| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
Anthem Blue Cross of CA |
Adult |
$251.93 |
$260.37 |
$269.21 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
Anthem Blue Cross of CA |
BCCTP |
$1,184.23 |
$1,218.80 |
$1,254.79 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
Anthem Blue Cross of CA |
Behavioral Health Treatment 0-6 |
$2,684.55 |
$2,753.04 |
$2,823.90 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
Anthem Blue Cross of CA |
Behavioral Health Treatment 7-20 |
$1,838.53 |
$1,885.44 |
$1,933.98 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
Anthem Blue Cross of CA |
Child |
$63.67 |
$66.67 |
$69.86 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
Anthem Blue Cross of CA |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
Anthem Blue Cross of CA |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
Anthem Blue Cross of CA |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
Anthem Blue Cross of CA |
Optional Expansion |
$311.10 |
$321.52 |
$332.43 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
Anthem Blue Cross of CA |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
Anthem Blue Cross of CA |
SPD |
$939.03 |
$966.38 |
$994.83 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
Anthem Blue Cross of CA |
SPD/Full-Dual |
$140.57 |
$145.69 |
$151.07 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
California Health & Wellness |
Adult |
$274.48 |
$283.67 |
$293.30 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
California Health & Wellness |
BCCTP |
$1,183.49 |
$1,219.05 |
$1,256.12 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
California Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,173.48 |
$2,228.94 |
$2,286.31 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
California Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,714.70 |
$1,758.46 |
$1,803.72 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
California Health & Wellness |
Child |
$64.47 |
$67.54 |
$70.80 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
California Health & Wellness |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
California Health & Wellness |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
California Health & Wellness |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
California Health & Wellness |
Optional Expansion |
$335.36 |
$346.60 |
$358.36 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
California Health & Wellness |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
California Health & Wellness |
SPD |
$1,034.66 |
$1,064.82 |
$1,096.22 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Alpine |
California Health & Wellness |
SPD/Full-Dual |
$144.86 |
$150.31 |
$156.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Anthem Blue Cross of CA |
Adult |
$251.93 |
$260.37 |
$269.21 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Anthem Blue Cross of CA |
BCCTP |
$1,184.23 |
$1,218.80 |
$1,254.79 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Anthem Blue Cross of CA |
Behavioral Health Treatment 0-6 |
$2,684.55 |
$2,753.04 |
$2,823.90 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Anthem Blue Cross of CA |
Behavioral Health Treatment 7-20 |
$1,838.53 |
$1,885.44 |
$1,933.98 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Anthem Blue Cross of CA |
Child |
$63.67 |
$66.67 |
$69.86 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Anthem Blue Cross of CA |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Anthem Blue Cross of CA |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Anthem Blue Cross of CA |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Anthem Blue Cross of CA |
Optional Expansion |
$311.10 |
$321.52 |
$332.43 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Anthem Blue Cross of CA |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Anthem Blue Cross of CA |
SPD |
$939.03 |
$966.38 |
$994.83 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Anthem Blue Cross of CA |
SPD/Full-Dual |
$140.57 |
$145.69 |
$151.07 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
California Health & Wellness |
Adult |
$274.48 |
$283.67 |
$293.30 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
California Health & Wellness |
BCCTP |
$1,183.49 |
$1,219.05 |
$1,256.12 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
California Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,173.48 |
$2,228.94 |
$2,286.31 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
California Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,714.70 |
$1,758.46 |
$1,803.72 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
California Health & Wellness |
Child |
$64.47 |
$67.54 |
$70.80 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
California Health & Wellness |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
California Health & Wellness |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
California Health & Wellness |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
California Health & Wellness |
Optional Expansion |
$335.36 |
$346.60 |
$358.36 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
California Health & Wellness |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
California Health & Wellness |
SPD |
$1,034.66 |
$1,064.82 |
$1,096.22 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
California Health & Wellness |
SPD/Full-Dual |
$144.86 |
$150.31 |
$156.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Kaiser Foundation Health Plan |
Adult |
$227.55 |
$235.00 |
$242.79 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Kaiser Foundation Health Plan |
BCCTP |
$1,114.54 |
$1,147.92 |
$1,182.70 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 0-6 |
$3,038.56 |
$3,116.10 |
$3,196.31 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 7-20 |
$2,085.77 |
$2,138.99 |
$2,194.05 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Kaiser Foundation Health Plan |
Child |
$64.07 |
$66.65 |
$69.37 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Kaiser Foundation Health Plan |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Kaiser Foundation Health Plan |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Kaiser Foundation Health Plan |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Kaiser Foundation Health Plan |
Optional Expansion |
$332.18 |
$343.25 |
$354.84 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Kaiser Foundation Health Plan |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Kaiser Foundation Health Plan |
SPD |
$852.52 |
$876.49 |
$901.40 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Amador |
Kaiser Foundation Health Plan |
SPD/Full-Dual |
$116.73 |
$120.85 |
$125.17 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
Anthem Blue Cross of CA |
Adult |
$251.93 |
$260.37 |
$269.21 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
Anthem Blue Cross of CA |
BCCTP |
$1,184.23 |
$1,218.80 |
$1,254.79 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
Anthem Blue Cross of CA |
Behavioral Health Treatment 0-6 |
$2,684.55 |
$2,753.04 |
$2,823.90 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
Anthem Blue Cross of CA |
Behavioral Health Treatment 7-20 |
