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H0028	046	0	1	01	01	H0028_046_0	5	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											288	4															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H0351	038	0	1	01	01	H0351_038_0	7	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;				2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H0351	063	0	1	01	01	H0351_063_0	7	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;				2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H0351	066	0	1	02	01	H0351_066_0	5	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;			2	2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H0351	068	0	1	02	01	H0351_068_0	5	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;			2	2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H0351	071	0	1	01	01	H0351_071_0	7	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;				2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H0473	003	0	1	04	01	H0473_003_0	5	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											710	9															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	1000.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H0523	801	0	1	01	01	H0523_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H0523	801	0	1	01	01	H0523_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H0523	805	0	1	01	01	H0523_805_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H0523	805	0	1	01	01	H0523_805_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H0523	808	0	1	01	01	H0523_808_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H0523	808	0	1	01	01	H0523_808_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H0524	008	0	1	01	01	H0524_008_0	6	1	2	Advanced Care At Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	11	4a;7c;7d;7g;7i;10a1;11a;11b2;	1	13e;		2				1	11	11a;11b2;	13e;																																																																							0	0			0	0																																																																					0	0																																																																																																															2																																																																																																																																														1	01	4a;7c;7d;7g;7i;10a1;										0.00	0.00													0.00	0.00	0.00	0.00							0.00	0.00					0.00	0.00																											0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H0524	032	0	1	01	01	H0524_032_0	6	1	2	Advanced Care At Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	11	4a;7c;7d;7g;7i;10a1;11a;11b2;	1	13e;		2				1	11	11a;11b2;	13e;																																																																							0	0			0	0																																																																					0	0																																																																																																															2																																																																																																																																														1	01	4a;7c;7d;7g;7i;10a1;										0.00	0.00													0.00	0.00	0.00	0.00							0.00	0.00					0.00	0.00																											0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H0524	033	0	1	01	01	H0524_033_0	6	1	2	Advanced Care At Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	11	4a;7c;7d;7g;7i;10a1;11a;11b2;	1	13e;		2				1	11	11a;11b2;	13e;																																																																							0	0			0	0																																																																					0	0																																																																																																															2																																																																																																																																														1	01	4a;7c;7d;7g;7i;10a1;										0.00	0.00													0.00	0.00	0.00	0.00							0.00	0.00					0.00	0.00																											0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H0524	039	0	1	01	01	H0524_039_0	6	1	2	Advanced Care At Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	11	4a;7c;7d;7g;7i;10a1;11a;11b2;	1	13e;		2				1	11	11a;11b2;	13e;																																																																							0	0			0	0																																																																					0	0																																																																																																															2																																																																																																																																														1	01	4a;7c;7d;7g;7i;10a1;										0.00	0.00													0.00	0.00	0.00	0.00							0.00	0.00					0.00	0.00																											0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H0524	059	0	1	01	01	H0524_059_0	6	1	2	Advanced Care At Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	11	4a;7c;7d;7g;7i;8b1;8b3;10a1;11a;11b2;	1	13e;		2				1	11	11a;11b2;	13e;																																																																							0	0			0	0																																																																					0	0																																																																																																															2																																																																																																																																														1	01	4a;7c;7d;7g;7i;8b1;8b3;10a1;										0.00	0.00													0.00	0.00	0.00	0.00							0.00	0.00					0.00	0.00									0.00	0.00			0.00	0.00													0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H0524	060	0	1	01	01	H0524_060_0	6	1	2	Advanced Care At Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	11	4a;7c;7d;7g;7i;8b1;8b3;10a1;11a;11b2;	1	13e;		2				1	11	11a;11b2;	13e;																																																																							0	0			0	0																																																																					0	0																																																																																																															2																																																																																																																																														1	01	4a;7c;7d;7g;7i;8b1;8b3;10a1;										0.00	0.00													0.00	0.00	0.00	0.00							0.00	0.00					0.00	0.00									0.00	0.00			0.00	0.00													0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H0524	061	0	1	01	01	H0524_061_0	7	1	2	Advanced Care At Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	11	4a;7c;7d;7g;7i;8b1;8b3;10a1;11a;11b2;	1	13e;		2				1	11	11a;11b2;	13e;																																																																							0	0			0	0																																																																					0	0																																																																																																															2																																																																																																																																														1	01	4a;7c;7d;7g;7i;8b1;8b3;10a1;										0.00	0.00													0.00	0.00	0.00	0.00							0.00	0.00					0.00	0.00									0.00	0.00			0.00	0.00													0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H0524	062	0	1	01	01	H0524_062_0	6	1	2	Advanced Care At Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	11	4a;7c;7d;7g;7i;8b1;8b3;10a1;11a;11b2;	1	13e;		2				1	11	11a;11b2;	13e;																																																																							0	0			0	0																																																																					0	0																																																																																																															2																																																																																																																																														1	01	4a;7c;7d;7g;7i;8b1;8b3;10a1;										0.00	0.00													0.00	0.00	0.00	0.00							0.00	0.00					0.00	0.00									0.00	0.00			0.00	0.00													0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H0524	063	0	1	01	01	H0524_063_0	6	1	2	Advanced Care At Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	11	4a;7c;7d;7g;7i;8b1;8b3;10a1;11a;11b2;	1	13e;		2				1	11	11a;11b2;	13e;																																																																							0	0			0	0																																																																					0	0																																																																																																															2																																																																																																																																														1	01	4a;7c;7d;7g;7i;8b1;8b3;10a1;										0.00	0.00													0.00	0.00	0.00	0.00							0.00	0.00					0.00	0.00									0.00	0.00			0.00	0.00													0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H0628	001	0	1	02	01	H0628_001_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							146	70															1	010		2	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1	7f_2;	2	1	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	7f_2;	2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	7f_2;																									10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																					10.00	10.00																																																																																																																																																																																																																																																																2			
H0628	001	0	1	02	01	H0628_001_0	3	2	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H0628	003	0	1	02	01	H0628_003_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H0628	005	0	1	02	01	H0628_005_0	3	2	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H0628	005	0	1	02	01	H0628_005_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							764	365															1	010		2	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1	7f_2;	2	1	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	7f_2;	2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	7f_2;																									10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																					10.00	10.00																																																																																																																																																																																																																																																																2			
H0628	007	0	1	02	01	H0628_007_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H0628	008	0	1	02	01	H0628_008_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H0628	010	0	1	02	01	H0628_010_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H0628	017	0	1	02	01	H0628_017_0	3	2	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H0628	017	0	1	02	01	H0628_017_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							541	259															1	010		2	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1	7f_2;	2	1	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	7f_2;	2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	7f_2;																									10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																					10.00	10.00																																																																																																																																																																																																																																																																2			
H0628	021	0	1	02	01	H0628_021_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H0628	024	0	1	02	01	H0628_024_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H0628	031	0	1	01	01	H0628_031_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H0628	032	0	1	01	01	H0628_032_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H0628	033	0	1	01	01	H0628_033_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H0628	034	0	1	01	01	H0628_034_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H0628	036	0	1	01	01	H0628_036_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H0628	037	0	1	01	01	H0628_037_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H0628	038	0	1	01	01	H0628_038_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H0628	039	0	1	01	01	H0628_039_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H0628	042	0	1	01	01	H0628_042_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H0628	043	0	1	01	01	H0628_043_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H0628	044	0	1	01	01	H0628_044_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H0628	045	0	1	02	01	H0628_045_0	3	2	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							46	22															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1		2	1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H0628	045	0	1	02	01	H0628_045_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H0628	801	0	1	01	01	H0628_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H0628	801	0	1	01	01	H0628_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H0630	013	0	1	02	01	H0630_013_0	9	1	2	Advanced Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	11	4a;4b;7c;7i;8b1;9b;10a1;11a;11b2;		13d;	2	2				1	11	11a;11b2;	13d;																																																																							0	0			0	0																																																																			0	0																																																																																																																	2																																																																																																																																														1	01	4a;4b;7c;7i;8b1;9b;10a1;										0.00	0.00	0.00	0.00											0.00	0.00															0.00	0.00									0.00	0.00									0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H0630	014	0	1	01	01	H0630_014_0	9	1	2	Advanced Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	11	4a;4b;8b1;9b;10a1;11a;11b2;		13d;		2				1	11	10a1;11a;11b2;	13d;																																																																			0	0			0	0			0	0																																																																			0	0																																																																																																																	2																																																																																																																																														1	01	4a;4b;8b1;9b;										0.00	0.00	0.00	0.00																																					0.00	0.00									0.00	0.00																																																																																																																																																																																																																																																																																																																																								2			
