July 1, 2001, through September 30, 2001
| Coverage Category |
Arizona Physician's IPA |
Mercy Care Plan |
Prior Period Coverage |
| TANF <1 M/F |
$318.67 |
$318.67 |
$849.22 |
| TANF 1-13 M/F |
$74.88 |
$74.88 |
$38.77 |
| TANF 14-44 F |
$136.79 |
$128.52 |
$146.46 |
| TANF 14-44 M |
$99.79 |
$97.26 |
$77.78 |
| TANF 45+ M/F |
$248.77 |
$241.81 |
$ 227.98 |
| SSI w/ Med |
$179.52 |
$ 183.51 |
$ 14.40 |
| SSI wo/ Med |
$321.48 |
$ 310.62 |
$ 44.14 |
| MN/MI |
$538.98 |
$ 538.98 |
$684.34 |
| SFP |
$ 23.14 |
$ 23.14 |
N/A |
| SOBRA KICK |
$ 4,822.01 |
$ 4,716.62 |
N/A |
| KIDSCARE <1M/F |
$ 294.80 |
$ 294.80 |
N/A |
| KIDSCARE 1-13M/F |
$ 86.99 |
$ 86.99 |
N/A |
| KIDSCARE 14-18F |
$ 141.44 |
$ 141.44 |
N/A |
| KIDSCARE 14-18M |
$ 85.11 |
$ 85.11 |
N/A |
| KIDSCARE KICK |
$4,822.01 |
$4,716.62 |
N/A |
The MN/MI capitation rate is a daily rate.
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