$1,838.53 |
$1,885.44 |
$1,933.98 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
Anthem Blue Cross of CA |
Child |
$63.67 |
$66.67 |
$69.86 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
Anthem Blue Cross of CA |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
Anthem Blue Cross of CA |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
Anthem Blue Cross of CA |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
Anthem Blue Cross of CA |
Optional Expansion |
$311.10 |
$321.52 |
$332.43 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
Anthem Blue Cross of CA |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
Anthem Blue Cross of CA |
SPD |
$939.03 |
$966.38 |
$994.83 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
Anthem Blue Cross of CA |
SPD/Full-Dual |
$140.57 |
$145.69 |
$151.07 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
California Health & Wellness |
Adult |
$274.48 |
$283.67 |
$293.30 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
California Health & Wellness |
BCCTP |
$1,183.49 |
$1,219.05 |
$1,256.12 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
California Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,173.48 |
$2,228.94 |
$2,286.31 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
California Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,714.70 |
$1,758.46 |
$1,803.72 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
California Health & Wellness |
Child |
$64.47 |
$67.54 |
$70.80 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
California Health & Wellness |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
California Health & Wellness |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
California Health & Wellness |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
California Health & Wellness |
Optional Expansion |
$335.36 |
$346.60 |
$358.36 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
California Health & Wellness |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
California Health & Wellness |
SPD |
$1,034.66 |
$1,064.82 |
$1,096.22 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Butte |
California Health & Wellness |
SPD/Full-Dual |
$144.86 |
$150.31 |
$156.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
Anthem Blue Cross of CA |
Adult |
$251.93 |
$260.37 |
$269.21 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
Anthem Blue Cross of CA |
BCCTP |
$1,184.23 |
$1,218.80 |
$1,254.79 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
Anthem Blue Cross of CA |
Behavioral Health Treatment 0-6 |
$2,684.55 |
$2,753.04 |
$2,823.90 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
Anthem Blue Cross of CA |
Behavioral Health Treatment 7-20 |
$1,838.53 |
$1,885.44 |
$1,933.98 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
Anthem Blue Cross of CA |
Child |
$63.67 |
$66.67 |
$69.86 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
Anthem Blue Cross of CA |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
Anthem Blue Cross of CA |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
Anthem Blue Cross of CA |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
Anthem Blue Cross of CA |
Optional Expansion |
$311.10 |
$321.52 |
$332.43 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
Anthem Blue Cross of CA |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
Anthem Blue Cross of CA |
SPD |
$939.03 |
$966.38 |
$994.83 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
Anthem Blue Cross of CA |
SPD/Full-Dual |
$140.57 |
$145.69 |
$151.07 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
California Health & Wellness |
Adult |
$274.48 |
$283.67 |
$293.30 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
California Health & Wellness |
BCCTP |
$1,183.49 |
$1,219.05 |
$1,256.12 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
California Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,173.48 |
$2,228.94 |
$2,286.31 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
California Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,714.70 |
$1,758.46 |
$1,803.72 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
California Health & Wellness |
Child |
$64.47 |
$67.54 |
$70.80 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
California Health & Wellness |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
California Health & Wellness |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
California Health & Wellness |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
California Health & Wellness |
Optional Expansion |
$335.36 |
$346.60 |
$358.36 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
California Health & Wellness |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
California Health & Wellness |
SPD |
$1,034.66 |
$1,064.82 |
$1,096.22 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Calaveras |
California Health & Wellness |
SPD/Full-Dual |
$144.86 |
$150.31 |
$156.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
Anthem Blue Cross of CA |
Adult |
$251.93 |
$260.37 |
$269.21 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
Anthem Blue Cross of CA |
BCCTP |
$1,184.23 |
$1,218.80 |
$1,254.79 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
Anthem Blue Cross of CA |
Behavioral Health Treatment 0-6 |
$2,684.55 |
$2,753.04 |
$2,823.90 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
Anthem Blue Cross of CA |
Behavioral Health Treatment 7-20 |
$1,838.53 |
$1,885.44 |
$1,933.98 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
Anthem Blue Cross of CA |
Child |
$63.67 |
$66.67 |
$69.86 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
Anthem Blue Cross of CA |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
Anthem Blue Cross of CA |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
Anthem Blue Cross of CA |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
Anthem Blue Cross of CA |
Optional Expansion |
$311.10 |
$321.52 |
$332.43 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
Anthem Blue Cross of CA |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
Anthem Blue Cross of CA |
SPD |
$939.03 |
$966.38 |
$994.83 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
Anthem Blue Cross of CA |
SPD/Full-Dual |
$140.57 |
$145.69 |
$151.07 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
California Health & Wellness |
Adult |
$274.48 |
$283.67 |
$293.30 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
California Health & Wellness |
BCCTP |
$1,183.49 |
$1,219.05 |
$1,256.12 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
California Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,173.48 |
$2,228.94 |
$2,286.31 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
California Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,714.70 |
$1,758.46 |
$1,803.72 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
California Health & Wellness |
Child |
$64.47 |
$67.54 |
$70.80 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
California Health & Wellness |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
California Health & Wellness |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
California Health & Wellness |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