H0630	015	0	1	02	01	H0630_015_0	8	1	2	Advanced Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	11	4a;4b;7c;7i;8b1;9b;10a1;11a;11b2;		13d;	2	2				1	11	11a;11b2;	13d;																																																																							0	0			0	0																																																																			0	0																																																																																																																	2																																																																																																																																														1	01	4a;4b;7c;7i;8b1;9b;10a1;										0.00	0.00	0.00	0.00											0.00	0.00															0.00	0.00									0.00	0.00									0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H0630	016	0	1	02	01	H0630_016_0	8	1	2	Advanced Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	11	4a;4b;7c;7i;8b1;9b;10a1;11a;11b2;		13d;	2	2				1	11	11a;11b2;	13d;																																																																							0	0			0	0																																																																			0	0																																																																																																																	2																																																																																																																																														1	01	4a;4b;7c;7i;8b1;9b;10a1;										0.00	0.00	0.00	0.00											0.00	0.00															0.00	0.00									0.00	0.00									0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H0630	025	0	1	02	01	H0630_025_0	8	1	2	Advanced Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	11	4a;4b;7c;7i;8b1;9b;10a1;11a;11b2;		13d;	2	2				1	11	11a;11b2;	13d;																																																																							0	0			0	0																																																																			0	0																																																																																																																	2																																																																																																																																														1	01	4a;4b;7c;7i;8b1;9b;10a1;										0.00	0.00	0.00	0.00											0.00	0.00															0.00	0.00									0.00	0.00									0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H0630	027	0	1	01	01	H0630_027_0	8	1	2	Advanced Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	01	4a;4b;7a;7c;7g;7i;8a2;8b1;8b3;9a2;9b;10a1;11a;11b2;				2				1	01	7a;7c;7g;7i;8a2;8b1;8b3;9a2;9b;10a1;11a;11b2;																				0	0			0	0									0	0					0	0							0	0	0	0			0	0			0	0	0	0							0	0			0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;4b;										0.00	0.00	0.00	0.00																																																																																																																																																																																																																																																																																																																																																																																								2			
H0712	005	0	1	02	01	H0712_005_0	6	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;			2	2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H0712	019	0	1	02	01	H0712_019_0	6	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;			2	2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H0712	029	0	1	01	01	H0712_029_0	6	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;				2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H1019	001	0	1	02	01	H1019_001_0	6	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											8229	6756															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1019	006	0	1	01	01	H1019_006_0	6	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											5142	4221															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1019	103	1	1	02	01	H1019_103_1	6	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											2068	27															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1019	103	2	1	02	01	H1019_103_2	6	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											1454	19															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1019	113	0	1	01	01	H1019_113_0	5	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											2798	2297															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1019	124	0	1	02	01	H1019_124_0	6	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											154	154															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1019	130	0	1	02	01	H1019_130_0	7	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											673	673															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1019	147	2	1	01	01	H1019_147_2	5	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											3893	51															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1019	151	2	1	01	01	H1019_151_2	5	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											876	876															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1036	054	0	1	01	01	H1036_054_0	6	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											33630	27610															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1036	062	0	1	01	01	H1036_062_0	5	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											21076	274															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1036	065	0	1	01	01	H1036_065_0	5	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											47565	618															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1036	102	0	1	01	01	H1036_102_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											4159	4159															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	1000.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1036	209	0	1	01	01	H1036_209_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											1075	1075															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	1000.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1036	210	0	1	01	01	H1036_210_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											902	902															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	1000.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1036	213	0	1	01	01	H1036_213_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											2402	2402															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	1000.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1036	214	0	1	01	01	H1036_214_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											286	286															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1036	230	0	1	01	01	H1036_230_0	6	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											2208	1813															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1036	285	0	1	01	01	H1036_285_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											408	408															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	1000.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1036	301	0	1	01	01	H1036_301_0	6	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											2397	2397															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1036	302	0	1	01	01	H1036_302_0	6	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											4991	4991															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1036	304	0	1	01	01	H1036_304_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											35076	35076															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	1000.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1036	314	0	1	01	01	H1036_314_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											55648	55648															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	1000.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1036	315	0	1	01	01	H1036_315_0	6	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											692	692															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1036	316	0	1	01	01	H1036_316_0	6	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											960	960															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1036	336	0	1	01	01	H1036_336_0	6	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											4014	4014															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1036	337	0	1	01	01	H1036_337_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											617	617															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1036	338	0	1	01	01	H1036_338_0	6	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											7172	7172															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1036	340	0	1	01	01	H1036_340_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											24449	24449															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	1000.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1036	341	0	1	01	01	H1036_341_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											1114	1114															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	1000.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H1099	001	0	1	02	01	H1099_001_0	7	1	2	Diabetic Retinopathy Screening														0100000000000000000														2			2	01	17a;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H1099	001	0	1	02	01	H1099_001_0	7	2	2	COPD Spirometry Test														0010000000000000000														2			2	01	8a1;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a1;																																														0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H1099	006	0	1	01	01	H1099_006_0	7	2	2	COPD Spirometry Test														0010000000000000000														2			2	01	8a1;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a1;																																														0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H1099	006	0	1	01	01	H1099_006_0	7	1	2	Diabetic Retinopathy Screening														0100000000000000000														2			2	01	17a;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H1099	009	0	1	01	01	H1099_009_0	3	1	2	Diabetic Retinopathy Screening														0100000000000000000														2			2	01	17a;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H1099	009	0	1	01	01	H1099_009_0	3	2	2	COPD Spirometry Test														0010000000000000000														2			2	01	8a1;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a1;																																														0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H1099	014	0	1	01	01	H1099_014_0	7	2	2	COPD Spirometry Test														0010000000000000000														2			2	01	8a1;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a1;																																														0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H1099	014	0	1	01	01	H1099_014_0	7	1	2	Diabetic Retinopathy Screening														0100000000000000000														2			2	01	17a;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H1099	016	0	1	01	01	H1099_016_0	7	1	2	Diabetic Retinopathy Screening														0100000000000000000														2			2	01	17a;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H1099	016	0	1	01	01	H1099_016_0	7	2	2	COPD Spirometry Test														0010000000000000000														2			2	01	8a1;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a1;																																														0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H1099	026	0	1	01	01	H1099_026_0	7	2	2	COPD Spirometry Test														0010000000000000000														2			2	01	8a1;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a1;																																														0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H1099	026	0	1	01	01	H1099_026_0	7	1	2	Diabetic Retinopathy Screening														0100000000000000000														2			2	01	17a;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H1099	028	0	1	01	01	H1099_028_0	7	1	2	Diabetic Retinopathy Screening														0100000000000000000														2			2	01	17a;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H1099	028	0	1	01	01	H1099_028_0	7	2	2	COPD Spirometry Test														0010000000000000000														2			2	01	8a1;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a1;																																														0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H1109	005	0	1	01	01	H1109_005_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H1109	801	0	1	01	01	H1109_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H1109	801	0	1	01	01	H1109_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H1109	802	0	1	01	01	H1109_802_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H1109	802	0	1	01	01	H1109_802_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H1109	805	0	1	01	01	H1109_805_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H1109	805	0	1	01	01	H1109_805_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H1170	002	0	1	01	01	H1170_002_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	01	4a;7c;7g;7i;8a1;8b1;8b3;9a2;10a1;11a;11b2;				2				1	01	11a;11b2;																																																																								0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7c;7g;7i;8a1;8b1;8b3;9a2;10a1;										0.00	0.00													0.00	0.00									0.00	0.00					0.00	0.00					0.00	0.00			0.00	0.00			0.00	0.00			0.00	0.00									0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H1170	008	0	1	01	01	H1170_008_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	01	4a;7c;7g;7i;8a1;8b1;8b3;9a2;10a1;11a;11b2;				2				1	01	11a;11b2;																																																																								0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7c;7g;7i;8a1;8b1;8b3;9a2;10a1;										0.00	0.00													0.00	0.00									0.00	0.00					0.00	0.00					0.00	0.00			0.00	0.00			0.00	0.00			0.00	0.00									0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H1170	009	0	1	01	01	H1170_009_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7c;7g;7i;8a1;8b1;8b3;9a2;10a1;11a;11b2;				2				1	01	11a;11b2;																																																																								0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7c;7g;7i;8a1;8b1;8b3;9a2;10a1;										0.00	0.00													0.00	0.00									0.00	0.00					0.00	0.00					0.00	0.00			0.00	0.00			0.00	0.00			0.00	0.00									0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H1170	011	0	1	01	01	H1170_011_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7c;7g;7i;8a1;8b1;8b3;9a2;10a1;11a;11b2;				2				1	01	11a;11b2;																																																																								0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7c;7g;7i;8a1;8b1;8b3;9a2;10a1;										0.00	0.00													0.00	0.00									0.00	0.00					0.00	0.00					0.00	0.00			0.00	0.00			0.00	0.00			0.00	0.00									0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H1170	012	0	1	01	01	H1170_012_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7c;7g;7i;8a1;8b1;8b3;9a2;10a1;11a;11b2;				2				1	01	11a;11b2;																																																																								0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7c;7g;7i;8a1;8b1;8b3;9a2;10a1;										0.00	0.00													0.00	0.00									0.00	0.00					0.00	0.00					0.00	0.00			0.00	0.00			0.00	0.00			0.00	0.00									0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H1170	013	0	1	02	01	H1170_013_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7c;7g;7i;8a1;8b1;8b3;9a2;10a1;11a;11b2;			2	2				1	01	11a;11b2;																																																																								0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7c;7g;7i;8a1;8b1;8b3;9a2;10a1;										0.00	0.00													0.00	0.00									0.00	0.00					0.00	0.00					0.00	0.00			0.00	0.00			0.00	0.00			0.00	0.00									0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H1170	014	0	1	01	01	H1170_014_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7c;7g;7i;8a1;8b1;8b3;9a2;10a1;11a;11b2;				2				1	01	11a;11b2;																																																																								0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7c;7g;7i;8a1;8b1;8b3;9a2;10a1;										0.00	0.00													0.00	0.00									0.00	0.00					0.00	0.00					0.00	0.00			0.00	0.00			0.00	0.00			0.00	0.00									0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H1170	015	0	1	01	01	H1170_015_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	01	4a;7c;7g;7i;8a1;8a2;8b1;8b3;9a2;10a1;11a;11b2;				2				1	01	7c;7g;7i;8a1;8a2;8b1;8b3;9a2;10a1;11a;11b2;																								0	0									0	0					0	0					0	0	0	0	0	0			0	0			0	0									0	0			0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;										0.00	0.00																																																																																																																																																																																																																																																																																																																																																																																										2			
