2016 State Fiscal Year - (09/01/15 to 08/31/16)

COMMUNITY CARE and NURSING FACILITY - RATE ENHANCEMENT LEVELS

Updated: 03/15/18

KEY FOR PARTICIPATION COLUMN: NE = Not Enrolled, PHC-P = Priority, PHC-NP = PHC Nonpriority, PHC-B = Both PHC Priority and Nonpriority

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

000010100 PHC 1 09/01/15 PHC B 3 3

000011000 PHC 1 09/01/15 PHC B 35 35

000011100 PHC 1 09/01/15 PHC B 35 35

000011600 PHC 1 09/01/15 PHC B 35 35 PHC P & PHC NP levels supported by RFR result

000012200 PHC 1 09/01/15 PHC B 26 26

000012700 PHC 1 09/01/15 PHC NP NE 18

000012900 PHC 1 09/01/15 PHC NP NE 31

000016500 PHC 11 09/01/15 PHC B 35 35

000017300 PHC 11 09/01/15 PHC B 35 35

000017500 PHC 11 09/01/15 PHC B 19 30 PHC P & PHC NP levels supported by RFR result

000017900 PHC 11 09/01/15 PHC B 35 35

000018000 PHC 11 09/01/15 PHC B 34 31 Priority level supported by RFR result

000018500 PHC 11 09/01/15 PHC B 35 35

000018600 PHC 11 09/01/15 PHC B 8 23

000019200 PHC 11 09/01/15 PHC B 35 35

000019600 PHC 11 09/01/15 PHC B 21 35

000021100 PHC 1 09/01/15 PHC B 6 20

000022800 PHC 2 12/21/15 Terminated 2/2/15: Level NP 18 Final Requested

000023300 PHC 2 09/01/15 NE

000023700 PHC 2 09/01/15 PHC B 3 3

000024300 PHC 2 09/01/15 PHC B 35 35

000024500 PHC 2 09/13/16 Terminated 8/31/16: Level 19/31 Final Requested

000030400 PHC 10 09/01/15 PHC B 35 35

000031100 PHC 10 09/01/15 PHC B 35 35

000031200 PHC 10 09/01/15 PHC B 35 35 PHC P & PHC NP levels supported by RFR result

000034400 PHC 3 09/01/15 PHC B 35 35 PHC P & PHC NP levels supported by RFR result

000034500 PHC 3 09/01/15 PHC NP NE 10

000034900 PHC 3 09/01/15 PHC NP NE 35

000035100 PHC 3 09/01/15 PHC NP NE 31

000036000 PHC 3 09/01/15 PHC B 35 35

000037600 PHC 3 09/01/15 PHC B 15 20 Non-Priority level supported by RFR result

000038800 PHC 3 09/01/15 PHC B 29 29

000039400 PHC 3 09/01/15 PHC B 3 3

000041500 PHC 2 09/01/15 PHC B 35 35

000042100 PHC 4 09/01/15 NE

000043400 PHC 2 09/01/15 PHC NP NE 23

000044100 PHC 2 09/01/15 PHC B 35 35

000044400 PHC 2 09/01/15 PHC B 35 35 PHC P & PHC NP levels supported by RFR result

000052600 PHC 3 09/01/15 PHC B 29 32 Non-Priority level supported by RFR result

000053000 PHC 3 09/01/15 PHC B 31 31

000053200 PHC 3 09/01/15 PHC B 35 35

000053300 PHC 3 09/13/16 Terminated 8/31/16: Level 19/31 Final Requested

000055600 PHC 3 09/01/15 PHC B 35 35

000055800 PHC 3 09/01/15 PHC B 17 29

000057300 PHC 5 09/01/15 NE

000058500 PHC 5 09/01/15 PHC B 28 28

000058700 PHC 5 01/27/16 Terminated 1/15/16: Level 12/31 Final Requested

000060200 PHC 6 09/01/15 PHC B 31 31

000060900 PHC 6 09/01/15 PHC B 35 35

000061800 PHC 6 09/01/15 PHC B 35 35

000063600 PHC 7 09/01/15 PHC B 31 31

000063900 PHC 7 09/01/15 PHC B 30 30

000064100 PHC 7 09/01/15 PHC B 35 35

000064700 PHC 6 09/01/15 PHC B 35 35

000064900 PHC 6 09/01/15 PHC B 35 35

000065500 PHC 7 09/01/15 PHC B 12 23

000065900 PHC 6 09/01/15 PHC B 7 31

000066200 PHC 7 09/01/15 PHC B 35 35

000067700 PHC 6 09/01/15 PHC B 28 35

000068000 PHC 6 09/01/15 PHC B 35 35

000069100 PHC 6 09/01/15 PHC B 30 20

000069200 PHC 6 09/01/15 PHC B 35 35

000069600 PHC 6 09/01/15 PHC B 25 25

000071400 PHC 4 09/01/15 PHC B 15 35 Priority level supported by RFR result

000071800 PHC 4 09/01/15 PHC B 29 32 Non-Priority level supported by RFR result

000072100 PHC 7 09/01/15 PHC B 8 35 Priority level supported by RFR result

000073900 PHC 4 09/01/15 PHC B 35 35

000075300 PHC 7 09/01/15 PHC B 31 31

000076700 PHC 7 09/01/15 PHC B 35 35

000076900 PHC 7 09/01/15 PHC B 35 35 PHC P & PHC NP levels supported by RFR result

000077300 PHC 7 09/01/15 PHC NP NE 12 PHC P & PHC NP levels supported by RFR result

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

000080500 PHC 11 09/01/15 PHC NP NE 25 PHC P & PHC NP levels supported by RFR result

000081000 PHC 11 09/01/15 PHC B 33 35

000081100 PHC 11 09/01/15 PHC B 35 35

000081700 PHC 11 09/01/15 PHC B 35 35

000082000 PHC 8 09/01/15 PHC B 35 35

000082900 PHC 8 09/01/15 PHC B 35 35

000083100 PHC 8 09/01/15 PHC B 4 21

000083700 PHC 8 09/01/15 NE

000083800 PHC 8 09/01/15 PHC B 13 22

000084900 PHC 11 09/01/15 PHC B 31 31

000085400 PHC 11 09/01/15 PHC NP NE 31

000085500 PHC 11 09/01/15 PHC NP NE 35

000086500 PHC 8 09/01/15 PHC B 35 35

000087900 PHC 8 09/01/15 PHC NP NE 18

000089200 PHC 8 09/01/15 PHC B 35 35

000089300 PHC 8 09/01/15 PHC B 35 35

000089700 PHC 8 09/01/15 PHC B 35 35 PHC P & PHC NP levels supported by RFR result

000089900 PHC 8 09/01/15 PHC NP NE 31

000090700 PHC 8 09/01/15 NE

000090800 PHC 8 09/01/15 PHC B 33 35 Priority level supported by RFR result

000093900 PHC 8 09/01/15 PHC B 35 31 Non-Priority level supported by RFR result

000094000 PHC 8 09/01/15 PHC B 35 35

000094200 PHC 8 09/01/15 PHC B 35 35

000095500 PHC 9 09/01/15 PHC B 31 31

000100200 PHC 10 09/01/15 PHC B 31 31

000101500 PHC 6 09/01/15 PHC B 35 35

000101800 PHC 6 09/01/15 PHC B 31 31

000102300 PHC 5 09/01/15 PHC B 30 30

000102600 PHC 5 09/01/15 PHC NP NE 23

000104200 PHC 10 09/01/15 PHC B 33 35 Priority level supported by RFR result

000104300 PHC 10 09/01/15 PHC B 5 19 Non-Priority level supported by RFR result

000104900 PHC 10 09/01/15 PHC B 35 35

000106600 PHC 6 09/01/15 PHC B 35 35

000106900 PHC 6 09/01/15 PHC B 35 35

000107300 PHC 6 09/01/15 PHC B 35 35

000107800 PHC 6 09/01/15 Terminated 11/07/15: Level 25/31 Final Requested

000107900 PHC 6 09/01/15 PHC B 13 29

000108300 PHC 6 09/01/15 NE

000108600 PHC 6 09/01/15 PHC B 35 35

000108700 PHC 6 09/01/15 PHC B 35 35

000109000 PHC 6 09/01/15 PHC B 20 31

000109100 PHC 6 09/01/15 PHC B 22 7

000109700 PHC 6 09/01/15 PHC B 35 35

000109900 PHC 6 09/01/15 PHC B 22 31

000110100 PHC 6 09/01/15 PHC B 10 31 PHC P & PHC NP levels supported by RFR result

000110200 PHC 11 09/01/15 PHC B 35 35

000111500 PHC 11 09/01/15 PHC B 31 31

000111600 PHC 6 09/01/15 PHC B 35 35

000112500 PHC 11 09/01/15 PHC B 35 35

000112700 PHC 11 09/01/15 PHC NP NE 35

000112800 PHC 11 09/01/15 PHC B 35 35

000112900 PHC 11 09/01/15 PHC NP NE 31

000113100 PHC 11 09/01/15 PHC B 14 31

000113700 PHC 11 09/01/15 PHC NP NE 31

000114100 PHC 6 09/01/15 PHC B 30 30

000114200 PHC 11 09/01/15 PHC B 35 35

000114400 PHC 11 09/01/15 PHC B 7 31

000114600 PHC 11 09/01/15 PHC B 31 31

000114700 PHC 6 09/01/15 PHC B 29 29

000115100 PHC 11 09/01/15 PHC B 35 35

000115200 PHC 11 09/01/15 PHC B 33 35

000115300 PHC 11 09/01/15 PHC B 35 35

000116000 PHC 11 09/01/15 PHC B 35 35

000116400 PHC 11 09/01/15 PHC B 35 35

000116700 PHC 6 09/01/15 PHC B 35 33 PHC P & PHC NP levels supported by RFR result

000116800 PHC 6 09/01/15 PHC B 35 35

000116900 PHC 11 09/01/15 PHC B 35 35

000117000 PHC 6 09/01/15 NE

000117500 PHC 11 09/01/15 PHC B 23 17

000117700 PHC 11 09/01/15 PHC B 21 23

000118000 PHC 6 09/01/15 PHC B 2 23 PHC P & PHC NP levels supported by RFR result

000118200 PHC 6 09/01/15 NE

000118500 PHC 11 03/03/16 Terminated 2/26/16: level 35/31 Final Requested

000118600 PHC 11 09/01/15 PHC B 35 35

000118900 PHC 11 09/01/15 PHC B 35 35

000119100 PHC 11 09/01/15 PHC B 35 35

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

000119400 PHC 11 09/01/15 PHC B 35 35 Non-Priority level supported by RFR result

000119800 PHC 11 09/01/15 PHC B 35 35

000120300 PHC 9 09/01/15 PHC B 35 35

000120500 PHC 9 09/01/15 PHC B 35 35

000120600 PHC 9 09/01/15 PHC B 35 35 PHC P & PHC NP levels supported by RFR result

000121100 PHC 6 09/01/15 PHC B 35 35

000121400 PHC 6 09/01/15 PHC NP NE 12

000121700 PHC 11 09/01/15 PHC B 35 34

000122500 PHC 11 09/01/15 PHC B 35 35

000123300 PHC 11 09/01/15 PHC B 35 35

000123800 PHC 11 09/01/15 PHC B 35 35

000124000 PHC 11 09/01/15 PHC B 35 35

000124400 PHC 11 09/01/15 PHC B 35 35

000124500 PHC 11 09/01/15 PHC B 35 35

000124600 PHC 11 09/01/15 PHC B 31 31

000124800 PHC 11 09/01/15 PHC B 35 35

000126400 PHC 6 09/01/15 NE

000126600 PHC 6 09/01/15 PHC B 35 35

000127200 PHC 6 09/01/15 PHC B 25 25

000128300 PHC 6 09/01/15 PHC B 35 13 Non-Priority level supported by RFR result

000128400 PHC 6 09/01/15 PHC NP NE 22

000128600 PHC 6 09/01/15 PHC NP NE 31

000129500 PHC 11 09/01/15 PHC B 15 35

000129700 PHC 11 09/01/15 PHC B 9 35

000131400 RC 3 09/01/15 NE

000136000 RC 4 02/19/16 Terminated 9/30/15: Level 22 Final Requested

000136100 RC 6 09/01/15 NE

000136600 RC 4 02/19/16 Terminated 6/10/14: Level 22 Final Requested

000137600 RC 6 09/01/15 NE

000137900 RC 6 09/01/15 NE

000138300 RC 8 09/01/15 23

000139000 RC 2 09/01/15 NE

000139500 RC 6 09/01/15 NE

000140100 RC 6 09/01/15 NE

000147100 RC 3 09/01/15 NE

000150200 RC 4 09/01/15 NE

000195100 DAHS 11 09/01/15 35

000300500 DAHS 11 09/01/15 35

000300600 DAHS 6 09/01/15 35 Level supported by RFR result

000301500 DAHS 3 09/01/15 35

000302100 DAHS 8 09/01/15 35

000302900 DAHS 11 09/01/15 NE

000303600 DAHS 3 09/01/15 20

000303900 DAHS 11 09/01/15 35

000304000 DAHS 8 09/01/15 35

000304700 DAHS 11 09/01/15 35

000304900 DAHS 11 09/01/15 17

000305500 DAHS 11 09/01/15 35

000306600 DAHS 11 09/01/15 21

000307100 DAHS 11 09/01/15 31

000307300 DAHS 11 03/08/16 Terminated 3/4/16: Level 7 Final Requested

000307700 DAHS 11 09/01/15 35

000307800 DAHS 8 09/01/15 35

000308100 DAHS 11 09/01/15 35

000308300 DAHS 11 09/01/15 NE

000308400 DAHS 11 09/01/15 35

000309700 DAHS 11 09/01/15 33

000320500 DAHS 11 09/01/15 35

000321000 DAHS 6 09/01/15 35 Level supported by RFR result

000321800 DAHS 11 09/01/15 NE

000321900 DAHS 11 09/01/15 NE

000322500 DAHS 11 09/01/15 NE

000322900 DAHS 8 09/01/15 NE

000323300 DAHS 11 09/01/15 20

000323800 DAHS 11 09/01/15 35

000324200 DAHS 8 09/01/15 NE

000325100 DAHS 11 09/01/15 8

000326800 DAHS 11 09/01/15 20

000327100 DAHS 11 09/01/15 NE

000327300 DAHS 8 09/01/15 35

000327800 DAHS 11 09/01/15 15

000329600 DAHS 11 09/01/15 35

000329800 DAHS 3 09/01/15 29

000330200 DAHS 8 09/01/15 13

000330300 DAHS 10 09/01/15 35

000330800 DAHS 1 09/01/15 35

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

000331100 DAHS 11 09/01/15 Terminated 9/02/15. Level NE

000331200 DAHS 11 09/01/15 35

000331500 DAHS 11 09/01/15 35 Level supported by RFR result

000331800 DAHS 8 09/01/15 35

000332100 DAHS 11 09/01/15 35 Level supported by RFR result

000332300 DAHS 11 09/01/15 35

000332500 DAHS 11 09/01/15 NE

000332600 DAHS 11 09/01/15 35

000332900 DAHS 11 09/01/15 21

000333000 DAHS 11 09/01/15 28

000333400 DAHS 11 09/01/15 35

000333500 DAHS 11 09/01/15 35

000334000 DAHS 11 09/01/15 35 Level supported by RFR result

000334600 DAHS 1 09/01/15 35

000334700 DAHS 11 09/01/15 35

000335000 DAHS 9 09/01/15 23

000335500 DAHS 11 09/01/15 35

000335800 DAHS 8 09/01/15 NE

000336100 DAHS 11 09/01/15 35

000336700 DAHS 3 09/01/15 31

000337300 DAHS 8 09/01/15 25

000338000 DAHS 4 09/01/15 NE

000338300 DAHS 11 09/01/15 35

000340100 DAHS 11 09/01/15 31

000340400 DAHS 11 09/01/15 18

000341000 DAHS 8 09/01/15 23

000341900 DAHS 11 09/01/15 35

000342200 DAHS 8 09/01/15 35

000342300 DAHS 11 09/01/15 17

000342500 DAHS 11 09/01/15 NE

000342600 DAHS 11 09/01/15 35

000343000 DAHS 8 09/01/15 35

000343600 DAHS 7 09/01/15 29

000344600 DAHS 11 07/06/16 Terminated 6/30/16: Level 20 Final Requested

000345000 DAHS 11 09/01/15 35

000345100 DAHS 8 09/01/15 35

000345200 DAHS 11 02/12/16 Terminated 2/2/16 : Level 35 Final Requested

000345900 DAHS 10 09/09/16 CA 7/31/16 to 00127879: Level 35 Final Requested

000346400 DAHS 11 02/01/16 Terminated 1/20/16: Level 24 Final Requested

000346800 DAHS 11 09/01/15 NE

000400001 NF n/a 09/01/15 27

000403104 NF n/a 09/01/15 21

000404801 NF n/a 09/01/15 27

000407502 NF n/a 09/01/15 13

000407807 NF n/a 07/18/16 Terminated 4/8/16: Level 24 Final Requested

000407904 NF n/a 09/01/15 27

000408402 NF n/a 09/01/15 12

000409002 NF n/a 09/01/15 18

000409501 NF n/a 09/01/15 13

000410501 NF n/a 09/01/15 CHOW 12/31/15 to 001027401: Level 1 Final Requested

000410601 NF n/a 09/01/15 27

000414505 NF n/a 09/01/15 7

000415302 NF n/a 09/01/15 NE

000415903 NF n/a 09/01/15 27

000416003 NF n/a 09/01/15 27

000416101 NF n/a 09/01/15 10

000417603 NF n/a 09/01/15 10

000417903 NF n/a 09/01/15 27

000418002 NF n/a 09/01/15 11

000418305 NF n/a 09/01/15 19

000418403 NF n/a 03/21/16 CHOW 1/31/16: Level 12 Final Requested

000420206 NF n/a 09/01/15 7

000421004 NF n/a 09/01/15 17

000422101 NF n/a 09/01/15 27

000422703 NF n/a 09/01/15 NE

000423601 NF n/a 09/01/15 27

000424804 NF n/a 09/01/15 6

000425403 NF n/a 09/01/15 NE

000426102 NF n/a 09/01/15 7 Level supported by RFR result

000428401 NF n/a 09/01/15 27

000434202 NF n/a 09/01/15 NE

000435808 NF n/a 04/08/16 CHOW 3/31/16: Level 27 Final Requested

000436301 NF n/a 09/01/15 27

000437301 NF n/a 09/01/15 27

000439602 NF n/a 09/01/15 20

000440202 NF n/a 09/01/15 7

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

000442006 NF n/a 09/01/15 25

000443101 NF n/a 09/01/15 27

000445204 NF n/a 09/01/15 24

000446304 NF n/a 09/01/15 27

000448902 NF n/a 11/04/15 CHOW 10/31/15: Level NE

000449403 NF n/a 09/01/15 27

000449901 NF n/a 09/01/15 7

000451204 NF n/a 09/01/15 7

000453108 NF n/a 09/01/15 7

000454002 NF n/a 09/01/15 27

000455003 NF n/a 09/01/15 23

000456001 NF n/a 09/01/15 7

000460901 NF n/a 09/01/15 27

000461501 NF n/a 09/01/15 27

000464001 NF n/a 09/01/15 26

000465306 NF n/a 09/01/15 13 Level supported by RFR result

000465403 NF n/a 09/01/15 27

000465804 NF n/a 09/01/15 10

000466801 NF n/a 09/01/15 NE

000467501 NF n/a 09/01/15 21

000468201 NF n/a 09/01/15 27

000472206 NF n/a 09/01/15 4

000472709 NF n/a 09/01/15 6

000475304 NF n/a 09/01/15 7

000479603 NF n/a 09/01/15 CHOW 11/30/15 to 001027281: Level 7 Final Requested.

000479906 NF n/a 09/01/15 19

000480903 NF n/a 09/01/15 8

000483101 NF n/a 09/01/15 19

000485901 NF n/a 09/01/15 7

000486101 NF n/a 09/01/15 NE

000488901 NF n/a 09/01/15 15

000490001 NF n/a 09/01/15 27

000490304 NF n/a 09/01/15 NE

000490505 NF n/a 09/01/15 18 Level supported by RFR result

000490707 NF n/a 09/01/15 7

000497101 NF n/a 09/01/15 27

000498208 NF n/a 09/01/15 CHOW 12/31/15 to 001027327: Level 12 Final Requested

000501202 NF n/a 09/01/15 25

000501905 NF n/a 09/01/15 3

000502401 NF n/a 09/01/15 3

000504803 NF n/a 09/01/15 NE

000506401 NF n/a 09/01/15 18

000509302 NF n/a 09/01/15 27 Level supported by RFR result

000509501 NF n/a 04/01/16 CHOW 3/30/16: Level 19 Final Requested

000509801 NF n/a 09/01/15 27

000511001 NF n/a 09/01/15 7

000512001 NF n/a 09/01/15 7

000512401 NF n/a 09/01/15 27

000516001 NF n/a 09/01/15 27

000517001 NF n/a 09/01/15 23

000517503 NF n/a 09/01/15 13

000517601 NF n/a 09/01/15 27

000518001 NF n/a 09/01/15 27

000518701 NF n/a 09/01/15 6

000518903 NF n/a 09/01/15 27

000519101 NF n/a 09/01/15 27

000519501 NF n/a 09/01/15 7

000521901 NF n/a 09/01/15 27

000523501 NF n/a 09/01/15 13

000523901 NF n/a 09/01/15 NE

000524601 NF n/a 09/01/15 27

000524901 NF n/a 09/01/15 27

000528401 NF n/a 09/01/15 10

000528501 NF n/a 09/01/15 10

000528701 NF n/a 09/01/15 8

000530301 NF n/a 09/01/15 NE

000531801 NF n/a 09/01/15 27

000533201 NF n/a 09/01/15 7

000533701 NF n/a 09/01/15 13

000535801 NF n/a 02/23/16 CHOW 2/21/16: Level 3 Final Requested

000536001 NF n/a 09/01/15 18

000536601 NF n/a 09/01/15 7

000537101 NF n/a 09/01/15 20

000537202 NF n/a 09/01/15 CHOW to 001027377 11/30/15. Level 6 Final Requested

000537501 NF n/a 09/01/15 10

000538001 NF n/a 09/01/15 7

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

000538401 NF n/a 09/01/15 27

000539201 NF n/a 02/23/16 1 CHOW to 001027428 1/11/16. Level NE.

001000459 NF n/a 09/01/15 27

001000476 NF n/a 09/01/15 CHOW to 001027383 11/30/15. Level 27 Final Requested

001000624 NF n/a 09/01/15 20

001000698 PHC 11 09/01/15 PHC NP NE 35

001000718 NF n/a 09/01/15 27

001000719 DAHS 8 09/01/15 29

001000765 NF n/a 09/01/15 13 IR corrected level

001000812 DAHS 8 09/01/15 35

001000813 PHC 3 09/01/15 PHC B 35 35

001000831 PHC 8 09/01/15 PHC B 16 12

001000846 NF n/a 09/01/15 27

001000874 DAHS 4 09/01/15 10

001000918 PHC 11 09/01/15 PHC B 35 35 Non-Priority level supported by RFR result

001000930 PHC 11 09/01/15 PHC B 35 35

001000933 PHC 11 09/01/15 PHC B 35 35

001000964 DAHS 11 09/01/15 20

001000965 PHC 6 09/01/15 PHC B 35 35

001000971 PHC 6 09/01/15 PHC B 16 35

001000981 PHC 5 09/01/15 PHC B 35 35

001000983 DAHS 11 09/01/15 31

001000985 DAHS 11 09/01/15 35

001001011 PHC 3 09/01/15 PHC B 22 22

001001020 NF n/a 09/01/15 6

001001034 PHC 8 09/01/15 PHC B 35 35

001001036 PHC 9 09/01/15 PHC B 35 35

001001041 DAHS 8 09/01/15 30

001001043 PHC 4 09/01/15 PHC B 35 35

001001054 DAHS 11 09/01/15 35

001001067 PHC 3 09/01/15 PHC B 30 30

001001084 DAHS 3 09/01/15 NE

001001105 PHC 3 09/01/15 PHC NP NE 35

001001122 NF n/a 09/01/15 16

001001123 NF n/a 09/01/15 6

001001132 RC 3 09/01/15 NE

001001135 PHC 8 09/01/15 PHC B 22 22

001001143 PHC 6 09/01/15 PHC B 35 35

001001161 PHC 4 09/01/15 PHC B 35 35

001001169 NF n/a 09/19/16 CHOW 9/15/16:Level 7 Final Requested

001001170 RC 2 09/01/15 NE

001001200 PHC 4 09/01/15 PHC B 35 35 PHC P & PHC NP levels supported by RFR result

001001202 PHC 5 09/01/15 PHC B 35 35 PHC P & PHC NP levels supported by RFR result

001001204 PHC 11 09/01/15 PHC B 35 35 PHC P & PHC NP levels supported by RFR result

001001207 NF n/a 09/01/15 27

001001208 PHC 11 09/01/15 PHC B 35 35

001001215 DAHS 11 09/01/15 NE

001001224 PHC 11 09/01/15 PHC B 35 35

001001241 RC 3 09/01/15 20

001001256 DAHS 8 09/01/15 10

001001262 PHC 6 09/01/15 PHC B 35 35

001001263 PHC 8 09/01/15 PHC B 23 30

001001271 NF n/a 09/01/15 13

001001288 DAHS 11 09/01/15 35

001001310 DAHS 11 09/01/15 9

001001316 DAHS 11 09/01/15 35

001001322 NF n/a 09/01/15 7

001001349 DAHS 1 09/01/15 35

001001363 RC 3 09/01/15 NE

001001366 DAHS 11 09/01/15 NE

001001396 PHC 6 09/01/15 PHC B 35 35

001001399 NF n/a 09/13/16 CHOW 8/31/16: Level 7 Final Requested

001001403 DAHS 10 09/01/15 15

001001420 DAHS 11 09/01/15 NE

001001421 RC 6 09/01/15 NE

001001430 RC 3 09/01/15 NE

001001449 RC 2 09/01/15 NE

001001471 DAHS 7 09/01/15 12

001001480 DAHS 8 09/01/15 35

001001486 PHC 11 09/01/15 PHC B 35 35

001001524 PHC 1 09/01/15 PHC B 15 35 Priority level supported by RFR result

001001526 PHC 2 09/01/15 PHC B 15 35 Priority level supported by RFR result

001001528 PHC 3 09/01/15 PHC B 15 35 Priority level supported by RFR result

001001532 PHC 5 09/01/15 PHC B 15 35 Priority level supported by RFR result

001001534 PHC 6 09/01/15 PHC B 15 35 Priority level supported by RFR result

001001536 PHC 7 09/01/15 PHC B 15 35 Priority level supported by RFR result

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001001538 PHC 8 09/01/15 PHC B 15 35 Priority level supported by RFR result

