue Cross	Optional Expansion	$339.08	$350.36	$362.17
07/17-06/18	2017-18	Regional Rural Expansion	Tehama	Anthem Blue Cross	Optional Expansion	$339.08	$350.36	$362.17
07/17-06/18	2017-18	Regional Rural Expansion	Tuolumne	Anthem Blue Cross	Optional Expansion	$339.08	$350.36	$362.17
07/17-06/18	2017-18	Regional Rural Expansion	Yuba	Anthem Blue Cross	Optional Expansion	$339.08	$350.36	$362.17
07/17-06/18	2017-18	Regional Rural Expansion	Alpine	Anthem Blue Cross	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Amador	Anthem Blue Cross	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Butte	Anthem Blue Cross	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Calaveras	Anthem Blue Cross	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Colusa	Anthem Blue Cross	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	Anthem Blue Cross	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Glenn	Anthem Blue Cross	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Inyo	Anthem Blue Cross	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Mariposa	Anthem Blue Cross	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Mono	Anthem Blue Cross	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Nevada	Anthem Blue Cross	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Placer	Anthem Blue Cross	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Plumas	Anthem Blue Cross	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Sierra	Anthem Blue Cross	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Sutter	Anthem Blue Cross	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Tehama	Anthem Blue Cross	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Tuolumne	Anthem Blue Cross	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Yuba	Anthem Blue Cross	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	San Benito	Anthem Blue Cross	Optional Expansion Maternity	$9,060.40	$9,315.45	$9,579.69
07/17-06/18	2017-18	Regional Rural Expansion	Alpine	Anthem Blue Cross	SPD	$894.46	$920.43	$947.46
07/17-06/18	2017-18	Regional Rural Expansion	Amador	Anthem Blue Cross	SPD	$894.46	$920.43	$947.46
07/17-06/18	2017-18	Regional Rural Expansion	Butte	Anthem Blue Cross	SPD	$894.46	$920.43	$947.46
07/17-06/18	2017-18	Regional Rural Expansion	Calaveras	Anthem Blue Cross	SPD	$894.46	$920.43	$947.46
07/17-06/18	2017-18	Regional Rural Expansion	Colusa	Anthem Blue Cross	SPD	$894.46	$920.43	$947.46
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	Anthem Blue Cross	SPD	$894.46	$920.43	$947.46
07/17-06/18	2017-18	Regional Rural Expansion	Glenn	Anthem Blue Cross	SPD	$894.46	$920.43	$947.46
07/17-06/18	2017-18	Regional Rural Expansion	Inyo	Anthem Blue Cross	SPD	$894.46	$920.43	$947.46
07/17-06/18	2017-18	Regional Rural Expansion	Mariposa	Anthem Blue Cross	SPD	$894.46	$920.43	$947.46
07/17-06/18	2017-18	Regional Rural Expansion	Mono	Anthem Blue Cross	SPD	$894.46	$920.43	$947.46
07/17-06/18	2017-18	Regional Rural Expansion	Nevada	Anthem Blue Cross	SPD	$894.46	$920.43	$947.46
07/17-06/18	2017-18	Regional Rural Expansion	Placer	Anthem Blue Cross	SPD	$894.46	$920.43	$947.46
07/17-06/18	2017-18	Regional Rural Expansion	Plumas	Anthem Blue Cross	SPD	$894.46	$920.43	$947.46
07/17-06/18	2017-18	Regional Rural Expansion	San Benito	Anthem Blue Cross	SPD	$825.29	$848.65	$872.93
07/17-06/18	2017-18	Regional Rural Expansion	Sierra	Anthem Blue Cross	SPD	$894.46	$920.43	$947.46
07/17-06/18	2017-18	Regional Rural Expansion	Sutter	Anthem Blue Cross	SPD	$894.46	$920.43	$947.46
07/17-06/18	2017-18	Regional Rural Expansion	Tehama	Anthem Blue Cross	SPD	$894.46	$920.43	$947.46
07/17-06/18	2017-18	Regional Rural Expansion	Tuolumne	Anthem Blue Cross	SPD	$894.46	$920.43	$947.46
07/17-06/18	2017-18	Regional Rural Expansion	Yuba	Anthem Blue Cross	SPD	$894.46	$920.43	$947.46
07/17-06/18	2017-18	Regional Rural Expansion	Alpine	Anthem Blue Cross	SPD/Full-Dual	$112.33	$116.55	$120.99
07/17-06/18	2017-18	Regional Rural Expansion	Amador	Anthem Blue Cross	SPD/Full-Dual	$112.33	$116.55	$120.99
07/17-06/18	2017-18	Regional Rural Expansion	Butte	Anthem Blue Cross	SPD/Full-Dual	$112.33	$116.55	$120.99
07/17-06/18	2017-18	Regional Rural Expansion	Calaveras	Anthem Blue Cross	SPD/Full-Dual	$112.33	$116.55	$120.99
07/17-06/18	2017-18	Regional Rural Expansion	Colusa	Anthem Blue Cross	SPD/Full-Dual	$112.33	$116.55	$120.99
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	Anthem Blue Cross	SPD/Full-Dual	$112.33	$116.55	$120.99
07/17-06/18	2017-18	Regional Rural Expansion	Glenn	Anthem Blue Cross	SPD/Full-Dual	$112.33	$116.55	$120.99
07/17-06/18	2017-18	Regional Rural Expansion	Inyo	Anthem Blue Cross	SPD/Full-Dual	$112.33	$116.55	$120.99
07/17-06/18	2017-18	Regional Rural Expansion	Mariposa	Anthem Blue Cross	SPD/Full-Dual	$112.33	$116.55	$120.99
07/17-06/18	2017-18	Regional Rural Expansion	Mono	Anthem Blue Cross	SPD/Full-Dual	$112.33	$116.55	$120.99
07/17-06/18	2017-18	Regional Rural Expansion	Nevada	Anthem Blue Cross	SPD/Full-Dual	$112.33	$116.55	$120.99
07/17-06/18	2017-18	Regional Rural Expansion	Placer	Anthem Blue Cross	SPD/Full-Dual	$112.33	$116.55	$120.99