H1170	016	0	1	01	01	H1170_016_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	01	4a;7c;7g;7i;8a1;8b1;8b3;9a2;10a1;11a;11b2;				2				1	01	11a;11b2;																																																																								0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7c;7g;7i;8a1;8b1;8b3;9a2;10a1;										0.00	0.00													0.00	0.00									0.00	0.00					0.00	0.00					0.00	0.00			0.00	0.00			0.00	0.00			0.00	0.00									0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H1170	017	0	1	01	01	H1170_017_0	5	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	01	4a;7c;7g;7i;8a1;8b1;8b3;9a2;10a1;11a;11b2;				2				1	01	11a;11b2;																																																																								0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7c;7g;7i;8a1;8b1;8b3;9a2;10a1;										0.00	0.00													0.00	0.00									0.00	0.00					0.00	0.00					0.00	0.00			0.00	0.00			0.00	0.00			0.00	0.00									0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H1206	002	0	1	02	01	H1206_002_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H1206	003	0	1	02	01	H1206_003_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H1206	004	0	1	01	01	H1206_004_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H1206	008	0	1	02	01	H1206_008_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H1206	010	0	1	01	01	H1206_010_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							155	74															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1			1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H1206	010	0	1	01	01	H1206_010_0	3	2	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H1206	011	0	1	01	01	H1206_011_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H1206	012	0	1	01	01	H1206_012_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H1206	013	0	1	01	01	H1206_013_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H1206	801	0	1	01	01	H1206_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H1206	801	0	1	01	01	H1206_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H1230	003	0	1	01	01	H1230_003_0	7	2	2	2														0100000000000000000														2			2	01	8a2;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H1230	003	0	1	01	01	H1230_003_0	7	1	2	1														0000000000110000000	Liver Disease	Certain bleeding disorders									2	2		2			2	01	8a2;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H1230	003	0	1	01	01	H1230_003_0	7	3	2	3														0011010000000000000											2	2		2			2	01	8a2;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H1248	004	0	1	04	01	H1248_004_0	8	1	2	Diabetic eye exams														0100000000000000000														2			2	01	17a;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H1248	007	0	1	04	01	H1248_007_0	10	1	2	Diabetic eye exams														0100000000000000000														2			2	01	17a;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H1248	014	0	1	04	01	H1248_014_0	8	1	2	Diabetic eye exams														0100000000000000000														2			2	01	17a;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H1304	803	0	1	04	01	H1304_803_0	3	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;			1	1	01	8a2;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H1304	804	0	1	04	01	H1304_804_0	3	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;			1	1	01	8a2;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H1526	010	0	1	02	01	H1526_010_0	5	1	2	ESRD Cost-Share														0000000000100000000	End-Stage Renal Disease													1	011		2	01	1a;8a1;8a2;9a1;9a2;9b;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a1;8a2;9a1;9a2;9b;																																														0.00	0.00	0.00	0.00							75.00	75.00	100.00	100.00	50.00	50.00																																																																																																																																																																																																																																																																																																																																								2			
H1526	011	0	1	02	01	H1526_011_0	5	1	2	ESRD Cost-Share														0000000000100000000	End-Stage Renal Disease													1	011		2	01	1a;8a1;8a2;9a1;9a2;9b;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a1;8a2;9a1;9a2;9b;																																														0.00	0.00	0.00	0.00							75.00	75.00	100.00	100.00	50.00	50.00																																																																																																																																																																																																																																																																																																																																								2			
H1608	001	0	1	04	01	H1608_001_0	4	1	2	Kidney Care														0000000000110000000	Advanced chronic kidney disease	End Stage Renal Disease (ESRD)									2	2		1	010		2	01	7a;7j;			2	1	01	7a;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7a;7j;																				0.00	0.00																					0.00	0.00																																																																																																																																																																																																																																																																																																																																																										2			
H1608	013	0	1	04	01	H1608_013_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H1608	016	0	1	04	01	H1608_016_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H1608	017	0	1	04	01	H1608_017_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H1608	018	0	1	04	01	H1608_018_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H1608	024	0	1	04	01	H1608_024_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H1608	027	0	1	04	01	H1608_027_0	5	1	2	Healthy Heart (CHF)														0000000000100000000	Chronic heart failure													1	001		2	01	7d;7j;	2		1	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	030;018;012;008;					0.00	0.00			0.00	0.00											0.00	0.00																	0.00	0.00											2			
H1608	029	0	1	04	01	H1608_029_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H1608	050	0	1	04	01	H1608_050_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H1608	051	0	1	04	01	H1608_051_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H1608	067	0	1	04	01	H1608_067_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H1608	072	0	1	04	01	H1608_072_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H1608	801	0	1	04	01	H1608_801_0	2	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H1608	801	0	1	04	01	H1608_801_0	2	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H1609	068	0	1	02	01	H1609_068_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							356	170															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1		2	1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H1609	801	0	1	01	01	H1609_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H1609	801	0	1	01	01	H1609_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H1609	807	0	1	01	01	H1609_807_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H1609	807	0	1	01	01	H1609_807_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H1609	810	0	1	01	01	H1609_810_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H1609	810	0	1	01	01	H1609_810_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H1692	801	0	1	01	01	H1692_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H1692	801	0	1	01	01	H1692_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H1914	001	0	1	04	01	H1914_001_0	5	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;			2	2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H1969	805	0	1	01	01	H1969_805_0	3	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;				1	01	8a2;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H1997	014	0	1	01	01	H1997_014_0	6	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H2056	801	0	1	01	01	H2056_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H2056	801	0	1	01	01	H2056_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H2056	802	0	1	01	01	H2056_802_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H2056	802	0	1	01	01	H2056_802_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H2056	804	0	1	01	01	H2056_804_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H2056	804	0	1	01	01	H2056_804_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H2172	001	0	1	02	01	H2172_001_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7g;8b1;9a2;11b2;			2	2				1	01	11b2;																																																																												0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7g;8b1;9a2;										0.00	0.00																							0.00	0.00															0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																										2			
H2172	002	0	1	02	01	H2172_002_0	7	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7g;8b1;9a2;11b2;			2	2				1	01	11b2;																																																																												0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7g;8b1;9a2;										0.00	0.00																							0.00	0.00															0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																										2			
H2172	005	0	1	01	01	H2172_005_0	5	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7g;8b1;9a2;11b2;				2				1	01	11b2;																																																																												0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7g;8b1;9a2;										0.00	0.00																							0.00	0.00															0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																										2			
H2172	008	0	1	02	01	H2172_008_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	01	4a;7g;8b1;9a2;11b2;			2	2				1	01	11b2;																																																																												0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7g;8b1;9a2;										0.00	0.00																							0.00	0.00															0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																										2			
H2172	009	0	1	02	01	H2172_009_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7g;8b1;9a2;11b2;			2	2				1	01	11b2;																																																																												0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7g;8b1;9a2;										0.00	0.00																							0.00	0.00															0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																										2			
H2172	010	0	1	02	01	H2172_010_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7g;8b1;9a2;11b2;			2	2				1	01	11b2;																																																																												0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7g;8b1;9a2;										0.00	0.00																							0.00	0.00															0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																										2			
H2172	013	0	1	02	01	H2172_013_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7g;8b1;9a2;11b2;			2	2				1	01	11b2;																																																																												0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7g;8b1;9a2;										0.00	0.00																							0.00	0.00															0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																										2			
H2172	014	0	1	02	01	H2172_014_0	5	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7g;8b1;9a2;11b2;			2	2				1	01	11b2;																																																																												0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7g;8b1;9a2;										0.00	0.00																							0.00	0.00															0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																										2			
H2172	016	0	1	01	01	H2172_016_0	7	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7g;8a1;8a2;8b1;8b3;9a2;11b2;				2				1	01	7g;8a1;8a2;8b1;8b3;9a2;11b2;																																		0	0											0	0	0	0	0	0			0	0			0	0																	0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;										0.00	0.00																																																																																																																																																																																																																																																																																																																																																																																										2			
H2172	017	0	1	01	01	H2172_017_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7g;8a1;8a2;8b1;8b3;9a2;11b2;				2				1	01	7g;8a1;8a2;8b1;8b3;9a2;11b2;																																		0	0											0	0	0	0	0	0			0	0			0	0																	0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;										0.00	0.00																																																																																																																																																																																																																																																																																																																																																																																										2			
H2172	018	0	1	01	01	H2172_018_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7g;8b1;9a2;11b2;				2				1	01	11b2;																																																																												0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7g;8b1;9a2;										0.00	0.00																							0.00	0.00															0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																										2			