001001540 PHC 9 09/01/15 PHC B 15 35 Priority level supported by RFR result

001001542 PHC 10 09/01/15 PHC B 15 35 Priority level supported by RFR result

001001544 PHC 11 09/01/15 PHC B 15 35 Priority level supported by RFR result

001001547 DAHS 11 09/01/15 NE

001001558 PHC 11 09/01/15 PHC B 35 35

001001619 PHC 4 09/01/15 PHC B 35 35

001001621 PHC 5 09/01/15 PHC B 35 35

001001623 PHC 7 09/01/15 PHC B 35 35

001001630 DAHS 11 09/01/15 35

001001632 DAHS 11 09/01/15 35

001001651 DAHS 11 09/01/15 13

001001687 PHC 6 09/01/15 PHC B 25 25

001001701 NF n/a 09/01/15 13

001001728 DAHS 8 09/01/15 NE

001001729 PHC 11 09/01/15 PHC B 35 35

001001756 PHC 6 09/01/15 PHC NP NE 35 Non-Priority level supported by RFR result

001001761 NF n/a 09/01/15 6

001001770 NF n/a 09/01/15 NE

001001771 NF n/a 09/01/15 NE

001001772 NF n/a 09/01/15 NE

001001773 DAHS 8 09/01/15 35

001001790 NF n/a 09/01/15 13

001001797 PHC 11 09/01/15 PHC B 35 35

001001842 PHC 11 09/01/15 PHC B 35 35

001001901 RC 7 09/01/15 NE

001001911 NF n/a 09/01/15 7

001001918 NF n/a 09/01/15 27

001001934 RC 3 09/01/15 NE

001001953 DAHS 8 09/01/15 31

001002708 PHC 6 09/01/15 PHC B 22 22

001002958 PHC 1 09/01/15 PHC NP NE 10

001002964 DAHS 10 09/01/15 20

001002969 PHC 11 09/01/15 PHC B 35 35

001002975 PHC 4 09/01/15 PHC B 35 35 Non-Priority level supported by RFR result

001002977 PHC 5 09/01/15 PHC B 35 35 Non-Priority level supported by RFR result

001002979 PHC 6 09/01/15 PHC B 35 35 Non-Priority level supported by RFR result

001002981 PHC 7 09/01/15 PHC B 35 35 Non-Priority level supported by RFR result

001002983 PHC 8 09/01/15 PHC B 35 35 Non-Priority level supported by RFR result

001002985 PHC 11 09/01/15 PHC B 35 35 Non-Priority level supported by RFR result

001002987 NF n/a 09/01/15 13

001002989 NF n/a 09/01/15 14

001002990 NF n/a 09/01/15 13

001002993 NF n/a 09/01/15 13

001003004 NF n/a 09/01/15 10

001003060 DAHS 11 09/01/15 NE

001003061 RC 11 09/01/15 10

001003085 PHC 8 09/01/15 PHC NP NE 35

001003087 PHC 11 09/01/15 PHC NP NE 35

001003105 RC 3 09/01/15 NE

001003139 DAHS 6 09/01/15 23

001003160 DAHS 10 09/01/15 31

001003182 NF n/a 09/01/15 7

001003183 NF n/a 09/01/15 6

001003186 NF n/a 09/01/15 7

001003187 NF n/a 09/01/15 25

001003189 NF n/a 09/01/15 6

001003190 NF n/a 09/01/15 6

001003191 NF n/a 09/01/15 7

001003195 NF n/a 09/01/15 13

001003196 NF n/a 09/01/15 6

001003207 NF n/a 09/01/15 13

001003215 NF n/a 09/01/15 20

001003283 RC 3 09/01/15 NE

001003286 RC 4 09/01/15 23

001003287 RC 3 09/01/15 NE

001003288 DAHS 11 09/01/15 31

001003295 DAHS 5 09/01/15 NE

001003304 RC 4 09/01/15 NE

001003313 PHC 11 09/01/15 PHC NP NE 35 Non-Priority level supported by RFR result

001003326 PHC 3 09/01/15 NE

001003341 NF n/a 09/01/15 13

001003344 PHC 10 09/01/15 PHC NP NE 10

001003348 PHC 7 09/01/15 PHC B 35 35

001003354 NF n/a 09/01/15 13

001003363 NF n/a 09/01/15 13

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001003369 NF n/a 09/01/15 13

001003370 NF n/a 09/01/15 13

001003382 RC 7 09/01/15 NE

001003399 PHC 5 09/01/15 PHC P 15 NE

001003452 NF n/a 09/01/15 16

001003461 NF n/a 09/01/15 7

001003580 NF n/a 09/01/15 7

001003582 NF n/a 09/01/15 7

001003600 RC 6 09/01/15 NE

001003601 NF n/a 09/01/15 7

001003602 NF n/a 09/01/15 7

001003629 PHC 11 09/01/15 PHC B 35 35

001003646 PHC 1 09/01/15 PHC NP NE 26

001003658 PHC 11 09/01/15 PHC B 35 35

001003663 PHC 8 09/01/15 PHC B 35 35

001003664 NF n/a 09/01/15 7

001003700 NF n/a 09/01/15 11

001003719 PHC 3 09/01/15 PHC NP NE 29

001003749 DAHS 11 09/01/15 35 Level supported by RFR result

001003769 PHC 7 09/01/15 PHC B 35 35

001003774 PHC 4 09/01/15 PHC B 35 35 Non-Priority level supported by RFR result

001003796 PHC 3 09/01/15 PHC B 35 35

001003827 NF n/a 09/01/15 NE

001003830 NF n/a 09/01/15 NE

001003831 DAHS 11 09/01/15 35

001003843 PHC 3 09/01/15 PHC NP NE 29

001003845 PHC 4 09/01/15 PHC NP NE 29

001003848 NF n/a 11/19/15 Terminated 4/10/15: Level 27 Final Requested

001003874 PHC 3 09/01/15 PHC B 20 20

001003876 PHC 11 09/01/15 PHC B 35 35

001003883 PHC 8 09/01/15 PHC B 10 31 PHC P & PHC NP levels supported by RFR result

001003894 DAHS 11 09/01/15 35

001003909 PHC 6 09/01/15 PHC NP NE 23 PHC P & PHC NP levels supported by RFR result

001003919 DAHS 11 09/01/15 NE

001003925 PHC 3 09/01/15 PHC B 35 35

001003937 PHC 11 09/01/15 PHC B 35 35

001003939 RC 6 09/01/15 NE

001003942 NF n/a 09/01/15 26

001003957 PHC 3 09/01/15 PHC B 23 7

001003959 NF n/a 09/01/15 6

001003963 NF n/a 09/01/15 21

001003965 NF n/a 09/01/15 13

001003999 PHC 8 09/01/15 PHC B 5 20 Non-Priority level supported by RFR result

001004004 NF n/a 09/01/15 3

001004039 RC 5 09/01/15 NE

001004042 PHC 6 09/01/15 PHC B 35 35

001004051 NF n/a 09/01/15 7

001004052 NF n/a 09/01/15 7

001004054 NF n/a 09/01/15 NE

001004055 NF n/a 09/01/15 NE

001004056 NF n/a 09/01/15 3

001004063 NF n/a 09/01/15 25

001004064 PHC 11 09/01/15 PHC B 35 35

001004084 NF n/a 05/18/16 CHOW 4/30/16: Level NE

001004089 NF n/a 09/01/15 10

001004093 PHC 8 09/01/15 PHC NP NE 17

001004099 PHC 8 09/01/15 PHC NP NE 35

001004112 NF n/a 09/01/15 7

001004113 PHC 3 09/01/15 PHC B 35 19 Non-Priority level supported by RFR result

001004117 NF n/a 09/01/15 6

001004118 NF n/a 09/01/15 2

001004122 NF n/a 01/01/16 NE WP eff 1/1/16: Level 3 Final Requested

001004132 PHC 11 09/01/15 PHC B 35 35

001004152 DAHS 11 09/01/15 31

001004153 DAHS 6 09/13/16 Terminated 8/24/16: Level 3 Final Requested

001004175 NF n/a 09/01/15 20

001004180 PHC 11 09/01/15 PHC B 35 35

001004226 NF n/a 09/01/15 NE

001004231 PHC 11 09/01/15 PHC B 35 35

001004234 NF n/a 09/01/15 3

001004260 NF n/a 09/01/15 7

001004270 NF n/a 09/01/15 NE

001004277 PHC 11 09/01/15 PHC B 35 35

001004282 NF n/a 09/01/15 NE

001004283 NF n/a 09/01/15 7 Level supported by RFR result

001004286 NF n/a 09/01/15 13

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001004287 NF n/a 09/01/15 NE

001004288 NF n/a 09/01/15 6

001004293 PHC 11 09/01/15 PHC NP NE 35

001004295 NF n/a 09/01/15 NE

001004327 DAHS 11 09/01/15 20

001004350 NF n/a 09/01/15 NE

001004353 NF n/a 09/01/15 NE

001004365 PHC 6 09/01/15 PHC B 35 35

001004368 PHC 6 09/01/15 PHC B 20 20

001004384 PHC 3 09/01/15 PHC P 23 NE

001004387 PHC 6 09/01/15 NE

001004391 PHC 3 09/01/15 PHC B 35 35

001004395 PHC 3 09/01/15 PHC B 22 21 CHOW 7/31/16: Level 35/35. Final Requested

001004401 NF n/a 09/01/15 NE

001004408 PHC 3 09/01/15 PHC B 7 33 PHC P & PHC NP levels supported by RFR result

001004411 NF n/a 09/01/15 NE

001004414 PHC 11 09/01/15 PHC B 24 28

001004430 NF n/a 09/01/15 7

001004432 NF n/a 09/01/15 7

001004434 PHC 8 09/01/15 PHC B 32 32

001004439 NF n/a 09/01/15 13

001004440 NF n/a 09/01/15 13

001004442 NF n/a 09/01/15 7

001004444 NF n/a 09/01/15 18

001004445 NF n/a 09/01/15 8

001004448 NF n/a 09/01/15 13

001004449 NF n/a 09/01/15 13

001004450 NF n/a 09/01/15 18

001004452 NF n/a 09/01/15 18

001004453 NF n/a 09/01/15 13

001004468 NF n/a 09/01/15 NE

001004469 NF n/a 09/01/15 NE

001004482 NF n/a 09/01/15 2

001004487 NF n/a 09/01/15 NE

001004488 NF n/a 09/01/15 NE

001004489 NF n/a 09/01/15 5

001004504 PHC 9 09/01/15 NE

001004515 NF n/a 09/01/15 NE

001004520 NF n/a 09/01/15 7

001004521 NF n/a 09/01/15 3

001004523 DAHS 11 09/01/15 35

001004526 NF n/a 09/01/15 6

001004533 PHC 6 09/01/15 PHC B 35 35

001004542 DAHS 8 09/01/15 25

001004545 PHC 11 09/01/15 PHC B 35 35

001004547 PHC 6 09/01/15 PHC NP NE 21

001004548 NF n/a 09/01/15 13

001004554 DAHS 4 09/01/15 35

001004559 PHC 6 09/01/15 PHC B 15 10

001004578 DAHS 8 09/01/15 35

001004628 PHC 4 09/01/15 PHC P 23 NE

001004638 NF n/a 09/01/15 10

001004643 NF n/a 09/01/15 NE

001004652 DAHS 11 09/01/15 35

001004655 NF n/a 09/01/15 10

001004765 DAHS 8 09/01/15 35 Level supported by RFR result

001004778 NF n/a 09/01/15 14

001004780 PHC 6 09/01/15 PHC B 34 34

001004786 DAHS 11 09/01/15 35

001004787 DAHS 11 09/01/15 35 Level supported by RFR result

001004795 NF n/a 09/01/15 23

001004797 PHC 6 09/01/15 PHC B 20 20

001004798 NF n/a 09/01/15 13

001004816 NF n/a 09/01/15 6

001004826 NF n/a 09/01/15 6

001004827 NF n/a 09/01/15 6

001004844 PHC 6 09/01/15 PHC B 35 35

001004847 NF n/a 09/01/15 5

001004849 NF n/a 09/01/15 NE

001004850 NF n/a 09/01/15 20 Level supported by RFR result

001004851 NF n/a 09/01/15 NE

001004852 NF n/a 09/01/15 10

001004854 NF n/a 09/01/15 NE

001004855 NF n/a 09/01/15 NE

001004856 PHC 3 09/01/15 PHC B 22 22

001004858 NF n/a 09/01/15 NE

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001004859 NF n/a 09/01/15 NE

001004860 NF n/a 09/01/15 13

001004861 NF n/a 09/01/15 6

001004862 NF n/a 09/01/15 NE

001004863 NF n/a 09/01/15 3

001004864 PHC 6 09/01/15 PHC B 35 35

001004865 NF n/a 09/01/15 5

001004868 RC 6 09/01/15 NE

001004869 NF n/a 09/01/15 NE

001004870 PHC 11 09/01/15 PHC B 6 23

001004871 NF n/a 09/01/15 NE

001004873 NF n/a 09/01/15 NE

001004874 NF n/a 09/01/15 NE

001004875 NF n/a 09/01/15 6

001004876 NF n/a 09/01/15 NE

001004877 NF n/a 09/01/15 NE

001004879 NF n/a 09/01/15 NE

001004880 NF n/a 09/01/15 4

001004889 PHC 7 09/01/15 PHC NP NE 10

001007560 NF n/a 09/01/15 7

001012007 NF n/a 09/01/15 13

001012012 PHC 3 09/01/15 PHC NP NE 11

001012021 PHC 3 09/01/15 PHC B 30 30

001012023 PHC 11 09/01/15 PHC B 35 35

001012024 RC 7 09/01/15 NE

001012026 PHC 8 09/01/15 PHC B 35 35

001012035 PHC 8 09/01/15 NE

001012043 PHC 6 09/01/15 PHC B 35 35

001012062 PHC 5 09/01/15 PHC B 9 18

001012068 NF n/a 09/01/15 NE

001012071 NF n/a 09/01/15 7

001012079 NF n/a 09/01/15 13

001012080 DAHS 6 09/01/15 NE

001012092 PHC 3 09/01/15 PHC B 35 35 Non-Priority level supported by RFR result

001012112 DAHS 7 09/01/15 NE

001012121 DAHS 11 09/01/15 16

001012149 PHC 6 09/01/15 PHC NP NE 20

001012175 NF n/a 09/01/15 7

001012181 RC 3 01/01/16 NE WP eff 1/1/16: Level 35 Final Requested

001012183 PHC 3 09/01/15 PHC NP NE 8

001012195 PHC 3 09/01/15 NE

001012202 NF n/a 09/01/15 CHOW to 001027326 12/14/15 Level 3 Final requested.

001012208 PHC 6 09/01/15 PHC P 23 NE

001012218 NF n/a 09/01/15 27

001012222 RC 6 10/20/15 Terminated 10/15/19: Level NE

001012229 NF n/a 09/01/15 NE

001012235 NF n/a 09/01/15 4

001012240 DAHS 11 09/01/15 NE

001012256 DAHS 8 09/01/15 35

001012267 NF n/a 09/01/15 CHOW to 001027382 12/31/15. Level 27 Final Requested

001012272 PHC 6 09/01/15 PHC B 27 27

001012287 PHC 11 09/01/15 PHC B 35 35

001012308 NF n/a 09/01/15 27

001012329 DAHS 11 09/01/15 17

001012331 RC 3 09/01/15 NE

001012353 PHC 3 09/01/15 PHC B 35 35

001012355 PHC 3 09/01/15 PHC B 35 35

001012374 PHC 6 04/15/16 Terminated 10/31/15: Level 23/13 Final Requested

001012386 PHC 11 09/01/15 PHC B 30 30

001012395 PHC 8 09/01/15 PHC B 35 35

001012397 PHC 11 09/01/15 PHC B 35 35

001012417 DAHS 10 09/01/15 19

001012427 PHC 6 09/01/15 PHC B 35 35

001012429 PHC 7 09/01/15 PHC B 35 35

001012436 PHC 6 09/01/15 PHC NP NE 35

001012460 PHC 7 09/01/15 PHC B 8 35 Priority level supported by RFR result

001012462 PHC 11 09/01/15 PHC B 35 35

001012468 PHC 8 09/01/15 PHC NP NE 35

001012471 NF n/a 09/01/15 7

001012485 DAHS 2 09/01/15 NE

001012508 DAHS 11 09/01/15 35

001012527 PHC 3 09/01/15 PHC B 6 23

001012533 DAHS 11 09/01/15 2

001012535 DAHS 8 09/01/15 NE

001012540 PHC 11 09/01/15 PHC B 35 35

001012541 PHC 6 09/01/15 PHC B 35 35

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001012552 PHC 11 09/01/15 PHC B 35 35

001012576 PHC 8 09/01/15 PHC B 31 31

001012612 DAHS 11 09/01/15 NE

001012616 DAHS 3 09/01/15 NE

001012623 PHC 3 09/01/15 PHC B 35 21

001012625 DAHS 10 09/01/15 18

001012637 DAHS 11 09/01/15 35 Level supported by RFR result

001012642 DAHS 8 09/01/15 17

001012650 PHC 11 09/01/15 PHC B 35 35

001012651 NF n/a 09/01/15 16

001012662 PHC 11 09/01/15 PHC B 35 35

001012665 NF n/a 03/21/16 CHOW 2/11/16: Level 3 Final Requested

001012666 PHC 3 09/01/15 PHC B 29 22 Non-Priority level supported by RFR result

001012685 PHC 6 09/01/15 PHC B 35 35 Non-Priority level supported by RFR result

001012689 DAHS 11 09/01/15 35

001012714 PHC 3 09/01/15 PHC B 25 25

001012741 PHC 6 09/01/15 NE

001012751 DAHS 11 09/01/15 35

001012764 PHC 6 09/01/15 PHC B 30 30

001012792 PHC 6 09/01/15 PHC B 35 35

001012813 PHC 11 09/01/15 PHC NP NE 35

001012814 PHC 6 09/01/15 PHC B 33 33

001012869 NF n/a 06/07/16 CHOW 4/30/16: Level 14 Final Requested

001012874 NF n/a 05/17/16 CHOW 4/30/16: Level 6 Final Requested

001012877 DAHS 11 09/01/15 22 Level supported by RFR result

001012879 PHC 6 09/01/15 NE

001012894 PHC 11 09/01/15 PHC B 31 31

001012896 NF n/a 05/18/16 CHOW 4/30/16: Level 7 Final Requested

001012908 NF n/a 09/01/15 2

001012921 NF n/a 09/01/15 25

001012926 PHC 6 09/01/15 NE

001012928 NF n/a 09/01/15 7

001012930 NF n/a 09/01/15 13

001012932 NF n/a 09/01/15 11

001012939 PHC 6 09/01/15 PHC B 35 35

001012947 PHC 6 09/01/15 PHC B 35 35

001012953 NF n/a 09/01/15 20 Level supported by RFR result

001012954 NF n/a 09/01/15 23

001013030 NF n/a 09/01/15 23

001013031 NF n/a 09/01/15 17

001013032 DAHS 11 09/01/15 31

001013033 NF n/a 09/01/15 21

001013036 NF n/a 06/07/16 CHOW 5/31/16: Level 27 Final Requested

001013038 NF n/a 09/01/15 27

001013049 PHC 6 09/01/15 PHC B 35 35

001013055 DAHS 8 09/01/15 35

001013066 PHC 6 09/01/15 PHC B 20 19

001013073 PHC 3 09/01/15 PHC B 35 35

001013077 PHC 3 09/01/15 PHC B 30 30

001013118 PHC 3 09/01/15 PHC B 35 35

001013122 PHC 6 09/01/15 PHC B 35 35

001013128 DAHS 11 09/01/15 3 Level supported by RFR result

001013129 PHC 11 09/01/15 PHC B 35 35

001013140 RC 3 09/01/15 NE

001013155 PHC 3 09/01/15 PHC B 35 35

001013158 DAHS 11 09/01/15 19 Level supported by RFR result

001013166 PHC 3 09/01/15 PHC B 35 35

001013181 PHC 6 09/01/15 PHC NP NE 30

001013188 NF n/a 09/01/15 21

001013204 DAHS 11 09/01/15 17

001013205 PHC 3 09/01/15 PHC NP NE 20 Non-Priority level supported by RFR result

001013209 DAHS 11 09/01/15 NE

001013211 DAHS 4 09/01/15 21

001013226 DAHS 11 09/01/15 NE

001013249 PHC 6 09/01/15 PHC B 35 35

001013251 PHC 3 09/01/15 PHC B 35 19 Non-Priority level supported by RFR result

001013262 NF n/a 09/01/15 6

001013278 PHC 6 09/01/15 PHC B 29 15

001013292 DAHS 8 09/01/15 35

001013298 PHC 3 09/01/15 PHC B 35 35

001013301 PHC 6 09/01/15 PHC NP NE 23 PHC P & PHC NP levels supported by RFR result

001013304 PHC 11 09/01/15 PHC B 35 35

001013313 PHC 6 09/01/15 PHC B 35 35

001013318 PHC 6 09/01/15 PHC B 35 35

001013320 PHC 9 09/01/15 PHC B 12 35 Priority level supported by RFR result

001013345 NF n/a 09/01/15 7

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001013347 NF n/a 09/01/15 NE

