April 1, 2001 through June 30, 2001
| Coverage Category |
Arizona Physician's IPA |
Mercy Care Plan |
Prior Period Coverage |
| TANF <1 M/F |
$331.42 |
$331.42 |
$849.22 |
| TANF 1-13 M/F |
$73.73 |
$77.11 |
$38.77 |
| TANF 14-44 F |
$134.48 |
$127.81 |
$146.46 |
| TANF 14-44 M |
$99.19 |
$92.78 |
$77.78 |
| TANF 45+ M/F |
$225.78 |
$231.16 |
$227.98 |
| SSI w/ Med |
$187.60 |
$190.70 |
$14.40 |
| SSI w/o Med |
$331.28 |
$321.18 |
$44.14 |
| MN/MI |
$566.27 |
$575.62 |
$784.78 |
| SFP |
$23.94 |
$22.14 |
N/A |
| SOBRA KICK |
$5,045.60 |
$4,895.46 |
N/A |
| KIDSCARE <1 M/F |
$300.97 |
$300.97 |
N/A |
| KIDSCARE 1-13 M/F |
$84.96 |
$84.96 |
N/A |
| KIDSCARE 14-18F |
$135.80 |
$135.80 |
N/A |
| KIDSCARE 14-18M |
$83.39 |
$83.39 |
N/A |
| KIDSCARE KICK |
$5,045.60 |
$4,895.46 |
N/A |
The MN/MI capitation rate is a daily rate.
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