H2172	019	0	1	01	01	H2172_019_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7g;8b1;9a2;11b2;				2				1	01	11b2;																																																																												0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7g;8b1;9a2;										0.00	0.00																							0.00	0.00															0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																										2			
H2172	020	0	1	02	01	H2172_020_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7g;8b1;9a2;11b2;			2	2				1	01	11b2;																																																																												0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7g;8b1;9a2;										0.00	0.00																							0.00	0.00															0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																										2			
H2172	021	0	1	02	01	H2172_021_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	01	4a;7g;8b1;9a2;11b2;			2	2				1	01	11b2;																																																																												0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7g;8b1;9a2;										0.00	0.00																							0.00	0.00															0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																										2			
H2172	022	0	1	02	01	H2172_022_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	01	4a;7g;8b1;9a2;11b2;			2	2				1	01	11b2;																																																																												0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7g;8b1;9a2;										0.00	0.00																							0.00	0.00															0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																										2			
H2172	023	0	1	02	01	H2172_023_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7g;8b1;9a2;11b2;			2	2				1	01	11b2;																																																																												0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7g;8b1;9a2;										0.00	0.00																							0.00	0.00															0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																										2			
H2172	024	0	1	02	01	H2172_024_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7g;8b1;9a2;11b2;			2	2				1	01	11b2;																																																																												0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7g;8b1;9a2;										0.00	0.00																							0.00	0.00															0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																										2			
H2172	025	0	1	01	01	H2172_025_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7g;8b1;9a2;11b2;				2				1	01	11b2;																																																																												0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7g;8b1;9a2;										0.00	0.00																							0.00	0.00															0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																										2			
H2172	026	0	1	01	01	H2172_026_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7g;8b1;9a2;11b2;				2				1	01	11b2;																																																																												0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7g;8b1;9a2;										0.00	0.00																							0.00	0.00															0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																										2			
H2172	027	0	1	02	01	H2172_027_0	6	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status.													2			2	01	4a;7g;8b1;9a2;11b2;			2	2				1	01	11b2;																																																																												0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;7g;8b1;9a2;										0.00	0.00																							0.00	0.00															0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																										2			
H2293	001	0	1	04	01	H2293_001_0	3	2	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2293	001	0	1	04	01	H2293_001_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							262	125															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1		1	1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H2293	002	0	1	04	01	H2293_002_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7a;7d;7j;	2		2	1	01	7a;7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7a;7j;																				0.00	0.00																					0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2293	004	0	1	04	01	H2293_004_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H2293	009	0	1	04	01	H2293_009_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H2293	010	0	1	04	01	H2293_010_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2293	014	0	1	04	01	H2293_014_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H2293	016	0	1	04	01	H2293_016_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2293	017	0	1	04	01	H2293_017_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H2293	019	0	1	04	01	H2293_019_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2293	021	0	1	04	01	H2293_021_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7a;7d;7j;	2		2	1	01	7a;7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7a;7j;																				0.00	0.00																					0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2293	023	0	1	04	01	H2293_023_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							186	89															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1		1	1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H2293	023	0	1	04	01	H2293_023_0	3	2	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2293	026	0	1	04	01	H2293_026_0	5	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2293	029	0	1	04	01	H2293_029_0	3	2	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H2293	029	0	1	04	01	H2293_029_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							88	42															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1		1	1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H2293	031	0	1	04	01	H2293_031_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2293	033	0	1	04	01	H2293_033_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2293	039	0	1	04	01	H2293_039_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H2610	005	0	1	01	01	H2610_005_0	6	1	2	Diabetic Eye Exam														0100000000000000000														2			2	01	17a;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H2610	006	0	1	01	01	H2610_006_0	6	1	2	Diabetic Eye Exam														0100000000000000000														2			2	01	17a;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H2610	015	0	1	01	01	H2610_015_0	6	1	2	Diabetic Eye Exam														0100000000000000000														2			2	01	17a;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H2610	016	0	1	01	01	H2610_016_0	5	1	2	Diabetic Eye Exam														0100000000000000000														2			2	01	17a;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H2610	021	0	1	01	01	H2610_021_0	5	1	2	Diabetic Eye Exam														0100000000000000000														2			2	01	17a;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H2610	027	0	1	01	01	H2610_027_0	6	1	2	Diabetic Eye Exam														0100000000000000000														2			2	01	17a;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H2610	030	0	1	01	01	H2610_030_0	6	1	2	Diabetic Eye Exam														0100000000000000000														2			2	01	17a;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H2663	005	0	1	02	01	H2663_005_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2663	006	0	1	02	01	H2663_006_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2663	021	0	1	02	01	H2663_021_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2663	022	0	1	02	01	H2663_022_0	2	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H2663	023	0	1	02	01	H2663_023_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2663	025	0	1	02	01	H2663_025_0	2	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H2663	026	0	1	02	01	H2663_026_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2663	028	0	1	02	01	H2663_028_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2663	034	0	1	01	01	H2663_034_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							78	37															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1			1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H2663	038	0	1	02	01	H2663_038_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2663	040	0	1	02	01	H2663_040_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2663	041	0	1	02	01	H2663_041_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2663	043	0	1	02	01	H2663_043_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H2663	052	0	1	01	01	H2663_052_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2663	057	0	1	02	01	H2663_057_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2663	064	0	1	01	01	H2663_064_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H2663	067	0	1	01	01	H2663_067_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							70	34															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1			1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H2663	069	0	1	02	01	H2663_069_0	2	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2663	098	0	1	01	01	H2663_098_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2663	100	0	1	01	01	H2663_100_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2663	102	0	1	01	01	H2663_102_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H2663	103	0	1	02	01	H2663_103_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2663	107	0	1	01	01	H2663_107_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2663	108	0	1	01	01	H2663_108_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H2663	116	0	1	01	01	H2663_116_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							54	26															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1			1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H2663	118	0	1	02	01	H2663_118_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H2663	805	0	1	01	01	H2663_805_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H2663	805	0	1	01	01	H2663_805_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H2775	106	0	1	04	01	H2775_106_0	5	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;			2	2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H2775	109	0	1	04	01	H2775_109_0	5	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;			2	2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H2775	111	0	1	04	01	H2775_111_0	5	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;			2	2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H2775	112	0	1	04	01	H2775_112_0	5	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;			2	2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H2775	113	0	1	04	01	H2775_113_0	5	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;			2	2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H2775	115	0	1	04	01	H2775_115_0	5	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;			2	2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H2775	116	0	1	04	01	H2775_116_0	4	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;			2	2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H2875	001	0	1	02	01	H2875_001_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											3708	3708															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	1000.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H2875	002	0	1	02	01	H2875_002_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											4078	4078															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	1000.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H2875	006	0	1	02	01	H2875_006_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											7321	7321															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	1000.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H3146	001	0	1	01	01	H3146_001_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3146	004	0	1	01	01	H3146_004_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3146	006	0	1	01	01	H3146_006_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3146	007	0	1	01	01	H3146_007_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3146	011	0	1	01	01	H3146_011_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3146	012	0	1	01	01	H3146_012_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3146	014	0	1	01	01	H3146_014_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3146	036	0	1	01	01	H3146_036_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3146	037	0	1	01	01	H3146_037_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3146	038	0	1	01	01	H3146_038_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3146	039	0	1	01	01	H3146_039_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3146	040	0	1	01	01	H3146_040_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3146	044	0	1	01	01	H3146_044_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3146	047	0	1	01	01	H3146_047_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3146	048	0	1	01	01	H3146_048_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3146	049	0	1	01	01	H3146_049_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3146	050	0	1	01	01	H3146_050_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3146	051	0	1	01	01	H3146_051_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3146	052	0	1	01	01	H3146_052_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3146	053	0	1	01	01	H3146_053_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3146	056	0	1	02	01	H3146_056_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3146	057	0	1	02	01	H3146_057_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3146	058	0	1	01	01	H3146_058_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3146	059	0	1	01	01	H3146_059_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3146	060	0	1	01	01	H3146_060_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3146	801	0	1	01	01	H3146_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3146	801	0	1	01	01	H3146_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3152	022	0	1	02	01	H3152_022_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3152	045	0	1	01	01	H3152_045_0	2	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3152	048	0	1	01	01	H3152_048_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3152	080	0	1	02	01	H3152_080_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3152	082	0	1	01	01	H3152_082_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3152	098	0	1	01	01	H3152_098_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3152	801	0	1	01	01	H3152_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3152	801	0	1	01	01	H3152_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3152	804	0	1	01	01	H3152_804_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3152	804	0	1	01	01	H3152_804_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3152	807	0	1	01	01	H3152_807_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3152	807	0	1	01	01	H3152_807_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3192	