001013349 NF n/a 09/01/15 7

001013353 NF n/a 09/01/15 11

001013354 NF n/a 09/01/15 27

001013355 NF n/a 09/01/15 7

001013358 NF n/a 11/04/15 CHOW 10/21/15: Level NE

001013378 DAHS 11 09/01/15 25

001013388 NF n/a 09/01/15 6

001013389 PHC 3 09/01/15 PHC B 35 35

001013396 NF n/a 02/01/16 CHOW 10/28/15: Level NE

001013398 NF n/a 09/01/15 3

001013399 PHC 6 09/01/15 PHC B 20 20

001013401 NF n/a 09/01/15 21

001013407 NF n/a 09/01/15 7

001013408 NF n/a 09/01/15 18

001013409 DAHS 3 09/01/15 35

001013410 NF n/a 09/01/15 27

001013431 DAHS 11 09/01/15 35

001013454 NF n/a 09/01/15 7

001013455 NF n/a 09/01/15 7

001013456 NF n/a 09/01/15 7

001013457 NF n/a 09/01/15 7

001013458 NF n/a 09/01/15 13

001013462 NF n/a 09/01/15 15

001013475 PHC 6 09/01/15 PHC B 35 35

001013488 PHC 6 09/01/15 PHC B 29 29

001013490 PHC 6 09/01/15 PHC B 35 35

001013502 DAHS 11 09/01/15 23

001013506 PHC 6 09/01/15 PHC B 31 35 Priority level supported by RFR result

001013514 NF n/a 09/01/15 NE

001013528 NF n/a 09/01/15 7 Level supported by RFR result

001013529 NF n/a 09/01/15 23

001013530 NF n/a 09/01/15 13 Level supported by RFR result

001013535 NF n/a 09/01/15 7

001013536 NF n/a 09/01/15 7

001013537 NF n/a 09/01/15 NE

001013538 NF n/a 09/01/15 7

001013540 NF n/a 09/01/15 6 Level supported by RFR result

001013541 PHC 6 09/01/15 PHC B 35 35

001013545 PHC 10 09/01/15 PHC B 30 23 Non-Priority level supported by RFR result

001013561 PHC 6 09/01/15 PHC B 35 35

001013562 NF n/a 09/01/15 9

001013564 NF n/a 09/01/15 7

001013568 NF n/a 09/01/15 6

001013569 NF n/a 07/06/16 CHOW 4/30/16: Level 7 Final Requested

001013577 PHC 3 09/01/15 PHC B 33 33

001013589 DAHS 11 09/01/15 31

001013599 PHC 6 09/01/15 PHC B 35 35

001013604 PHC 11 09/01/15 PHC B 35 34 Non-Priority level supported by RFR result

001013606 PHC 11 09/01/15 PHC B 20 20

001013621 PHC 8 09/01/15 PHC B 35 35 PHC P & PHC NP levels supported by RFR result

001013639 NF n/a 09/01/15 7

001013661 PHC 7 09/01/15 PHC B 17 35

001013684 NF n/a 09/01/15 7

001013701 DAHS 11 09/01/15 NE

001013704 DAHS 11 09/01/15 NE

001013707 DAHS 11 09/01/15 NE

001013717 NF n/a 09/01/15 9

001013737 RC 4 09/01/15 NE

001013738 NF n/a 03/01/16 CHOW 2/21/16: Level NE

001013739 PHC 3 09/01/15 PHC B 35 35

001013742 PHC 11 09/01/15 PHC B 35 35

001013743 PHC 3 09/01/15 NE

001013766 NF n/a 09/01/15 3

001013784 DAHS 11 09/01/15 13

001013801 PHC 3 09/01/15 PHC B 31 14 Non-Priority level supported by RFR result

001013808 PHC 3 09/01/15 PHC B 31 8

001013809 PHC 6 09/01/15 PHC B 35 35

001013820 PHC 3 09/01/15 PHC B 35 35

001013829 PHC 6 02/12/16 Term 12/31/15 level 35/35. Final Requested

001013836 DAHS 11 09/01/15 NE

001013842 PHC 6 09/01/15 PHC B 31 31

001013849 PHC 11 09/01/15 PHC B 35 35

001013853 NF n/a 09/01/15 10

001013854 NF n/a 09/01/15 NE

001013873 NF n/a 09/01/15 16

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001013877 PHC 8 09/01/15 PHC B 35 35

001013899 PHC 8 09/01/15 PHC B 8 28

001013905 NF n/a 09/01/15 27

001013906 PHC 3 09/01/15 PHC B 35 35

001013942 PHC 3 09/01/15 PHC B 35 25 Non-Priority level supported by RFR result

001013943 PHC 3 09/01/15 PHC NP NE 35

001013958 PHC 3 09/01/15 PHC B 29 20

001013968 PHC 11 09/01/15 PHC B 35 35

001013979 NF n/a 09/01/15 14

001013980 NF n/a 09/01/15 6

001014027 NF n/a 09/01/15 18

001014031 PHC 8 09/01/15 PHC B 35 35

001014036 PHC 6 09/01/15 PHC B 23 31

001014049 PHC 6 09/01/15 PHC B 35 35

001014054 PHC 3 09/01/15 PHC B 35 35

001014059 PHC 3 09/01/15 PHC B 35 35

001014061 RC 6 09/01/15 NE

001014062 NF n/a 09/01/15 27

001014071 NF n/a 10/23/15 CHOW 9/30/15: Level 13 Final Requested

001014088 NF n/a 10/21/15 CHOW 9/30/15 to 001027232: Level 20 Final Requested

001014092 PHC 3 09/01/15 PHC B 35 35

001014094 DAHS 3 09/01/15 35

001014109 PHC 3 09/01/15 PHC B 35 35

001014116 PHC 1 09/01/15 PHC B 30 30

001014118 PHC 9 09/01/15 PHC B 30 30

001014123 PHC 6 09/01/15 PHC B 35 35

001014143 NF n/a 09/01/15 22 Level supported by RFR result

001014146 PHC 8 09/01/15 PHC B 35 35

001014152 PHC 3 09/01/15 PHC B 8 35 Priority level supported by RFR result

001014154 PHC 3 09/01/15 NE

001014165 PHC 8 09/01/15 PHC B 31 31

001014167 PHC 11 09/01/15 PHC B 31 31

001014197 PHC 3 09/01/15 PHC B 35 35

001014204 PHC 6 09/01/15 PHC B 35 31 Non-Priority level supported by RFR result

001014208 NF n/a 09/01/15 6

001014209 DAHS 11 09/01/15 NE

001014214 PHC 3 09/01/15 PHC B 5 25

001014225 PHC 9 09/01/15 NE

001014242 NF n/a 09/01/15 17 Level supported by RFR result

001014243 NF n/a 09/01/15 16

001014246 DAHS 11 09/01/15 35

001014247 NF n/a 09/01/15 13

001014258 PHC 11 09/01/15 PHC B 35 35

001014270 DAHS 10 09/01/15 12

001014274 PHC 3 09/01/15 PHC NP NE 12

001014279 PHC 6 09/01/15 PHC B 35 35

001014281 PHC 6 09/01/15 PHC B 35 35

001014284 DAHS 11 09/01/15 35

001014300 NF n/a 09/01/15 15

001014306 RC 11 09/01/15 35

001014307 NF n/a 09/01/15 27

001014313 PHC 11 09/01/15 PHC B 35 35

001014316 PHC 6 09/01/15 PHC B 35 35

001014327 DAHS 11 09/01/15 31

001014329 DAHS 11 09/01/15 35

001014344 NF n/a 09/01/15 7

001014345 NF n/a 09/01/15 7

001014346 NF n/a 09/01/15 5 Level supported by RFR result

001014349 NF n/a 09/01/15 9

001014377 NF n/a 09/01/15 NE

001014378 NF n/a 09/01/15 7

001014379 NF n/a 09/01/15 NE

001014380 NF n/a 09/01/15 3

001014386 PHC 8 05/11/16 Terminated 4/20/16: Level NP 29 Final Requested

001014413 PHC 6 09/01/15 PHC B 8 12

001014425 NF n/a 09/01/15 1

001014428 NF n/a 09/01/15 7

001014458 NF n/a 05/17/16 CHOW 4/30/16: Level 6 Final Requested

001014465 NF n/a 09/01/15 NE

001014473 PHC 3 09/01/15 PHC B 20 20

001014474 PHC 10 09/01/15 PHC B 10 10

001014475 PHC 6 09/01/15 PHC B 35 35 Priority level supported by RFR result

001014479 NF n/a 09/01/15 13

001014485 NF n/a 09/01/15 6

001014494 NF n/a 09/01/15 7

001014497 DAHS 11 09/01/15 35 Level supported by RFR result

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001014503 PHC 11 09/01/15 PHC B 35 34 Non-Priority level supported by RFR result

001014519 NF n/a 09/01/15 7

001014520 PHC 6 09/01/15 PHC B 32 31 Priority level supported by RFR result

001014524 RC 3 09/01/15 1

001014539 PHC 3 09/01/15 PHC B 35 35

001014542 PHC 6 09/01/15 PHC B 35 35

001014558 PHC 6 09/01/15 PHC B 35 35

001014571 PHC 10 09/01/15 PHC B 35 35

001014580 DAHS 11 09/01/15 31

001014581 PHC 6 09/01/15 PHC B 35 35

001014583 PHC 3 09/01/15 PHC B 35 35

001014594 PHC 6 09/01/15 NE

001014598 NF n/a 09/01/15 27

001014602 NF n/a 09/01/15 18

001014603 NF n/a 09/01/15 NE

001014607 NF n/a 09/01/15 27

001014608 PHC 6 09/01/15 PHC B 35 35

001014613 NF n/a 09/01/15 5 Level supported by RFR result

001014615 NF n/a 09/01/15 10

001014616 NF n/a 09/01/15 22

001014617 NF n/a 09/01/15 7 Level supported by RFR result

001014618 PHC 9 09/01/15 PHC B 35 35

001014628 PHC 3 09/01/15 NE

001014629 PHC 11 09/01/15 PHC B 35 35

001014632 PHC 3 09/01/15 PHC NP NE 16

001014647 NF n/a 09/01/15 13

001014648 NF n/a 09/01/15 7

001014658 DAHS 11 09/01/15 35

001014663 PHC 3 09/01/15 PHC B 29 29

001014666 DAHS 11 09/01/15 35

001014669 PHC 6 09/01/15 NE

001014670 DAHS 8 09/01/15 35

001014674 PHC 11 09/01/15 PHC B 35 35

001014678 PHC 11 09/01/15 PHC B 27 33 Non-Priority level supported by RFR result

001014681 PHC 6 09/01/15 NE

001014682 DAHS 11 09/01/15 12

001014685 PHC 6 09/01/15 PHC B 35 35

001014686 PHC 3 09/01/15 PHC B 35 35

001014693 PHC 6 09/01/15 NE

001014699 NF n/a 09/01/15 7 Level supported by RFR result

001014716 NF n/a 09/01/15 7

001014728 RC 4 02/22/16 Terminated 7/31/14: Level NE

001014734 NF n/a 09/01/15 6

001014736 NF n/a 09/01/15 24

001014737 NF n/a 09/01/15 NE

001014740 RC 4 09/01/15 1

001014741 NF n/a 09/01/15 1

001014755 PHC 6 09/01/15 PHC NP NE 29

001014756 DAHS 8 09/01/15 35

001014758 PHC 3 09/01/15 PHC B 35 35

001014774 NF n/a 09/01/15 7

001014787 NF n/a 09/01/15 27

001014790 CLASS 3 09/01/15 35

001014798 PHC 3 09/01/15 PHC B 31 31

001014802 DAHS 11 09/01/15 35

001014804 DAHS 3 09/01/15 NE

001014807 PHC 3 09/01/15 PHC B 31 31

001014815 NF n/a 09/01/15 27

001014816 NF n/a 09/01/15 23

001014820 PHC 6 09/01/15 PHC B 1 35

001014828 PHC 6 09/01/15 PHC B 17 35

001014839 DAHS 11 09/01/15 29

001014843 PHC 11 09/01/15 PHC B 35 35

001014859 PHC 6 09/01/15 PHC P 23 NE

001014860 PHC 7 09/01/15 NE

001014880 PHC 5 09/01/15 PHC B 35 35

001014911 NF n/a 09/01/15 1

001014913 DAHS 3 09/01/15 25

001014921 PHC 6 09/01/15 NE

001014932 DAHS 10 09/01/15 35 Level supported by RFR result

001014943 NF n/a 09/01/15 6

001014949 NF n/a 09/01/15 7

001014952 NF n/a 09/01/15 6

001014955 NF n/a 09/01/15 7

001014963 PHC 7 09/01/15 PHC B 35 35

001014972 PHC 11 09/01/15 PHC B 35 35

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001014979 PHC 11 09/01/15 PHC B 35 35

001014981 NF n/a 09/01/15 6

001014992 NF n/a 09/01/15 3 Level supported by RFR result

001014994 NF n/a 09/01/15 6

001014995 PHC 11 09/01/15 PHC B 35 35

001015013 DAHS 11 09/01/15 30

001015021 NF n/a 05/24/16 CHOW 4/30/16: Level 7 Final Requested

001015028 PHC 3 09/01/15 PHC NP NE 29

001015041 PHC 3 09/01/15 PHC B 29 15

001015050 NF n/a 09/01/15 7

001015052 NF n/a 09/01/15 19

001015066 PHC 3 09/01/15 NE

001015091 PHC 11 09/01/15 PHC B 32 32

001015092 PHC 11 09/01/15 PHC B 35 35

001015097 PHC 3 09/01/15 PHC B 35 33 Non-Priority level supported by RFR result

001015099 DAHS 11 09/01/15 NE

001015107 DAHS 11 09/01/15 35

001015112 DAHS 11 09/01/15 5

001015113 PHC 11 09/01/15 PHC B 35 35

001015116 NF n/a 09/01/15 7

001015118 NF n/a 09/01/15 NE

001015122 PHC 11 09/01/15 PHC B 35 35

001015125 NF n/a 09/01/15 7

001015130 PHC 6 09/01/15 NE

001015135 NF n/a 09/01/15 13

001015146 PHC 11 09/01/15 PHC B 35 35

001015147 NF n/a 09/01/15 13

001015148 NF n/a 06/10/16 CHOW 4/3/16 to 001027726: Level 13 Final Requested

001015186 NF n/a 09/01/15 13

001015187 NF n/a 09/01/15 13

001015188 NF n/a 09/01/15 15 Level supported by RFR result

001015191 PHC 6 09/01/15 PHC NP NE 9

001015193 NF n/a 09/01/15 CHOW 12/30/15 : Level 23 Final Requested

001015194 NF n/a 09/01/15 16

001015195 NF n/a 09/01/15 13 Level supported by RFR result

001015196 NF n/a 09/01/15 27

001015197 NF n/a 09/01/15 27

001015200 NF n/a 09/01/15 17

001015205 DAHS 11 09/01/15 25

001015207 NF n/a 09/01/15 6

001015208 NF n/a 09/01/15 25

001015211 PHC 3 09/01/15 PHC B 5 20

001015212 NF n/a 09/01/15 17

001015214 DAHS 8 09/01/15 23

001015215 NF n/a 09/01/15 14

001015228 NF n/a 09/01/15 13

001015229 NF n/a 09/01/15 13

001015230 NF n/a 09/01/15 13

001015231 NF n/a 09/01/15 27

001015232 PHC 6 09/01/15 PHC B 35 35

001015247 DAHS 11 09/01/15 NE

001015252 RC 4 09/01/15 23

001015254 RC 4 09/01/15 23

001015256 RC 4 09/01/15 23

001015258 RC 4 09/01/15 23

001015261 PHC 4 09/01/15 PHC B 35 35

001015263 PHC 7 09/01/15 PHC B 35 35

001015265 PHC 9 09/01/15 PHC B 35 35

001015279 PHC 11 09/01/15 PHC B 35 35

001015285 PHC 2 10/15/15 Terminated 8/31/15: Level 31/31 Final Requested

001015287 PHC 3 10/15/15 Terminated 8/31/15: Level 31/31 Final Requested

001015294 PHC 11 09/01/15 PHC B 35 35

001015296 NF n/a 09/01/15 7

001015299 PHC 6 09/01/15 PHC B 35 35 PHC P & PHC NP levels supported by RFR result

001015307 PHC 11 09/01/15 PHC B 35 35

001015317 PHC 3 09/01/15 PHC B 8 3

001015321 PHC 11 09/01/15 PHC B 35 35

001015325 PHC 6 09/01/15 PHC B 35 35

001015326 PHC 11 09/01/15 PHC B 35 35

001015335 DAHS 11 09/01/15 23

001015340 NF n/a 09/01/15 NE

001015346 PHC 11 09/01/15 PHC B 10 35

001015347 DAHS 3 09/01/15 35

001015356 PHC 11 09/01/15 PHC B 35 35

001015363 PHC 6 09/01/15 PHC B 7 7

001015365 PHC 6 09/01/15 PHC B 35 35

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001015370 DAHS 3 09/01/15 NE

001015371 NF n/a 09/01/15 10

001015372 NF n/a 09/01/15 27

001015375 PHC 11 09/01/15 PHC NP NE 17

001015376 NF n/a 09/01/15 7

001015377 NF n/a 02/12/16 CHOW 1/18/16 : Level 13 Final Requested.

001015378 NF n/a 09/01/15 13

001015380 NF n/a 03/09/16 CHOW 1/18/16: Level 27 Final Requested

001015382 NF n/a 02/12/16 CHOW 1/18/16 : Level 13 Final Requested.

001015383 PHC 8 09/01/15 PHC B 35 35

001015385 NF n/a 01/13/16 CHOW 12/31/15 : Level 13 Final Requested

001015387 NF n/a 09/01/15 27

001015390 NF n/a 01/15/16 CHOW 11/30/15: Level 7 Final Requested

001015392 NF n/a 09/01/15 27

001015393 PHC 11 09/01/15 PHC B 35 35

001015394 NF n/a 09/01/15 27

001015396 NF n/a 01/13/16 CHOW 12/31/15 to 001027380: Level 13 Final Requested

001015398 NF n/a 09/01/15 25

001015399 NF n/a 01/05/16 CHOW 11/30/15 to 001027269: Level 13 Final Requested

001015400 NF n/a 09/01/15 25

001015403 PHC 11 09/01/15 PHC B 31 31

001015421 DAHS 11 09/01/15 20

001015427 PHC 6 09/01/15 NE

001015430 DAHS 10 09/01/15 35

001015433 PHC 11 09/01/15 PHC B 35 35

001015436 PHC 6 09/01/15 PHC B 22 19

001015440 PHC 11 09/01/15 PHC B 35 35

001015557 PHC 8 09/01/15 PHC B 10 31 PHC P & PHC NP levels supported by RFR result

001015563 NF n/a 09/01/15 NE

001015664 PHC 11 09/01/15 PHC B 35 35

001015682 NF n/a 09/01/15 3

001015690 NF n/a 09/01/15 6

001015714 PHC 6 09/01/15 PHC B 35 35

001015727 PHC 3 09/01/15 PHC B 35 35

001015753 RC 1 09/01/15 NE

001015812 PHC 11 09/01/15 PHC B 35 35

001015815 PHC 6 09/01/15 PHC B 35 35

001015819 DAHS 11 03/03/16 Terminated 2/25/16: level 2 Final Requested

001015833 CLASS 1 09/01/15 35

001015834 CLASS 2 09/01/15 35

001015836 CLASS 3 09/01/15 35

001015837 CLASS 9 09/01/15 35

001015839 CLASS 2 09/01/15 35

001015842 CLASS 11 09/01/15 35

001015843 CLASS 8 09/01/15 35

001015845 CLASS 7 09/01/15 35

001015846 CLASS 3 09/01/15 35

001015847 CLASS 11 09/01/15 35

001015848 CLASS 3 09/01/15 35

001015849 CLASS 4 09/01/15 35

001015850 CLASS 5 09/01/15 35

001015851 CLASS 9 09/01/15 35

001015852 CLASS 8 09/01/15 35

001015853 CLASS 7 09/01/15 35

001015857 CLASS 6 09/01/15 35

001015862 RC 4 09/01/15 NE

001015868 NF n/a 09/01/15 13

001015874 NF n/a 09/01/15 6 Level supported by RFR result

001015876 CLASS 6 09/01/15 35

001015877 DAHS 11 09/01/15 31

001015878 CLASS 1 09/01/15 35

001015879 CLASS 1 09/01/15 35

001015881 CLASS 6 09/01/15 35

001015882 CLASS 1 09/01/15 35

001015883 CLASS 8 09/01/15 35

001015884 DAHS 11 09/01/15 28 Level supported by RFR result

001015895 CLASS 7 09/01/15 35

001015903 RC 6 09/01/15 3 Level supported by RFR result

001015908 PHC 8 09/01/15 PHC B 23 31

001015911 PHC 11 09/01/15 PHC B 23 31

001015915 PHC 6 09/01/15 PHC B 35 35

001015917 NF n/a 09/01/15 7

001015922 PHC 6 09/01/15 PHC B 23 7

001015923 CLASS 6 09/01/15 29

001015924 CLASS 8 09/01/15 29

001015928 CLASS 11 09/01/15 35

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001015929 CLASS 3 09/01/15 35

001015932 PHC 6 09/01/15 PHC B 31 31

001015933 DAHS 11 09/01/15 3

001015939 CLASS 11 09/01/15 35

001015950 PHC 3 09/01/15 PHC NP NE 19 Non-Priority level supported by RFR result

001015965 PHC 11 06/07/16 Terminated 5/15/16: Level 31/31 Final Requested

001015975 PHC 6 09/01/15 PHC B 3 35

001015998 NF n/a 09/01/15 6

001016005 PHC 6 09/01/15 PHC NP NE 31 PHC P & PHC NP levels supported by RFR result

001016006 NF n/a 09/01/15 6

001016012 PHC 11 07/06/16 Terminated 6/30/16: Level 19/25 Final Requested

001016043 NF n/a 09/01/15 21 Level supported by IR

001016048 RC 3 09/01/15 NE

001016057 DAHS 11 09/01/15 35

001016066 DAHS 11 09/01/15 35

001016069 NF n/a 03/22/16 CHOW 2/29/16: Level 13 Final Requested

001016085 NF n/a 09/01/15 7

001016092 PHC 11 09/01/15 PHC B 35 35

001016094 PHC 11 09/13/16 Terminated 8/31/16: Level 23/23 Final Requested

001016103 NF n/a 09/01/15 7

001016106 DAHS 11 09/01/15 31

001016107 PHC 6 09/01/15 PHC P 30 NE

001016117 NF n/a 09/01/15 6

001016119 NF n/a 09/01/15 7

001016121 CLASS 6 09/01/15 27

001016124 PHC 6 09/01/15 PHC B 31 35

001016127 NF n/a 09/01/15 NE

001016149 PHC 11 09/01/15 PHC B 35 35

001016152 NF n/a 09/01/15 7

001016153 PHC 11 09/01/15 PHC B 35 35

001016156 NF n/a 09/01/15 7

001016157 NF n/a 09/01/15 6

001016172 RC 3 09/01/15 NE

001016175 RC 4 09/01/15 23

001016182 PHC 11 09/01/15 PHC B 24 35

001016187 PHC 6 09/01/15 PHC B 35 35

001016188 CLASS 1 09/01/15 35

001016197 RC 7 09/01/15 NE

001016199 NF n/a 09/01/15 10

001016216 PHC 11 09/01/15 PHC B 35 35

001016217 NF n/a 09/01/15 7

001016219 DAHS 11 09/01/15 35

001016225 PHC 6 09/01/15 PHC B 35 35

001016231 PHC 1 09/01/15 PHC B 35 35

001016233 PHC 2 09/01/15 PHC B 35 35

001016235 PHC 3 09/01/15 PHC B 35 35

001016237 PHC 4 09/01/15 PHC B 35 35

001016239 PHC 5 09/01/15 PHC B 35 35

001016241 PHC 6 09/01/15 PHC B 35 35

001016243 PHC 7 09/01/15 PHC B 35 35

001016245 PHC 8 09/01/15 PHC B 35 35

001016247 PHC 9 09/01/15 PHC B 35 35

001016249 PHC 10 09/01/15 PHC B 35 35

001016251 PHC 11 09/01/15 PHC B 35 35

001016260 PHC 9 09/01/15 PHC B 33 33

001016265 NF n/a 09/01/15 7

001016266 PHC 3 09/01/15 PHC B 35 35

001016270 DAHS 11 09/01/15 31

001016271 DAHS 3 09/01/15 35

001016273 RC 2 03/30/17 CHOW 6/14/16 to 001027700: Level 16 Final Requested

001016289 DAHS 11 09/01/15 35

001016297 NF n/a 09/01/15 7

001016298 PHC 11 09/01/15 PHC B 35 35

001016299 PHC 11 09/01/15 PHC B 35 35

001016302 NF n/a 10/27/15 CHOW 9/24/15 to 001027217: Level 6 Final Requested

001016307 PHC 11 09/01/15 PHC NP NE 35

001016311 PHC 3 09/01/15 PHC NP NE 22

001016318 PHC 11 09/01/15 PHC B 35 35

001016320 DAHS 11 09/01/15 35

001016329 PHC 6 03/09/16 Terminated 3/7/16: Level 16/16 Final Requested

001016334 PHC 11 09/01/15 PHC B 35 35

001016341 PHC 11 09/01/15 PHC B 35 35

001016350 NF n/a 09/01/15 NE

001016351 NF n/a 09/01/15 NE

001016356 DAHS 11 09/01/15 35

001016360 DAHS 11 09/01/15 31

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001016369 PHC 6 09/01/15 PHC NP NE 16

