Laserfiche WebLink
UN[ED HEALTHGRE <br />WNHINGION MEDICAID AND WASHIN6T0N gENEFF PTANS FORTHE UNINSUNEO BEHAVIORAL HEALTH PROFESSIONALRTIMEURSEMENTSCHEDUI.E <br />lLblldilonoilm6 <br />bld br \'nemnue t**" <br />lod btlm4hclre <br />lr9$/P <br />lcoilddonolrwG <br />bld br YmeuilEc r** <br />lh(d(t.F-ryrn..-y'*oldrusillqd$i€orp'or,rp,blcofkhsradbtdhroPirlobsodv(diltcJipii.k lcTo/P <br />lr'.r&ilodndc'nqms I <br />14.92 <br />11,21 11,21 <br />11.21 <br />11,21 <br />lhr4r,FW!,*.*'"*olJ4(lllRd6isorpo.:hcqradbliBffirakdnNlopadlob*fl(dild'tsi,rb. l/r'es/oP <br />lcus.s&o' rtuiJF)odms I <br />ltu Mi;c@!,E. synuordq (l's\ d{r'sorprcq bdB <br />1.,*...d.-*i.rd*'"-ms lG'?o/' <br />15.25 15,25 <br />55,3 <br />I orus leltsl, pFsnpe., iny ium ot dru8 d:t<Pr, dcvi 6 o' p'ei &ins r..d bv ini <br />'um.nr <br />.h€nklry .nav/ru, m,s I G70/oP <br />I'o*u".o-.*-*".n-rr..*r"-e,os I <br />I o"* raild ilsun.uv. inv num ol drur dases. devkd or !16: hinq 'ed bv lnilruncnl .hPmntry anaMeu, mrs l rlgsnP <br />55,3 <br />ln,spP <br />fhraiilhs <br />stMy. ldar ilute i.,pn.ro'y rnd,om€ .o'ondi'u\ 2 (sAFt 6v l) tro,onrr'ur d6eae lcovrD lcl)i ri'e' <br />I <br />n 4s/e <br />iJ. *'prr"ry vna'onetoro"rd,6 , {\AA.bv )r t6'on.s6 dle*. Icwro lelrj tih, <br />I <br />II e$/oP 72,45 <br />lssR <br />Nk r4irory sdone o'onJ\ ru 2 {s.w{ov.2) (cbrcuttu dbe lcouDjel) sthdr qbrhrs€ <br />1".1" <br />lssw:rk,6rrory$dune@,on'\tu){ssf,dv-2)rcoo'DritudtuelcollDlol'xuhdv.qudbtn. f. " <br />36411 2 1s.W4ov-2) (coruDrtu di*s IconDl9l) 4dhdl qbdbtile l"'*r: <br />367@ <br />llildru6rshl inien&ldtron b! hesyl$quc (esqv)ft Immr$y ltlAl,qneltu iMm$rud :st l,refitoP <br />IteUs,rt. nuo,o.N irr,lMs! lrl,\1, tuudkdufuodri r$v Il\ft Al) qulirNc o' dqudirdre: s6*-' Nde I <br />f lderioBrcar rtrsdJddionby hm:srr#quq (ccd)mirurrrv lrl \1, qrcldd Mme'hd st lv,otot <br />llFLls.\1. fluuro* h,---y lFlrl, innh(EdldnoRdc rsJy [\lcAI quJiLtne or lcfrqsntbillr: rdd. r:d. I <br />Jtildtrd Jgmr dehrion b] ndh( Nid ( DNA or RJA': *rR /nrc <br />' <br />qnroD $iltome oon.6 6 2 (s.Us <br />'ov_rl <br />(cooNr tu lc7o/lP <br />lal* l.or tO tsD -a mu-r \tu qrs Aril 0. iltipl.\ 4[fid proh ldqr I <br />*lp <br />ld^dc lco\ ilIlrD ilEm \tu btr6 A rd a. il r6oido^ nh_{nl rtu, muhiple( nDlftd o'obc Mque I <br />llddto6ismt dddron bJ nrlct $J (D\Aor RN.\r: qft!cut. GPnnorySdFme4rcnnru 2{ss{b\ t) ( orcE\N la eryoP <br />ldise trcuDlgl), dEM \iru \!B a rd B. il '6tiilory qrtlLl rtu mux'plrx Mptfied probs rdquc I <br />249.94