California Health & Wellness |
Optional Expansion |
$335.36 |
$346.60 |
$358.36 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
California Health & Wellness |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
California Health & Wellness |
SPD |
$1,034.66 |
$1,064.82 |
$1,096.22 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Colusa |
California Health & Wellness |
SPD/Full-Dual |
$144.86 |
$150.31 |
$156.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Anthem Blue Cross of CA |
Adult |
$251.93 |
$260.37 |
$269.21 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Anthem Blue Cross of CA |
BCCTP |
$1,184.23 |
$1,218.80 |
$1,254.79 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Anthem Blue Cross of CA |
Behavioral Health Treatment 0-6 |
$2,684.55 |
$2,753.04 |
$2,823.90 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Anthem Blue Cross of CA |
Behavioral Health Treatment 7-20 |
$1,838.53 |
$1,885.44 |
$1,933.98 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Anthem Blue Cross of CA |
Child |
$63.67 |
$66.67 |
$69.86 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Anthem Blue Cross of CA |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Anthem Blue Cross of CA |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Anthem Blue Cross of CA |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Anthem Blue Cross of CA |
Optional Expansion |
$311.10 |
$321.52 |
$332.43 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Anthem Blue Cross of CA |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Anthem Blue Cross of CA |
SPD |
$939.03 |
$966.38 |
$994.83 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Anthem Blue Cross of CA |
SPD/Full-Dual |
$140.57 |
$145.69 |
$151.07 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
California Health & Wellness |
Adult |
$274.48 |
$283.67 |
$293.30 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
California Health & Wellness |
BCCTP |
$1,183.49 |
$1,219.05 |
$1,256.12 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
California Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,173.48 |
$2,228.94 |
$2,286.31 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
California Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,714.70 |
$1,758.46 |
$1,803.72 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
California Health & Wellness |
Child |
$64.47 |
$67.54 |
$70.80 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
California Health & Wellness |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
California Health & Wellness |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
California Health & Wellness |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
California Health & Wellness |
Optional Expansion |
$335.36 |
$346.60 |
$358.36 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
California Health & Wellness |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
California Health & Wellness |
SPD |
$1,034.66 |
$1,064.82 |
$1,096.22 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
California Health & Wellness |
SPD/Full-Dual |
$144.86 |
$150.31 |
$156.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Kaiser Foundation Health Plan |
Adult |
$227.55 |
$235.00 |
$242.79 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Kaiser Foundation Health Plan |
BCCTP |
$1,114.54 |
$1,147.92 |
$1,182.70 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 0-6 |
$3,038.56 |
$3,116.10 |
$3,196.31 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 7-20 |
$2,085.77 |
$2,138.99 |
$2,194.05 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Kaiser Foundation Health Plan |
Child |
$64.07 |
$66.65 |
$69.37 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Kaiser Foundation Health Plan |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Kaiser Foundation Health Plan |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Kaiser Foundation Health Plan |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Kaiser Foundation Health Plan |
Optional Expansion |
$332.18 |
$343.25 |
$354.84 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Kaiser Foundation Health Plan |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Kaiser Foundation Health Plan |
SPD |
$852.52 |
$876.49 |
$901.40 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
El Dorado |
Kaiser Foundation Health Plan |
SPD/Full-Dual |
$116.73 |
$120.85 |
$125.17 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
Anthem Blue Cross of CA |
Adult |
$251.93 |
$260.37 |
$269.21 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
Anthem Blue Cross of CA |
BCCTP |
$1,184.23 |
$1,218.80 |
$1,254.79 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
Anthem Blue Cross of CA |
Behavioral Health Treatment 0-6 |
$2,684.55 |
$2,753.04 |
$2,823.90 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
Anthem Blue Cross of CA |
Behavioral Health Treatment 7-20 |
$1,838.53 |
$1,885.44 |
$1,933.98 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
Anthem Blue Cross of CA |
Child |
$63.67 |
$66.67 |
$69.86 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
Anthem Blue Cross of CA |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
Anthem Blue Cross of CA |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
Anthem Blue Cross of CA |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
Anthem Blue Cross of CA |
Optional Expansion |
$311.10 |
$321.52 |
$332.43 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
Anthem Blue Cross of CA |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
Anthem Blue Cross of CA |
SPD |
$939.03 |
$966.38 |
$994.83 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
Anthem Blue Cross of CA |
SPD/Full-Dual |
$140.57 |
$145.69 |
$151.07 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
California Health & Wellness |
Adult |
$274.48 |
$283.67 |
$293.30 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
California Health & Wellness |
BCCTP |
$1,183.49 |
$1,219.05 |
$1,256.12 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
California Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,173.48 |
$2,228.94 |
$2,286.31 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
California Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,714.70 |
$1,758.46 |
$1,803.72 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
California Health & Wellness |
Child |
$64.47 |
$67.54 |
$70.80 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
California Health & Wellness |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
California Health & Wellness |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
California Health & Wellness |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
California Health & Wellness |
Optional Expansion |
$335.36 |
$346.60 |
$358.36 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
California Health & Wellness |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
California Health & Wellness |
SPD |
$1,034.66 |
$1,064.82 |
$1,096.22 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Glenn |
California Health & Wellness |
SPD/Full-Dual |
$144.86 |
$150.31 |
$156.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
