July 1, 2001, through September 30, 2001
| Coverage Category |
Mercy Care Plan |
Community Connection |
Prior Period Coverage |
| TANF <1 M/F |
$311.26 |
$325.85 |
$849.22 |
| TANF 1-13 M/F |
$73.31 |
$70.14 |
$38.77 |
| TANF 14-44 F |
$130.47 |
$123.99 |
$146.46 |
| TANF 14-44 M |
$93.68 |
$93.17 |
$77.78 |
| TANF 45+ M/F |
$256.84 |
$249.35 |
$227.98 |
| SSI w/ Med |
$179.70 |
$176.06 |
$14.40 |
| SSI wo/ Med |
$328.53 |
$338.84 |
$44.14 |
| MN/MI |
$517.37 |
$517.37 |
$554.15 |
| SFP |
$19.69 |
$19.69 |
N/A |
| SOBRA KICK |
$4,902.72 |
$5,046.57 |
N/A |
| KIDSCARE <1M/F |
$276.02 |
$277.40 |
N/A |
| KIDSCARE 1-13M/F |
$80.18 |
$80.48 |
N/A |
| KIDSCARE 14-18F |
$128.95 |
$130.14 |
N/A |
| KIDSCARE 14-18M |
$80.83 |
$81.51 |
N/A |
| KIDSCARE KICK |
$4,902.72 |
$5,046.57 |
N/A |
The MN/MI capitation rate is a daily rate.
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