001	0	1	02	01	H3192_001_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3192	013	0	1	02	01	H3192_013_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3192	801	0	1	01	01	H3192_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3192	801	0	1	01	01	H3192_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3219	801	0	1	04	01	H3219_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H3219	801	0	1	04	01	H3219_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H3239	017	0	1	01	01	H3239_017_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							63	30															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1			1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H3239	020	0	1	01	01	H3239_020_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							641	307															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1			1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H3239	022	0	1	01	01	H3239_022_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							254	122															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1			1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H3239	031	0	1	01	01	H3239_031_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							90	43															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1			1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H3288	001	0	1	04	01	H3288_001_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3288	002	0	1	04	01	H3288_002_0	5	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3288	003	0	1	04	01	H3288_003_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3288	004	0	1	04	01	H3288_004_0	5	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3288	005	0	1	04	01	H3288_005_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3288	006	0	1	04	01	H3288_006_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3288	007	0	1	04	01	H3288_007_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3288	008	0	1	04	01	H3288_008_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3288	009	0	1	04	01	H3288_009_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3288	011	0	1	04	01	H3288_011_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3288	018	0	1	04	01	H3288_018_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3288	027	0	1	04	01	H3288_027_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3288	034	0	1	04	01	H3288_034_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3288	042	0	1	04	01	H3288_042_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3288	046	0	1	04	01	H3288_046_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3288	047	0	1	04	01	H3288_047_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3288	048	0	1	04	01	H3288_048_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3288	801	0	1	04	01	H3288_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H3288	801	0	1	04	01	H3288_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H3305	007	0	1	02	01	H3305_007_0	6	1	2	Package 1														0100000000000000000														2			2	01	7f;17a;			2	1	01	7f;17a;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7f;17a;																																0.00	0.00																																																																									0.00	0.00																																																																																																																																																																																																																																																																																										2			
H3305	015	0	1	02	01	H3305_015_0	7	1	2	Package 1														0100000000000000000														2			2	01	7f;17a;			2	1	01	7f;17a;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7f;17a;																																0.00	0.00																																																																									0.00	0.00																																																																																																																																																																																																																																																																																										2			
H3305	020	0	1	02	01	H3305_020_0	6	1	2	Package 1														0100000000000000000														2			2	01	7f;17a;			2	1	01	7f;17a;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7f;17a;																																0.00	0.00																																																																									0.00	0.00																																																																																																																																																																																																																																																																																										2			
H3305	022	0	1	02	01	H3305_022_0	8	1	2	Package 1														0100000000000000000														2			2	01	7f;17a;			2	1	01	7f;17a;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7f;17a;																																0.00	0.00																																																																									0.00	0.00																																																																																																																																																																																																																																																																																										2			
H3305	038	0	1	02	01	H3305_038_0	8	1	2	Package 1														0100000000000000000														2			2	01	7f;17a;			2	1	01	7f;17a;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7f;17a;																																0.00	0.00																																																																									0.00	0.00																																																																																																																																																																																																																																																																																										2			
H3305	039	0	1	02	01	H3305_039_0	8	1	2	Package 1														0100000000000000000														2			2	01	7f;17a;			2	1	01	7f;17a;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7f;17a;																																0.00	0.00																																																																									0.00	0.00																																																																																																																																																																																																																																																																																										2			
H3312	002	0	1	01	01	H3312_002_0	3	2	2	Kidney Care														0000000000110000000	Advanced chronic kidney disease	End Stage Renal Disease (ESRD)									2	2		1	010		2	01	7a;7j;				1	01	7a;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7a;7j;																				0.00	0.00																					0.00	0.00																																																																																																																																																																																																																																																																																																																																																										2			
H3312	002	0	1	01	01	H3312_002_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7a;7d;7j;	2			1	01	7a;7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7a;7j;																				0.00	0.00																					0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3312	018	0	1	02	01	H3312_018_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3312	048	0	1	01	01	H3312_048_0	3	2	2	Kidney Care														0000000000110000000	Advanced chronic kidney disease	End Stage Renal Disease (ESRD)									2	2		1	010		2	01	7a;7j;				1	01	7a;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7a;7j;																				0.00	0.00																					0.00	0.00																																																																																																																																																																																																																																																																																																																																																										2			
H3312	048	0	1	01	01	H3312_048_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7a;7d;7j;	2			1	01	7a;7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7a;7j;																				0.00	0.00																					0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3312	064	0	1	01	01	H3312_064_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3312	065	0	1	02	01	H3312_065_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7a;7d;7j;	2		2	1	01	7a;7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7a;7j;																				0.00	0.00																					0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3312	065	0	1	02	01	H3312_065_0	3	2	2	Kidney Care														0000000000110000000	Advanced chronic kidney disease	End Stage Renal Disease (ESRD)									2	2		1	010		2	01	7a;7j;			2	1	01	7a;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7a;7j;																				0.00	0.00																					0.00	0.00																																																																																																																																																																																																																																																																																																																																																										2			
H3312	074	0	1	01	01	H3312_074_0	3	2	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							3536	1690															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1			1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H3312	074	0	1	01	01	H3312_074_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3312	081	0	1	01	01	H3312_081_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3312	091	0	1	01	01	H3312_091_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3312	097	0	1	01	01	H3312_097_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3312	105	0	1	01	01	H3312_105_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3312	107	0	1	01	01	H3312_107_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3312	108	0	1	01	01	H3312_108_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3312	111	0	1	01	01	H3312_111_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3312	112	0	1	01	01	H3312_112_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3312	113	0	1	01	01	H3312_113_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3312	801	0	1	01	01	H3312_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3312	801	0	1	01	01	H3312_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3312	804	0	1	01	01	H3312_804_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3312	804	0	1	01	01	H3312_804_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3312	807	0	1	01	01	H3312_807_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3312	807	0	1	01	01	H3312_807_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3347	002	0	1	02	01	H3347_002_0	8	1	2	Package 1														0100000000000000000														2			2	01	17a;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H3597	801	0	1	01	01	H3597_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3597	801	0	1	01	01	H3597_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3597	802	0	1	01	01	H3597_802_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3597	802	0	1	01	01	H3597_802_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3597	804	0	1	01	01	H3597_804_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3597	804	0	1	01	01	H3597_804_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3748	801	0	1	01	01	H3748_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3748	801	0	1	01	01	H3748_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3817	008	1	1	04	01	H3817_008_1	7	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;			1	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H3817	008	2	1	04	01	H3817_008_2	7	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;			1	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H3817	008	4	1	04	01	H3817_008_4	8	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;			1	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H3817	009	1	1	04	01	H3817_009_1	7	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;			1	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H3817	009	2	1	04	01	H3817_009_2	7	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;			1	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H3817	010	0	1	04	01	H3817_010_0	5	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;			1	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H3817	011	1	1	04	01	H3817_011_1	10	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;			1	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H3817	011	2	1	04	01	H3817_011_2	10	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;			1	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H3817	011	3	1	04	01	H3817_011_3	10	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;			1	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H3817	801	0	1	04	01	H3817_801_0	3	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;			1	1	01	8a2;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H3817	802	0	1	04	01	H3817_802_0	3	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;			1	1	01	8a2;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H3907	002	0	1	01	01	H3907_002_0	9	1	3	SSBCI - Mental Health/LIS	00000000000000100000000000000000											839	119															2			2	01	7e1;7e2;7j;				1	01	7e1;7e2;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												15.00	15.00	15.00	15.00											0.00	15.00																																																																																																																																																																																																																																																																																																																																																										2			