07/17-06/18	2017-18	Regional Rural Expansion	Plumas	Anthem Blue Cross	SPD/Full-Dual	$112.33	$116.55	$120.99
07/17-06/18	2017-18	Regional Rural Expansion	San Benito	Anthem Blue Cross	SPD/Full-Dual	$108.96	$112.49	$116.20
07/17-06/18	2017-18	Regional Rural Expansion	Sierra	Anthem Blue Cross	SPD/Full-Dual	$112.33	$116.55	$120.99
07/17-06/18	2017-18	Regional Rural Expansion	Sutter	Anthem Blue Cross	SPD/Full-Dual	$112.33	$116.55	$120.99
07/17-06/18	2017-18	Regional Rural Expansion	Tehama	Anthem Blue Cross	SPD/Full-Dual	$112.33	$116.55	$120.99
07/17-06/18	2017-18	Regional Rural Expansion	Tuolumne	Anthem Blue Cross	SPD/Full-Dual	$112.33	$116.55	$120.99
07/17-06/18	2017-18	Regional Rural Expansion	Yuba	Anthem Blue Cross	SPD/Full-Dual	$112.33	$116.55	$120.99
07/17-06/18	2017-18	Regional Rural Expansion	Alpine	California Health & Wellness	Behavioral Health Treatment 0-6	$2,198.18	$2,249.96	$2,303.47
07/17-06/18	2017-18	Regional Rural Expansion	Amador	California Health & Wellness	Behavioral Health Treatment 0-6	$2,198.18	$2,249.96	$2,303.47
07/17-06/18	2017-18	Regional Rural Expansion	Butte	California Health & Wellness	Behavioral Health Treatment 0-6	$2,198.18	$2,249.96	$2,303.47
07/17-06/18	2017-18	Regional Rural Expansion	Calaveras	California Health & Wellness	Behavioral Health Treatment 0-6	$2,198.18	$2,249.96	$2,303.47
07/17-06/18	2017-18	Regional Rural Expansion	Colusa	California Health & Wellness	Behavioral Health Treatment 0-6	$2,198.18	$2,249.96	$2,303.47
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	California Health & Wellness	Behavioral Health Treatment 0-6	$2,198.18	$2,249.96	$2,303.47
07/17-06/18	2017-18	Regional Rural Expansion	Glenn	California Health & Wellness	Behavioral Health Treatment 0-6	$2,198.18	$2,249.96	$2,303.47
07/17-06/18	2017-18	Regional Rural Expansion	Imperial	California Health & Wellness	Behavioral Health Treatment 0-6	$2,195.53	$2,247.25	$2,300.70
07/17-06/18	2017-18	Regional Rural Expansion	Inyo	California Health & Wellness	Behavioral Health Treatment 0-6	$2,198.18	$2,249.96	$2,303.47
07/17-06/18	2017-18	Regional Rural Expansion	Mariposa	California Health & Wellness	Behavioral Health Treatment 0-6	$2,198.18	$2,249.96	$2,303.47
07/17-06/18	2017-18	Regional Rural Expansion	Mono	California Health & Wellness	Behavioral Health Treatment 0-6	$2,198.18	$2,249.96	$2,303.47
07/17-06/18	2017-18	Regional Rural Expansion	Nevada	California Health & Wellness	Behavioral Health Treatment 0-6	$2,198.18	$2,249.96	$2,303.47
07/17-06/18	2017-18	Regional Rural Expansion	Placer	California Health & Wellness	Behavioral Health Treatment 0-6	$2,198.18	$2,249.96	$2,303.47
07/17-06/18	2017-18	Regional Rural Expansion	Plumas	California Health & Wellness	Behavioral Health Treatment 0-6	$2,198.18	$2,249.96	$2,303.47
07/17-06/18	2017-18	Regional Rural Expansion	Sierra	California Health & Wellness	Behavioral Health Treatment 0-6	$2,198.18	$2,249.96	$2,303.47
07/17-06/18	2017-18	Regional Rural Expansion	Sutter	California Health & Wellness	Behavioral Health Treatment 0-6	$2,198.18	$2,249.96	$2,303.47
07/17-06/18	2017-18	Regional Rural Expansion	Tehama	California Health & Wellness	Behavioral Health Treatment 0-6	$2,198.18	$2,249.96	$2,303.47
07/17-06/18	2017-18	Regional Rural Expansion	Tuolumne	California Health & Wellness	Behavioral Health Treatment 0-6	$2,198.18	$2,249.96	$2,303.47
07/17-06/18	2017-18	Regional Rural Expansion	Yuba	California Health & Wellness	Behavioral Health Treatment 0-6	$2,198.18	$2,249.96	$2,303.47
07/17-06/18	2017-18	Regional Rural Expansion	Alpine	California Health & Wellness	Behavioral Health Treatment 7-20	$1,740.05	$1,781.04	$1,823.40
07/17-06/18	2017-18	Regional Rural Expansion	Amador	California Health & Wellness	Behavioral Health Treatment 7-20	$1,740.05	$1,781.04	$1,823.40
07/17-06/18	2017-18	Regional Rural Expansion	Butte	California Health & Wellness	Behavioral Health Treatment 7-20	$1,740.05	$1,781.04	$1,823.40
07/17-06/18	2017-18	Regional Rural Expansion	Calaveras	California Health & Wellness	Behavioral Health Treatment 7-20	$1,740.05	$1,781.04	$1,823.40
07/17-06/18	2017-18	Regional Rural Expansion	Colusa	California Health & Wellness	Behavioral Health Treatment 7-20	$1,740.05	$1,781.04	$1,823.40
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	California Health & Wellness	Behavioral Health Treatment 7-20	$1,740.05	$1,781.04	$1,823.40
07/17-06/18	2017-18	Regional Rural Expansion	Glenn	California Health & Wellness	Behavioral Health Treatment 7-20	$1,740.05	$1,781.04	$1,823.40
07/17-06/18	2017-18	Regional Rural Expansion	Imperial	California Health & Wellness	Behavioral Health Treatment 7-20	$1,858.43	$1,902.20	$1,947.45
07/17-06/18	2017-18	Regional Rural Expansion	Inyo	California Health & Wellness	Behavioral Health Treatment 7-20	$1,740.05	$1,781.04	$1,823.40
07/17-06/18	2017-18	Regional Rural Expansion	Mariposa	California Health & Wellness	Behavioral Health Treatment 7-20	$1,740.05	$1,781.04	$1,823.40
07/17-06/18	2017-18	Regional Rural Expansion	Mono	California Health & Wellness	Behavioral Health Treatment 7-20	$1,740.05	$1,781.04	$1,823.40
07/17-06/18	2017-18	Regional Rural Expansion	Nevada	California Health & Wellness	Behavioral Health Treatment 7-20	$1,740.05	$1,781.04	$1,823.40