California Health & Wellness |
Adult |
$239.56 |
$247.58 |
$255.97 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
California Health & Wellness |
BCCTP |
$1,189.67 |
$1,225.67 |
$1,263.19 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
California Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,198.79 |
$2,254.89 |
$2,312.93 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
California Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,977.42 |
$2,027.88 |
$2,080.07 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
California Health & Wellness |
Child |
$76.58 |
$79.87 |
$83.34 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
California Health & Wellness |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
California Health & Wellness |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
California Health & Wellness |
Maternity |
$7,513.12 |
$7,725.01 |
$7,944.57 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
California Health & Wellness |
Optional Expansion |
$302.34 |
$312.49 |
$323.13 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
California Health & Wellness |
Optional Expansion - Maternity |
$7,513.12 |
$7,725.01 |
$7,944.57 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
California Health & Wellness |
SPD |
$994.21 |
$1,022.47 |
$1,051.85 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
California Health & Wellness |
SPD/Full-Dual |
$283.76 |
$292.43 |
$301.50 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
Molina Healthcare |
Behavioral Health Treatment 0-6 |
$2,367.42 |
$2,427.83 |
$2,490.32 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
Molina Healthcare |
Behavioral Health Treatment 7-20 |
$1,978.08 |
$2,028.56 |
$2,080.77 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
Molina Healthcare |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
Molina Healthcare |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
Molina Healthcare |
Adult |
$196.35 |
$202.98 |
$209.93 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
Molina Healthcare |
BCCTP |
$1,061.24 |
$1,092.66 |
$1,125.37 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
Molina Healthcare |
Child |
$69.72 |
$72.69 |
$75.84 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
Molina Healthcare |
Maternity |
$7,513.12 |
$7,725.01 |
$7,944.57 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
Molina Healthcare |
Optional Expansion |
$273.17 |
$282.30 |
$291.85 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
Molina Healthcare |
Optional Expansion - Maternity |
$7,513.12 |
$7,725.01 |
$7,944.57 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
Molina Healthcare |
SPD |
$1,025.69 |
$1,054.98 |
$1,085.45 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Imperial |
Molina Healthcare |
SPD/Full-Dual |
$258.77 |
$266.51 |
$274.62 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
Anthem Blue Cross of CA |
Adult |
$251.93 |
$260.37 |
$269.21 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
Anthem Blue Cross of CA |
BCCTP |
$1,184.23 |
$1,218.80 |
$1,254.79 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
Anthem Blue Cross of CA |
Behavioral Health Treatment 0-6 |
$2,684.55 |
$2,753.04 |
$2,823.90 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
Anthem Blue Cross of CA |
Behavioral Health Treatment 7-20 |
$1,838.53 |
$1,885.44 |
$1,933.98 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
Anthem Blue Cross of CA |
Child |
$63.67 |
$66.67 |
$69.86 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
Anthem Blue Cross of CA |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
Anthem Blue Cross of CA |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
Anthem Blue Cross of CA |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
Anthem Blue Cross of CA |
Optional Expansion |
$311.10 |
$321.52 |
$332.43 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
Anthem Blue Cross of CA |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
Anthem Blue Cross of CA |
SPD |
$939.03 |
$966.38 |
$994.83 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
Anthem Blue Cross of CA |
SPD/Full-Dual |
$140.57 |
$145.69 |
$151.07 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
California Health & Wellness |
Adult |
$274.48 |
$283.67 |
$293.30 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
California Health & Wellness |
BCCTP |
$1,183.49 |
$1,219.05 |
$1,256.12 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
California Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,173.48 |
$2,228.94 |
$2,286.31 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
California Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,714.70 |
$1,758.46 |
$1,803.72 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
California Health & Wellness |
Child |
$64.47 |
$67.54 |
$70.80 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
California Health & Wellness |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
California Health & Wellness |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
California Health & Wellness |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
California Health & Wellness |
Optional Expansion |
$335.36 |
$346.60 |
$358.36 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
California Health & Wellness |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
California Health & Wellness |
SPD |
$1,034.66 |
$1,064.82 |
$1,096.22 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Inyo |
California Health & Wellness |
SPD/Full-Dual |
$144.86 |
$150.31 |
$156.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
Anthem Blue Cross of CA |
Adult |
$251.93 |
$260.37 |
$269.21 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
Anthem Blue Cross of CA |
BCCTP |
$1,184.23 |
$1,218.80 |
$1,254.79 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
Anthem Blue Cross of CA |
Behavioral Health Treatment 0-6 |
$2,684.55 |
$2,753.04 |
$2,823.90 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
Anthem Blue Cross of CA |
Behavioral Health Treatment 7-20 |
$1,838.53 |
$1,885.44 |
$1,933.98 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
Anthem Blue Cross of CA |
Child |
$63.67 |
$66.67 |
$69.86 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
Anthem Blue Cross of CA |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
Anthem Blue Cross of CA |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
Anthem Blue Cross of CA |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
Anthem Blue Cross of CA |
Optional Expansion |
$311.10 |
$321.52 |
$332.43 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
Anthem Blue Cross of CA |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
Anthem Blue Cross of CA |
SPD |
$939.03 |
$966.38 |
$994.83 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
Anthem Blue Cross of CA |
SPD/Full-Dual |
$140.57 |
$145.69 |
$151.07 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
California Health & Wellness |
Adult |
$274.48 |
$283.67 |
$293.30 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
California Health & Wellness |
BCCTP |
$1,183.49 |
$1,219.05 |
$1,256.12 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
California Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,173.48 |
$2,228.94 |
$2,286.31 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
California Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,714.70 |
$1,758.46 |
$1,803.72 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
California Health & Wellness |
Child |
$64.47 |
$67.54 |
$70.80 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
California Health & Wellness |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
California Health & Wellness |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
California Health & Wellness |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
California Health & Wellness |
Optional Expansion |
$335.36 |
$346.60 |
$358.36 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
California Health & Wellness |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
California Health & Wellness |
SPD |
$1,034.66 |
$1,064.82 |
$1,096.22 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mariposa |
California Health & Wellness |
SPD/Full-Dual |
$144.86 |
$150.31 |
$156.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
Anthem Blue Cross of CA |
Adult |
$251.93 |
$260.37 |
$269.21 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
Anthem Blue Cross of CA |
BCCTP |
$1,184.23 |
$1,218.80 |
$1,254.79 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
Anthem Blue Cross of CA |
Behavioral Health Treatment 0-6 |
$2,684.55 |
$2,753.04 |
$2,823.90 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
Anthem Blue Cross of CA |
Behavioral Health Treatment 7-20 |
$1,838.53 |
$1,885.44 |
$1,933.98 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
Anthem Blue Cross of CA |
Child |
$63.67 |
$66.67 |
$69.86 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
Anthem Blue Cross of CA |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
Anthem Blue Cross of CA |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
Anthem Blue Cross of CA |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
Anthem Blue Cross of CA |
Optional Expansion |
$311.10 |
$321.52 |
$332.43 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
Anthem Blue Cross of CA |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
Anthem Blue Cross of CA |
SPD |
$939.03 |
$966.38 |
$994.83 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
Anthem Blue Cross of CA |
SPD/Full-Dual |
$140.57 |
$145.69 |
$151.07 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
California Health & Wellness |
Adult |
$274.48 |
$283.67 |
$293.30 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
California Health & Wellness |
BCCTP |
$1,183.49 |
$1,219.05 |
$1,256.12 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
California Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,173.48 |
$2,228.94 |
$2,286.31 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
California Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,714.70 |
$1,758.46 |
$1,803.72 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
California Health & Wellness |
Child |
$64.47 |
$67.54 |
$70.80 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
California Health & Wellness |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
California Health & Wellness |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
California Health & Wellness |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
California Health & Wellness |
Optional Expansion |
$335.36 |
$346.60 |
$358.36 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
California Health & Wellness |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
California Health & Wellness |
SPD |
$1,034.66 |
$1,064.82 |
$1,096.22 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Mono |
California Health & Wellness |
SPD/Full-Dual |
$144.86 |
$150.31 |
$156.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
Anthem Blue Cross of CA |
Adult |
$251.93 |
$260.37 |
$269.21 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
Anthem Blue Cross of CA |
BCCTP |
$1,184.23 |
$1,218.80 |
$1,254.79 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
Anthem Blue Cross of CA |
Behavioral Health Treatment 0-6 |
$2,684.55 |
$2,753.04 |
$2,823.90 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
Anthem Blue Cross of CA |
Behavioral Health Treatment 7-20 |
$1,838.53 |
$1,885.44 |
$1,933.98 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
Anthem Blue Cross of CA |
Child |
$63.67 |
$66.67 |
$69.86 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
Anthem Blue Cross of CA |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
Anthem Blue Cross of CA |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
Anthem Blue Cross of CA |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
Anthem Blue Cross of CA |
Optional Expansion |
$311.10 |
$321.52 |
$332.43 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
Anthem Blue Cross of CA |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
Anthem Blue Cross of CA |
SPD |
$939.03 |
$966.38 |
$994.83 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
Anthem Blue Cross of CA |
SPD/Full-Dual |
$140.57 |
$145.69 |
$151.07 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
California Health & Wellness |
Adult |
$274.48 |
$283.67 |
$293.30 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
California Health & Wellness |
BCCTP |
$1,183.49 |
$1,219.05 |
$1,256.12 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
California Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,173.48 |
$2,228.94 |
$2,286.31 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
California Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,714.70 |
$1,758.46 |
$1,803.72 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
California Health & Wellness |
Child |
$64.47 |
$67.54 |
$70.80 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
California Health & Wellness |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
California Health & Wellness |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
California Health & Wellness |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
California Health & Wellness |
Optional Expansion |
$335.36 |
$346.60 |
$358.36 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
California Health & Wellness |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
California Health & Wellness |
SPD |
$1,034.66 |
$1,064.82 |
$1,096.22 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Nevada |
California Health & Wellness |
SPD/Full-Dual |
$144.86 |
$150.31 |
$156.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Anthem Blue Cross of CA |
Adult |
$251.93 |
$260.37 |
$269.21 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Anthem Blue Cross of CA |
BCCTP |
$1,184.23 |
$1,218.80 |
$1,254.79 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Anthem Blue Cross of CA |
Behavioral Health Treatment 0-6 |
$2,684.55 |
$2,753.04 |
$2,823.90 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Anthem Blue Cross of CA |
Behavioral Health Treatment 7-20 |
$1,838.53 |
$1,885.44 |
$1,933.98 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Anthem Blue Cross of CA |
Child |
$63.67 |
$66.67 |
