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UNITED HEALTHCARE
<br />WASHINGTON MEDICAID AND WASHINGTON BENEFIT PLANS FOR THE UNINSURED BEHAVIORAL HEALTH PROFESSIONAL REIMBURSEMENT SCHEDULE
<br />MswrcOPlPa1a APAN
<br />9i159
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<br />Grwp adaptive beMrlx Neatm,bt M prutmel, atlminisbretl by IsrM1nkcn untln 1M1e tlnew6nel9 PAnidan papNer qualified
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<br />IO, II
<br />l6.11
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<br />rate pmfndwul. fw,seriaa
<br />9991OP
<br />loll
<br />l0.11
<br />10.11
<br />10,]I
<br />9]15d
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<br />..un luufeJmal. f=vbdse
<br />D iMI
<br />9.86
<br />R84
<br />9.86
<br />9e6
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<br />P1tVilP
<br />9.86
<br />986
<br />9.66
<br />gR6
<br />9]]59
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<br />atlapahe heF+wrPrwmrnr by pmtxd.atlminialeM by tnbnrun untln lNvdamtbnula plgskmoreU Paallfied
<br />IUe P ewend, hcrwkre
<br />1}999/1P
<br />966
<br />9.YG
<br />9R6
<br />9.e6
<br />9]]5d
<br />+uertmalmrnt by potxd. atlminiwwM by lnimkhn untlru Ue dnmtannla pM,idan oroU q IfiM
<br />hwllh cmc w¢lnvknw. faro-rohce
<br />999fgP
<br />966
<br />9,85
<br />986
<br />9.86
<br />A
<br />Grout' adaPmc hYa.tn uawreu hy' Prnme,rt, vNrdrddud bP 1duo:i:n mdm Ue Ju.�{ienaf=pM,i:iannrnlha quYliW haltlr
<br />w=e Pmf bnm[. fa:eu.G.e
<br />1}10/IP
<br />9A.6
<br />9.06
<br />Ab6
<br />gore
<br />9]]51
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<br />Gi-i atlaprhe beha.nrtrcnmenl by prat-, admidstered by lechnkan untln Ue Ureelbq of,, pkyrkim or¢1ber quaIIRM
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<br />R2llIGP
<br />9.06
<br />H.116
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<br />9W
<br />9113a
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<br />Group atlaplare beh+w rot 6yp.umd, admindered by[eelmnLanundm the &rtt1Nn ¢faphyaklanormber qualiFN
<br />NaEU o.e Pefmvonal`faccm-lace
<br />999fIP
<br />AI16
<br />9.06
<br />9,W
<br />9.96
<br />Gmyr wlaVni.0 hehaiur Neamme br Pren�al, eUrdrdygd l,y 1Wmi=im mrda the dimiiunr,fa ldr{y:inur,rrMvwlifiul kafU
<br />melwinml, [a.•qo-Ire
<br />ss91gP
<br />9,os
<br />9ttr
<br />4.11s
<br />gob
<br />9]1E9
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<br />PEW{P
<br />1R3e
<br />14.3a
<br />lane
<br />143e
<br />9]195
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<br />q]O1gP
<br />Io3R
<br />14,38
<br />]a 36
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<br />143e
<br />55
<br />:W=P1i•rhlunpr vuvmm wiJr prwrwui naJiFr:+6ea shdni.lmml6. Plp�iuianu.utler ywh6d luahn we ImMnshmrl whi:nnuy
<br />FrJe shrvdWrrxm•Jir„limr nfruh
<br />21999/EI
<br />W.38
<br />1488
<br />]4.36
<br />]9.3R
<br />9]]55
<br />Malnlrcbehadmvument w,U Promcul mudif anon, aaminurcrea bypAyskmnm elhw gwErxtl hni[d rwe pr¢fnslmal,whbh
<br />maY inclWe Nmuluneora hheclbn ultmh
<br />211W.1
<br />19.36
<br />I438
<br />]a]8
<br />1q,36
<br />PY156
<br />Famdyadaptl.v beh+. e, admmwser by pM1yNeun e. elhcrgwl'RN heaYhure preksaaullwVh or vm M1e
<br />the parlmtprnmt3, fac.m hcen8uartlane t
<br />0.20NP
<br />1e.69
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<br />18,69
<br />1e,69
<br />vE54
<br />Pamly adalnna buhniur lmahmv{uuiJan:t=rhrdrAammlMphni.iannr whrr 4oaM5M hnlNnm prof iumllwr[A orwidwrp me
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<br />q]OyOP
<br />1g69
<br />1e.69
<br />]g 69
<br />1R.69
<br />91556
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<br />21'399111
<br />18.69
<br />1e.69
<br />le.B9
<br />Ig,y3
<br />9]356
<br />FamilYadapdve hekarror nea[runt.guidance, aaminisleretl by pM1yskimmmhergwM1Fra hraYh.are pr¢kukaullwkhnr weNuur
<br />219w1uv
<br />1B.69
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<br />91357
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<br />......... t e. adminiNerM hypAyllctse merhmquatiSetlM1 fe�+lenal
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<br />1A55
<br />I0.55
<br />10,55
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<br />10.55
<br />10.55
<br />up+daprxc hchsyior rrealmmt gikanee. admdrNlmN MphYabtln m mNmqual HhealUam pmfrsi 1
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<br />2L99911P
<br />ig56
<br />I0.55
<br />91131
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<br />30.55
<br />IQ 55
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<br />0.20AP
<br />A)15
<br />9,11
<br />9,>!