001016370 NF n/a 09/01/15 6

001016371 NF n/a 09/01/15 NE

001016372 PHC 6 09/01/15 PHC B 27 27

001016374 DB_MD 4 10/27/15 Terminated 10/6/15: Level NE

001016376 DAHS 11 09/01/15 35

001016378 PHC 3 09/01/15 PHC B 31 31

001016387 PHC 6 09/01/15 PHC B 35 35

001016389 DAHS 7 09/01/15 29

001016415 DAHS 11 09/01/15 23

001016426 CLASS 11 09/01/15 31

001016429 NF n/a 09/01/15 NE

001016433 DAHS 11 09/01/15 35

001016444 NF n/a 09/01/15 NE

001016445 DB_MD 8 09/01/15 NE

001016446 DB_MD 8 09/01/15 35

001016447 DB_MD 8 09/01/15 35

001016448 DB_MD 8 09/01/15 35

001016449 DB_MD 8 09/01/15 35

001016450 DB_MD 8 09/01/15 35

001016451 DB_MD 8 09/01/15 35

001016452 DB_MD 8 09/01/15 35

001016455 DAHS 11 09/01/15 35

001016457 PHC 10 09/01/15 PHC NP NE 31 PHC P & PHC NP levels supported by RFR result

001016458 NF n/a 09/01/15 27

001016466 PHC 11 09/01/15 PHC B 35 35

001016467 RC 3 09/01/15 29

001016470 DAHS 11 09/01/15 35

001016472 DAHS 11 09/01/15 11 Level supported by RFR result

001016475 RC 6 09/01/15 NE

001016477 NF n/a 09/01/15 6

001016491 DAHS 11 09/01/15 35 Level supported by RFR result

001016497 PHC 8 09/01/15 PHC B 23 23

001016507 PHC 8 09/01/15 PHC B 12 35

001016512 PHC 3 09/01/15 PHC P 20 NE

001016514 NF n/a 10/21/15 Terminated 9/30/15: Level 6 Final Requested

001016515 PHC 11 09/01/15 PHC B 35 35

001016534 DB_MD 3 09/01/15 NE

001016535 DAHS 11 09/01/15 34 Level supported by RFR result

001016537 CLASS 6 09/01/15 15

001016540 DB_MD 1 09/01/15 35

001016541 DB_MD 6 09/01/15 35

001016542 DB_MD 6 09/01/15 35

001016543 DAHS 11 09/01/15 3

001016546 CLASS 11 09/01/15 35

001016547 RC 3 09/01/15 NE

001016554 RC 3 09/01/15 NE

001016564 DB_MD 3 09/01/15 23

001016565 DB_MD 3 09/01/15 23

001016566 DB_MD 3 09/01/15 23

001016567 DB_MD 3 09/01/15 23

001016571 PHC 6 09/01/15 PHC NP NE 11

001016576 CLASS 11 09/01/15 31

001016577 NF n/a 09/01/15 NE

001016587 DB_MD 7 12/22/15 Terminated 12/1/15: Level NE

001016594 PHC 11 09/01/15 PHC B 35 35

001016604 RC 6 09/01/15 35

001016606 PHC 11 09/01/15 PHC B 31 31

001016642 NF n/a 09/01/15 3

001016648 PHC 3 09/01/15 PHC B 35 35

001016653 NF n/a 09/01/15 12

001016667 NF n/a 09/01/15 3

001016670 PHC 6 09/01/15 PHC B 35 35

001016678 NF n/a 09/01/15 4

001016679 NF n/a 09/01/15 3

001016680 NF n/a 09/01/15 4

001016706 NF n/a 09/01/15 6

001016708 PHC 3 09/01/15 PHC B 33 33

001016710 DAHS 11 12/08/15 CA to 001027064 11/30/15: Level 35 Final Requested

001016711 DB_MD 1 09/01/15 NE

001016712 DB_MD 2 09/01/15 NE

001016713 DB_MD 3 09/01/15 NE

001016714 DB_MD 7 09/01/15 NE

001016716 DB_MD 1 09/01/15 NE

001016717 DB_MD 3 09/01/15 NE

001016718 PHC 10 09/01/15 PHC B 29 29

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001016719 NF n/a 09/01/15 7

001016725 PHC 6 09/01/15 PHC B 35 35

001016727 NF n/a 11/04/15 CHOW 10/31/15: Level 7 Final Requested

001016728 NF n/a 01/21/16 CHOW 11/30/15: Level 7 to 001027318 Final Requested

001016810 DB_MD 6 09/01/15 NE

001016823 DAHS 11 09/01/15 21

001016837 PHC 3 09/01/15 PHC P 31 NE

001016839 PHC 6 09/01/15 PHC B 14 22

001016843 PHC 3 07/06/16 Terminated 6/30/16: Level 30/30 Final Requested

001016844 NF n/a 09/01/15 NE

001016855 PHC 3 09/01/15 PHC B 35 35

001016861 PHC 11 09/01/15 PHC B 35 35

001016868 CLASS 6 09/01/15 35 Level supported by RFR result

001016883 DAHS 11 09/01/15 35

001016898 CLASS 1 09/01/15 35

001016904 DAHS 11 09/01/15 35

001016908 NF n/a 09/01/15 27

001016910 DAHS 3 09/01/15 32

001016916 DAHS 11 09/01/15 35

001016926 NF n/a 09/01/15 NE

001016927 DAHS 11 09/01/15 25

001016938 NF n/a 09/01/15 1

001016939 NF n/a 09/01/15 NE

001016941 NF n/a 09/01/15 5

001016942 NF n/a 09/01/15 NE

001016943 NF n/a 09/01/15 NE

001016944 NF n/a 09/01/15 8

001016945 NF n/a 09/01/15 NE

001016955 NF n/a 09/01/15 15

001016956 NF n/a 09/01/15 6

001016957 NF n/a 09/01/15 NE

001016963 PHC 6 09/01/15 PHC NP NE 33 Non-Priority level supported by RFR result

001016965 NF n/a 09/01/15 NE

001016966 NF n/a 09/01/15 6

001016967 NF n/a 09/01/15 NE

001016969 PHC 11 09/01/15 PHC B 35 35

001016970 DAHS 11 09/01/15 24

001016973 PHC 9 09/01/15 PHC B 33 33

001016978 PHC 3 09/01/15 PHC B 29 31

001016992 PHC 11 09/01/15 PHC B 35 35

001016995 DAHS 11 09/01/15 35

001017004 PHC 6 09/01/15 PHC B 22 22

001017009 NF n/a 09/01/15 13 Level supported by RFR result

001017010 NF n/a 06/07/16 CHOW 4/30/16: Level 7 Final Requested

001017022 NF n/a 09/01/15 10 Level supported by RFR result

001017027 PHC 11 09/01/15 PHC B 35 35

001017030 DAHS 4 09/01/15 NE

001017031 PHC 6 09/01/15 PHC B 35 35

001017033 DAHS 11 09/01/15 16

001017037 CLASS 6 09/01/15 26

001017038 PHC 3 09/01/15 PHC B 31 27

001017041 PHC 6 09/01/15 PHC B 35 35

001017045 DAHS 11 09/01/15 31

001017060 PHC 3 05/11/16 Terminated 5/31/16: Level NE

001017078 DAHS 7 09/01/15 35

001017097 NF n/a 09/01/15 7

001017103 NF n/a 09/01/15 13

001017106 PHC 6 09/01/15 PHC B 22 13

001017107 CLASS 6 09/01/15 35

001017108 DAHS 11 09/01/15 29

001017110 DAHS 11 09/01/15 25

001017133 PHC 6 09/01/15 PHC B 15 21 Non-Priority level supported by RFR result

001017139 PHC 3 09/01/15 PHC B 31 15

001017142 PHC 3 09/01/15 PHC B 23 7

001017145 NF n/a 09/01/15 13

001017161 PHC 3 09/01/15 PHC B 23 16

001017171 DAHS 11 09/01/15 35

001017174 NF n/a 09/01/15 NE

001017181 PHC 3 09/01/15 PHC B 31 31

001017182 CLASS 7 09/01/15 18

001017183 PHC 4 09/01/15 PHC B 35 35

001017186 NF n/a 09/01/15 6

001017190 PHC 11 09/01/15 PHC B 4 31

001017193 DAHS 11 09/01/15 35

001017197 PHC 11 09/01/15 PHC B 35 35

001017199 DAHS 11 09/01/15 35

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001017206 PHC 6 09/01/15 PHC B 18 25

001017207 PHC 3 09/01/15 PHC B 23 20

001017208 NF n/a 09/01/15 7

001017210 DAHS 6 09/01/15 35

001017211 PHC 6 09/01/15 PHC B 24 24

001017217 DAHS 11 09/01/15 31

001017220 PHC 6 09/01/15 PHC NP NE 35

001017222 CLASS 6 09/01/15 NE

001017224 PHC 6 09/01/15 PHC B 29 21

001017225 PHC 11 09/01/15 PHC B 35 35

001017249 PHC 3 05/11/16 Terminated 4/30/16: Level P 29 Final Requested

001017367 PHC 3 09/01/15 PHC P 20

001017369 PHC 6 09/01/15 PHC B 23 8

001017479 DAHS 11 09/01/15 35 Level supported by RFR result

001017487 PHC 11 09/01/15 PHC B 35 35

001017529 CLASS 3 09/01/15 35

001017530 DB_MD 3 09/01/15 35

001017541 PHC 11 09/01/15 PHC B 35 35

001017559 DAHS 3 09/01/15 29

001017568 PHC 6 09/01/15 PHC B 35 35

001017574 PHC 11 09/01/15 PHC B 35 35

001017582 PHC 6 09/01/15 PHC B 29 24

001017585 CLASS 8 09/01/15 35

001017595 DAHS 11 09/01/15 35

001017598 DAHS 11 09/01/15 31

001017600 PHC 6 09/01/15 PHC B 15 23

001017605 PHC 3 09/01/15 PHC NP NE 7

001017615 PHC 6 09/01/15 PHC B 23 31

001017618 PHC 11 09/01/15 PHC B 35 35

001017625 NF n/a 09/01/15 7

001017638 PHC 3 09/01/15 PHC B 30 30

001017665 CLASS 11 09/01/15 35

001017696 DAHS 11 09/01/15 35

001017701 PHC 11 09/01/15 PHC B 35 35

001017704 DAHS 11 09/01/15 35

001017710 PHC 3 09/01/15 PHC B 25 25

001017722 RC 6 09/01/15 NE

001017737 PHC 11 09/01/15 PHC B 8 20

001017739 PHC 11 09/01/15 PHC B 35 35

001017743 NF n/a 09/01/15 3

001017749 DB_MD 3 09/01/15 35

001017750 CLASS 3 09/01/15 35

001017753 CLASS 11 09/01/15 35

001017757 RC 8 09/01/15 29

001017758 PHC 3 09/01/15 PHC B 25 25

001017776 PHC 6 09/01/15 PHC B 35 35

001017790 DB_MD 11 09/01/15 35

001017791 NF n/a 09/01/15 17

001017792 NF n/a 09/01/15 2

001017795 PHC 3 09/01/15 PHC NP NE 12

001017816 NF n/a 09/01/15 7

001017818 PHC 6 09/01/15 PHC B 35 35

001017819 DAHS 11 09/01/15 35

001017825 NF n/a 09/01/15 4

001017827 NF n/a 09/01/15 13

001017842 DAHS 10 09/01/15 33

001017847 NF n/a 09/01/15 6

001017848 NF n/a 09/01/15 NE

001017850 NF n/a 09/01/15 3

001017853 PHC 3 09/01/15 PHC NP NE 35

001017859 NF n/a 09/01/15 NE

001017861 NF n/a 09/01/15 3

001017863 NF n/a 09/01/15 NE

001017864 NF n/a 09/01/15 NE

001017865 NF n/a 09/01/15 NE

001017866 NF n/a 09/01/15 NE

001017867 NF n/a 09/01/15 4

001017868 NF n/a 09/01/15 NE

001017869 NF n/a 09/01/15 3

001017870 NF n/a 09/01/15 NE

001017872 NF n/a 09/01/15 7

001017873 NF n/a 09/01/15 NE

001017879 DAHS 3 09/01/15 32

001017884 NF n/a 09/01/15 6

001017885 PHC 3 09/01/15 PHC NP NE 18

001017889 NF n/a 09/01/15 7

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001017890 PHC 3 09/01/15 PHC B 31 31

001017893 NF n/a 05/26/16 CHOW 4/30/16: Level 7 Final Requested

001017899 PHC 11 09/01/15 PHC B 35 35

001017900 PHC 3 09/01/15 PHC B 25 25

001017903 NF n/a 09/01/15 3

001017905 PHC 6 09/01/15 PHC NP NE 23 PHC P & PHC NP levels supported by RFR result

001017907 CLASS 10 09/01/15 13

001017908 NF n/a 09/01/15 NE

001017910 PHC 3 09/01/15 PHC B 21 8 Non-Priority level supported by RFR result

001017912 NF n/a 09/01/15 NE

001017914 DAHS 11 09/01/15 6

001017924 NF n/a 09/01/15 NE

001017926 NF n/a 09/01/15 NE

001017934 PHC 3 09/01/15 PHC NP NE 17

001017950 PHC 11 09/01/15 PHC B 35 35

001017952 PHC 3 09/01/15 PHC B 22 23

001017955 DAHS 11 09/01/15 35

001017956 PHC 3 09/01/15 PHC P 21 NE

001017961 PHC 11 09/01/15 PHC B 31 20

001017971 PHC 3 09/01/15 PHC NP NE 30

001017980 PHC 6 09/01/15 PHC B 25 25

001017982 CLASS 6 09/01/15 25

001017987 DAHS 8 02/23/16 Terminated 2/1/16: Level 13 Final Requested

001017993 DAHS 11 09/01/15 35

001017994 NF n/a 09/01/15 7

001018003 PHC 3 09/01/15 PHC B 35 21

001018004 NF n/a 09/01/15 3

001018006 NF n/a 09/01/15 4

001018032 PHC 8 09/01/15 PHC B 35 35

001018033 PHC 11 09/01/15 PHC B 35 35

001018048 CLASS 10 09/01/15 35

001018076 CLASS 3 09/01/15 7

001018107 DAHS 10 09/01/15 35

001018117 PHC 3 09/01/15 PHC NP NE 31 Non-Priority level supported by RFR result

001018127 NF n/a 09/01/15 7

001018128 NF n/a 09/01/15 23

001018129 NF n/a 09/01/15 7

001018130 NF n/a 09/01/15 7

001018132 NF n/a 09/01/15 20

001018147 PHC 3 09/01/15 PHC B 23 3

001018158 PHC 3 09/01/15 PHC NP NE 20 Non-Priority level supported by RFR result

001018170 PHC 3 09/01/15 PHC B 35 35

001018177 PHC 3 09/01/15 NE

001018198 PHC 6 09/01/15 PHC B 30 28

001018204 PHC 3 09/01/15 PHC B 23 12

001018217 PHC 3 09/01/15 PHC B 8 22

001018226 PHC 11 01/08/16 PHC B 35 35 Terminated 11/16/15: Level 35/35 Final Requested- back active

001018254 NF n/a 06/15/16 CHOW 5/31/16 to 001027823: Level 6 Final Requested

001018255 PHC 3 09/01/15 PHC B 32 32

001018265 PHC 6 09/01/15 NE

001018275 NF n/a 06/07/16 CHOW 4/30/16: Level 6 Final Requested

001018281 CLASS 8 09/01/15 1

001018303 DB_MD 10 09/01/15 23

001018314 PHC 6 09/01/15 PHC B 35 35

001018315 NF n/a 09/01/15 12

001018337 DAHS 11 09/01/15 Terminated 11/16/15: Level 35/35 Final Requested

001018339 PHC 3 09/01/15 PHC B 29 23

001018346 PHC 8 09/01/15 PHC B 13 35

001018347 CLASS 6 09/13/16 Terminated 9/7/16: Level 31 Final Requested

001018365 RC 4 09/01/15 3

001018369 NF n/a 09/01/15 27

001018370 DAHS 11 09/01/15 31

001018372 NF n/a 09/01/15 13

001018378 DAHS 11 09/01/15 4

001018379 PHC 11 09/01/15 PHC B 32 32

001018381 PHC 3 09/01/15 PHC B 35 35

001018383 PHC 3 09/01/15 PHC NP NE 28

001018399 PHC 3 09/01/15 PHC B 29 29 Non-Priority level supported by RFR result

001018406 PHC 3 09/01/15 PHC B 27 27

001018411 PHC 6 09/01/15 NE

001018412 PHC 6 09/01/15 PHC B 25 25

001018415 PHC 3 09/01/15 NE

001018419 DAHS 10 09/01/15 35 Level supported by RFR result

001018429 PHC 6 09/01/15 NE

001018441 PHC 3 07/06/16 Terminated 6/30/16: Level 30/30 Final Requested

001018446 NF n/a 09/01/15 6

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001018452 DAHS 8 09/01/15 35

001018454 PHC 3 09/01/15 PHC B 25 25

001018458 DAHS 3 11/04/15 Terminated 11/1/15: Level NE

001018459 DAHS 11 02/12/16 Terminated 12/31/15 : Level 35 Final Requested

001018466 PHC 11 09/01/15 PHC B 35 35

001018470 CLASS 11 09/01/15 35

001018472 NF n/a 09/01/15 7

001018473 DAHS 11 09/01/15 10

001018475 PHC 11 09/01/15 PHC B 35 35

001018505 NF n/a 09/01/15 13 Level supported by RFR result

001018515 NF n/a 09/01/15 3

001018522 NF n/a 09/01/15 NE

001018546 NF n/a 09/01/15 6

001018555 PHC 3 09/01/15 PHC B 1 1

001018569 PHC 3 09/01/15 PHC B 8 35

001018579 CLASS 6 09/01/15 15

001018592 PHC 6 09/01/15 PHC B 35 35

001018594 NF n/a 09/01/15 NE

001018596 NF n/a 09/01/15 7

001018597 NF n/a 09/01/15 7

001018598 DAHS 11 09/01/15 35

001018600 NF n/a 09/01/15 7

001018601 NF n/a 09/01/15 6

001018605 PHC 3 09/01/15 PHC B 9 31

001018609 PHC 11 09/01/15 PHC B 19 35

001018631 PHC 3 09/01/15 PHC B 23 21

001018636 PHC 3 11/01/15 Terminated 6/30/15

001018655 PHC 3 09/01/15 PHC B 30 30

001018662 DAHS 11 09/01/15 35

001018663 CLASS 11 09/01/15 35

001018668 PHC 11 09/01/15 PHC B 23 22

001018675 NF n/a 09/01/15 13

001018678 PHC 3 09/01/15 NE

001018679 DAHS 11 09/01/15 35

001018687 RC 3 09/01/15 2

001018692 NF n/a 09/01/15 6

001018693 PHC 6 02/23/16 Terminated 4/30/15: Level 31/31 Final Requested

001018697 PHC 3 09/01/15 PHC NP NE 10

001018699 DAHS 5 09/01/15 31

001018703 NF n/a 09/01/15 7

001018704 PHC 6 09/01/15 PHC B 31 31 Non-Priority level supported by RFR result

001018708 NF n/a 09/01/15 7

001018726 PHC 10 09/01/15 PHC B 31 32 PHC P & PHC NP levels supported by RFR result

001018733 PHC 3 09/01/15 PHC B 35 28

001018741 NF n/a 09/01/15 7

001018751 PHC 6 09/01/15 PHC B 26 26

001018753 CLASS 11 09/13/16 Terminated 8/26/16: Level 25 Final Requested

001018754 PHC 3 09/01/15 PHC B 25 10

001018757 PHC 6 09/01/15 PHC B 12 6

001018773 RC 3 09/01/15 NE

001018774 NF n/a 09/01/15 13

001018793 PHC 6 09/01/15 PHC B 35 31 Non-Priority level supported by RFR result

001018803 PHC 3 09/01/15 PHC NP NE 19 Non-Priority level supported by RFR result

001018810 NF n/a 09/01/15 13

001018812 PHC 6 09/01/15 PHC B 35 23 Non-Priority level supported by RFR result

001018814 PHC 3 09/01/15 PHC B 30 32

001018829 NF n/a 09/01/15 13

001018832 PHC 3 09/01/15 PHC B 35 35

001018834 PHC 3 09/01/15 PHC NP NE 22 Non-Priority level supported by RFR result

001018839 PHC 3 09/01/15 PHC B 31 22 Non-Priority level supported by RFR result

001018853 NF n/a 09/01/15 13

001018855 NF n/a 09/01/15 9

001018859 DAHS 10 09/01/15 8

001018861 PHC 11 09/01/15 PHC B 31 31

001018866 PHC 3 09/01/15 PHC B 31 31

001018867 PHC 10 09/01/15 PHC B 35 35

001018875 CLASS 11 09/01/15 35

001018877 PHC 3 09/01/15 PHC NP NE 35

001018882 DAHS 11 09/01/15 21 Level supported by RFR result

001018883 NF n/a 09/01/15 23 Level supported by RFR result

001018900 PHC 3 09/01/15 PHC B 22 20

001018903 PHC 3 09/01/15 PHC NP NE 26

001018909 DAHS 11 09/01/15 35

001018911 NF n/a 09/01/15 7

001018918 PHC 6 09/01/15 PHC NP 31 23 Level supported by RFR result

001018923 PHC 3 09/01/15 PHC B 22 15

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001018927 DAHS 11 09/01/15 35