$69.86 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Anthem Blue Cross of CA |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Anthem Blue Cross of CA |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Anthem Blue Cross of CA |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Anthem Blue Cross of CA |
Optional Expansion |
$311.10 |
$321.52 |
$332.43 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Anthem Blue Cross of CA |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Anthem Blue Cross of CA |
SPD |
$939.03 |
$966.38 |
$994.83 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Anthem Blue Cross of CA |
SPD/Full-Dual |
$140.57 |
$145.69 |
$151.07 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
California Health & Wellness |
Adult |
$274.48 |
$283.67 |
$293.30 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
California Health & Wellness |
BCCTP |
$1,183.49 |
$1,219.05 |
$1,256.12 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
California Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,173.48 |
$2,228.94 |
$2,286.31 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
California Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,714.70 |
$1,758.46 |
$1,803.72 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
California Health & Wellness |
Child |
$64.47 |
$67.54 |
$70.80 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
California Health & Wellness |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
California Health & Wellness |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
California Health & Wellness |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
California Health & Wellness |
Optional Expansion |
$335.36 |
$346.60 |
$358.36 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
California Health & Wellness |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
California Health & Wellness |
SPD |
$1,034.66 |
$1,064.82 |
$1,096.22 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
California Health & Wellness |
SPD/Full-Dual |
$144.86 |
$150.31 |
$156.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Kaiser Foundation Health Plan |
Adult |
$227.55 |
$235.00 |
$242.79 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Kaiser Foundation Health Plan |
BCCTP |
$1,114.54 |
$1,147.92 |
$1,182.70 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 0-6 |
$3,038.56 |
$3,116.10 |
$3,196.31 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Kaiser Foundation Health Plan |
Behavioral Health Treatment 7-20 |
$2,085.77 |
$2,138.99 |
$2,194.05 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Kaiser Foundation Health Plan |
Child |
$64.07 |
$66.65 |
$69.37 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Kaiser Foundation Health Plan |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Kaiser Foundation Health Plan |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Kaiser Foundation Health Plan |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Kaiser Foundation Health Plan |
Optional Expansion |
$332.18 |
$343.25 |
$354.84 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Kaiser Foundation Health Plan |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Kaiser Foundation Health Plan |
SPD |
$852.52 |
$876.49 |
$901.40 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Placer |
Kaiser Foundation Health Plan |
SPD/Full-Dual |
$116.73 |
$120.85 |
$125.17 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
Anthem Blue Cross of CA |
Adult |
$251.93 |
$260.37 |
$269.21 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
Anthem Blue Cross of CA |
BCCTP |
$1,184.23 |
$1,218.80 |
$1,254.79 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
Anthem Blue Cross of CA |
Behavioral Health Treatment 0-6 |
$2,684.55 |
$2,753.04 |
$2,823.90 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
Anthem Blue Cross of CA |
Behavioral Health Treatment 7-20 |
$1,838.53 |
$1,885.44 |
$1,933.98 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
Anthem Blue Cross of CA |
Child |
$63.67 |
$66.67 |
$69.86 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
Anthem Blue Cross of CA |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
Anthem Blue Cross of CA |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
Anthem Blue Cross of CA |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
Anthem Blue Cross of CA |
Optional Expansion |
$311.10 |
$321.52 |
$332.43 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
Anthem Blue Cross of CA |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
Anthem Blue Cross of CA |
SPD |
$939.03 |
$966.38 |
$994.83 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
Anthem Blue Cross of CA |
SPD/Full-Dual |
$140.57 |
$145.69 |
$151.07 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
California Health & Wellness |
Adult |
$274.48 |
$283.67 |
$293.30 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
California Health & Wellness |
BCCTP |
$1,183.49 |
$1,219.05 |
$1,256.12 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
California Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,173.48 |
$2,228.94 |
$2,286.31 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
California Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,714.70 |
$1,758.46 |
$1,803.72 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
California Health & Wellness |
Child |
$64.47 |
$67.54 |
$70.80 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
California Health & Wellness |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
California Health & Wellness |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
California Health & Wellness |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
California Health & Wellness |
Optional Expansion |
$335.36 |
$346.60 |
$358.36 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
California Health & Wellness |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
California Health & Wellness |
SPD |
$1,034.66 |
$1,064.82 |
$1,096.22 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Plumas |
California Health & Wellness |
SPD/Full-Dual |
$144.86 |
$150.31 |
$156.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
San Benito |
Anthem Blue Cross of CA |
Adult |
$181.06 |
$186.86 |
$192.92 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
San Benito |
Anthem Blue Cross of CA |
BCCTP |
$1,023.73 |
$1,053.34 |
$1,084.14 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
San Benito |
Anthem Blue Cross of CA |
Behavioral Health Treatment 0-6 |
$2,595.93 |
$2,662.17 |
$2,730.69 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
San Benito |
Anthem Blue Cross of CA |
Behavioral Health Treatment 7-20 |
$2,021.07 |
$2,072.64 |
$2,125.99 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
San Benito |
Anthem Blue Cross of CA |
Child |
$57.96 |
$60.18 |
$62.52 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
San Benito |
Anthem Blue Cross of CA |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
San Benito |
Anthem Blue Cross of CA |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
San Benito |
Anthem Blue Cross of CA |
Maternity |
$8,844.91 |
$9,094.38 |
$9,352.86 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
San Benito |
Anthem Blue Cross of CA |
Optional Expansion |
$260.85 |