07/17-06/18	2017-18	Regional Rural Expansion	Placer	California Health & Wellness	Behavioral Health Treatment 7-20	$1,740.05	$1,781.04	$1,823.40
07/17-06/18	2017-18	Regional Rural Expansion	Plumas	California Health & Wellness	Behavioral Health Treatment 7-20	$1,740.05	$1,781.04	$1,823.40
07/17-06/18	2017-18	Regional Rural Expansion	Sierra	California Health & Wellness	Behavioral Health Treatment 7-20	$1,740.05	$1,781.04	$1,823.40
07/17-06/18	2017-18	Regional Rural Expansion	Sutter	California Health & Wellness	Behavioral Health Treatment 7-20	$1,740.05	$1,781.04	$1,823.40
07/17-06/18	2017-18	Regional Rural Expansion	Tehama	California Health & Wellness	Behavioral Health Treatment 7-20	$1,740.05	$1,781.04	$1,823.40
07/17-06/18	2017-18	Regional Rural Expansion	Tuolumne	California Health & Wellness	Behavioral Health Treatment 7-20	$1,740.05	$1,781.04	$1,823.40
07/17-06/18	2017-18	Regional Rural Expansion	Yuba	California Health & Wellness	Behavioral Health Treatment 7-20	$1,740.05	$1,781.04	$1,823.40
01/18-06/18	2017-18	Regional Rural Expansion	Alpine	California Health & Wellness	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Alpine	California Health & Wellness	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Amador	California Health & Wellness	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Amador	California Health & Wellness	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Butte	California Health & Wellness	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Butte	California Health & Wellness	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Calaveras	California Health & Wellness	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Calaveras	California Health & Wellness	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Colusa	California Health & Wellness	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Colusa	California Health & Wellness	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	El Dorado	California Health & Wellness	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	El Dorado	California Health & Wellness	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Glenn	California Health & Wellness	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Glenn	California Health & Wellness	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Imperial	California Health & Wellness	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Imperial	California Health & Wellness	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Inyo	California Health & Wellness	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Inyo	California Health & Wellness	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Mariposa	California Health & Wellness	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Mariposa	California Health & Wellness	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Mono	California Health & Wellness	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Mono	California Health & Wellness	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Nevada	California Health & Wellness	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Nevada	California Health & Wellness	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Placer	California Health & Wellness	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Placer	California Health & Wellness	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Plumas	California Health & Wellness	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Plumas	California Health & Wellness	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Sierra	California Health & Wellness	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Sierra	California Health & Wellness	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Sutter	California Health & Wellness	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Sutter	California Health & Wellness	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Tehama	California Health & Wellness	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Tehama	California Health & Wellness	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Tuolumne	California Health & Wellness	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Tuolumne	California Health & Wellness	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Yuba	California Health & Wellness	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Yuba	California Health & Wellness	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Alpine	California Health & Wellness	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Alpine	California Health & Wellness	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Amador	California Health & Wellness	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Amador	California Health & Wellness	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Butte	California Health & Wellness	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Butte	California Health & Wellness	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Calaveras	California Health & Wellness	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Calaveras	California Health & Wellness	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Colusa	California Health & Wellness	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Colusa	California Health & Wellness	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	El Dorado	California Health & Wellness	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	El Dorado	California Health & Wellness	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Glenn	California Health & Wellness	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Glenn	California Health & Wellness	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Imperial	California Health & Wellness	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Imperial	California Health & Wellness	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Inyo	California Health & Wellness	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Inyo	California Health & Wellness	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Mariposa	California Health & Wellness	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Mariposa	California Health & Wellness	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Mono	California Health & Wellness	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Mono	California Health & Wellness	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Nevada	California Health & Wellness	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Nevada	California Health & Wellness	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Placer	California Health & Wellness	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Placer	California Health & Wellness	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Plumas	California Health & Wellness	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Plumas	California Health & Wellness	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Sierra	California Health & Wellness	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Sierra	California Health & Wellness	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Sutter	California Health & Wellness	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Sutter	California Health & Wellness	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Tehama	California Health & Wellness	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Tehama	California Health & Wellness	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Tuolumne	California Health & Wellness	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Tuolumne	California Health & Wellness	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Yuba	California Health & Wellness	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Yuba	California Health & Wellness	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
07/17-06/18	2017-18	Regional Rural Expansion	Alpine	California Health & Wellness	Adult	$248.66	$256.97	$265.68
07/17-06/18	2017-18	Regional Rural Expansion	Amador	California Health & Wellness	Adult	$248.66	$256.97	$265.68
07/17-06/18	2017-18	Regional Rural Expansion	Butte	California Health & Wellness	Adult	$248.66	$256.97	$265.68
07/17-06/18	2017-18	Regional Rural Expansion	Calaveras	California Health & Wellness	Adult	$248.66	$256.97	$265.68
07/17-06/18	2017-18	Regional Rural Expansion	Colusa	California Health & Wellness	Adult	$248.66	$256.97	$265.68
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	California Health & Wellness	Adult	$248.66	$256.97	$265.68
07/17-06/18	2017-18	Regional Rural Expansion	Glenn	California Health & Wellness	Adult	$248.66	$256.97	$265.68
07/17-06/18	2017-18	Regional Rural Expansion	Imperial	California Health & Wellness	Adult	$221.97	$229.36	$237.11
07/17-06/18	2017-18	Regional Rural Expansion	Inyo	California Health & Wellness	Adult	$248.66	$256.97	$265.68
07/17-06/18	2017-18	Regional Rural Expansion	Mariposa	California Health & Wellness	Adult	$248.66	$256.97	$265.68
07/17-06/18	2017-18	Regional Rural Expansion	Mono	California Health & Wellness	Adult	$248.66	$256.97	$265.68
07/17-06/18	2017-18	Regional Rural Expansion	Nevada	California Health & Wellness	Adult	$248.66	$256.97	$265.68
07/17-06/18	2017-18	Regional Rural Expansion	Placer	California Health & Wellness	Adult	$248.66	$256.97	$265.68
07/17-06/18	2017-18	Regional Rural Expansion	Plumas	California Health & Wellness	Adult	$248.66	$256.97	$265.68
07/17-06/18	2017-18	Regional Rural Expansion	Sierra	California Health & Wellness	Adult	$248.66	$256.97	$265.68
07/17-06/18	2017-18	Regional Rural Expansion	Sutter	California Health & Wellness	Adult	$248.66	$256.97	$265.68
07/17-06/18	2017-18	Regional Rural Expansion	Tehama	California Health & Wellness	Adult	$248.66	$256.97	$265.68
07/17-06/18	2017-18	Regional Rural Expansion	Tuolumne	California Health & Wellness	Adult	$248.66	$256.97	$265.68
07/17-06/18	2017-18	Regional Rural Expansion	Yuba	California Health & Wellness	Adult	$248.66	$256.97	$265.68
07/17-06/18	2017-18	Regional Rural Expansion	Alpine	California Health & Wellness	BCCTP	$1,154.19	$1,188.75	$1,224.75
07/17-06/18	2017-18	Regional Rural Expansion	Amador	California Health & Wellness	BCCTP	$1,154.19	$1,188.75	$1,224.75