001018928 DAHS 11 09/01/15 35

001018929 DAHS 11 09/01/15 35

001018931 PHC 11 09/01/15 PHC B 35 35

001018940 DAHS 11 09/01/15 2

001018941 PHC 6 09/01/15 PHC B 21 25

001018942 PHC 3 09/01/15 PHC B 35 35

001018943 NF n/a 09/01/15 18

001018944 NF n/a 09/01/15 24

001018947 NF n/a 09/01/15 13

001018948 NF n/a 09/01/15 18

001018949 NF n/a 09/01/15 7

001018951 DAHS 10 09/01/15 35

001018954 PHC 10 09/01/15 PHC B 28 28

001018956 PHC 3 09/01/15 PHC NP NE 31

001018959 PHC 3 09/01/15 PHC B 35 35

001018970 NF n/a 09/01/15 NE

001018971 NF n/a 09/01/15 6

001018974 NF n/a 09/01/15 10

001018982 DAHS 11 09/01/15 35

001018983 PHC 3 09/01/15 PHC B 35 35

001018984 PHC 6 09/01/15 PHC B 29 29

001018987 PHC 6 09/01/15 PHC B 35 35

001018994 DAHS 11 09/01/15 35

001018999 PHC 6 09/01/15 PHC B 29 7

001019000 NF n/a 09/01/15 7 Level supported by RFR result

001019001 NF n/a 09/01/15 3

001019005 PHC 11 09/01/15 PHC B 35 35

001019022 PHC 6 09/01/15 PHC B 31 31 PHC P & PHC NP levels supported by RFR result

001019032 DAHS 10 09/01/15 33

001019034 PHC 3 09/01/15 PHC B 35 35

001019070 PHC 3 09/01/15 PHC B 35 35

001019091 NF n/a 06/07/16 CHOW 4/30/16: Level 3 Final Requested

001019092 PHC 11 09/01/15 PHC B 26 26

001019093 PHC 11 09/01/15 PHC B 35 35 Non-Priority level supported by RFR result

001019104 PHC 11 09/01/15 PHC NP NE 28

001019105 DAHS 11 09/01/15 7

001019114 PHC 6 09/01/15 PHC NP NE 35 PHC P & PHC NP levels supported by RFR result

001019131 NF n/a 09/01/15 7

001019134 PHC 4 02/08/16 CA to 001027213 1/31/16: Level 31/22 Final Requested

001019138 PHC 3 09/01/15 PHC B 30 30

001019156 NF n/a 09/01/15 7

001019157 NF n/a 09/01/15 11

001019159 NF n/a 09/01/15 7

001019160 PHC 10 09/01/15 PHC B 31 31

001019166 PHC 3 09/01/15 PHC NP NE 28

001019167 PHC 11 09/01/15 PHC B 35 35

001019171 DAHS 8 09/01/15 12

001019172 PHC 3 09/01/15 PHC NP NE 15 Non-Priority level supported by RFR result

001019188 DAHS 11 09/01/15 30

001019191 PHC 3 09/01/15 PHC B 35 35

001019196 DAHS 11 09/01/15 31

001019200 NF n/a 09/01/15 7

001019201 NF n/a 09/01/15 10

001019205 PHC 10 09/01/15 PHC B 35 35

001019212 PHC 3 09/01/15 PHC B 23 21

001019214 NF n/a 09/01/15 7

001019215 NF n/a 09/01/15 27

001019216 NF n/a 09/01/15 7

001019244 PHC 3 09/01/15 PHC NP NE 35

001019259 PHC 11 09/01/15 PHC B 35 35 Non-Priority level supported by RFR result

001019261 PHC 3 09/01/15 PHC B 35 35

001019262 DAHS 11 09/01/15 35

001019264 PHC 3 09/01/15 PHC NP NE 23 Non-Priority level supported by RFR result

001019270 DAHS 11 09/01/15 35

001019283 DAHS 11 09/01/15 34 Level supported by RFR result

001019284 DAHS 11 09/01/15 11

001019285 DAHS 11 09/01/15 35

001019287 PHC 3 09/01/15 PHC B 10 33

001019295 DAHS 10 09/01/15 11 Level supported by RFR result

001019296 NF n/a 09/01/15 10

001019298 PHC 6 09/01/15 PHC B 35 26 Non-Priority level supported by RFR result

001019309 NF n/a 09/01/15 3

001019310 NF n/a 09/01/15 7

001019311 NF n/a 09/01/15 NE

001019317 DAHS 11 09/01/15 35

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001019318 NF n/a 09/01/15 6

001019323 NF n/a 09/01/15 6

001019335 DB_MD 6 09/01/15 NE

001019340 NF n/a 09/01/15 NE

001019344 PHC 11 09/01/15 PHC B 35 35

001019351 DAHS 4 12/07/15 Terminated 11/6/15: Level NE

001019354 PHC 3 09/01/15 PHC B 35 35

001019357 PHC 10 09/01/15 PHC B 15 22

001019361 NF n/a 09/01/15 6

001019364 PHC 3 09/01/15 PHC B 35 35

001019366 PHC 3 09/01/15 PHC B 35 24 Non-Priority level supported by RFR result

001019380 PHC 3 09/01/15 PHC B 25 10

001019397 PHC 11 09/01/15 PHC B 35 35

001019398 PHC 5 09/01/15 PHC B 35 35

001019417 PHC 3 09/01/15 PHC B 35 35

001019421 PHC 11 09/01/15 PHC B 11 21

001019424 NF n/a 09/01/15 27

001019425 PHC 3 09/01/15 PHC NP NE 5

001019433 PHC 8 09/01/15 PHC B 35 35

001019441 NF n/a 09/01/15 NE

001019443 NF n/a 09/01/15 NE

001019467 PHC 6 09/01/15 NE

001019474 PHC 8 09/01/15 NE

001019476 PHC 11 09/01/15 PHC B 21 31

001019481 PHC 3 09/01/15 NE

001019484 NF n/a 09/01/15 5

001019486 NF n/a 09/01/15 27

001019487 PHC 6 09/01/15 PHC B 27 27

001019498 PHC 3 09/01/15 PHC B 35 35

001019504 PHC 3 09/01/15 NE

001019518 PHC 10 09/01/15 PHC NP NE 20 Non-Priority level supported by RFR result

001019540 RC 11 09/01/15 35

001019546 PHC 6 09/01/15 PHC B 35 35

001019547 CLASS 6 09/01/15 35

001019548 DAHS 1 09/01/15 31

001019555 PHC 3 09/01/15 PHC B 35 35

001019556 PHC 6 09/01/15 PHC NP NE 33 Non-Priority level supported by RFR result

001019559 DAHS 11 09/01/15 35

001019560 DAHS 11 09/01/15 35

001019566 NF n/a 09/01/15 27 Level supported by RFR result

001019572 PHC 8 09/01/15 PHC NP NE 33 Non-Priority level supported by RFR result

001019579 DAHS 4 09/01/15 NE

001019582 PHC 8 09/01/15 PHC B 35 35

001019587 DAHS 11 09/01/15 31

001019589 DAHS 11 09/01/15 35

001019641 DAHS 11 09/01/15 31

001019644 DAHS 11 09/01/15 30

001019649 DAHS 10 09/01/15 35 Level supported by RFR result

001019651 PHC 3 09/01/15 PHC B 35 35

001019655 PHC 6 09/01/15 PHC B 35 35

001019665 DAHS 11 09/01/15 35

001019684 PHC 6 09/01/15 PHC B 35 35

001019687 NF n/a 07/22/16 CHOW 6/26/16: Level 10 Final Requested

001019688 PHC 11 09/01/15 PHC B 35 35

001019707 PHC 6 09/01/15 PHC B 29 29

001019708 PHC 6 09/01/15 PHC B 35 29 Priority level supported by RFR result

001019714 PHC 3 09/01/15 PHC B 35 35

001019722 NF n/a 09/01/15 6

001019724 PHC 3 09/01/15 PHC B 35 35

001019730 NF n/a 09/01/15 NE

001019731 PHC 6 09/01/15 PHC B 3 3

001019732 DAHS 11 09/01/15 31 Level supported by RFR result

001019734 DAHS 3 09/01/15 35

001019736 NF n/a 09/01/15 6

001019739 NF n/a 09/01/15 7

001019741 DAHS 11 09/01/15 22

001019742 PHC 11 09/01/15 PHC B 20 35 Priority level supported by RFR result

001019744 PHC 3 09/01/15 PHC B 35 25 Non-Priority level supported by RFR result

001019746 NF n/a 09/01/15 NE

001019749 PHC 3 09/01/15 PHC B 35 35

001019755 DAHS 11 09/01/15 35

001019756 PHC 11 09/01/15 PHC B 35 35

001019759 PHC 3 09/01/15 PHC B 35 35

001019760 PHC 3 09/01/15 PHC B 35 35

001019762 PHC 11 09/01/15 PHC B 19 35

001019766 DAHS 6 09/01/15 NE

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001019767 PHC 3 09/01/15 PHC B 35 33

001019772 PHC 3 09/01/15 PHC B 35 35

001019786 PHC 11 09/01/15 PHC B 28 32

001019794 PHC 3 09/01/15 PHC B 31 31

001019806 PHC 3 09/01/15 PHC NP NE 35 Non-Priority level supported by RFR result

001019813 PHC 3 09/01/15 PHC B 22 16

001019815 PHC 3 09/01/15 PHC B 35 35

001019820 DAHS 11 09/01/15 NE

001019826 PHC 11 09/01/15 PHC B 35 35

001019828 PHC 3 09/01/15 PHC P 20 NE

001019830 PHC 3 09/01/15 PHC B 15 15

001019831 PHC 3 09/01/15 PHC B 23 24

001019838 PHC 6 09/01/15 PHC B 35 31 Non-Priority level supported by RFR result

001019843 RC 11 06/30/16 Terminated 7/6/15: Level 20 Final Requested

001019853 PHC 3 09/01/15 PHC B 34 34

001019862 NF n/a 09/01/15 6

001019880 NF n/a 09/01/15 7

001019881 NF n/a 09/01/15 7

001019884 NF n/a 09/01/15 7

001019885 NF n/a 09/01/15 6

001019887 PHC 3 09/01/15 PHC B 23 9

001019888 NF n/a 09/01/15 10 Level supported by RFR result

001019889 NF n/a 05/31/16 CHOW 4/30/16: Level 6 Final Requested

001019890 DAHS 3 09/01/15 32

001019892 NF n/a 09/01/15 7

001019897 NF n/a 09/01/15 27

001019900 RC 3 09/01/15 NE

001019902 PHC 11 09/01/15 PHC B 35 35

001019908 PHC 6 09/01/15 NE

001019921 DAHS 11 09/01/15 31

001019930 PHC 3 09/01/15 PHC B 35 35

001019935 PHC 3 09/01/15 PHC B 11 17

001019936 DAHS 11 09/01/15 35 Level supported by RFR result

001019938 RC 8 09/01/15 NE

001019939 DAHS 11 09/01/15 32 Level supported by RFR result

001019945 NF n/a 09/01/15 15

001019947 RC 6 09/01/15 22

001019948 RC 6 09/01/15 22

001019962 PHC 6 09/01/15 PHC B 35 23 Non-Priority level supported by RFR result

001019964 PHC 3 09/01/15 PHC P 25 NE

001019994 DAHS 11 02/12/16 Term 10/06/15 level NE

001019997 PHC 4 09/01/15 NE

001020006 PHC 11 09/01/15 PHC B 1 1

001020007 PHC 6 09/01/15 PHC B 25 25

001020014 PHC 3 09/01/15 PHC B 35 35

001020028 PHC 11 09/01/15 NE

001020029 PHC 10 09/01/15 NE

001020037 DAHS 11 09/01/15 NE

001020043 DAHS 11 09/01/15 31

001020051 PHC 3 09/01/15 PHC B 22 12

001020053 PHC 6 09/01/15 PHC B 9 13

001020063 NF n/a 09/01/15 NE

001020066 PHC 3 09/01/15 PHC NP NE 25 Non-Priority level supported by RFR result

001020078 PHC 11 09/01/15 PHC B 35 35

001020081 PHC 3 09/01/15 NE

001020082 NF n/a 09/01/15 8

001020093 PHC 11 09/01/15 PHC B 35 35

001020102 PHC 3 09/01/15 PHC B 32 32

001020117 PHC 3 09/01/15 PHC B 35 35

001020121 NF n/a 09/01/15 3

001020122 PHC 11 09/01/15 PHC B 35 35

001020128 PHC 6 09/01/15 PHC B 35 35

001020136 PHC 6 09/01/15 PHC B 31 31 PHC P & PHC NP levels supported by RFR result

001020137 NF n/a 09/01/15 3

001020138 NF n/a 09/01/15 18

001020139 NF n/a 09/01/15 3

001020140 NF n/a 09/01/15 NE

001020141 NF n/a 09/01/15 7

001020142 NF n/a 09/01/15 NE

001020143 NF n/a 09/01/15 7

001020144 PHC 11 09/01/15 PHC B 35 35

001020145 PHC 11 09/01/15 PHC B 35 35

001020158 DAHS 11 09/01/15 35

001020162 PHC 11 09/01/15 PHC B 33 33

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001020163 PHC 3 09/01/15 PHC B 22 22

001020166 NF n/a 08/11/16 CHOW 7/31/16: Level 7 Final Requested

001020181 NF n/a 09/01/15 7

001020185 PHC 6 09/01/15 NE

001020204 PHC 3 09/01/15 PHC B 31 31

001020218 DAHS 11 09/01/15 35

001020228 PHC 3 09/01/15 NE

001020229 PHC 3 09/01/15 PHC B 35 35

001020231 DAHS 11 09/01/15 NE

001020233 PHC 6 09/01/15 PHC B 35 22 Non-Priority level supported by RFR result

001020237 NF n/a 05/11/16 CHOW 2/21/16 to 001027423: Level NE

001020245 DAHS 3 09/01/15 22

001020248 NF n/a 09/01/15 7

001020249 NF n/a 09/01/15 11

001020250 NF n/a 09/01/15 NE

001020253 NF n/a 09/01/15 NE

001020256 PHC 3 09/01/15 PHC B 35 35

001020257 NF n/a 09/01/15 3

001020260 PHC 3 09/01/15 PHC B 35 35

001020261 NF n/a 08/23/16 Terminated 8/10/16: Level 6 Final Requested

001020268 NF n/a 09/01/15 6

001020273 PHC 3 09/01/15 NE

001020274 PHC 3 09/01/15 PHC B 16 20

001020292 PHC 3 09/01/15 PHC B 35 35

001020301 PHC 3 09/01/15 PHC B 35 35

001020302 PHC 3 09/01/15 PHC B 35 35

001020304 PHC 3 09/01/15 PHC B 32 32

001020306 PHC 10 09/01/15 PHC B 31 31

001020315 PHC 10 09/01/15 PHC B 32 32

001020317 PHC 3 09/01/15 PHC B 29 29

001020321 DAHS 10 09/01/15 1

001020322 PHC 10 09/01/15 PHC B 35 23 Non-Priority level supported by RFR result

001020323 PHC 3 09/01/15 PHC B 29 14

001020325 RC 4 09/01/15 NE

001020339 DAHS 8 09/01/15 30

001020341 PHC 3 09/01/15 PHC B 31 3

001020343 PHC 11 09/01/15 PHC B 35 35

001020349 PHC 3 09/01/15 PHC B 30 30

001020356 RC 10 09/01/15 31

001020361 NF n/a 09/01/15 25

001020372 PHC 3 09/01/15 PHC B 35 35

001020378 NF n/a 09/01/15 7

001020381 DAHS 11 09/01/15 NE

001020384 PHC 3 09/01/15 PHC B 31 31

001020386 DB_MD 5 09/01/15 NE

001020387 DB_MD 6 09/01/15 NE

001020388 PHC 11 09/01/15 PHC B 35 35

001020400 PHC 3 09/01/15 PHC B 35 35

001020418 PHC 6 11/02/15 CA to 001027115 eff 10/31/15: Level 22 22 Final Req

001020420 PHC 11 09/01/15 PHC B 35 35

001020424 PHC 11 09/01/15 PHC B 35 35

001020431 DAHS 5 09/01/15 NE

001020432 DAHS 11 10/28/15 Terminated 10/16/15: Level NE

001020433 PHC 10 09/01/15 PHC B 15 22

001020434 PHC 10 09/01/15 PHC B 15 22

001020444 PHC 6 10/23/15 Terminated 9/30/15 : Level 5 Final Requested

001020448 PHC 3 09/01/15 PHC B 35 35

001020458 PHC 6 09/01/15 PHC B 10 9

001020459 DAHS 8 09/01/15 35

001020460 DAHS 11 09/01/15 35

001020464 NF n/a 09/01/15 7

001020468 PHC 3 09/01/15 PHC B 35 35

001020469 PHC 6 09/01/15 PHC B 35 35 Non-Priority level supported by RFR result

001020471 PHC 11 09/01/15 PHC B 35 35

001020474 DAHS 11 09/01/15 35 Level supported by RFR result

001020475 PHC 7 09/01/15 PHC B 23 18

001020481 PHC 11 09/01/15 PHC B 35 35

001020482 NF n/a 09/01/15 NE

001020489 PHC 3 09/01/15 PHC NP NE 31

001020509 PHC 3 09/01/15 PHC B 22 21

001020512 PHC 11 09/01/15 PHC B 35 35

001020513 PHC 10 09/01/15 NE

001020514 PHC 6 09/01/15 PHC B 35 35

001020518 CLASS 6 09/01/15 35

001020529 NF n/a 09/01/15 6

001020530 DAHS 11 09/01/15 29

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001020533 PHC 3 09/01/15 NE

001020535 PHC 7 09/01/15 PHC B 31 30

001020538 PHC 6 09/01/15 PHC B 29 29

001020541 PHC 6 09/01/15 PHC B 30 30

001020553 DAHS 11 09/01/15 NE

001020554 NF n/a 09/01/15 4

001020555 DAHS 11 09/01/15 35

001020564 PHC 3 09/01/15 PHC B 35 35

001020571 PHC 6 09/01/15 PHC B 20 12

001020581 PHC 6 09/01/15 PHC B 20 28

001020590 PHC 3 09/01/15 PHC B 35 35

001020601 PHC 3 09/01/15 PHC B 35 28

001020619 PHC 8 09/01/15 PHC B 30 30

001020624 PHC 3 09/01/15 PHC B 35 35

001020630 PHC 6 09/01/15 PHC B 25 25

001020633 DAHS 10 09/01/15 35

001020635 PHC 3 09/01/15 PHC B 31 31

001020649 PHC 6 09/01/15 PHC B 35 35

001020650 PHC 6 09/01/15 PHC B 35 35 Non-Priority level supported by RFR result

001020653 PHC 8 09/01/15 PHC B 35 35

001020654 NF n/a 09/01/15 NE

001020655 PHC 8 09/01/15 PHC B 31 31

001020658 PHC 6 09/01/15 PHC B 35 35

001020667 DAHS 11 09/01/15 35

001020669 RC 2 09/01/15 NE

001020671 RC 2 09/01/15 NE

001020675 PHC 3 11/04/15 Terminated 10/31/15: Level P31 Final Requested

001020677 CLASS 3 09/01/15 21

001020680 DAHS 11 09/01/15 35 Level supported by RFR result

001020689 CLASS 3 09/01/15 NE

001020690 PHC 3 09/01/15 NE

001020691 NF n/a 04/28/16 WP from RE eff 5/1/16: Level 20 Final Requested

001020692 PHC 11 09/01/15 PHC B 35 35

001020694 PHC 3 09/01/15 PHC B 35 35

001020697 PHC 6 09/01/15 PHC B 25 25

001020701 CLASS 3 09/01/15 31

001020702 CLASS 3 09/01/15 31

001020703 CLASS 3 09/01/15 31

001020707 PHC 3 09/01/15 PHC B 30 30

001020708 PHC 3 11/04/15 Terminated 10/31/15: level NE

001020717 CLASS 7 09/01/15 NE

001020725 PHC 3 10/27/15 Terminated 9/30/15: Level NE

001020728 PHC 6 09/01/15 PHC B 31 15

001020729 PHC 3 09/01/15 PHC B 35 26

001020735 NF n/a 09/01/15 9

001020754 PHC 3 09/01/15 PHC B 35 35

001020756 DAHS 11 09/01/15 NE

001020769 PHC 3 09/01/15 PHC B 35 35

001020778 NF n/a 09/01/15 18

001020781 NF n/a 09/01/15 13

001020783 NF n/a 09/01/15 2

001020785 NF n/a 05/18/16 CHOW 4/30/16: Level 6 Final Requested

001020789 PHC 6 09/01/15 PHC B 35 31 Non-Priority level supported by RFR result

001020792 PHC 6 02/23/16 Terminated 2/1/16: Level 35/35 Final Requested

001020793 DAHS 11 09/01/15 NE

001020794 PHC 11 09/01/15 PHC B 35 35

001020799 PHC 6 04/05/16 Terminated 3/31/16: Level 35/35 Final Requested

001020801 PHC 6 12/08/15 Terminated 11/30/15: Level 35/35 Final Requested

001020805 NF n/a 09/01/15 NE

001020806 PHC 11 09/01/15 PHC B 35 35

001020808 PHC 3 09/01/15 PHC B 22 22

001020809 PHC 11 09/01/15 PHC B 35 35

001020828 NF n/a 09/01/15 6

001020829 NF n/a 09/01/15 7

001020830 PHC 3 09/01/15 Terminated 12/31/15 : Level NE

001020831 NF n/a 09/01/15 4

001020834 PHC 3 09/01/15 PHC B 31 31

001020838 PHC 3 09/01/15 PHC B 35 35

001020841 NF n/a 09/01/15 6

001020845 PHC 3 09/01/15 PHC B 35 35

001020850 PHC 3 09/01/15 PHC B 31 26

001020856 NF n/a 09/01/15 6

001020860 NF n/a 09/01/15 NE

001020861 PHC 3 09/01/15 Terminated 12/31/15: Level 25 P - Exiting ARM NP serve as final.

001020865 PHC 6 09/01/15 PHC B 35 35

001020867 NF n/a 09/01/15 6

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001020870 NF n/a 09/01/15 13

