REPORT ID: HP07D009                       ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM                                  PAGE:   4    
PROGRAM #: HP07L009                      DAILY ENROLLMENT/CAPITATION MAINTENANCE ROSTER                                 RUN:11/25/08
                                                RATE CODE SUMMARY AS OF 11/24/08                                               02:05
HEALTH PLAN: 010158 ARIZONA PHYSICIANS IPA     CONTRACT TYPE:  A  ACUTE CAPITATED                     COUNTY: 13 MARICOPA           
                                                     COUNT         AMOUNT                                                           
ACTION CODE AO                                                                                                                      
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          1011 TANF <1 M & F NON-MEDICAR                 1         -119.87                                                          
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          1013 TANF 06-13 M & F NON-MEDI                 2          -53.84                                                          
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          1014 TANF 14-20 MALE NON-MEDIC                 1          -35.29                                                          
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          1015 TANF 14-20 FEMALE NON-MED                 1          -55.93                                                          
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          1117 TANF EXPANDED 21-44 FEMAL                 1          -55.93                                                          
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          2210 SSI DISABLED NON-MEDICARE                 1         -165.93                                                          
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          2420 SSI AGED EXPANDED WITH QM                 1          -36.87                                                          
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          3618 AHC CARE/MI M&F 45-64 NO                  1         -139.63                                                          
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          4311 SOBRA CHILD <1 M & F NON-                 1         -119.87                                                          
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          4312 SOBRA CHILD 01-05 M & F N                 1          -26.92                                                          
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ACTION CODE TOTAL           11         -810.08