07/17-06/18	2017-18	Regional Rural Expansion	Butte	California Health & Wellness	BCCTP	$1,154.19	$1,188.75	$1,224.75
07/17-06/18	2017-18	Regional Rural Expansion	Calaveras	California Health & Wellness	BCCTP	$1,154.19	$1,188.75	$1,224.75
07/17-06/18	2017-18	Regional Rural Expansion	Colusa	California Health & Wellness	BCCTP	$1,154.19	$1,188.75	$1,224.75
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	California Health & Wellness	BCCTP	$1,154.19	$1,188.75	$1,224.75
07/17-06/18	2017-18	Regional Rural Expansion	Glenn	California Health & Wellness	BCCTP	$1,154.19	$1,188.75	$1,224.75
07/17-06/18	2017-18	Regional Rural Expansion	Imperial	California Health & Wellness	BCCTP	$1,154.27	$1,188.69	$1,224.54
07/17-06/18	2017-18	Regional Rural Expansion	Inyo	California Health & Wellness	BCCTP	$1,154.19	$1,188.75	$1,224.75
07/17-06/18	2017-18	Regional Rural Expansion	Mariposa	California Health & Wellness	BCCTP	$1,154.19	$1,188.75	$1,224.75
07/17-06/18	2017-18	Regional Rural Expansion	Mono	California Health & Wellness	BCCTP	$1,154.19	$1,188.75	$1,224.75
07/17-06/18	2017-18	Regional Rural Expansion	Nevada	California Health & Wellness	BCCTP	$1,154.19	$1,188.75	$1,224.75
07/17-06/18	2017-18	Regional Rural Expansion	Placer	California Health & Wellness	BCCTP	$1,154.19	$1,188.75	$1,224.75
07/17-06/18	2017-18	Regional Rural Expansion	Plumas	California Health & Wellness	BCCTP	$1,154.19	$1,188.75	$1,224.75
07/17-06/18	2017-18	Regional Rural Expansion	Sierra	California Health & Wellness	BCCTP	$1,154.19	$1,188.75	$1,224.75
07/17-06/18	2017-18	Regional Rural Expansion	Sutter	California Health & Wellness	BCCTP	$1,154.19	$1,188.75	$1,224.75
07/17-06/18	2017-18	Regional Rural Expansion	Tehama	California Health & Wellness	BCCTP	$1,154.19	$1,188.75	$1,224.75
07/17-06/18	2017-18	Regional Rural Expansion	Tuolumne	California Health & Wellness	BCCTP	$1,154.19	$1,188.75	$1,224.75
07/17-06/18	2017-18	Regional Rural Expansion	Yuba	California Health & Wellness	BCCTP	$1,154.19	$1,188.75	$1,224.75
07/17-06/18	2017-18	Regional Rural Expansion	Alpine	California Health & Wellness	Child	$68.27	$71.37	$74.65
07/17-06/18	2017-18	Regional Rural Expansion	Amador	California Health & Wellness	Child	$68.27	$71.37	$74.65
07/17-06/18	2017-18	Regional Rural Expansion	Butte	California Health & Wellness	Child	$68.27	$71.37	$74.65
07/17-06/18	2017-18	Regional Rural Expansion	Calaveras	California Health & Wellness	Child	$68.27	$71.37	$74.65
07/17-06/18	2017-18	Regional Rural Expansion	Colusa	California Health & Wellness	Child	$68.27	$71.37	$74.65
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	California Health & Wellness	Child	$68.27	$71.37	$74.65
07/17-06/18	2017-18	Regional Rural Expansion	Glenn	California Health & Wellness	Child	$68.27	$71.37	$74.65
07/17-06/18	2017-18	Regional Rural Expansion	Imperial	California Health & Wellness	Child	$85.65	$89.12	$92.78
07/17-06/18	2017-18	Regional Rural Expansion	Inyo	California Health & Wellness	Child	$68.27	$71.37	$74.65
07/17-06/18	2017-18	Regional Rural Expansion	Mariposa	California Health & Wellness	Child	$68.27	$71.37	$74.65
07/17-06/18	2017-18	Regional Rural Expansion	Mono	California Health & Wellness	Child	$68.27	$71.37	$74.65
07/17-06/18	2017-18	Regional Rural Expansion	Nevada	California Health & Wellness	Child	$68.27	$71.37	$74.65
07/17-06/18	2017-18	Regional Rural Expansion	Placer	California Health & Wellness	Child	$68.27	$71.37	$74.65
07/17-06/18	2017-18	Regional Rural Expansion	Plumas	California Health & Wellness	Child	$68.27	$71.37	$74.65
07/17-06/18	2017-18	Regional Rural Expansion	Sierra	California Health & Wellness	Child	$68.27	$71.37	$74.65
07/17-06/18	2017-18	Regional Rural Expansion	Sutter	California Health & Wellness	Child	$68.27	$71.37	$74.65
07/17-06/18	2017-18	Regional Rural Expansion	Tehama	California Health & Wellness	Child	$68.27	$71.37	$74.65
07/17-06/18	2017-18	Regional Rural Expansion	Tuolumne	California Health & Wellness	Child	$68.27	$71.37	$74.65
07/17-06/18	2017-18	Regional Rural Expansion	Yuba	California Health & Wellness	Child	$68.27	$71.37	$74.65
07/17-06/18	2017-18	Regional Rural Expansion	Alpine	California Health & Wellness	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Amador	California Health & Wellness	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Butte	California Health & Wellness	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Calaveras	California Health & Wellness	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Colusa	California Health & Wellness	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	California Health & Wellness	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Glenn	California Health & Wellness	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Imperial	California Health & Wellness	Maternity	$7,066.02	$7,264.92	$7,470.99