$269.66 |
$278.89 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
San Benito |
Anthem Blue Cross of CA |
Optional Expansion - Maternity |
$8,844.91 |
$9,094.38 |
$9,352.86 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
San Benito |
Anthem Blue Cross of CA |
SPD |
$759.77 |
$781.40 |
$803.88 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
San Benito |
Anthem Blue Cross of CA |
SPD/Full-Dual |
$117.59 |
$121.45 |
$125.50 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
Anthem Blue Cross of CA |
Adult |
$251.93 |
$260.37 |
$269.21 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
Anthem Blue Cross of CA |
BCCTP |
$1,184.23 |
$1,218.80 |
$1,254.79 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
Anthem Blue Cross of CA |
Behavioral Health Treatment 0-6 |
$2,684.55 |
$2,753.04 |
$2,823.90 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
Anthem Blue Cross of CA |
Behavioral Health Treatment 7-20 |
$1,838.53 |
$1,885.44 |
$1,933.98 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
Anthem Blue Cross of CA |
Child |
$63.67 |
$66.67 |
$69.86 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
Anthem Blue Cross of CA |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
Anthem Blue Cross of CA |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
Anthem Blue Cross of CA |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
Anthem Blue Cross of CA |
Optional Expansion |
$311.10 |
$321.52 |
$332.43 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
Anthem Blue Cross of CA |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
Anthem Blue Cross of CA |
SPD |
$939.03 |
$966.38 |
$994.83 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
Anthem Blue Cross of CA |
SPD/Full-Dual |
$140.57 |
$145.69 |
$151.07 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
California Health & Wellness |
Adult |
$274.48 |
$283.67 |
$293.30 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
California Health & Wellness |
BCCTP |
$1,183.49 |
$1,219.05 |
$1,256.12 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
California Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,173.48 |
$2,228.94 |
$2,286.31 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
California Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,714.70 |
$1,758.46 |
$1,803.72 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
California Health & Wellness |
Child |
$64.47 |
$67.54 |
$70.80 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
California Health & Wellness |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
California Health & Wellness |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
California Health & Wellness |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
California Health & Wellness |
Optional Expansion |
$335.36 |
$346.60 |
$358.36 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
California Health & Wellness |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
California Health & Wellness |
SPD |
$1,034.66 |
$1,064.82 |
$1,096.22 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sierra |
California Health & Wellness |
SPD/Full-Dual |
$144.86 |
$150.31 |
$156.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
Anthem Blue Cross of CA |
Adult |
$251.93 |
$260.37 |
$269.21 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
Anthem Blue Cross of CA |
BCCTP |
$1,184.23 |
$1,218.80 |
$1,254.79 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
Anthem Blue Cross of CA |
Behavioral Health Treatment 0-6 |
$2,684.55 |
$2,753.04 |
$2,823.90 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
Anthem Blue Cross of CA |
Behavioral Health Treatment 7-20 |
$1,838.53 |
$1,885.44 |
$1,933.98 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
Anthem Blue Cross of CA |
Child |
$63.67 |
$66.67 |
$69.86 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
Anthem Blue Cross of CA |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
Anthem Blue Cross of CA |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
Anthem Blue Cross of CA |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
Anthem Blue Cross of CA |
Optional Expansion |
$311.10 |
$321.52 |
$332.43 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
Anthem Blue Cross of CA |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
Anthem Blue Cross of CA |
SPD |
$939.03 |
$966.38 |
$994.83 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
Anthem Blue Cross of CA |
SPD/Full-Dual |
$140.57 |
$145.69 |
$151.07 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
California Health & Wellness |
Adult |
$274.48 |
$283.67 |
$293.30 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
California Health & Wellness |
BCCTP |
$1,183.49 |
$1,219.05 |
$1,256.12 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
California Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,173.48 |
$2,228.94 |
$2,286.31 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
California Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,714.70 |
$1,758.46 |
$1,803.72 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
California Health & Wellness |
Child |
$64.47 |
$67.54 |
$70.80 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
California Health & Wellness |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
California Health & Wellness |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
California Health & Wellness |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
California Health & Wellness |
Optional Expansion |
$335.36 |
$346.60 |
$358.36 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
California Health & Wellness |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
California Health & Wellness |
SPD |
$1,034.66 |
$1,064.82 |
$1,096.22 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Sutter |
California Health & Wellness |
SPD/Full-Dual |
$144.86 |
$150.31 |
$156.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
Anthem Blue Cross of CA |
Adult |
$251.93 |
$260.37 |
$269.21 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
Anthem Blue Cross of CA |
BCCTP |
$1,184.23 |
$1,218.80 |
$1,254.79 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
Anthem Blue Cross of CA |
Behavioral Health Treatment 0-6 |
$2,684.55 |
$2,753.04 |
$2,823.90 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
Anthem Blue Cross of CA |
Behavioral Health Treatment 7-20 |
$1,838.53 |
$1,885.44 |
$1,933.98 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
Anthem Blue Cross of CA |
Child |
$63.67 |
$66.67 |
$69.86 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
Anthem Blue Cross of CA |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
Anthem Blue Cross of CA |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
Anthem Blue Cross of CA |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
Anthem Blue Cross of CA |
Optional Expansion |
$311.10 |
$321.52 |
$332.43 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
Anthem Blue Cross of CA |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
Anthem Blue Cross of CA |
SPD |
$939.03 |
$966.38 |
$994.83 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
Anthem Blue Cross of CA |
SPD/Full-Dual |
$140.57 |
$145.69 |