<br />91157
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<br />9,71
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<br />mlb as Padap[We beM1wior ueatmenteud+rem, admirudmetl bYPM1YsieM1n ordFeegwikird M1ralNurn profeasiowl
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<br />9)151
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<br />0.]ryRP
<br />8.4E
<br />g,9E
<br />5.92
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<br />21Afl110
<br />8.9E
<br />11
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<br />9RWM
<br />d92
<br />8.9E
<br />9.9E
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<br />Mu4btrhmi4 quup adaptive behavior ueatment eual+.uv, admmidmed M phyie meUe.9ualihcdM1 11hrure W¢fesslorwl
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<br />91157
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<br />].56
<br />7.56
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<br />IS.45
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<br />u.65
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<br />I164
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<br />ll.61
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<br />ll.61
<br />§7L58
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<br />S0.]3
<br />I0.]I
<br />q]13b
<br />44
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<br />w w[N prutesul me&ficatmn, atlmnlssee by p4p4knm¢NerquaRfietl neakM1u pmfenawl,
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<br />IUl]
<br />] art
<br />58
<br />qq
<br />v..r lrcarmcnt with prxx¢I moGRulbn, admnistered hYtahYskknurmhn gpgyfied haAhure pmfessowl,
<br />mlwkh mull'k atknu.
<br />ll999/IP
<br />10.Y3
<br />10,]L
<br />10.71
<br />lfL]L
<br />9115e
<br />uq
<br />ameue x:t4p.wxolmoGRradon, atlmmukred by pM1iii: ovme.q Nfied lwkhrare Prpkssbnal,
<br />21-MP
<br />10.71
<br />Iq,Yi
<br />10,11
<br />§]I56
<br />V0.
<br />p .eel mgdRcalkn, administered hydMb4nmrome.quaNRetl lrokFe ee pmfasbxal,
<br />ha�m,hcetwkh mutt ,
<br />6 WIP
<br />1—
<br />§ 1
<br />916
<br />4.fi6
<br />9715e
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<br />fuvgela.e w.M1 marl k
<br />0.lw.1
<br />9-e6
<br />9.8E
<br />9.86
<br />9e6
<br />9]15B
<br />VR
<br />Grwpadapthebeharkrueaunent wdhpmleculmudrnwugadminh byPhpkknsm¢NerquaNfirJ lmyhh.aee pemkssional,
<br />facelolxe wiN mule. k a
<br />ll999fIP
<br />Ius
<br />9.gb
<br />996
<br />9P6
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<br />mrp adaptive bphavbr[realment whh premealmrWificwioW atlmldstwed by phy.¢bnar¢1M1erquaFRed lteahh ere prii, , 1,
<br />wirM1 multi k a
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<br />9d6
<br />9.36
<br />9e6
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<br />406
<br />9.V6
<br />AC4
<br />9A6
<br />97t6p
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<br />Face uaha wiU multi k
<br />620NP
<br />9.96
<br />3A6
<br />A06
<br />A0.6
<br />91159
<br />us
<br />Gxupadaptiue Nehawrtmammt witM1 pmmcd mudlreal'mn. admirpwnM by phrakunarulhee quaFfied M1eakM1om pmless6nay
<br />hcmtvha wale mm
<br />vexmmt
<br />2Ia39911p
<br />A06
<br />9.06
<br />A06
<br />9.06
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<br />tare-tPRau wnM1 mull' k a
<br />21-999/gP
<br />404
<br />A96
<br />9,It6
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<br />99p)5
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<br />61A4P
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<br />10
<br />]5
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<br />21999/gP
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<br />g1RPp
<br />41.53
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<br />Not Pr,N
<br />91.63
<br />9920E
<br />Hew PalkMoutpa[Im[vibt, lem[time 1 m
<br />bg.37
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<br />Nat P.ked
<br />N4.11
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<br />u2r>hP
<br />11 a2
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<br />314E
<br />02
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<br />IMt W'red
<br />Sq.g9
<br />2
<br />p t W dui=If, tglal lime 1529mhu1u
<br />0.4MMMA1(Ip
<br />411.
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<br />4].16
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<br />Y920E
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<br />E3.38
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