07/17-06/18	2017-18	Regional Rural Expansion	Inyo	California Health & Wellness	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Mariposa	California Health & Wellness	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Mono	California Health & Wellness	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Nevada	California Health & Wellness	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Placer	California Health & Wellness	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Plumas	California Health & Wellness	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Sierra	California Health & Wellness	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Sutter	California Health & Wellness	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Tehama	California Health & Wellness	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Tuolumne	California Health & Wellness	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Yuba	California Health & Wellness	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Alpine	California Health & Wellness	Optional Expansion	$358.44	$370.38	$382.87
07/17-06/18	2017-18	Regional Rural Expansion	Amador	California Health & Wellness	Optional Expansion	$358.44	$370.38	$382.87
07/17-06/18	2017-18	Regional Rural Expansion	Butte	California Health & Wellness	Optional Expansion	$358.44	$370.38	$382.87
07/17-06/18	2017-18	Regional Rural Expansion	Calaveras	California Health & Wellness	Optional Expansion	$358.44	$370.38	$382.87
07/17-06/18	2017-18	Regional Rural Expansion	Colusa	California Health & Wellness	Optional Expansion	$358.44	$370.38	$382.87
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	California Health & Wellness	Optional Expansion	$358.44	$370.38	$382.87
07/17-06/18	2017-18	Regional Rural Expansion	Glenn	California Health & Wellness	Optional Expansion	$358.44	$370.38	$382.87
07/17-06/18	2017-18	Regional Rural Expansion	Imperial	California Health & Wellness	Optional Expansion	$319.11	$329.76	$340.91
07/17-06/18	2017-18	Regional Rural Expansion	Inyo	California Health & Wellness	Optional Expansion	$358.44	$370.38	$382.87
07/17-06/18	2017-18	Regional Rural Expansion	Mariposa	California Health & Wellness	Optional Expansion	$358.44	$370.38	$382.87
07/17-06/18	2017-18	Regional Rural Expansion	Mono	California Health & Wellness	Optional Expansion	$358.44	$370.38	$382.87
07/17-06/18	2017-18	Regional Rural Expansion	Nevada	California Health & Wellness	Optional Expansion	$358.44	$370.38	$382.87
07/17-06/18	2017-18	Regional Rural Expansion	Placer	California Health & Wellness	Optional Expansion	$358.44	$370.38	$382.87
07/17-06/18	2017-18	Regional Rural Expansion	Plumas	California Health & Wellness	Optional Expansion	$358.44	$370.38	$382.87
07/17-06/18	2017-18	Regional Rural Expansion	Sierra	California Health & Wellness	Optional Expansion	$358.44	$370.38	$382.87
07/17-06/18	2017-18	Regional Rural Expansion	Sutter	California Health & Wellness	Optional Expansion	$358.44	$370.38	$382.87
07/17-06/18	2017-18	Regional Rural Expansion	Tehama	California Health & Wellness	Optional Expansion	$358.44	$370.38	$382.87
07/17-06/18	2017-18	Regional Rural Expansion	Tuolumne	California Health & Wellness	Optional Expansion	$358.44	$370.38	$382.87
07/17-06/18	2017-18	Regional Rural Expansion	Yuba	California Health & Wellness	Optional Expansion	$358.44	$370.38	$382.87
07/17-06/18	2017-18	Regional Rural Expansion	Alpine	California Health & Wellness	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Amador	California Health & Wellness	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Butte	California Health & Wellness	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Calaveras	California Health & Wellness	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Colusa	California Health & Wellness	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	California Health & Wellness	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Glenn	California Health & Wellness	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Inyo	California Health & Wellness	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Mariposa	California Health & Wellness	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Mono	California Health & Wellness	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Nevada	California Health & Wellness	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Placer	California Health & Wellness	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Plumas	California Health & Wellness	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Sierra	California Health & Wellness	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Sutter	California Health & Wellness	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Tehama	California Health & Wellness	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Tuolumne	California Health & Wellness	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Yuba	California Health & Wellness	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Imperial	California Health & Wellness	Optional Expansion Maternity	$7,066.02	$7,264.92	$7,470.99
07/17-06/18	2017-18	Regional Rural Expansion	Alpine	California Health & Wellness	SPD	$910.56	$937.06	$964.65
07/17-06/18	2017-18	Regional Rural Expansion	Amador	California Health & Wellness	SPD	$910.56	$937.06	$964.65
07/17-06/18	2017-18	Regional Rural Expansion	Butte	California Health & Wellness	SPD	$910.56	$937.06	$964.65
07/17-06/18	2017-18	Regional Rural Expansion	Calaveras	California Health & Wellness	SPD	$910.56	$937.06	$964.65