H3907	037	0	1	01	01	H3907_037_0	8	1	3	SSBCI- Mental Health/LIS	00000000000000100000000000000000											661	93															2			2	01	7e1;7e2;7j;				1	01	7e1;7e2;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H3907	057	1	1	01	01	H3907_057_1	8	1	3	SSBCI - Mental Health/LIS	00000000000000100000000000000000											641	91															2			2	01	7e1;7e2;7j;				1	01	7e1;7e2;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H3907	057	2	1	01	01	H3907_057_2	7	1	3	SSBCI - Mental Health/LIS	00000000000000100000000000000000											518	73															2			2	01	7e1;7e2;7j;				1	01	7e1;7e2;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H3907	057	3	1	01	01	H3907_057_3	8	1	3	SSBCI - Mental Health/LIS	00000000000000100000000000000000											493	101															2			2	01	7e1;7e2;7j;				1	01	7e1;7e2;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H3907	057	4	1	01	01	H3907_057_4	8	1	3	SSBCI - Mental Health/LIS	00000000000000100000000000000000											208	29															2			2	01	7e1;7e2;7j;				1	01	7e1;7e2;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H3907	057	8	1	01	01	H3907_057_8	7	1	3	SSBCI - Mental Health/LIS	00000000000000100000000000000000											425	60															2			2	01	7e1;7e2;7j;				1	01	7e1;7e2;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H3907	058	1	1	01	01	H3907_058_1	7	1	3	SSBCI-Mental Health LIS	00000000000000100000000000000000											1185	167															2			2	01	7e1;7e2;7j;				1	01	7e1;7e2;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H3907	058	2	1	01	01	H3907_058_2	7	1	3	SSBCI-Mental Health LIS	00000000000000100000000000000000											282	40															2			2	01	7e1;7e2;7j;				1	01	7e1;7e2;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H3907	058	3	1	01	01	H3907_058_3	7	1	3	SSBCI-Mental Health LIS	00000000000000100000000000000000											324	46															2			2	01	7e1;7e2;7j;				1	01	7e1;7e2;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H3907	059	1	1	01	01	H3907_059_1	9	1	3	SSBCI- Mental Health LIS	00000000000000100000000000000000											1454	205															2			2	01	7e1;7e2;7j;				1	01	7e1;7e2;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H3907	059	2	1	01	01	H3907_059_2	8	1	3	SSBCI- Mental Health LIS	00000000000000100000000000000000											968	199															2			2	01	7e1;7e2;7j;				1	01	7e1;7e2;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H3907	059	3	1	01	01	H3907_059_3	9	1	3	SSBCI- Mental Health/LIS	00000000000000100000000000000000											294	42															2			2	01	7e1;7e2;7j;				1	01	7e1;7e2;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H3907	061	0	1	01	01	H3907_061_0	7	1	3	SSBCI- Mental Health LIS	00000000000000100000000000000000											255	36															2			2	01	7e1;7e2;7j;				1	01	7e1;7e2;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H3907	062	0	1	01	01	H3907_062_0	7	1	3	SSBCI- Mental Health LIS	00000000000000100000000000000000											66	9															2			2	01	7e1;7e2;7j;				1	01	7e1;7e2;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H3907	063	0	1	01	01	H3907_063_0	7	1	3	SSBCI-Mental Health LIS	00000000000000100000000000000000											23	3															2			2	01	7e1;7e2;7j;				1	01	7e1;7e2;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H3907	064	0	1	01	01	H3907_064_0	7	1	3	SSBCI - Mental Health/LIS	00000000000000100000000000000000											581	82															2			2	01	7e1;7e2;7j;				1	01	7e1;7e2;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H3909	001	0	1	04	01	H3909_001_0	9	1	2	Package # 1 Therapeutic Radiology														0000000000100000000	Breast Cancer													2			2	01	8b2;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8b2;																																																				0.00	0.00																																																																																																																																																																																																																																																																																																																																																2			
H3909	007	0	1	04	01	H3909_007_0	6	1	2	Package # 1 Therapeutic Radiology														0000000000100000000	Breast Cancer													2			2	01	8b2;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8b2;																																																				0.00	0.00																																																																																																																																																																																																																																																																																																																																																2			
H3909	009	0	1	04	01	H3909_009_0	7	1	2	Package # 1 Therapeutic Radiology														0000000000100000000	Breast Cancer													2			2	01	8b2;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8b2;																																																				0.00	0.00																																																																																																																																																																																																																																																																																																																																																2			
H3909	020	0	1	04	01	H3909_020_0	7	1	2	Package 1 - Therapeutic Radiology														0000000000100000000	Breast Cancer													2			2	01	8b2;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8b2;																																																				0.00	0.00																																																																																																																																																																																																																																																																																																																																																2			
H3916	001	0	1	04	01	H3916_001_0	9	1	3	Healing at Home - DME	00011110001001001000000000000000											198	1															2			2	01	11a;11b1;11b2;11c1;11c2;11c3;			1	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	11a;11b1;11b2;11c1;11c2;11c3;																																																																								0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00																																																																																																																																																																																																																																																																																																																		1	1000.00	00100	
H3916	022	0	1	04	01	H3916_022_0	8	1	3	Healing at Home - DME	00011110001001001000000000000000											387	2															2			2	01	11a;11b1;11b2;11c1;11c2;11c3;			1	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	11a;11b1;11b2;11c1;11c2;11c3;																																																																								0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00																																																																																																																																																																																																																																																																																																																		1	1000.00	00100	
H3928	001	0	1	01	01	H3928_001_0	5	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							116	55															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1			1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H3928	801	0	1	01	01	H3928_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3928	801	0	1	01	01	H3928_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3928	803	0	1	01	01	H3928_803_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3928	803	0	1	01	01	H3928_803_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3928	805	0	1	01	01	H3928_805_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3928	805	0	1	01	01	H3928_805_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3931	157	0	1	01	01	H3931_157_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							66	32															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1			1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H3931	801	0	1	01	01	H3931_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3931	801	0	1	01	01	H3931_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3931	804	0	1	01	01	H3931_804_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3931	804	0	1	01	01	H3931_804_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3931	808	0	1	01	01	H3931_808_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3931	808	0	1	01	01	H3931_808_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3952	008	0	1	01	01	H3952_008_0	6	2	2	Package #2 - Therapeutic Radiology														0000000000100000000	Breast Cancer													2			2	01	8b2;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8b2;																																																				0.00	0.00																																																																																																																																																																																																																																																																																																																																																2			
H3952	008	0	1	01	01	H3952_008_0	6	1	2	Package #1 - Vital Care														0101000000000000000											1			2			2	11	7d;7f;	2	7f_2;		2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	7f;	7f_2;																															5.00	5.00																																																																																																			5.00	5.00																																																																																																																													2																																																				2																											1	012;008;					10.00	10.00			10.00	10.00																																									2			
H3952	020	0	1	01	01	H3952_020_0	7	1	2	Package #1 - Vital Care														0101000000000000000											1			2			2	11	7d;7f;	2	7f_2;		2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	7f;	7f_2;																															5.00	5.00																																																																																																			5.00	5.00																																																																																																																													2																																																				2																											1	008;012;					10.00	10.00			10.00	10.00																																									2			
H3952	020	0	1	01	01	H3952_020_0	7	2	2	Package #2 - Therapeutic Radiology														0000000000100000000	Breast Cancer													2			2	01	8b2;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8b2;																																																				0.00	0.00																																																																																																																																																																																																																																																																																																																																																2			
H3952	045	0	1	01	01	H3952_045_0	7	2	2	Package #2 - Therapeutic Radiology														0000000000100000000	Breast Cancer													2			2	01	8b2;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8b2;																																																				0.00	0.00																																																																																																																																																																																																																																																																																																																																																2			
H3952	045	0	1	01	01	H3952_045_0	7	1	2	Package #1 - Vital Care														0101000000000000000											1			2			2	11	7d;7f;	2	7f_2;		2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	7f;	7f_2;																															5.00	5.00																																																																																																			5.00	5.00																																																																																																																													2																																																				2																											1	008;012;					10.00	10.00			10.00	10.00																																									2			
H3952	048	0	1	01	01	H3952_048_0	6	1	2	Package 1 - Vital Care														0101000000000000000											1			2			2	11	7d;7f;	2	7f_2;		2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	7f;	7f_2;																															5.00	5.00																																																																																																			5.00	5.00																																																																																																																													2																																																				2																											1	008;012;					10.00	10.00			10.00	10.00																																									2			
H3952	048	0	1	01	01	H3952_048_0	6	2	2	Package 2 - Therapeutic Radiology														0000000000100000000	Breast Cancer													2			2	01	8b2;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8b2;																																																				0.00	0.00																																																																																																																																																																																																																																																																																																																																																2			
H3952	049	0	1	01	01	H3952_049_0	7	1	2	Package 1 - Vital Care														0101000000000000000											1			2			2	11	7d;7f;	2	7f_2;		2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	7f;	7f_2;																															5.00	5.00																																																																																																			5.00	5.00																																																																																																																													2																																																				2																											1	008;012;					10.00	10.00			10.00	10.00																																									2			
H3952	049	0	1	01	01	H3952_049_0	7	2	2	Package 2 - Therapeutic Radiology														0000000000100000000	Breast Cancer													2			2	01	8b2;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8b2;																																																				0.00	0.00																																																																																																																																																																																																																																																																																																																																																2			
H3952	050	0	1	01	01	H3952_050_0	6	2	2	Package 2 - Therapeutic Radiology														0000000000100000000	Breast Cancer													2			2	01	8b2;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8b2;																																																				0.00	0.00																																																																																																																																																																																																																																																																																																																																																2			
H3952	050	0	1	01	01	H3952_050_0	6	1	2	Package 1 - Vital Care														0101000000000000000											1			2			2	11	7d;7f;	2	7f_2;		2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	7f;	7f_2;																															5.00	5.00																																																																																																			5.00	5.00																																																																																																																													2																																																				2																											1	012;008;					10.00	10.00			10.00	10.00																																									2			