001020876 PHC 11 02/12/16 Terminated 11/30/15 : Level 25/25 Final Requested

001020877 NF n/a 09/01/15 NE

001020878 NF n/a 04/05/16 CHOW 3/31/16: Level 27 Final Requested

001020883 DAHS 3 05/12/16 Terminated 4/30/16: Level 32 Final Requested

001020885 PHC 6 09/01/15 Terminated 12/31/15: Level 35/35 Final Requested

001020887 PHC 6 09/01/15 PHC B 34 32 Non-Priority level supported by RFR result

001020888 PHC 3 09/01/15 PHC NP NE 31

001020889 NF n/a 09/01/15 23

001020892 PHC 5 09/01/15 PHC B 2 31

001020899 PHC 10 09/01/15 PHC B 35 35

001020900 DAHS 11 09/01/15 23

001020904 PHC 6 09/01/15 Terminated 12/30/15: Level NE

001020905 PHC 8 02/23/16 Terminated 2/1/16: Level NP 23 Final Requested

001020907 PHC 11 09/01/15 PHC NP NE 23 PHC P & PHC NP levels supported by RFR result

001020909 NF n/a 09/01/15 7

001020911 CLASS 6 07/18/16 Terminated 11/30/15: Level 35 Final Requested

001020914 NF n/a 09/01/15 20

001020918 PHC 3 09/01/15 PHC B 30 30

001020922 RC 3 09/01/15 NE

001020923 PHC 3 09/01/15 PHC P 27 NE

001020926 PHC 6 09/01/15 PHC B 35 35

001020927 PHC 6 09/01/15 PHC B 35 35

001020928 PHC 6 09/01/15 PHC B 35 35

001020929 PHC 6 09/01/15 Terminated 11/13/15: Level 35/35 Final Requested

001020931 PHC 5 09/01/15 PHC B 35 35

001020948 NF n/a 09/01/15 NE

001020949 PHC 6 09/01/15 PHC B 35 31 Non-Priority level supported by RFR result

001020950 PHC 6 09/01/15 PHC B 35 35

001020953 PHC 6 09/13/16 Terminated 2/28/16: Level P 29 Final Requested

001020958 NF n/a 09/01/15 7

001020961 NF n/a 09/01/15 10

001020964 PHC 6 07/06/16 Terminated 6/30/16: level 35/31 Final Requested

001020966 PHC 6 05/11/16 Terminated 4/30/16: Level 31/7 Final Requested

001020967 DAHS 11 09/01/15 35

001020970 CLASS 6 09/01/15 NE

001020975 CLASS 6 09/01/15 NE

001020981 PHC 7 09/01/15 PHC B 29 29

001020983 CLASS 3 09/01/15 NE

001020998 PHC 3 09/01/15 PHC B 31 31

001021004 PHC 3 09/01/15 PHC B 30 30

001021006 NF n/a 09/01/15 26

001021007 PHC 3 09/01/15 PHC B 30 30

001021008 PHC 11 09/01/15 PHC B 35 35

001021009 NF n/a 09/01/15 6

001021012 DAHS 5 09/01/15 35

001021015 PHC 10 04/05/16 Terminated 3/31/16: Level NE

001021016 NF n/a 09/01/15 6

001021025 DAHS 3 12/07/15 Terminated 11/30/15: Level NE

001021026 PHC 3 09/01/15 PHC NP NE 35

001021028 NF n/a 09/01/15 6

001021048 NF n/a 09/01/15 6

001021055 PHC 8 09/01/15 PHC B 35 35

001021056 RC 4 10/15/15 Terminated 8/31/14

001021057 PHC 3 09/01/15 PHC B 30 30

001021063 NF n/a 09/01/15 16

001021066 DAHS 8 09/01/15 35 Level supported by RFR result

001021067 DAHS 11 09/01/15 31

001021070 PHC 6 09/19/16 Terminated 6/15/16: Level NP 12 Final Requested

001021078 PHC 4 09/01/15 NE

001021079 PHC 7 09/01/15 NE

001021084 DB_MD 3 09/01/15 NE

001021085 NF n/a 09/01/15 13

001021091 PHC 6 09/07/16 NE

001021092 NF n/a 09/01/15 7

001021094 PHC 6 05/12/16 Terminated 4/30/16: Level P18 Final Requested

001021106 NF n/a 09/01/15 27

001021107 PHC 3 03/22/16 Terminated 3/15/16: Level 35/35 Final Requested

001021109 NF n/a 09/01/15 7

001021114 PHC 11 09/01/15 PHC B 35 35

001021124 PHC 11 09/01/15 PHC B 35 35

001021125 PHC 11 09/01/15 CHOW 12/31/15 to 001027194: Level 35/35 Final Requested

001021130 RC 3 07/11/16 Terminated 2/29/16: Level 35 Final Requested

001021131 NF n/a 09/01/15 7

001021132 NF n/a 09/01/15 7

001021138 NF n/a 09/01/15 6

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001021139 PHC 3 09/01/15 NE

001021140 PHC 3 09/01/15 PHC B 35 35

001021142 PHC 3 09/01/15 PHC B 29 29

001021144 PHC 3 09/01/15 PHC B 29 29

001021148 NF n/a 09/01/15 8

001021151 NF n/a 09/01/15 3

001021153 PHC 5 09/01/15 PHC B 29 29

001021157 PHC 6 09/01/15 PHC B 29 29

001021160 PHC 6 06/06/16 Terminated 6/30/16: Level NE

001021164 PHC 6 09/01/15 PHC B 35 35

001021167 CLASS 6 09/01/15 NE

001021182 PHC 3 09/01/15 NE

001021190 PHC 11 09/01/15 PHC B 31 31

001021191 NF n/a 09/01/15 NE

001021193 CLASS 3 09/01/15 NE

001021197 PHC 3 09/01/15 PHC B 35 35

001021200 NF n/a 09/01/15 7

001021213 PHC 4 09/01/15 PHC B 34 34

001021216 NF n/a 06/06/16 CHOW 5/19/16: Level NE to 001027746

001021217 PHC 6 09/01/15 NE

001021224 PHC 5 08/04/16 Terminated 7/31/16: level NP 25 Final Requested

001021225 NF n/a 09/01/15 10

001021230 NF n/a 04/01/16 NE WP from RE eff 3/31/16: Level 13 Final Requested

001021232 NF n/a 09/01/15 Terminated 12/31/15: Level 7 Final Requested

001021237 DAHS 11 09/01/15 35 Level supported by RFR result

001021243 PHC 3 09/01/15 PHC B 35 35

001021247 NF n/a 09/01/15 6

001021250 NF n/a 09/01/15 20

001021254 NF n/a 09/01/15 7

001021255 NF n/a 09/01/15 6

001021258 PHC 4 09/01/15 PHC B 29 29

001021261 PHC 5 09/01/15 PHC B 29 29

001021264 PHC 6 09/13/16 Termianted 7/26/16: Level NE

001021265 PHC 3 09/12/16 Terminated 8/31/16: Level 29/16 Final Requested

001021274 PHC 11 09/13/16 Terminated 8/31/16: Level 35/35 Final Requested

001021281 NF n/a 09/01/15 6

001021284 PHC 4 09/01/15 PHC B 35 35

001021289 PHC 3 09/01/15 PHC B 35 35

001021291 DAHS 11 09/01/15 35

001021292 PHC 11 09/01/15 PHC B 35 35

001021301 CLASS 2 09/01/15 29

001021302 CLASS 11 09/01/15 29

001021303 CLASS 4 09/01/15 29

001021304 CLASS 1 09/01/15 29

001021305 CLASS 9 09/01/15 29

001021308 PHC 11 09/01/15 PHC B 35 35

001021309 CLASS 11 09/01/15 35

001021313 PHC 3 09/01/15 NE

001021317 NF n/a 09/01/15 6

001021318 PHC 3 09/01/15 PHC B 35 35

001021319 PHC 3 09/01/15 PHC B 35 35

001021322 NF n/a 09/01/15 12

001021324 NF n/a 09/01/15 10

001021325 NF n/a 09/01/15 7

001021329 NF n/a 09/01/15 7 Level supported by RFR result

001021330 PHC 11 09/01/15 PHC B 29 29

001021331 PHC 6 09/01/15 NE

001021332 NF n/a 09/01/15 6

001021337 NF n/a 09/01/15 NE

001021338 PHC 3 09/01/15 PHC B 23 16

001021340 PHC 3 09/01/15 PHC B 35 35

001021342 PHC 5 09/01/15 PHC B 31 18 Non-Priority level supported by RFR result

001021344 CLASS 3 09/01/15 31

001021364 PHC 3 09/01/15 PHC B 35 35

001021365 PHC 4 09/01/15 PHC B 35 35

001021367 RC 3 09/01/15 35

001021369 PHC 3 09/01/15 PHC B 27 27

001021370 NF n/a 09/01/15 NE

001021371 CLASS 3 09/01/15 NE

001021375 CLASS 2 09/01/15 NE

001025381 NF n/a 09/01/15 6

001025385 NF n/a 09/01/15 6

001025387 RC 6 09/01/15 NE

001025390 NF n/a 09/01/15 NE

001025393 NF n/a 09/01/15 7

001025398 NF n/a 09/01/15 NE

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001025403 DAHS 8 05/25/16 Terminated 11/1/13: Level NE

001025404 PHC 11 09/01/15 PHC B 35 35

001025405 PHC 11 09/01/15 PHC B 35 35

001025407 PHC 6 09/01/15 PHC B 35 34

001025411 PHC 11 09/01/15 PHC B 35 35

001025414 NF n/a 09/01/15 6

001025421 PHC 6 09/01/15 PHC B 35 35

001025423 PHC 6 09/01/15 PHC B 35 35

001025425 PHC 6 09/01/15 PHC B 35 35

001025429 PHC 6 09/01/15 PHC B 31 31

001025431 RC 3 09/01/15 NE

001025434 RC 8 09/01/15 NE

001025439 NF n/a 09/01/15 12

001025440 NF n/a 09/01/15 6

001025442 PHC 6 09/01/15 PHC B 33 30

001025448 NF n/a 09/01/15 13

001025454 PHC 11 09/01/15 PHC B 35 35

001025456 PHC 11 09/01/15 NE

001025459 NF n/a 09/01/15 7

001025461 PHC 3 06/07/16 Terminated 5/31/16: Level 31/31 Final Requested

001025476 NF n/a 09/01/15 15

001025478 CLASS 7 09/01/15 NE

001025483 NF n/a 09/01/15 27

001025488 NF n/a 09/01/15 NE

001025489 NF n/a 09/01/15 6

001025490 NF n/a 09/01/15 13

001025492 NF n/a 09/01/15 23

001025506 NF n/a 09/01/15 6

001025518 NF n/a 09/01/15 6

001025520 PHC 3 09/01/15 PHC B 35 35

001025531 DAHS 10 09/01/15 11

001025532 NF n/a 09/01/15 NE

001025535 DB_MD 3 09/01/15 35

001025536 PHC 3 04/05/16 Terminated 4/1/16 - Level NE

001025540 PHC 6 09/01/15 PHC B 35 35

001025542 DAHS 8 09/01/15 35

001025544 PHC 3 09/01/15 PHC B 31 31

001025552 NF n/a 05/26/16 CHOW 4/30/16: Level 7 Final Requested

001025553 NF n/a 09/01/15 7

001025562 RC 4 09/01/15 NE

001025563 NF n/a 09/01/15 27

001025565 PHC 3 09/01/15 PHC B 29 29

001025569 NF n/a 09/01/15 6

001025570 PHC 3 09/01/15 NE

001025573 NF n/a 09/01/15 6

001025579 NF n/a 09/01/15 6

001025580 NF n/a 09/01/15 6

001025583 NF n/a 09/01/15 17

001025584 NF n/a 09/01/15 13

001025585 NF n/a 09/01/15 7

001025586 NF n/a 09/01/15 27

001025605 DAHS 3 09/01/15 20

001025608 CLASS 11 09/01/15 35

001025610 PHC 3 09/01/15 PHC B 31 31

001025615 NF n/a 09/01/15 13

001025617 NF n/a 09/01/15 7

001025618 PHC 6 09/01/15 NE

001025623 PHC 3 09/01/15 PHC B 35 35

001025626 NF n/a 05/31/16 CHOW 4/30/16: Level 7 Final Requested

001025631 NF n/a 09/01/15 19

001025632 NF n/a 09/01/15 6

001025633 RC 3 09/01/15 35

001025634 NF n/a 09/01/15 27

001025635 NF n/a 09/01/15 7

001025637 PHC 3 09/01/15 PHC B 35 35

001025645 NF n/a 05/27/16 CHOW 4/30/16: Level 7 Final Requested

001025646 NF n/a 09/01/15 6

001025647 PHC 11 09/01/15 PHC B 35 35

001025656 NF n/a 09/01/15 27

001025657 NF n/a 09/01/15 7

001025660 NF n/a 09/01/15 27

001025661 NF n/a 09/01/15 27

001025662 NF n/a 09/01/15 13

001025663 CLASS 6 09/01/15 35

001025665 PHC 8 09/01/15 PHC B 35 35

001025666 NF n/a 09/01/15 3

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001025667 NF n/a 09/01/15 3

001025668 NF n/a 09/01/15 27

001025669 NF n/a 09/01/15 14

001025675 PHC 3 09/01/15 PHC B 35 35

001025679 PHC 3 09/01/15 PHC B 22 22

001025680 PHC 3 06/29/16 Terminated 2/16/15: Level 31/31 Final Requested

001025681 PHC 3 09/01/15 PHC B 23 21

001025686 NF n/a 09/01/15 6

001025687 NF n/a 09/01/15 7

001025692 NF n/a 09/01/15 3

001025697 NF n/a 09/01/15 3

001025699 PHC 11 09/01/15 PHC NP NE 35

001025701 NF n/a 09/01/15 6

001025706 NF n/a 09/01/15 6

001025708 PHC 4 09/01/15 PHC B 35 35

001025709 NF n/a 09/01/15 27

001025710 NF n/a 09/01/15 6

001025711 NF n/a 09/01/15 9

001025715 NF n/a 09/01/15 27

001025716 PHC 3 09/01/15 PHC B 29 29

001025720 PHC 6 12/07/15 Terminated 11/30/15: Level NE

001025721 CLASS 6 09/01/15 NE

001025726 PHC 3 09/01/15 PHC B 35 35

001025742 PHC 6 09/01/15 PHC B 35 35

001025746 DAHS 10 09/01/15 35

001025747 PHC 3 09/01/15 NE

001025754 NF n/a 03/09/16 Terminated 3/2/16: Level NE

001025756 NF n/a 09/01/15 4

001025761 PHC 6 01/01/16 PHC B 35 35

001025763 PHC 6 09/01/15 PHC B 35 35

001025765 NF n/a 09/01/15 6

001025767 PHC 11 06/29/16 Terminated 5/1/14: Level 31/31

001025768 NF n/a 09/01/15 6

001025770 CLASS 8 09/01/15 35

001025771 NF n/a 09/01/15 5

001025772 NF n/a 09/01/15 4

001025773 NF n/a 09/01/15 NE

001025774 DB_MD 6 09/01/15 35

001025777 CLASS 8 09/01/15 35

001025779 NF n/a 09/01/15 NE

001025788 NF n/a 03/28/16 Terminated 3/28/16: Level NE

001025789 PHC 6 09/01/15 PHC B 30 5

001025795 PHC 11 09/01/15 PHC B 35 35

001025796 PHC 1 09/01/15 NE

001025797 NF n/a 09/01/15 12

001025800 PHC 6 09/01/15 PHC B 35 35

001025802 PHC 6 09/01/15 PHC B 32 32

001025810 PHC 6 01/06/16 Terminated 12/30/15: Level 31/31 Final Requested

001025811 NF n/a 09/01/15 6

001025812 NF n/a 09/01/15 7

001025814 PHC 6 09/01/15 PHC B 35 35

001025815 PHC 11 09/01/15 PHC B 35 35

001025818 PHC 11 09/01/15 PHC B 35 35

001025824 NF n/a 09/01/15 23

001025829 NF n/a 09/01/15 17

001025830 NF n/a 09/01/15 6

001025835 PHC 3 09/01/15 NE

001025836 NF n/a 05/12/16 CHOW 4/6/16: Level 7 Final Requested

001025837 NF n/a 06/07/16 Withdrew frm Medicaid 6/1/16: Level 6 Final Requested

001025840 NF n/a 09/01/15 10

001025841 NF n/a 09/01/15 17

001025843 NF n/a 09/01/15 6

001025844 PHC 3 09/01/15 NE

001025845 PHC 6 04/29/16 Terminated 12/31/15: Level NE

001025846 PHC 3 09/01/15 NE

001025848 PHC 11 09/01/15 PHC B 35 35

001025849 NF n/a 09/01/15 6

001025851 PHC 6 06/06/16 Terminated 5/10/16: Level NE

001025855 DB_MD 6 09/01/15 35

001025857 PHC 6 09/01/15 PHC B 31 31

001025865 PHC 3 09/01/15 PHC B 20 28

001025868 PHC 6 09/01/15 NE

001025869 NF n/a 09/01/15 7

001025870 NF n/a 09/01/15 7

001025873 DAHS 6 09/01/15 35

001025877 DB_MD 6 09/01/15 31

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001025880 PHC 3 09/01/15 PHC B 31 31

001025881 NF n/a 09/01/15 13

001025883 NF n/a 09/01/15 6

001025890 PHC 3 09/01/15 NE

001025891 NF n/a 09/01/15 10

001025895 PHC 6 09/01/15 PHC B 35 35

001025896 DAHS 6 02/22/16 Terminated 2/18/16: Level NE

001025899 PHC 6 09/01/15 NE

001025904 NF n/a 09/01/15 10

001025905 DAHS 1 09/01/15 31

001025911 NF n/a 09/01/15 7

001025912 NF n/a 09/01/15 27

001025913 NF n/a 09/01/15 27

001025914 NF n/a 09/01/15 27

001025915 NF n/a 01/01/16 6 LL eff 1/1/16 from 27 to 6

001025916 NF n/a 09/01/15 NE

001025917 NF n/a 09/01/15 18

001025918 NF n/a 09/01/15 3

001025919 NF n/a 09/01/15 11

001025920 PHC 6 02/01/16 Terminated 1/28/16: Level 35/35 Final Requested

001025923 PHC 11 09/01/15 PHC B 35 35

001025924 PHC 7 09/01/15 PHC B 23 23

001025925 PHC 6 02/01/16 Terminated 11/9/15: Level NE

001025929 NF n/a 09/01/15 23

001025934 NF n/a 09/01/15 6

001025944 DAHS 11 02/23/16 Terminated 2/1/16: Level 35 Final Requested

001025945 NF n/a 09/01/15 6

001025946 DB_MD 6 09/01/15 NE

001025949 PHC 3 09/01/15 NE

001025950 DB_MD 6 09/01/15 NE

001025953 NF n/a 01/01/16 7 LL eff 1/1/16 from 27 to 7

001025954 NF n/a 01/01/16 18 LL eff 1/1/16 from 27 to 18

001025957 NF n/a 09/01/15 27

001025959 NF n/a 09/01/15 7

001025960 PHC 11 09/01/15 PHC B 35 35

001025961 NF n/a 09/01/15 6

001025965 NF n/a 09/01/15 14

001025967 NF n/a 09/01/15 7

001025969 NF n/a 09/01/15 11

001025970 NF n/a 09/01/15 7

001025974 DAHS 11 09/01/15 35

001025975 NF n/a 09/01/15 13

001025976 NF n/a 09/01/15 13

001025977 NF n/a 09/01/15 6

001025978 PHC 6 09/01/15 NE

001025979 NF n/a 09/01/15 3

001025984 NF n/a 09/01/15 6

001025986 PHC 11 09/01/15 PHC B 35 35

001025990 DAHS 11 09/01/15 NE

001025996 PHC 6 09/01/15 PHC B 35 35

001025998 PHC 6 09/01/15 PHC B 35 35

001026000 PHC 6 09/01/15 PHC B 35 35

001026003 PHC 11 09/01/15 PHC B 33 33

001026004 CLASS 1 09/01/15 35

001026005 NF n/a 09/01/15 27

001026006 NF n/a 09/01/15 7

001026007 PHC 6 09/01/15 PHC B 35 35

001026008 PHC 7 09/01/15 PHC B 35 35

001026014 CLASS 11 09/01/15 35

001026015 CLASS 11 09/01/15 35

001026016 CLASS 11 09/01/15 35

001026017 CLASS 11 09/01/15 35

001026020 DB_MD 1 09/01/15 35

001026022 PHC 3 09/01/15 PHC B 35 35

001026023 NF n/a 09/01/15 6

001026024 NF n/a 09/01/15 13

001026026 PHC 8 09/01/15 PHC B 35 35

001026028 NF n/a 09/01/15 25

001026029 NF n/a 09/01/15 7

001026030 NF n/a 09/01/15 7

001026033 PHC 11 09/01/15 PHC B 35 35

001026034 PHC 3 09/01/15 PHC B 34 32

001026035 NF n/a 09/01/15 NE

001026037 CLASS 6 09/01/15 NE

001026038 PHC 3 09/01/15 PHC B 35 35

001026040 PHC 6 09/01/15 NE

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001026042 DAHS 11 09/01/15 35

001026043 DAHS 11 09/01/15 35

001026044 NF n/a 09/01/15 3

001026046 NF n/a 09/01/15 6

001026048 DAHS 11 09/01/15 NE

001026049 NF n/a 09/01/15 16

001026050 NF n/a 09/01/15 27

001026051 DAHS 11 09/01/15 NE

001026052 DAHS 11 09/01/15 NE

001026056 NF n/a 09/01/15 13

001026058 DAHS 11 10/23/15 CA to 001027055: Level 31 Final Requested

001026059 CLASS 6 09/01/15 25

001026060 PHC 6 09/01/15 PHC B 25 25

001026062 PHC 1 09/01/15 PHC B 31 9

001026065 NF n/a 09/01/15 NE

001026067 NF n/a 09/01/15 3

001026068 NF n/a 09/01/15 13

001026070 PHC 3 09/01/15 NE

001026073 PHC 6 09/01/15 PHC B 35 35

001026076 NF n/a 09/01/15 6

001026080 NF n/a 09/01/15 27

001026081 NF n/a 09/01/15 13

001026084 NF n/a 09/01/15 10

001026085 NF n/a 09/01/15 27

001026090 NF n/a 09/01/15 14

001026091 PHC 10 09/01/15 PHC B 31 31

001026094 NF n/a 09/01/15 6

001026095 PHC 6 10/23/15 Terminated 9/30/15: Level NE

001026099 PHC 6 09/01/15 NE

001026102 NF n/a 09/01/15 8

001026104 NF n/a 09/01/15 19

001026106 PHC 11 09/01/15 PHC B 35 35

001026108 NF n/a 09/01/15 7

001026121 PHC 6 09/01/15 NE

001026122 NF n/a 09/01/15 6

001026123 NF n/a 09/01/15 7

001026124 PHC 3 09/01/15 PHC B 35 35

001026126 PHC 3 09/01/15 PHC B 35 35

001026127 PHC 6 09/01/15 PHC B 35 35

001026129 NF n/a 09/01/15 NE

001026130 NF n/a 09/01/15 10

001026133 NF n/a 09/01/15 NE

001026136 NF n/a 09/01/15 7

001026137 NF n/a 09/01/15 3

001026138 NF n/a 09/01/15 26

001026139 PHC 3 09/01/15 PHC B 1 23

001026141 PHC 5 01/06/16 Terminated 12/28/15: Level NE

001026143 PHC 6 09/01/15 NE

001026144 NF n/a 09/01/15 13

001026147 PHC 6 05/11/16 Termianted 4/11/16: Level NE

001026148 PHC 3 09/01/15 PHC B 4 4

001026152 NF n/a 09/01/15 7

001026153 PHC 6 09/01/15 NE

001026154 CLASS 6 09/01/15 NE

001026156 PHC 3 09/01/15 PHC B 35 35

001026157 PHC 6 09/01/15 PHC B 31 31

001026158 PHC 11 09/01/15 PHC B 35 35

001026159 PHC 3 09/01/15 PHC NP NE 31

001026161 NF n/a 09/01/15 13

001026162 NF n/a 04/11/16 CHOW 2/29/16: Level 15 Final Requested

001026164 PHC 8 09/01/15 PHC B 31 31

001026165 PHC 6 09/01/15 PHC B 15 19

001026169 NF n/a 09/01/15 7

001026171 PHC 6 09/01/15 NE

001026173 NF n/a 09/01/15 6

001026179 CLASS 6 09/01/15 31

001026182 DAHS 3 09/01/15 NE

001026184 NF n/a 09/01/15 15

001026185 PHC 11 09/01/15 PHC B 31 31

001026186 NF n/a 09/01/15 23

001026187 NF n/a 09/01/15 15

001026188 NF n/a 09/01/15 7

001026189 PHC 10 09/01/15 PHC B 35 35

001026191 NF n/a 09/01/15 15

001026192 NF n/a 09/01/15 7

001026193 NF n/a 09/01/15 21

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001026194 PHC 9 09/01/15 PHC B 35 35