07/17-06/18	2017-18	Regional Rural Expansion	Colusa	California Health & Wellness	SPD	$910.56	$937.06	$964.65
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	California Health & Wellness	SPD	$910.56	$937.06	$964.65
07/17-06/18	2017-18	Regional Rural Expansion	Glenn	California Health & Wellness	SPD	$910.56	$937.06	$964.65
07/17-06/18	2017-18	Regional Rural Expansion	Imperial	California Health & Wellness	SPD	$883.20	$908.22	$934.25
07/17-06/18	2017-18	Regional Rural Expansion	Inyo	California Health & Wellness	SPD	$910.56	$937.06	$964.65
07/17-06/18	2017-18	Regional Rural Expansion	Mariposa	California Health & Wellness	SPD	$910.56	$937.06	$964.65
07/17-06/18	2017-18	Regional Rural Expansion	Mono	California Health & Wellness	SPD	$910.56	$937.06	$964.65
07/17-06/18	2017-18	Regional Rural Expansion	Nevada	California Health & Wellness	SPD	$910.56	$937.06	$964.65
07/17-06/18	2017-18	Regional Rural Expansion	Placer	California Health & Wellness	SPD	$910.56	$937.06	$964.65
07/17-06/18	2017-18	Regional Rural Expansion	Plumas	California Health & Wellness	SPD	$910.56	$937.06	$964.65
07/17-06/18	2017-18	Regional Rural Expansion	Sierra	California Health & Wellness	SPD	$910.56	$937.06	$964.65
07/17-06/18	2017-18	Regional Rural Expansion	Sutter	California Health & Wellness	SPD	$910.56	$937.06	$964.65
07/17-06/18	2017-18	Regional Rural Expansion	Tehama	California Health & Wellness	SPD	$910.56	$937.06	$964.65
07/17-06/18	2017-18	Regional Rural Expansion	Tuolumne	California Health & Wellness	SPD	$910.56	$937.06	$964.65
07/17-06/18	2017-18	Regional Rural Expansion	Yuba	California Health & Wellness	SPD	$910.56	$937.06	$964.65
07/17-06/18	2017-18	Regional Rural Expansion	Alpine	California Health & Wellness	SPD/Full-Dual	$126.06	$130.86	$135.93
07/17-06/18	2017-18	Regional Rural Expansion	Amador	California Health & Wellness	SPD/Full-Dual	$126.06	$130.86	$135.93
07/17-06/18	2017-18	Regional Rural Expansion	Butte	California Health & Wellness	SPD/Full-Dual	$126.06	$130.86	$135.93
07/17-06/18	2017-18	Regional Rural Expansion	Calaveras	California Health & Wellness	SPD/Full-Dual	$126.06	$130.86	$135.93
07/17-06/18	2017-18	Regional Rural Expansion	Colusa	California Health & Wellness	SPD/Full-Dual	$126.06	$130.86	$135.93
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	California Health & Wellness	SPD/Full-Dual	$126.06	$130.86	$135.93
07/17-06/18	2017-18	Regional Rural Expansion	Glenn	California Health & Wellness	SPD/Full-Dual	$126.06	$130.86	$135.93
07/17-06/18	2017-18	Regional Rural Expansion	Imperial	California Health & Wellness	SPD/Full-Dual	$316.14	$325.34	$334.95
07/17-06/18	2017-18	Regional Rural Expansion	Inyo	California Health & Wellness	SPD/Full-Dual	$126.06	$130.86	$135.93
07/17-06/18	2017-18	Regional Rural Expansion	Mariposa	California Health & Wellness	SPD/Full-Dual	$126.06	$130.86	$135.93
07/17-06/18	2017-18	Regional Rural Expansion	Mono	California Health & Wellness	SPD/Full-Dual	$126.06	$130.86	$135.93
07/17-06/18	2017-18	Regional Rural Expansion	Nevada	California Health & Wellness	SPD/Full-Dual	$126.06	$130.86	$135.93
07/17-06/18	2017-18	Regional Rural Expansion	Placer	California Health & Wellness	SPD/Full-Dual	$126.06	$130.86	$135.93
07/17-06/18	2017-18	Regional Rural Expansion	Plumas	California Health & Wellness	SPD/Full-Dual	$126.06	$130.86	$135.93
07/17-06/18	2017-18	Regional Rural Expansion	Sierra	California Health & Wellness	SPD/Full-Dual	$126.06	$130.86	$135.93
07/17-06/18	2017-18	Regional Rural Expansion	Sutter	California Health & Wellness	SPD/Full-Dual	$126.06	$130.86	$135.93
07/17-06/18	2017-18	Regional Rural Expansion	Tehama	California Health & Wellness	SPD/Full-Dual	$126.06	$130.86	$135.93
07/17-06/18	2017-18	Regional Rural Expansion	Tuolumne	California Health & Wellness	SPD/Full-Dual	$126.06	$130.86	$135.93
07/17-06/18	2017-18	Regional Rural Expansion	Yuba	California Health & Wellness	SPD/Full-Dual	$126.06	$130.86	$135.93
07/17-06/18	2017-18	Regional Rural Expansion	Amador	Kaiser Foundation Health Plan	Adult	$239.41	$246.98	$254.89
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	Kaiser Foundation Health Plan	Adult	$239.41	$246.98	$254.89
07/17-06/18	2017-18	Regional Rural Expansion	Placer	Kaiser Foundation Health Plan	Adult	$239.41	$246.98	$254.89
07/17-06/18	2017-18	Regional Rural Expansion	Amador	Kaiser Foundation Health Plan	BCCTP	$1,118.55	$1,151.60	$1,186.01
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	Kaiser Foundation Health Plan	BCCTP	$1,118.55	$1,151.60	$1,186.01
07/17-06/18	2017-18	Regional Rural Expansion	Placer	Kaiser Foundation Health Plan	BCCTP	$1,118.55	$1,151.60	$1,186.01
07/17-06/18	2017-18	Regional Rural Expansion	Amador	Kaiser Foundation Health Plan	Child	$65.59	$68.23	$71.01
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	Kaiser Foundation Health Plan	Child	$65.59	$68.23	$71.01
07/17-06/18	2017-18	Regional Rural Expansion	Placer	Kaiser Foundation Health Plan	Child	$65.59	$68.23	$71.01
07/17-06/18	2017-18	Regional Rural Expansion	Amador	Kaiser Foundation Health Plan	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	Kaiser Foundation Health Plan	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Placer	Kaiser Foundation Health Plan	Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Amador	Kaiser Foundation Health Plan	Optional Expansion	$363.07	$375.16	$387.82
