April 1, 2001 through June 30, 2001
| Coverage Category |
Arizona Physician's IPA |
FHP of NE Arizona |
Prior Period Coverage |
| TANF <1 M/F |
$322.16 |
$330.91 |
$849.22 |
| TANF 1-13 M/F |
$74.37 |
$74.37 |
$38.77 |
| TANF 14-44 F |
$130.20 |
$132.54 |
$146.46 |
| TANF 14-44 M |
$94.89 |
$93.92 |
$77.78 |
| TANF 45+ M/F |
$225.91 |
$225.91 |
$227.98 |
| SSI w/ Med |
$181.71 |
$187.61 |
$14.40 |
| SSI wo/ Med |
$332.26 |
$322.09 |
$44.14 |
| MN/MI |
$546.88 |
$564.23 |
$554.15 |
| SFP |
$22.91 |
$22.91 |
N/A |
| SOBRA KICK |
$4,923.20 |
$4,871.42 |
N/A |
| KIDSCARE <1M/F |
$296.47 |
$296.47 |
N/A |
| KIDSCARE 1-13M/F |
$86.40 |
$86.40 |
N/A |
| KIDSCARE 14-18F |
$139.69 |
$139.69 |
N/A |
| KIDSCARE 14-18M |
$84.56 |
$84.56 |
N/A |
| KIDSCARE KICK |
$4,923.20 |
$4,871.42 |
N/A |
The MN/MI capitation rate is a daily rate.
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