001026197 NF n/a 09/01/15 NE

001026198 NF n/a 09/01/15 21

001026204 NF n/a 09/01/15 NE

001026205 PHC 6 09/01/15 PHC B 31 31

001026206 NF n/a 09/01/15 4

001026208 PHC 6 09/01/15 PHC B 31 31

001026211 NF n/a 09/01/15 6

001026213 NF n/a 09/01/15 3

001026214 NF n/a 09/01/15 6

001026215 NF n/a 09/01/15 27

001026216 PHC 3 09/01/15 PHC B 23 23

001026217 PHC 6 02/12/16 Term 02/02/16 level 31/31 Final Requested.

001026219 DB_MD 3 09/01/15 NE

001026225 PHC 6 09/01/15 PHC B 31 31

001026226 PHC 6 09/01/15 PHC P 27 NE

001026227 NF n/a 09/01/15 NE

001026228 PHC 6 09/01/15 PHC B 25 25

001026230 PHC 3 09/01/15 NE

001026234 NF n/a 09/01/15 27

001026235 NF n/a 09/01/15 NE

001026236 DAHS 11 09/01/15 35

001026237 PHC 6 09/01/15 PHC B 31 31

001026239 NF n/a 09/01/15 3

001026240 NF n/a 09/01/15 4

001026241 NF n/a 09/01/15 7

001026242 NF n/a 09/01/15 NE

001026243 NF n/a 09/01/15 NE

001026244 PHC 6 09/01/15 NE

001026245 NF n/a 09/01/15 13

001026246 NF n/a 09/01/15 7

001026247 NF n/a 09/01/15 7

001026248 NF n/a 09/01/15 7

001026249 PHC 11 09/01/15 PHC B 35 35

001026250 DB_MD 6 09/01/15 15

001026252 NF n/a 09/01/15 7

001026254 NF n/a 09/01/15 7

001026260 NF n/a 09/01/15 7

001026261 PHC 4 09/01/15 NE

001026265 PHC 3 09/01/15 PHC B 29 29

001026266 NF n/a 09/01/15 13

001026267 NF n/a 09/01/15 7

001026268 NF n/a 09/01/15 7

001026269 PHC 4 09/01/15 NE

001026274 NF n/a 09/01/15 6

001026275 NF n/a 09/01/15 7

001026276 NF n/a 09/01/15 19

001026277 NF n/a 09/01/15 3

001026278 NF n/a 09/01/15 19

001026279 NF n/a 03/03/16 Terminated 11/3/15: level 7 Final Requested

001026280 NF n/a 09/01/15 1

001026281 NF n/a 09/01/15 6

001026283 NF n/a 09/01/15 7

001026284 NF n/a 09/01/15 6

001026285 NF n/a 09/01/15 NE

001026286 NF n/a 09/01/15 6

001026287 NF n/a 09/01/15 6

001026289 PHC 6 11/01/15 WP eff 11/1/15: Level 25/25 Final Requested

001026291 PHC 6 02/01/16 Terminated 1/28/16: Level NE

001026294 CLASS 3 09/01/15 35

001026295 NF n/a 09/01/15 7

001026296 NF n/a 09/01/15 6

001026297 PHC 11 09/01/15 PHC B 35 35

001026298 NF n/a 09/01/15 6

001026299 PHC 8 09/01/15 PHC B 35 35

001026300 PHC 3 09/01/15 PHC B 35 35

001026301 NF n/a 09/01/15 27

001026302 PHC 3 09/01/15 PHC B 35 35

001026305 PHC 3 09/01/15 NE

001026308 NF n/a 09/01/15 27

001026312 PHC 8 09/01/15 PHC B 29 29

001026313 NF n/a 09/01/15 7

001026314 NF n/a 09/01/15 13

001026315 NF n/a 09/01/15 7

001026316 NF n/a 09/01/15 6

001026317 NF n/a 09/01/15 3

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001026318 NF n/a 09/01/15 7

001026319 NF n/a 10/27/15 Terminated 7/6/15: Level 13 Final Requested

001026320 NF n/a 09/01/15 6

001026322 PHC 3 09/01/15 PHC B 35 35

001026324 PHC 11 09/01/15 PHC B 35 35

001026329 PHC 6 09/01/15 PHC B 30 35

001026347 PHC 6 06/29/16 Terminated 3/1/15: Level NE

001026350 PHC 10 09/01/15 NE

001026351 PHC 3 09/01/15 PHC B 31 31

001026352 NF n/a 09/01/15 10

001026353 PHC 3 09/01/15 PHC B 35 35

001026354 NF n/a 09/01/15 6

001026355 PHC 6 09/01/15 NE

001026357 NF n/a 09/01/15 27

001026359 PHC 6 09/01/15 PHC B 35 35

001026361 CLASS 6 09/01/15 35

001026362 DAHS 11 09/01/15 35

001026363 PHC 6 05/11/16 Terminate 4/14/16: Level NE

001026365 PHC 6 09/01/15 PHC B 31 31

001026369 PHC 6 09/01/15 PHC B 35 35

001026371 DAHS 6 05/11/16 Terminated 4/13/16: Level NE

001026372 PHC 10 09/01/15 PHC B 35 35

001026374 PHC 3 09/01/15 PHC B 33 33

001026384 DAHS 3 03/28/16 Terminated 3/1/16: Level 21 Final Requested

001026390 PHC 3 09/01/15 PHC B 35 35

001026391 PHC 5 09/01/15 PHC B 31 31

001026392 PHC 6 09/01/15 PHC B 31 31

001026393 PHC 7 09/01/15 PHC B 31 31

001026394 PHC 6 09/01/15 PHC B 30 30

001026401 NF n/a 09/01/15 3

001026403 PHC 3 09/01/15 PHC B 35 15

001026405 NF n/a 12/23/15 Terminated 11/30/15: Level 6

001026407 PHC 7 09/01/15 PHC B 29 29

001026410 NF n/a 09/01/15 6

001026411 PHC 3 09/01/15 PHC B 26 26

001026412 NF n/a 03/03/16 CHOW 2/21/6 to 001027463: Level 7 Final Requested

001026413 NF n/a 09/01/15 6

001026414 NF n/a 09/01/15 3

001026415 NF n/a 09/01/15 7

001026416 NF n/a 09/01/15 7

001026417 NF n/a 09/01/15 10

001026418 NF n/a 09/01/15 7

001026419 NF n/a 09/01/15 7

001026420 DAHS 11 09/01/15 NE

001026421 NF n/a 09/01/15 12

001026422 PHC 6 05/12/16 Terminated 4/13/16: Level 31/31 Final Requested

001026423 PHC 3 09/01/15 PHC B 35 35

001026425 CLASS 3 09/01/15 35

001026426 DAHS 11 09/01/15 31

001026427 NF n/a 03/03/16 CHOW 2/11/16: Level 11 Final Requested

001026432 NF n/a 09/01/15 27

001026433 NF n/a 09/01/15 6

001026434 NF n/a 09/01/15 NE

001026435 CLASS 3 09/01/15 35

001026436 PHC 7 09/01/15 PHC B 30 30

001026437 PHC 8 09/01/15 PHC B 31 31

001026439 PHC 11 10/22/15 Terminated 9/21/15 : Level 23/21 Final Requested

001026442 PHC 10 09/01/15 NE

001026446 PHC 6 05/11/16 Terminated 4/13/16: Level NE

001026447 PHC 5 08/23/16 Terminated 8/19/16: Level NE

001026448 PHC 6 09/01/15 NE

001026450 PHC 10 09/01/15 PHC B 35 35

001026453 PHC 6 09/01/15 NE

001026455 NF n/a 09/01/15 7

001026457 NF n/a 09/01/15 7

001026475 DB_MD 6 09/01/15 NE

001026479 PHC 7 09/01/15 PHC B 35 35

001026481 NF n/a 09/01/15 7

001026482 PHC 3 09/01/15 NE

001026483 NF n/a 09/01/15 3

001026484 NF n/a 09/01/15 8

001026485 PHC 6 09/01/15 PHC B 35 35

001026486 NF n/a 09/01/15 27

001026487 NF n/a 09/01/15 7

001026488 PHC 6 09/01/15 NE

001026489 NF n/a 09/01/15 27

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001026490 NF n/a 09/01/15 3

001026491 NF n/a 09/01/15 13

001026492 NF n/a 09/01/15 7

001026493 NF n/a 09/01/15 3

001026494 NF n/a 09/01/15 7

001026495 PHC 1 08/23/16 Terminated 8/19/16: Level NE

001026504 NF n/a 09/01/15 13

001026509 NF n/a 09/01/15 6

001026513 NF n/a 09/01/15 7

001026514 NF n/a 09/01/15 7

001026515 NF n/a 09/01/15 6

001026516 NF n/a 09/01/15 6

001026517 NF n/a 09/01/15 6

001026518 NF n/a 09/01/15 10

001026520 PHC 3 03/09/16 Terminated 3/4/16: Level NE

001026522 PHC 3 09/01/15 NE

001026523 NF n/a 09/01/15 13

001026524 NF n/a 09/01/15 6

001026525 NF n/a 09/01/15 11

001026529 PHC 6 06/07/16 Terminated 5/24/16: Level 34/29 Final Requested

001026530 NF n/a 09/01/15 13

001026531 NF n/a 09/01/15 6

001026532 NF n/a 02/01/15 6 CHOW from 001020452

001026533 NF n/a 09/01/15 13

001026534 PHC 6 09/01/15 PHC B 31 31

001026535 PHC 6 09/01/15 PHC B 35 35

001026536 NF n/a 09/01/15 27

001026537 NF n/a 09/01/15 7

001026538 NF n/a 09/01/15 6

001026539 NF n/a 09/01/15 6

001026540 NF n/a 09/01/15 6

001026541 NF n/a 09/01/15 7

001026542 PHC 6 09/01/15 NE

001026544 PHC 3 09/01/15 NE

001026546 NF n/a 09/01/15 7

001026547 NF n/a 09/01/15 3

001026548 PHC 11 06/06/16 Terminated 6/3/16: Level NE

001026549 PHC 3 04/22/16 PHC B 30 20

001026550 PHC 6 10/22/15 Terminated 9/30/15: Level NE

001026551 NF n/a 09/01/15 13

001026552 PHC 3 04/01/16 PHC B 15 15

001026554 NF n/a 09/01/15 7

001026555 DAHS 6 09/01/15 NE

001026556 PHC 3 09/01/15 NE

001026558 NF n/a 09/01/15 6

001026559 PHC 11 09/01/15 PHC B 35 35

001026560 NF n/a 09/01/15 6

001026561 NF n/a 09/01/15 7

001026562 NF n/a 09/01/15 6

001026563 NF n/a 09/01/15 13

001026565 NF n/a 09/01/15 8

001026566 NF n/a 09/01/15 7

001026567 PHC 6 09/01/15 NE

001026568 NF n/a 09/01/15 7

001026569 NF n/a 09/01/15 6

001026570 NF n/a 09/01/15 27

001026571 NF n/a 09/01/15 6

001026572 NF n/a 09/01/15 11

001026573 NF n/a 09/01/15 10

001026574 NF n/a 09/01/15 6

001026577 NF n/a 09/01/15 6

001026578 NF n/a 09/01/15 13

001026582 NF n/a 09/01/15 6

001026583 NF n/a 09/01/15 6

001026584 NF n/a 09/01/15 6

001026585 NF n/a 09/01/15 6

001026586 NF n/a 09/01/15 3

001026587 NF n/a 09/01/15 6

001026588 NF n/a 09/01/15 16

001026589 NF n/a 09/01/15 13

001026590 NF n/a 09/01/15 7

001026593 PHC 9 11/01/15 NE

001026594 PHC 11 09/01/15 PHC B 35 35

001026595 NF n/a 09/01/15 13

001026597 NF n/a 09/01/15 3

001026598 NF n/a 09/01/15 6

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001026599 NF n/a 09/01/15 7

001026600 PHC 3 09/21/16 Terminated 3/5/16: Level NE

001026602 NF n/a 09/01/15 27

001026604 NF n/a 09/01/15 10

001026605 NF n/a 09/01/15 13

001026606 NF n/a 09/01/15 8

001026607 NF n/a 09/01/15 3

001026609 NF n/a 09/01/15 15

001026610 NF n/a 09/01/15 3

001026611 NF n/a 09/01/15 6

001026612 NF n/a 09/01/15 6

001026614 NF n/a 09/01/15 10

001026615 PHC 11 09/01/15 PHC B 31 29

001026616 NF n/a 09/01/15 3

001026617 NF n/a 09/01/15 7

001026618 NF n/a 09/01/15 7

001026619 PHC 11 09/01/15 PHC B 35 35

001026627 NF n/a 09/01/15 13

001026628 NF n/a 09/01/15 7

001026630 PHC 2 10/22/15 Terminated 9/21/15: Level NE

001026631 PHC 3 05/11/16 Terminated 4/22/16: Level NE

001026632 PHC 4 09/01/15 NE

001026633 PHC 5 03/22/16 Terminated 3/17/16: Level NE

001026634 PHC 6 09/01/15 NE

001026635 PHC 7 03/22/16 Terminated 3/17/16: Level NE

001026636 PHC 8 09/01/15 NE

001026637 PHC 9 10/22/15 Terminated 9/21/15: Level NE

001026639 NF n/a 09/01/15 7

001026641 NF n/a 09/01/15 7

001026642 NF n/a 09/01/15 7

001026643 NF n/a 09/01/15 6

001026644 NF n/a 09/01/15 19

001026645 NF n/a 09/01/15 6

001026646 NF n/a 09/01/15 6

001026647 NF n/a 09/01/15 27

001026648 NF n/a 09/01/15 27

001026651 PHC 7 11/17/15 Terminated 10/6/15: Level NE

001026653 NF n/a 09/01/15 7

001026654 NF n/a 03/09/16 Terminated 3/4/16: Level 9 Final Requested

001026655 PHC 3 09/01/15 NE

001026657 NF n/a 09/01/15 NE

001026658 NF n/a 09/01/15 6

001026660 NF n/a 09/01/15 7

001026661 NF n/a 09/01/15 27

001026664 NF n/a 09/01/15 6

001026665 NF n/a 09/01/15 7

001026666 NF n/a 09/01/15 25

001026667 NF n/a 09/01/15 13

001026669 NF n/a 09/01/15 6

001026670 NF n/a 09/01/15 6

001026671 NF n/a 09/01/15 5

001026672 NF n/a 09/01/15 3

001026673 NF n/a 09/01/15 6

001026675 NF n/a 09/01/15 13

001026676 NF n/a 09/01/15 6

001026677 NF n/a 09/01/15 6

001026678 NF n/a 09/01/15 6

001026679 NF n/a 09/01/15 13

001026680 NF n/a 09/01/15 7

001026681 NF n/a 09/01/15 10

001026683 NF n/a 09/01/15 NE

001026684 NF n/a 09/01/15 6

001026685 NF n/a 09/01/15 12

001026686 NF n/a 09/01/15 7

001026687 NF n/a 09/01/15 7

001026688 PHC 3 09/01/15 NE

001026689 NF n/a 09/01/15 7

001026693 NF n/a 09/01/15 NE

001026694 NF n/a 09/01/15 NE

001026695 NF n/a 09/01/15 27

001026698 NF n/a 09/01/15 6

001026699 NF n/a 09/01/15 7

001026700 NF n/a 09/01/15 15

001026701 NF n/a 09/01/15 27

001026702 NF n/a 09/01/15 27

001026703 NF n/a 09/01/15 13

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001026704 NF n/a 09/01/15 27

001026705 NF n/a 09/01/15 18

001026706 NF n/a 09/01/15 26

001026707 NF n/a 09/01/15 13

001026709 NF n/a 09/01/15 27

001026710 NF n/a 09/01/15 27

001026711 NF n/a 09/01/15 7

001026712 NF n/a 09/01/15 6

001026715 NF n/a 09/01/15 13

001026716 NF n/a 09/01/15 6

001026717 NF n/a 09/01/15 6

001026718 NF n/a 09/01/15 9

001026719 NF n/a 09/01/15 27

001026720 NF n/a 09/01/15 7

001026721 NF n/a 09/01/15 4

001026722 NF n/a 09/01/15 7

001026723 NF n/a 09/01/15 7

001026724 NF n/a 09/01/15 7

001026726 NF n/a 09/01/15 6

001026727 NF n/a 09/01/15 NE

001026728 NF n/a 09/01/15 27

001026731 NF n/a 09/01/15 6

001026732 PHC 3 09/01/15 NE

001026733 NF n/a 09/01/15 6

001026734 NF n/a 09/01/15 6

001026737 PHC 2 09/01/15 PHC B 34 34

001026739 PHC 3 09/01/15 PHC B 33 33

001026741 DB_MD 3 09/01/15 33

001026742 PHC 4 09/01/15 PHC B 35 35

001026745 PHC 6 09/01/15 PHC B 31 31

001026747 NF n/a 09/01/15 13

001026749 PHC 5 09/01/15 PHC B 35 35

001026750 PHC 7 09/01/15 PHC B 35 35 Terminated 7/12/16: Level 35/35

001026751 NF n/a 09/01/15 10

001026754 PHC 11 09/01/15 PHC B 35 35

001026755 PHC 3 09/01/15 PHC B 35 35

001026756 PHC 8 09/01/15 NE

001026759 PHC 11 09/01/15 PHC B 35 35

001026762 PHC 8 12/23/15 Terminated 11/10/15: Level 35/35 Final Requested

001026765 PHC 6 08/23/16 Terminated 8/19/16: Level 29/29 Final Requested

001026766 PHC 7 09/01/15 PHC B 29 29

001026768 PHC 6 09/01/15 PHC B 31 31

001026769 PHC 3 09/01/15 NE

001026771 PHC 3 09/01/15 PHC B 31 31

001026773 PHC 6 09/01/15 NE

001026774 DAHS 11 09/01/15 29

001026776 PHC 6 09/01/15 PHC B 35 35

001026777 PHC 11 04/06/16 Terminated 3/6/16: Level 33/33

001026779 PHC 11 09/01/15 PHC B 35 35

001026780 PHC 6 09/01/15 PHC B 25 31

001026781 PHC 11 09/01/15 PHC B 35 35

001026782 PHC 3 09/01/15 PHC B 25 18

001026783 NF n/a 09/01/15 14

001026785 PHC 7 09/01/15 PHC B 35 35

001026787 NF n/a 01/13/16 CHOW 12/31/15 to 001027393: Level 27 Final Requested

001026789 PHC 3 09/01/15 PHC B 31 31

001026791 PHC 3 09/01/15 PHC B 31 31

001026799 PHC 11 09/01/15 PHC B 35 35

001026800 NF n/a 09/01/15 23

001026801 PHC 8 09/01/15 NE

001026802 NF n/a 09/01/15 NE

001026803 PHC 6 09/01/15 PHC B 35 35

001026804 DB_MD 6 09/01/15 NE

001026805 PHC 3 09/01/15 PHC B 35 35

001026806 NF n/a 09/01/15 3

001026807 NF n/a 09/01/15 6

001026809 NF n/a 09/01/15 7

001026810 PHC 10 09/01/15 PHC B 35 35

001026811 PHC 3 09/01/15 NE

001026812 PHC 3 09/01/15 NE

001026813 NF n/a 09/01/15 27

001026814 PHC 3 09/01/15 NE

001026815 PHC 3 09/01/15 PHC B 30 30

001026816 PHC 3 09/01/15 NE

001026820 NF n/a 09/01/15 9

001026822 PHC 3 09/01/15 NE

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001026825 NF n/a 09/01/15 10

001026826 PHC 6 09/01/15 NE

001026828 PHC 10 09/13/16 Terminated 8/25/16: Level NE

001026829 PHC 3 09/01/15 PHC B 35 35

001026830 PHC 8 01/01/16 PHC B 35 35

001026832 NF n/a 09/01/15 NE

001026833 PHC 3 09/01/15 NE

001026835 DB_MD 5 09/01/15 NE

001026836 PHC 3 09/01/15 NE

001026837 DB_MD 6 04/01/16 35

001026839 PHC 3 09/01/15 PHC B 31 28

001026842 PHC 3 09/01/15 PHC B 22 22

001026844 NF n/a 09/01/15 10

001026846 PHC 6 09/01/15 PHC B 35 35

001026848 CLASS 6 09/01/15 35

001026850 NF n/a 09/01/15 7

001026851 CLASS 11 09/01/15 35

001026853 PHC 11 09/01/15 PHC B 35 35

001026854 NF n/a 09/01/15 3

001026855 NF n/a 09/01/15 6

001026856 PHC 3 09/01/15 NE

001026859 PHC 3 10/23/15 Terminated 10/16/15: Level 25/17 Final Requested

001026860 NF n/a 09/01/15 20

001026861 PHC 6 09/01/15 PHC B 25 25

001026862 PHC 8 09/01/15 PHC B 25 25

001026863 PHC 11 09/01/15 PHC B 26 26

001026866 PHC 3 02/23/16 Terminated 2/05/16: Level NP 29 Final Requested

001026871 NF n/a 09/01/15 13

001026876 PHC 3 02/01/16 Terminated 1/27/16: Level 25/25 Final Requested

001026878 NF n/a 05/11/16 CHOW 3/31/16: Level 13 Final Requested

001026879 PHC 10 09/01/15 PHC B 35 35

001026880 PHC 6 09/01/15 NE

001026885 PHC 6 09/01/15 NE

001026886 PHC 3 09/01/15 NE

001026887 PHC 11 09/01/15 PHC NP NE 33

001026888 PHC 11 09/01/15 PHC B 35 35

001026889 PHC 8 09/01/15 PHC B 35 35

001026890 CLASS 3 09/01/15 NE

001026891 NF n/a 09/01/15 10

001026892 PHC 6 09/01/15 NE

001026893 CLASS 6 09/01/15 NE

001026894 DAHS 6 09/01/15 2

001026895 PHC 6 09/01/15 NE

001026896 NF n/a 03/31/16 CHOW 1/31/16: Level 3 Final Requested

001026897 PHC 8 09/01/15 NE

001026898 PHC 5 09/01/15 NE

001026899 PHC 6 09/01/15 NE

001026903 NF n/a 09/01/15 6

001026904 PHC 3 09/01/15 NE

001026905 PHC 3 09/01/15 PHC B 35 35

001026906 NF n/a 09/01/15 13

001026907 PHC 3 09/01/15 NE

001026908 PHC 6 09/01/15 NE

001026909 PHC 7 09/01/15 NE

001026910 PHC 8 09/01/15 NE

001026911 NF n/a 09/01/15 13

001026912 NF n/a 09/01/15 27

001026914 PHC 6 09/01/15 PHC B 31 31

001026919 PHC 6 09/01/15 NE

001026923 PHC 8 09/01/15 PHC B 25 25

001026924 PHC 11 09/01/15 PHC B 25 25

001026925 NF n/a 09/01/15 15

001026926 NF n/a 09/01/15 6

001026929 PHC 6 09/01/15 NE

001026931 PHC 3 09/01/15 PHC B 27 27

001026932 PHC 10 09/01/15 NE

001026934 PHC 3 09/01/15 NE

001026935 PHC 6 09/01/15 NE

001026936 PHC 10 09/01/15 PHC B 35 35

001026939 PHC 6 09/01/15 NE

001026940 PHC 3 09/01/15 NE

001026943 PHC 6 09/01/15 NE

001026946 PHC 3 09/01/15 NE

001026947 NF n/a 06/07/16 CHOW 5/26/16: Level NE

001026948 PHC 11 09/01/15 PHC B 25 25

001026949 PHC 3 09/01/15 NE

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001026950 PHC 3 11/01/15 PHC B 35 35