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	Kaiser Foundation Health Plan	Optional Expansion	$363.07	$375.16	$387.82
07/17-06/18	2017-18	Regional Rural Expansion	Placer	Kaiser Foundation Health Plan	Optional Expansion	$363.07	$375.16	$387.82
07/17-06/18	2017-18	Regional Rural Expansion	Amador	Kaiser Foundation Health Plan	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	Kaiser Foundation Health Plan	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Placer	Kaiser Foundation Health Plan	Optional Expansion Maternity	$8,863.50	$9,113.00	$9,371.50
07/17-06/18	2017-18	Regional Rural Expansion	Amador	Kaiser Foundation Health Plan	SPD	$806.33	$829.27	$853.12
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	Kaiser Foundation Health Plan	SPD	$806.33	$829.27	$853.12
07/17-06/18	2017-18	Regional Rural Expansion	Placer	Kaiser Foundation Health Plan	SPD	$806.33	$829.27	$853.12
07/17-06/18	2017-18	Regional Rural Expansion	Amador	Kaiser Foundation Health Plan	SPD/Full-Dual	$133.03	$137.50	$142.20
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	Kaiser Foundation Health Plan	SPD/Full-Dual	$133.03	$137.50	$142.20
07/17-06/18	2017-18	Regional Rural Expansion	Placer	Kaiser Foundation Health Plan	SPD/Full-Dual	$133.03	$137.50	$142.20
07/17-06/18	2017-18	Regional Rural Expansion	Amador	Kaiser Foundation Health Plan	Behavioral Health Treatment 0-6	$2,608.14	$2,669.58	$2,733.07
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	Kaiser Foundation Health Plan	Behavioral Health Treatment 0-6	$2,608.14	$2,669.58	$2,733.07
07/17-06/18	2017-18	Regional Rural Expansion	Placer	Kaiser Foundation Health Plan	Behavioral Health Treatment 0-6	$2,608.14	$2,669.58	$2,733.07
07/17-06/18	2017-18	Regional Rural Expansion	Amador	Kaiser Foundation Health Plan	Behavioral Health Treatment 7-20	$1,818.01	$1,860.84	$1,905.09
07/17-06/18	2017-18	Regional Rural Expansion	El Dorado	Kaiser Foundation Health Plan	Behavioral Health Treatment 7-20	$1,818.01	$1,860.84	$1,905.09
07/17-06/18	2017-18	Regional Rural Expansion	Placer	Kaiser Foundation Health Plan	Behavioral Health Treatment 7-20	$1,818.01	$1,860.84	$1,905.09
01/18-06/18	2017-18	Regional Rural Expansion	Amador	Kaiser Foundation Health Plan	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Amador	Kaiser Foundation Health Plan	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	El Dorado	Kaiser Foundation Health Plan	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	El Dorado	Kaiser Foundation Health Plan	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Placer	Kaiser Foundation Health Plan	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Placer	Kaiser Foundation Health Plan	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Amador	Kaiser Foundation Health Plan	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Amador	Kaiser Foundation Health Plan	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	El Dorado	Kaiser Foundation Health Plan	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	El Dorado	Kaiser Foundation Health Plan	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
01/18-06/18	2017-18	Regional Rural Expansion	Placer	Kaiser Foundation Health Plan	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Placer	Kaiser Foundation Health Plan	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
07/17-06/18	2017-18	Regional Rural Expansion	Imperial	Molina Healthcare	Behavioral Health Treatment 0-6	$2,284.31	$2,338.12	$2,393.73
07/17-06/18	2017-18	Regional Rural Expansion	Imperial	Molina Healthcare	Behavioral Health Treatment 7-20	$1,899.26	$1,944.00	$1,990.24
01/18-06/18	2017-18	Regional Rural Expansion	Imperial	Molina Healthcare	Hepatitis C 340B	$3,938.43	$3,938.43	$4,222.96
07/17-12/17	2017-18	Regional Rural Expansion	Imperial	Molina Healthcare	Hepatitis C 340B	$5,615.24	$5,615.24	$6,010.88
01/18-06/18	2017-18	Regional Rural Expansion	Imperial	Molina Healthcare	Hepatitis C Non-340B	$3,036.66	$3,036.66	$3,241.91
07/17-12/17	2017-18	Regional Rural Expansion	Imperial	Molina Healthcare	Hepatitis C Non-340B	$4,406.73	$4,406.73	$4,561.08
07/17-06/18	2017-18	Regional Rural Expansion	Imperial	Molina Healthcare	Adult	$171.14	$176.95	$183.05
07/17-06/18	2017-18	Regional Rural Expansion	Imperial	Molina Healthcare	BCCTP	$1,102.78	$1,135.08	$1,168.69
07/17-06/18	2017-18	Regional Rural Expansion	Imperial	Molina Healthcare	Child	$69.57	$72.46	$75.52
07/17-06/18	2017-18	Regional Rural Expansion	Imperial	Molina Healthcare	Maternity	$7,066.02	$7,264.92	$7,470.99
07/17-06/18	2017-18	Regional Rural Expansion	Imperial	Molina Healthcare	Optional Expansion	$287.78	$297.38	$307.42
07/17-06/18	2017-18	Regional Rural Expansion	Imperial	Molina Healthcare	Optional Expansion Maternity	$7,066.02	$7,264.92	$7,470.99
07/17-06/18	2017-18	Regional Rural Expansion	Imperial	Molina Healthcare	SPD	$962.90	$990.31	$1,018.82
07/17-06/18	2017-18	Regional Rural Expansion	Imperial	Molina Healthcare	SPD/Full-Dual	$302.10	$310.75	$319.78