H3952	051	0	1	01	01	H3952_051_0	7	1	2	Package 1 - Vital Care														0101000000000000000											1			2			2	11	7d;7f;	2	7f_2;		2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	7f;	7f_2;																															5.00	5.00																																																																																																			5.00	5.00																																																																																																																													2																																																				2																											1	008;012;					10.00	10.00			10.00	10.00																																									2			
H3952	051	0	1	01	01	H3952_051_0	7	2	2	Package 2 - Therapeutic Radiology														0000000000100000000	Breast Cancer													2			2	01	8b2;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8b2;																																																				0.00	0.00																																																																																																																																																																																																																																																																																																																																																2			
H3952	053	0	1	02	01	H3952_053_0	7	1	2	Package 1 - Vital Care Plus														0100000000000000000														2			2	11	7d;7f;	2	7f_2;	2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	7f;	7f_2;																															5.00	5.00																																																																																																			5.00	5.00																																																																																																																													2																																																				2																											1	012;030;008;					10.00	10.00			10.00	10.00																													10.00	10.00											2			
H3952	053	0	1	02	01	H3952_053_0	7	2	2	Package 2 - Therapeutic Radiology														0000000000100000000	Breast Cancer													2			2	01	8b2;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8b2;																																																				0.00	0.00																																																																																																																																																																																																																																																																																																																																																2			
H3952	054	0	1	02	01	H3952_054_0	7	2	2	Package 2 - Therapeutic Radiology														0000000000100000000	Breast Cancer													2			2	01	8b2;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8b2;																																																				0.00	0.00																																																																																																																																																																																																																																																																																																																																																2			
H3952	054	0	1	02	01	H3952_054_0	7	1	2	Package 1 - Vital Care Plus														0100000000000000000														2			2	11	7d;7f;	2	7f_2;	2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	7f;	7f_2;																															5.00	5.00																																																																																																			5.00	5.00																																																																																																																													2																																																				2																											1	008;012;030;					10.00	10.00			10.00	10.00																													10.00	10.00											2			
H3952	055	0	1	01	01	H3952_055_0	8	2	2	Package 2 - Therapeutic Radiology														0000000000100000000	Breast Cancer													2			2	01	8b2;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8b2;																																																				0.00	0.00																																																																																																																																																																																																																																																																																																																																																2			
H3952	055	0	1	01	01	H3952_055_0	8	1	2	Package 1 - Vital Care														0101000000000000000											1			2			2	11	7d;7f;	2	7f_2;		2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	7f;	7f_2;																															5.00	5.00																																																																																																			5.00	5.00																																																																																																																													2																																																				2																											1	012;008;					10.00	10.00			10.00	10.00																																									2			
H3952	059	0	1	01	01	H3952_059_0	6	2	2	Package 2 - Therapeutic Radiology														0000000000100000000	Breast Cancer													2			2	01	8b2;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8b2;																																																				0.00	0.00																																																																																																																																																																																																																																																																																																																																																2			
H3952	059	0	1	01	01	H3952_059_0	6	1	2	Package 1 - Vital Care														0101000000000000000											1			2			2	11	7d;7f;	2	7f_2;		2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	7f;	7f_2;																															5.00	5.00																																																																																																			5.00	5.00																																																																																																																													2																																																				2																											1	012;008;					10.00	10.00			10.00	10.00																																									2			
H3952	060	0	1	02	01	H3952_060_0	7	2	2	Package 2 - Therapeutic Radiology														0000000000100000000	Breast Cancer													2			2	01	8b2;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8b2;																																																				0.00	0.00																																																																																																																																																																																																																																																																																																																																																2			
H3952	060	0	1	02	01	H3952_060_0	7	1	2	Package 1 - Vital Care														0101000000000000000											1			2			2	11	7d;7f;	2	7f_2;	2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	7f;	7f_2;																															5.00	5.00																																																																																																			5.00	5.00																																																																																																																													2																																																				2																											1	008;012;					10.00	10.00			10.00	10.00																																									2			
H3952	062	0	1	01	01	H3952_062_0	7	1	2	Package 1 - Therapeutic Radiology														0000000000100000000	Breast Cancer													2			2	01	8b2;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8b2;																																																				0.00	0.00																																																																																																																																																																																																																																																																																																																																																2			
H3952	062	0	1	01	01	H3952_062_0	7	2	2	Package 2 - Vital Care														0101000000000000000											1			2			2	11	7d;7f;	2	7f_2;		2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	7f;	7f_2;																															5.00	5.00																																																																																																			5.00	5.00																																																																																																																													2																																																				2																											1	012;008;					10.00	10.00			10.00	10.00																																									2			
H3954	157	21	1	01	01	H3954_157_21	5	1	2	COPD														0010000000000000000														2			2	01	7d;8a1;11a;	2			2				1	01	11a;																																																																								0	0																																																																																																																																																																																									2																																																																																																																																														1	01	8a1;																																														0.00	0.00																																																																																																																																																																																																																			2																																																				2																											1	030;008;035;					0.00	0.00																																	0.00	0.00							0.00	0.00			2			
H3954	158	14	1	01	01	H3954_158_14	5	1	2	COPD														0010000000000000000														2			2	01	7d;8a1;11a;	2			2				1	01	11a;																																																																								0	0																																																																																																																																																																																									2																																																																																																																																														1	01	8a1;																																														0.00	0.00																																																																																																																																																																																																																			2																																																				2																											1	030;008;035;					0.00	0.00																																	0.00	0.00							0.00	0.00			2			
H3957	031	0	1	02	01	H3957_031_0	9	1	3	Healing at Home	00011110001001001000000000000000											1488	1															2			2	01	11a;11b1;11b2;11c1;11c2;11c3;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	11a;11b1;11b2;11c1;11c2;11c3;																																																																								0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00																																																																																																																																																																																																																																																																																																																		1	1000.00	00100	
H3957	031	0	1	02	01	H3957_031_0	9	2	2	MA Reduction														0110000000000000000											2	2		2			2	01	7d;8a1;11c1;11c2;11c3;	1		2	2				1	01	11c1;11c2;11c3;																																																																														0	5	0	5	0	5																																																																																																																																																																															2																																																																																																																																														1	01	7d;8a1;																										10.00	10.00																			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H3957	045	1	1	02	01	H3957_045_1	8	1	3	Healing at Home- DME	00011110001001001000000000000000											513	1															2			2	01	11a;11b1;11b2;11c1;11c2;11c3;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	11a;11b1;11b2;11c1;11c2;11c3;																																																																								0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00																																																																																																																																																																																																																																																																																																																		1	1000.00	00100	
H3957	046	1	1	02	01	H3957_046_1	8	1	3	Healing at Home - DME	00011110001001001000000000000000											696	1															2			2	01	11a;11b1;11b2;11c1;11c2;11c3;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	11a;11b1;11b2;11c1;11c2;11c3;																																																																								0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00																																																																																																																																																																																																																																																																																																																		1	1000.00	00100	
H3957	047	1	1	01	01	H3957_047_1	9	1	3	Healing at Home	00011110001001001000000000000000											1734	1															2			2	01	11a;11b1;11b2;11c1;11c2;11c3;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	11a;11b1;11b2;11c1;11c2;11c3;																																																																								0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00																																																																																																																																																																																																																																																																																																																		1	1000.00	00100	
H3957	048	0	1	01	01	H3957_048_0	11	1	3	Healing at Home- DME	00011110001001001000000000000000											988	1															2			2	01	11a;11b1;11b2;11c1;11c2;11c3;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	11a;11b1;11b2;11c1;11c2;11c3;																																																																								0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00																																																																																																																																																																																																																																																																																																																		1	1000.00	00100	