$151.07 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
California Health & Wellness |
Adult |
$274.48 |
$283.67 |
$293.30 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
California Health & Wellness |
BCCTP |
$1,183.49 |
$1,219.05 |
$1,256.12 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
California Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,173.48 |
$2,228.94 |
$2,286.31 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
California Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,714.70 |
$1,758.46 |
$1,803.72 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
California Health & Wellness |
Child |
$64.47 |
$67.54 |
$70.80 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
California Health & Wellness |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
California Health & Wellness |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
California Health & Wellness |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
California Health & Wellness |
Optional Expansion |
$335.36 |
$346.60 |
$358.36 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
California Health & Wellness |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
California Health & Wellness |
SPD |
$1,034.66 |
$1,064.82 |
$1,096.22 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tehama |
California Health & Wellness |
SPD/Full-Dual |
$144.86 |
$150.31 |
$156.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
Anthem Blue Cross of CA |
Adult |
$251.93 |
$260.37 |
$269.21 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
Anthem Blue Cross of CA |
BCCTP |
$1,184.23 |
$1,218.80 |
$1,254.79 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
Anthem Blue Cross of CA |
Behavioral Health Treatment 0-6 |
$2,684.55 |
$2,753.04 |
$2,823.90 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
Anthem Blue Cross of CA |
Behavioral Health Treatment 7-20 |
$1,838.53 |
$1,885.44 |
$1,933.98 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
Anthem Blue Cross of CA |
Child |
$63.67 |
$66.67 |
$69.86 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
Anthem Blue Cross of CA |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
Anthem Blue Cross of CA |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
Anthem Blue Cross of CA |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
Anthem Blue Cross of CA |
Optional Expansion |
$311.10 |
$321.52 |
$332.43 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
Anthem Blue Cross of CA |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
Anthem Blue Cross of CA |
SPD |
$939.03 |
$966.38 |
$994.83 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
Anthem Blue Cross of CA |
SPD/Full-Dual |
$140.57 |
$145.69 |
$151.07 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
California Health & Wellness |
Adult |
$274.48 |
$283.67 |
$293.30 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
California Health & Wellness |
BCCTP |
$1,183.49 |
$1,219.05 |
$1,256.12 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
California Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,173.48 |
$2,228.94 |
$2,286.31 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
California Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,714.70 |
$1,758.46 |
$1,803.72 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
California Health & Wellness |
Child |
$64.47 |
$67.54 |
$70.80 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
California Health & Wellness |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
California Health & Wellness |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
California Health & Wellness |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
California Health & Wellness |
Optional Expansion |
$335.36 |
$346.60 |
$358.36 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
California Health & Wellness |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
California Health & Wellness |
SPD |
$1,034.66 |
$1,064.82 |
$1,096.22 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Tuolumne |
California Health & Wellness |
SPD/Full-Dual |
$144.86 |
$150.31 |
$156.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Ventura |
Gold Coast Health Plan |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Ventura |
Gold Coast Health Plan |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
Anthem Blue Cross of CA |
Adult |
$251.93 |
$260.37 |
$269.21 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
Anthem Blue Cross of CA |
BCCTP |
$1,184.23 |
$1,218.80 |
$1,254.79 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
Anthem Blue Cross of CA |
Behavioral Health Treatment 0-6 |
$2,684.55 |
$2,753.04 |
$2,823.90 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
Anthem Blue Cross of CA |
Behavioral Health Treatment 7-20 |
$1,838.53 |
$1,885.44 |
$1,933.98 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
Anthem Blue Cross of CA |
Child |
$63.67 |
$66.67 |
$69.86 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
Anthem Blue Cross of CA |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
Anthem Blue Cross of CA |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
Anthem Blue Cross of CA |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
Anthem Blue Cross of CA |
Optional Expansion |
$311.10 |
$321.52 |
$332.43 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
Anthem Blue Cross of CA |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
Anthem Blue Cross of CA |
SPD |
$939.03 |
$966.38 |
$994.83 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
Anthem Blue Cross of CA |
SPD/Full-Dual |
$140.57 |
$145.69 |
$151.07 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
California Health & Wellness |
Adult |
$274.48 |
$283.67 |
$293.30 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
California Health & Wellness |
BCCTP |
$1,183.49 |
$1,219.05 |
$1,256.12 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
California Health & Wellness |
Behavioral Health Treatment 0-6 |
$2,173.48 |
$2,228.94 |
$2,286.31 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
California Health & Wellness |
Behavioral Health Treatment 7-20 |
$1,714.70 |
$1,758.46 |
$1,803.72 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
California Health & Wellness |
Child |
$64.47 |
$67.54 |
$70.80 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
California Health & Wellness |
Hepatitis C 340B |
$2,938.18 |
$3,037.18 |
$3,147.04 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
California Health & Wellness |
Hepatitis C Non-340B |
$3,784.81 |
$3,910.44 |
$4,050.08 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
California Health & Wellness |
Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
California Health & Wellness |
Optional Expansion |
$335.36 |
$346.60 |
$358.36 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
California Health & Wellness |
Optional Expansion - Maternity |
$9,289.11 |
$9,551.10 |
$9,822.56 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
California Health & Wellness |
SPD |
$1,034.66 |
$1,064.82 |
$1,096.22 |
| 07/18-06/19 |
2018-19 |
Regional Rural Expansion |
Yuba |
California Health & Wellness |
SPD/Full-Dual |
$144.86 |
$150.31 |
$156.04 |