001026951 NF n/a 09/01/15 7

001026952 NF n/a 09/01/15 9

001026953 PHC 3 09/01/15 PHC B 35 35

001026955 PHC 3 09/01/15 PHC B 14 13

001026956 NF n/a 09/01/15 10

001026959 PHC 3 09/01/15 PHC B 30 25

001026961 NF n/a 09/01/15 3

001026963 NF n/a 11/01/15 3

001026964 NF n/a 09/01/15 7

001026965 PHC 3 10/01/15 PHC B 35 35

001026966 PHC 3 11/01/15 PHC B 31 31

001026967 PHC 5 09/01/15 NE

001026969 PHC 6 09/01/15 NE

001026971 CLASS 3 09/01/15 NE

001026975 PHC 6 09/01/15 PHC B 1 10

001026976 PHC 6 09/01/15 NE

001026977 NF n/a 09/01/15 27

001026978 PHC 10 09/01/15 PHC B 35 35

001026979 PHC 10 09/01/15 PHC B 35 35

001026980 PHC 5 09/01/15 NE

001026981 PHC 6 09/01/15 NE

001026983 PHC 6 09/01/15 NE

001026984 DAHS 11 09/01/15 NE

001026985 PHC 3 09/01/15 NE

001026987 PHC 4 09/01/15 NE

001026990 PHC 3 09/01/15 PHC B 35 35

001026992 PHC 4 11/01/15 PHC B 35 35

001026994 NF n/a 09/01/15 13

001026995 PHC 3 09/01/15 PHC B 31 31

001026996 NF n/a 09/01/15 10

001026997 PHC 3 09/01/15 PHC B 31 31

001026999 NF n/a 09/01/15 7

001027000 PHC 6 09/01/15 NE

001027005 PHC 3 09/01/15 NE

001027007 PHC 6 11/01/15 NE

001027008 NF n/a 09/01/15 7

001027009 NF n/a 09/01/15 13

001027010 PHC 7 11/01/15 NE

001027011 PHC 8 11/01/15 NE

001027014 PHC 11 11/01/15 PHC B 35 35

001027016 PHC 3 02/01/16 NE

001027021 PHC 11 11/01/15 PHC B 35 35

001027022 PHC 5 11/01/15 NE

001027024 PHC 11 11/01/15 NE

001027026 PHC 3 09/01/15 PHC B 26 26

001027027 PHC 6 11/01/15 NE

001027028 PHC 6 11/01/15 PHC B 35 35

001027029 PHC 3 11/01/15 NE

001027031 NF n/a 09/01/15 7

001027032 PHC 5 09/01/15 PHC B 35 35

001027034 NF n/a 09/01/15 7

001027035 PHC 6 11/01/15 NE

001027038 PHC 3 12/01/15 PHC B 15 23

001027040 NF n/a 09/01/15 7

001027041 NF n/a 09/01/15 NE

001027042 PHC 4 01/01/16 NE

001027044 NF n/a 09/01/15 13

001027046 PHC 7 11/01/15 NE

001027052 PHC 6 12/01/15 PHC B 35 35

001027054 DAHS 11 11/01/15 35

001027055 DAHS 11 10/01/15 31 CA from 001026058

001027056 PHC 11 11/01/15 PHC B 31 31

001027057 PHC 5 11/01/15 NE

001027058 PHC 7 11/01/15 NE

001027059 PHC 8 11/01/15 NE

001027060 NF n/a 09/01/15 6

001027061 NF n/a 09/01/15 7

001027064 DAHS 11 12/01/15 35 CA from 001016710

001027066 NF n/a 05/18/16 CHOW 4/30/16: Level 3 Final Requested

001027069 NF n/a 09/01/15 4

001027071 NF n/a 09/01/15 21

001027072 NF n/a 09/01/15 13

001027073 NF n/a 09/01/15 7

001027082 DAHS 6 01/01/16 NE

001027087 PHC 3 01/01/16 NE

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001027088 PHC 6 02/01/16 NE

001027089 PHC 7 02/01/16 NE

001027090 PHC 7 04/01/16 PHC B 31 31

001027091 DAHS 11 02/01/16 NE

001027095 PHC 3 11/01/15 NE

001027096 PHC 6 11/01/15 NE

001027098 NF n/a 09/01/15 NE

001027099 PHC 3 12/01/15 NE

001027103 NF n/a 09/01/15 NE

001027104 NF n/a 09/01/15 3 CHOW from 001014336

001027105 PHC 1 11/01/15 PHC B 35 35

001027106 PHC 5 11/01/15 PHC B 35 35

001027107 PHC 11 11/01/15 PHC B 35 35

001027109 PHC 6 02/01/16 PHC B 35 35

001027110 NF n/a 09/01/15 NE

001027111 NF n/a 09/01/15 16

001027113 NF n/a 09/01/15 NE

001027114 NF n/a 09/01/15 14

001027115 PHC 6 11/01/15 PHC B 22 22 CA from 001020418

001027117 NF n/a 09/01/15 NE

001027118 NF n/a 09/01/15 NE

001027119 NF n/a 09/01/15 24

001027120 NF n/a 09/01/15 6

001027121 RC 3 01/01/16 NE

001027122 NF n/a 09/01/15 13

001027123 PHC 1 01/01/16 NE

001027124 PHC 2 01/01/16 NE

001027125 PHC 3 01/01/16 NE

001027126 PHC 4 01/01/16 NE

001027127 PHC 5 01/01/16 NE

001027128 PHC 6 01/01/16 NE

001027129 PHC 7 01/01/16 NE

001027130 PHC 8 01/01/16 NE

001027131 PHC 9 01/01/16 NE

001027132 PHC 10 01/01/16 NE

001027133 PHC 11 01/01/16 NE

001027134 NF n/a 09/01/15 7

001027141 NF n/a 03/01/16 NE

001027142 PHC 5 01/01/16 PHC B 35 35

001027144 PHC 6 01/01/16 PHC B 35 35

001027146 PHC 3 03/01/16 PHC B 35 35

001027148 PHC 11 09/01/15 PHC B 35 35

001027149 PHC 3 09/01/15 PHC B 10 10

001027150 PHC 11 04/07/16 Terminated 1/31/16: Level NE

001027153 PHC 3 09/01/15 NE

001027154 PHC 7 09/01/15 NE

001027155 NF n/a 09/01/15 10

001027156 PHC 1 12/01/15 NE

001027157 PHC 2 12/01/15 NE

001027158 PHC 3 12/01/15 NE

001027159 PHC 4 12/01/15 NE

001027160 PHC 5 12/01/15 NE

001027161 PHC 6 12/01/15 NE

001027162 PHC 7 12/01/15 NE

001027163 PHC 8 12/01/15 NE

001027164 PHC 9 12/01/15 NE

001027165 PHC 10 12/01/15 NE

001027166 PHC 11 12/01/15 NE

001027167 PHC 3 12/01/15 NE

001027168 PHC 4 12/01/15 NE

001027170 PHC 6 01/01/16 PHC B 35 35

001027171 PHC 6 12/01/15 NE

001027172 PHC 5 01/01/16 PHC B 31 31

001027173 PHC 6 01/01/16 PHC B 31 31

001027174 PHC 7 03/24/16 Terminated 2/26/16: Level NE

001027176 PHC 8 03/03/16 Terminated 2/29/16: Level NE

001027178 PHC 11 10/03/16 Terminated 8/10/16: Level 35/35 Final Requested

001027179 PHC 11 01/01/16 PHC B 35 35

001027180 NF n/a 10/01/15 6 CHOW from 001016514

001027182 PHC 6 12/01/15 NE

001027183 PHC 3 01/01/16 PHC B 31 31

001027186 PHC 5 01/01/16 PHC B 35 35

001027187 PHC 6 01/01/16 PHC B 35 35

001027188 NF n/a 10/01/15 13

001027189 PHC 10 02/01/16 PHC B 35 35

001027190 PHC 6 12/01/15 NE

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001027193 PHC 3 12/01/15 NE

001027194 PHC 11 01/01/16 PHC B 35 35 CA FROM 001021125

001027201 PHC 6 11/01/15 NE

001027203 NF n/a 10/29/15 NE

001027207 PHC 6 01/01/16 NE

001027208 NF n/a 11/23/15 27 Replacement facility from 001013539

001027209 PHC 3 09/01/16 NE

001027213 PHC 4 02/01/16 PHC B 31 22 CA from 001019134

001027216 PHC 3 12/01/15 NE

001027217 NF n/a 09/25/15 6 CHOW from 001016302

001027218 DAHS 11 12/01/15 35 CA from 001018337

001027222 NF n/a 11/01/15 NE CHOW from 000448902

001027223 PHC 5 03/01/16 PHC B 35 35

001027225 PHC 6 03/01/16 PHC B 35 35

001027232 NF n/a 10/01/15 20 CHOW from 001014088

001027236 PHC 5 02/01/16 PHC B 35 35

001027237 PHC 7 02/01/16 PHC B 35 35

001027242 PHC 3 03/03/16 Terminated 2/23/16: Level NE

001027243 PHC 11 02/01/16 PHC B 35 35

001027244 PHC 3 02/01/16 PHC B 25 25

001027246 PHC 4 02/01/16 PHC B 25 25

001027248 PHC 5 02/01/16 PHC B 30 30

001027250 PHC 7 02/01/16 PHC B 25 25

001027252 PHC 8 02/01/16 PHC B 25 25

001027258 NF n/a 11/01/15 7 CHOW from 001016727

001027259 PHC 6 01/01/16 NE

001027263 PHC 3 01/01/16 NE

001027266 CLASS 6 01/01/16 NE

001027268 PHC 6 01/01/16 NE

001027269 NF n/a 12/01/15 13

001027270 CLASS 7 02/01/16 NE

001027271 PHC 6 02/01/16 NE

001027278 DAHS 5 02/01/16 29

001027280 DAHS 11 1/1/2016 35 Terminated 8/11/16: Level 35 Final Requested

001027281 NF n/a 12/01/15 7 CHOW from 000479603

001027282 PHC 3 03/01/16 PHC B 35 35

001027284 PHC 4 03/01/16 PHC B 35 35

001027286 PHC 5 03/01/16 PHC B 35 35

001027288 PHC 6 02/01/16 PHC B 35 35

001027290 CLASS 4 01/01/16 NE

001027296 NF n/a 12/01/15 6

001027297 PHC 4 01/01/16 NE

001027298 PHC 5 03/01/16 PHC B 35 35

001027299 PHC 6 03/01/16 PHC B 35 35

001027300 PHC 7 03/01/16 PHC B 35 35

001027301 PHC 3 03/01/16 PHC B 35 35

001027305 PHC 6 01/01/16 NE

001027306 DAHS 11 4/1/2016 23

001027307 DAHS 6 3/1/2016 NE

001027309 PHC 8 03/01/16 PHC B 35 35

001027310 PHC 3 03/01/16 NE

001027312 PHC 11 03/01/16 PHC B 35 35

001027313 NF n/a 09/01/16 NE EPC Closed

001027314 PHC 3 03/01/16 PHC B 35 35

001027318 NF n/a 12/01/15 7 CHOW from 001016728

001027319 PHC 3 02/01/16 NE

001027320 PHC 3 02/01/16 NE

001027322 PHC 8 03/01/16 PHC B 35 35

001027324 PHC 11 05/01/16 PHC B 35 35

001027326 NF n/a 12/15/15 3 CHOW from 001012202

001027327 NF n/a 01/01/16 12 CHOW from 000498208

001027329 PHC 5 04/01/16 PHC B 20 20

001027330 PHC 6 04/01/16 PHC B 20 20

001027331 PHC 11 03/01/16 PHC B 35 35

001027333 PHC 8 04/01/16 NE

001027334 PHC 3 02/01/16 NE

001027337 PHC 1 02/01/16 NE

001027338 PHC 2 02/01/16 NE

001027339 PHC 3 02/01/16 NE

001027340 PHC 4 02/01/16 NE

001027341 PHC 5 02/01/16 NE

001027342 PHC 6 02/01/16 NE

001027343 PHC 7 02/01/16 NE

001027344 PHC 8 02/01/16 NE

001027345 PHC 9 02/01/16 NE

001027346 PHC 10 02/01/16 NE

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001027347 PHC 11 02/01/16 NE

001027348 PHC 3 04/01/16 PHC B 32 32

001027350 PHC 10 04/01/16 PHC B 35 35

001027352 PHC 3 03/01/16 NE

001027353 CLASS 3 03/01/16 NE

001027356 PHC 5 02/01/16 NE

001027358 PHC 6 02/01/16 NE

001027360 PHC 7 02/01/16 NE

001027361 CLASS 6 02/01/16 NE

001027364 PHC 7 04/01/16 PHC B 35 35

001027366 NF n/a 12/01/15 7 CHOW from 001015390

001027367 PHC 11 07/01/16 NE EPC Closed

001027368 PHC 3 03/01/16 NE

001027369 PHC 6 08/04/16 Terminated 6/27/16: Leve NE

001027371 PHC 10 03/01/16 PHC B 35 35

001027373 PHC 3 04/01/16 PHC B 35 14

001027375 PHC 05 03/01/16 PHC B 35 35

001027376 PHC 6 04/01/16 NE

001027377 NF n/a 12/01/15 6 CHOW from 000537202

001027379 NF n/a 01/19/16 13 CHOW from 001015385

001027380 NF n/a 01/19/16 13 CHOW from 001015396

001027382 NF n/a 01/01/16 27 CHOW from 001012267

001027383 NF n/a 12/01/15 27 CHOW from 001000476

001027384 NF n/a 09/01/16 3

001027386 PHC 3 03/01/16 NE

001027387 NF n/a 01/01/16 7 CHOW from 0010212312

001027389 PHC 6 04/01/16 PHC B 35 35

001027392 PHC 6 03/01/16 NE

001027393 NF n/a 01/01/16 27 CHOW from 001026787

001027394 PHC 5 04/01/16 PHC B 21 20

001027396 PHC 6 04/01/16 PHC B 21 20

001027398 PHC 3 04/01/16 NE

001027401 NF n/a 01/01/16 1 CHOW from 000410501

001027402 DAHS 11 4/1/2016 18

001027403 PHC 6 04/01/16 PHC B 25 25

001027404 PHC 6 04/01/16 PHC B 35 35

001027407 NF n/a 10/29/15 NE CHOW from 001013396

001027409 PHC 11 04/01/16 PHC B 35 35

001027414 PHC 6 07/01/16 NE EPC Closed

001027415 PHC 11 04/01/16 PHC B 35 35

001027418 PHC 11 04/01/16 NE

001027419 PHC 10 03/01/16 PHC B 31 31

001027420 NF n/a 01/19/16 27 CHOW from 001015380

001027421 CLASS 6 03/01/16 NE

001027423 NF n/a 02/22/16 NE CHOW from 001020237

001027424 NF 6 03/30/16 NE

001027426 CLASS 6 09/19/16 Terminated 8/30/16: Level NE

001027427 PHC 6 04/01/16 PHC B 31 31

001027428 NF n/a 05/17/16 CHOW 4/14/16: Level NE

001027429 PHC 8 04/01/16 PHC B 35 35

001027430 PHC 11 04/01/16 NE

001027432 PHC 6 04/01/16 NE

001027433 CLASS 6 04/01/16 NE

001027434 NF n/a 01/19/16 13 CHOW from 001015382

001027436 DB_MD 3 03/01/16 NE

001027437 PHC 8 04/01/16 NE EPC Closed

001027439 PHC 7 04/01/16 NE EPC Closed

001027441 CLASS 8 04/01/16 NE EPC Closed

001027442 CLASS 8 04/01/16 NE EPC Closed

001027443 CLASS 7 04/01/16 NE EPC Closed

001027447 NF n/a 01/19/16 13 CHOW from 001015377

001027448 NF n/a 02/22/16 3 CHOW from 000535801

001027450 PHC 3 04/01/16 NE

001027452 PHC 8 04/01/16 PHC B 35 35

001027453 NF n/a 02/22/16 NE CHOW from 001013738

001027459 PHC 8 03/01/16 PHC B 33 29

001027460 PHC 6 04/01/16 PHC B 1 2

001027461 PHC 4 04/01/16 NE

001027463 NF n/a 02/22/16 7 CHOW from 001026412

001027466 PHC 10 03/01/16 PHC B 1 10

001027469 NF n/a 02/01/16 3 CHOW from 001026896

001027470 CLASS 3 03/01/16 NE

001027472 DB_MD 3 03/01/16 NE

001027473 NF n/a 05/12/16 CHOW 4/14/16: Level 3 Final Requested

001027474 DAHS 11 3/1/2016 NE

001027475 PHC 6 04/01/16 NE

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001027476 CLASS 6 04/01/16 NE

001027478 PHC 10 04/01/16 PHC B 18 18

001027483 NF n/a 04/01/16 13 CHOW from 001026878

001027484 NF n/a 04/01/16 27 CHOW from 001020878

001027493 NF n/a 03/01/16 13 CHOW from 001016069

001027496 NF n/a 05/11/16 CHOW 4/14/16: Level 11 Final Requested

001027505 PHC 8 05/01/16 PHC B 35 35

001027506 PHC 11 05/01/16 PHC B 35 35

001027515 PHC 6 05/01/16 PHC B 30 30

001027516 PHC 3 05/01/16 NE

001027517 PHC 3 05/01/16 NE

001027518 PHC 4 05/01/16 NE

001027519 PHC 5 05/01/16 NE

001027520 PHC 7 05/01/16 NE

001027522 PHC 11 05/01/16 NE

001027523 PHC 6 04/01/16 NE

001027524 DAHS 11 07/01/16 35

001027525 PHC 10 09/01/16 NE EPC Closed

001027527 NF n/a 09/01/16 10

001027528 PHC 6 05/01/16 PHC B 31 30

001027536 PHC 8 05/01/16 NE

001027537 PHC 5 06/01/16 PHC B 21 21

001027539 PHC 6 05/01/16 NE

001027540 PHC 11 09/01/16 NE

001027545 NF n/a 04/19/16 21

001027546 DAHS 11 06/01/16 NE EPC Closed

001027547 PHC 4 07/01/16 NE EPC Closed

001027548 PHC 3 05/01/16 NE

001027550 PHC 4 05/01/16 PHC B 35 35

001027551 PHC 6 05/01/16 PHC B 30 30

001027555 NF 08/01/16 NE

001027556 PHC 6 06/01/16 NE EPC Closed

001027557 PHC 3 05/01/16 NE

001027558 PHC 6 05/01/16 NE

001027559 PHC 3 06/01/16 NE EPC Closed

001027562 PHC 6 05/01/16 NE

001027564 DB_MD 3 06/01/16 NE EPC Closed

001027565 PHC 3 06/01/16 NE EPC Closed

001027569 PHC 11 07/01/16 PHC B 25 25

001027570 PHC 3 05/01/16 NE

001027571 PHC 6 05/01/16 PHC B 19 19

001027573 PHC 3 05/01/16 NE

001027575 DB_MD 3 06/01/16 NE EPC Closed

001027576 NF n/a 02/01/16 12 CHOW from 000418403

001027577 PHC 5 05/01/16 NE

001027578 PHC 3 07/01/16 NE EPC Closed

001027579 CLASS 3 07/01/16 NE EPC Closed

001027581 PHC 3 06/01/16 NE EPC Closed

001027582 DAHS 8 05/01/16 28

001027583 PHC 6 06/01/16 NE EPC Closed

001027586 PHC 6 06/01/16 NE EPC Closed

001027587 PHC 6 06/01/16 PHC B 35 35

001027588 DAHS 10 05/01/16 NE

001027591 PHC 11 06/01/16 NE EPC Closed

001027592 PHC 6 07/01/16 NE EPC Closed

001027593 PHC 3 06/01/16 NE EPC Closed

001027595 PHC 7 07/01/16 NE EPC Closed

001027596 NF n/a 03/31/16 19 CHOW from 000509501

001027599 PHC 7 07/01/16 NE EPC Closed

001027602 CLASS 7 07/01/16 NE EPC Closed

001027604 PHC 6 06/01/16 NE EPC Closed

001027607 PHC 4 07/01/16 30 30 CHOW from 001018441

001027608 PHC 3 07/01/16 30 30 CHOW from 001016843

001027609 NF n/a 06/13/16 NE EPC Closed

001027610 PHC 5 07/01/16 NE EPC Closed

001027611 PHC 6 07/01/16 NE EPC Closed

001027612 PHC 7 07/01/16 NE EPC Closed

001027613 PHC 8 07/01/16 NE EPC Closed

001027614 PHC 11 07/01/16 NE EPC Closed

001027615 PHC 3 06/01/16 NE EPC Closed

001027617 PHC 6 07/01/16 NE EPC Closed

001027621 PHC 4 07/01/16 NE EPC Closed

001027623 NF n/a 09/01/16 NE EPC Closed

001027624 NF n/a 04/01/16 27 CHOW from 000435808

001027625 NF n/a 03/01/16 15 CHOW from 001026162

001027626 NF n/a 06/01/16 EPC Closed

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001027628 PHC 3 09/01/16 NE EPC Closed

001027629 PHC 7 09/01/16 NE EPC Closed

001027630 PHC 10 09/01/16 EPC Closed

001027631 NF 8 05/01/16 CHOW from 001025626

001027632 PHC 11 07/01/16 NE EPC Closed

001027633 NF 7 05/01/16 CHOW from 001025552

001027634 NF 11 05/01/16 CHOW from 001027496

001027635 DAHS 10 07/01/16 NE EPC Closed

001027636 PHC 6 06/01/16 NE EPC Closed

001027639 PHC 3 07/01/16 NE EPC Closed

001027643 NF n/a 05/01/16 6 CHOW from 001020785

001027648 NF n/a 05/01/16 6 CHOW from 001018275

001027649 PHC 10 07/01/16 NE EPC Closed

001027650 NF n/a 05/01/16 3 CHOW from 001019091

001027652 DAHS 11 09/01/16 EPC Closed

001027653 DAHS 3 08/01/16 Terminated 8/1/16: Level NE

001027655 PHC 8 07/01/16 NE EPC Closed

001027659 PHC 3 09/01/16 EPC Closed

001027661 NF n/a 05/01/16 7 CHOW from 001017010

001027669 PHC 6 07/01/16 NE EPC Closed

001027670 PHC 3 07/01/16 NE EPC Closed

001027671 NF n/a 05/01/16 14 CHOW from 001012869

001027672 PHC 11 07/01/16 NE EPC Closed

001027673 PHC 10 07/01/16 NE EPC Closed

001027673 PHC 10 09/01/16 EPC Closed

001027674 PHC 11 06/01/16 NE EPC Closed

001027675 PHC 3 07/01/16 NE EPC Closed

001027676 NF n/a 05/01/16 6 CHOW from 001012874

001027677 PHC 6 07/01/16 NE EPC Closed

001027678 PHC 3 07/01/16 NE EPC Closed

001027689 NF n/a 05/01/16 6 CHOW from 001014458

001027692 NF n/a 05/01/16 7 CHOW from 001012896

001027695 NF n/a 05/01/16 CHOW from 001027428

001027696 NF n/a 05/01/16 3 CHOW from 001027066

001027697 PHC 6 07/01/16 PHC B 35 31 CHOW from 001020964

001027698 PHC 6 07/01/16 NE EPC Closed

001027700 DAHS 2 06/15/16 16 CA from 001016273

001027701 NF n/a 09/01/16 3

001027703 PHC 6 09/01/16 NE

001027704 PHC 6 07/01/16 NE EPC Closed

001027707 NF n/a 05/01/16 NE CHOW from 001004084

001027708 PHC 6 09/01/16 EPC Closed

001027709 PHC 8 09/01/16 NE

001027710 PHC 3 09/01/16 NE

001027711 NF n/a 09/01/16 CHOW from 001015021

001027712 PHC 6 07/01/16 NE EPC Closed

001027712 PHC 6 09/01/16 NE EPC Closed

001027713 PHC 5 09/01/16 NE

001027714 PHC 6 09/01/16 NE

001027726 NF n/a 04/04/16 13 CHOW from 001015148

001027727 PHC 3 09/01/16 NE

001027728 NF n/a 09/01/16 7 CHOW from 001017893

001027729 PHC 3 09/01/16 NE

001027730 CLASS 6 09/01/16 35

001027731 DB_MD 6 09/01/16 NE

001027733 PHC 6 09/01/16 NE

001027734 PHC 8 09/01/16 NE

001027738 NF n/a 09/01/16 7 CHOW from 001025645

001027739 PHC 5 09/01/16 NE

001027740 PHC 6 09/01/16 NE

001027741 NF n/a 09/01/16 6 CHOW from 001019889

001027742 PHC 10 09/01/16 NE

001027743 PHC 3 09/01/16 PHC B 35 35

001027744 PHC 11 09/01/16 PHC B 35 35

001027745 PHC 6 09/01/16 NE

001027746 NF n/a 05/20/16 NE CHOW from 001021216

001027747 PHC 3 09/01/16 NE

001027748 PHC 3 09/01/16 NE

001027751 PHC 6 09/01/16 NE

001027752 PHC 3 09/01/16 NE

001027753 PHC 4 09/01/16 NE

001027754 PHC 7 09/01/16 NE

001027755 DB_MD 1 09/01/16 NE EPC Closed

001027756 DB_MD 2 09/01/16 NE EPC Closed

001027757 DB_MD 3 09/01/16 NE EPC Closed

001027758 DB_MD 7 09/01/16 NE EPC Closed

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001027759 DB_MD 9 09/01/16 NE EPC Closed

001027760 DB_MD 10 09/01/16 NE EPC Closed

001027763 CLASS 7 09/01/16 NE EPC Closed

001027764 CLASS 2 09/01/16 NE EPC Closed

001027765 PHC 6 09/01/16 NE

001027766 PHC 6 09/01/16 NE

001027767 PHC 11 09/01/16 NE

001027768 PHC 6 09/01/16 NE

001027769 PHC 3 09/01/16 NE

001027770 PHC 3 09/01/16 PHC B 35 35

001027771 PHC 6 09/01/16 PHC B 35 35

001027773 NF n/a 06/01/16 NE CHOW from 001026947

001027774 NF n/a 07/01/16 27 CHOW from 001013036

001027775 PHC 4 09/01/16 NE

001027776 PHC 5 09/01/16 NE

001027778 PHC 6 09/01/16 PHC B 1 20

001027779 PHC 8 09/01/16 NE

001027780 PHC 11 09/01/16 NE

001027782 PHC 5 09/01/16 NE

001027783 PHC 6 09/01/16 NE

001027785 PHC 3 09/01/16 NE

001027787 PHC 3 09/01/16 NE

001027789 CLASS 3 09/01/16 NE

001027791 PHC 3 09/01/16 NE

001027792 PHC 6 09/01/16 NE

001027793 DAHS 11 09/01/16 NE

001027794 PHC 3 09/01/16 PHC B 35 30

001027795 PHC 8 09/01/16 PHC B 35 35

001027796 PHC 6 09/01/16 NE

001027808 PHC 6 09/01/16 NE

001027809 PHC 3 09/01/16 NE

001027812 PHC 10 09/01/16 NE

001027813 PHC 9 09/01/16 NE

001027814 PHC 8 09/01/16 NE

001027815 PHC 7 09/01/16 NE

001027816 PHC 6 09/01/16 NE

001027817 PHC 5 09/01/16 NE

001027818 PHC 4 09/01/16 NE

001027819 PHC 3 09/01/16 NE

001027820 PHC 2 09/01/16 NE

001027821 PHC 1 09/01/16 NE

001027823 NF n/a 06/01/16 6 CHOW from 001018254

001027823 NF n/a 07/01/16 6 CHOW from 001018254

001027824 PHC 6 09/01/16 35 35

001027829 DB_MD 8 09/01/16 NE EPC Closed

001027831 PHC 5 09/01/16 PHC B 35 35 EPC Closed

001027832 PHC 5 09/01/16 PHC B 35 35

001027832 PHC 6 08/01/16 NE

001027834 PHC 11 08/01/16 NE

001027837 PHC 6 08/01/16 NE

001027839 PHC 3 09/01/16 PHC B 25 25

001027839 PHC 3 08/01/16 NE

001027848 CLASS 3 08/01/16 NE

001027849 PHC 11 08/01/16 NE

001027851 PHC 3 09/01/16 PHC B 35 35

001027851 PHC 3 08/01/16 NE

001027853 DAHS 11 08/01/16 NE

001027854 PHC 3 08/01/16 NE

001027855 PHC 4 08/01/16 NE

001027856 PHC 11 08/01/16 NE

001027859 PHC 5 09/01/16 PHC B 35 35

001027860 PHC 7 09/01/16 PHC B 35 35

001027867 PHC 6 08/01/16 NE

001027868 PHC 3 08/01/16 NE

001027869 PHC 11 08/01/16 10

001027871 PHC 3 08/01/16 NE

001027872 PHC 3 09/01/16 NE

001027875 PHC 3 08/01/16 NE

001027879 DAHS 10 08/01/16 CHOW from 000345900

001027883 PHC 3 08/01/16 NE

001027884 PHC 11 08/01/16 PHC B 35 35

001027887 PHC 6 08/01/16 NE

001027889 PHC 8 09/01/16 PHC B 35 35

001027897 PHC 3 08/01/16 NE

001027899 DAHS 3 09/01/16 NE

001027900 PHC 11 09/01/16 NE

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

001027907 PHC 3 09/01/16 NE

001027916 PHC 5 09/01/16 NE

001027917 PHC 6 09/01/16 NE

001027921 PHC 7 09/01/16 NE

001027923 CLASS 3 09/01/16 NE

001027962 DB_MD 5 09/01/16 NE

001027967 PHC 3 09/01/16 NE

001027971 NF 08/01/16 CHOW from 001020166

001028005 DB_MD 6 09/01/16 NE

001028006 DB_MD 7 09/01/16 NE

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments

PHC

Contract Program DADS Non - PHC

# Type Region Effective Level Level P NP Comments