H3957	050	1	1	01	01	H3957_050_1	8	1	3	Healing at Home- DME	00011110001001001000000000000000											728	1															2			2	01	11a;11b1;11b2;11c1;11c2;11c3;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	11a;11b1;11b2;11c1;11c2;11c3;																																																																								0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00																																																																																																																																																																																																																																																																																																																		1	1000.00	00100	
H3959	001	0	1	02	01	H3959_001_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3959	002	0	1	02	01	H3959_002_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3959	010	0	1	02	01	H3959_010_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3959	011	0	1	02	01	H3959_011_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3959	032	0	1	02	01	H3959_032_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3959	033	0	1	02	01	H3959_033_0	3	2	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3959	033	0	1	02	01	H3959_033_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							333	159															1	010		2	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1	7f_2;	2	1	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	7f_2;	2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	7f_2;																									10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																					10.00	10.00																																																																																																																																																																																																																																																																2			
H3959	037	0	1	02	01	H3959_037_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3959	039	0	1	02	01	H3959_039_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3959	041	0	1	02	01	H3959_041_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3959	052	0	1	02	01	H3959_052_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3959	053	0	1	02	01	H3959_053_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3959	074	0	1	01	01	H3959_074_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3959	075	0	1	01	01	H3959_075_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3959	076	0	1	01	01	H3959_076_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3959	085	0	1	01	01	H3959_085_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3959	093	0	1	02	01	H3959_093_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3959	094	0	1	02	01	H3959_094_0	2	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H3959	097	0	1	01	01	H3959_097_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3959	098	0	1	01	01	H3959_098_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3959	101	0	1	02	01	H3959_101_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H3959	804	0	1	01	01	H3959_804_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H3959	804	0	1	01	01	H3959_804_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H4003	009	0	1	01	01	H4003_009_0	4	1	3	DEBIT CARD	01111111111111111111111111100000	Chronic Hypertension	Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%	Osteoporosis	Chronic back pain							3806	2720															2			2	11	1a;1b;4a;7b;7c;7e1;7e2;7g;7h1;7h2;7i;7k;8a2;8b1;9a1;9a2;9c1;9c2;12;15-1-I;15-2;15-3;		1a1;7b1;		2				1	01	7k;8a2;12;15-2;15-3;																																												0	0			0	0																																			0	0															0	0	0	0																																																																																																																																																											2																																																																																																																																														1	11	4a;7b;7c;7e1;7e2;7g;7h1;7h2;7i;8b1;9a1;9a2;9c1;9c2;15-1-I;	7b1;									0.00	0.00											0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00									0.00	0.00					0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00																																	0.00	0.00																													0.00	0.00																																																																																																																																																																																																																																																																				1	55.00	00010	
H4003	034	0	1	02	01	H4003_034_0	4	1	3	DEBIT CARD	01111111111111111111111111100000	Chronic Hypertension	Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%	Osteoporosis	Chronic back pain							11602	9382															2			2	11	1a;1b;4a;7k;8a2;8b1;9a1;9a2;11b1;11b2;12;15-1-I;15-2;15-3;		1a1;13a;	2	2				1	01	7k;8a2;11b1;11b2;12;15-2;15-3;																																												0	0			0	0																									0	0	0	0							0	0															0	0	0	0																																																																																																																																																											2																																																																																																																																														1	11	4a;8b1;9a1;9a2;15-1-I;	13a;									0.00	0.00																																							0.00	0.00					0.00	0.00	0.00	0.00																																							0.00	0.00																																							0.00	0.00																																																																																																																																																																																																																																																										1	85.00	00010	
H4003	059	1	1	02	01	H4003_059_1	4	1	3	DEBIT CARD	01111111111111111111111111100000	Chronic Hypertension	Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%	Osteoporosis	Chronic Back Pain							4292	3697															2			2	11	1a;1b;4a;7k;8a2;8b1;9a1;9a2;11b1;11b2;12;15-1-I;15-2;15-3;		1a1;	2	2				1	01	7k;8a2;11b1;11b2;12;15-2;15-3;																																												0	0			0	0																									0	0	0	0							0	0															0	0	0	0																																																																																																																																																											2																																																																																																																																														1	01	4a;8b1;9a1;9a2;15-1-I;										0.00	0.00																																							0.00	0.00					0.00	0.00	0.00	0.00																																							0.00	0.00																																																																																																																																																																																																																																																																																																		1	160.00	00010	
H4003	059	2	1	02	01	H4003_059_2	4	1	3	DEBIT CARD	01111111111111111111111111100000	Chronic Hypertension	Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%	Osteoporosis	Chronic Back Pain							5769	4969															2			2	11	1a;1b;4a;7k;8a2;8b1;9a1;9a2;11b1;11b2;12;15-1-I;15-2;15-3;		1a1;	2	2				1	01	7k;8a2;11b1;11b2;12;15-2;15-3;																																												0	0			0	0																									0	0	0	0							0	0															0	0	0	0																																																																																																																																																											2																																																																																																																																														1	01	4a;8b1;9a1;9a2;15-1-I;										0.00	0.00																																							0.00	0.00					0.00	0.00	0.00	0.00																																							0.00	0.00																																																																																																																																																																																																																																																																																																		1	100.00	00010	
H4003	059	3	1	02	01	H4003_059_3	4	1	3	DEBIT CARD	01111111111111111111111111100000	Chronic Hypertension	Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%	Osteoporosis	Chronic Back Pain							11945	10287															2			2	11	1a;1b;4a;7k;8a2;8b1;9a1;9a2;11b1;11b2;12;15-1-I;15-2;15-3;		1a1;	2	2				1	01	7k;8a2;11b1;11b2;12;15-2;15-3;																																												0	0			0	0																									0	0	0	0							0	0															0	0	0	0																																																																																																																																																											2																																																																																																																																														1	01	4a;8b1;9a1;9a2;15-1-I;										0.00	0.00																																							0.00	0.00					0.00	0.00	0.00	0.00																																							0.00	0.00																																																																																																																																																																																																																																																																																																		1	25.00	00010	
H4004	056	0	1	02	01	H4004_056_0	4	1	3	DEBIT CARD	01111111111111111111111111100000	Chronic Hypertension	Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%	Osteoporosis	Chronic Back Pain							2540	2397															2			2	11	1a;1b;3-1;3-2;3-3;3-4;4a;7b;7c;7d;7e1;7e2;7f;7g;7h1;7h2;7i;7k;8a2;8b1;9a1;9a2;9c1;9c2;11a;12;15-1-I;15-2;15-3;	1	1a1;7b1;7f_2;	2	2				1	01	7k;8a2;11a;12;15-2;15-3;																																												0	0			0	0																							0	0											0	0															0	0	0	0																																																																																																																																																											2																																																																																																																																														1	11	3-1;3-2;3-3;3-4;4a;7b;7c;7d;7e1;7e2;7f;7g;7h1;7h2;7i;8b1;9a1;9a2;9c1;9c2;15-1-I;15-3;	7b1;7f_2;	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00											0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00									0.00	0.00					0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00																																	0.00	0.00			0.00	0.00																									0.00	0.00			0.00	0.00																																																																																																																																																																																																																																																																1	70.00	00010	
H4004	065	0	1	02	01	H4004_065_0	4	1	3	DEBIT CARD	01111111111111111111111111100000	Chronic Hypertension	Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%	Osteoporosis	Chronic Back Pain							12947	12547															2			2	11	1a;1b;3-1;3-2;3-3;3-4;4a;7c;7e1;7e2;7g;7i;7k;8a2;8b1;9a1;9a2;11b1;11b2;12;15-1-I;15-2;15-3;		1a1;13a;	2	2				1	01	7k;8a2;11b1;11b2;12;15-2;15-3;																																												0	0			0	0																									0	0	0	0							0	0															0	0	0	0																																																																																																																																																											2																																																																																																																																														1	11	3-1;3-2;3-3;3-4;4a;7c;7e1;7e2;7g;7i;8b1;9a1;9a2;15-1-I;15-3;	13a;	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00													0.00	0.00			0.00	0.00	0.00	0.00			0.00	0.00					0.00	0.00									0.00	0.00					0.00	0.00	0.00	0.00																																							0.00	0.00			0.00	0.00																																			0.00	0.00																																																																																																																																																																																																																																																										1	42.00	00010	
H4004	066	0	1	02	01	H4004_066_0	4	1	3	DEBIT CARD	01111111111111111111111111100000	Chronic Hypertension	Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%	Osteoporosis	Chronic Back Pain							1542	1254															2			2	11	1a;1b;3-1;3-2;3-3;3-4;4a;7b;7c;7d;7e1;7e2;7f;7g;7h1;7h2;7i;7k;8a2;8b1;9a1;9a2;9b;9c1;9c2;11a;11b1;11b2;12;15-1-I;15-2;15-3;	1	1a1;7b1;7f_2;13a;	2	2				1	01	7k;8a2;11a;11b1;11b2;12;15-2;15-3;																																												0	0			0	0																							0	0	0	0	0	0							0	0															0	0	0	0																																																																																																																																																											2																																																																																																																																														1	11	3-1;3-2;3-3;3-4;4a;7b;7c;7d;7e1;7e2;7f;7g;7h1;7h2;7i;8b1;9a1;9a2;9b;9c1;9c2;15-1-I;15-3;	7b1;7f_2;13a;	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00											0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00									0.00	0.00					0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00																																	0.00	0.00			0.00	0.00																									0.00	0.00			0.00	0.00					0.00	0.00																																																																																																																																																																																																																																																										1	5.00	00010	
H4004	068	0	1	01	01	H4004_068_0	4	1	3	DEBIT CARD	01111111111111111111111111100000	Chronic Hypertension	Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%	Osteoporosis	Chronic back pain							6946	6640															2			2	11	11a;11b1;11b2;16a;		16c1;16c4;16c6;16c7;16c10;		2				1	11	11a;11b1;11b2;16a;	16c1;16c4;16c6;16c7;16c10;																																																																							0	0	0	0	0	0																											0	0																																																																																																									0	0					0	0			0	0	0	0					0	0																													2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							1	120.00	00010	
H4004	070	0	1	02	01	H4004_070_0	4	1	3	DEBIT CARD	01111111111111111111111111100000	Chronic Hypertension	Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%	Osteoporosis	Chronic back pain							3474	3389															2			2	11	1a;1b;3-1;3-2;3-3;3-4;4a;7b;7c;7d;7e1;7e2;7f;7g;7h1;7h2;7i;7k;8a2;8b1;9a1;9a2;9c1;9c2;11a;11b1;11b2;12;15-1-I;15-2;15-3;16a;	1	1a1;7b1;7f_2;13a;16c1;16c2;16c3;16c4;16c6;16c7;16c8;16c10;	2	2				1	11	7k;8a2;11a;11b1;11b2;12;15-2;15-3;16a;	16c1;16c2;16c3;16c4;16c6;16c7;16c8;16c10;																																											0	0			0	0																							0	0	0	0	0	0							0	0															0	0	0	0	0	0																																																																																																									0	0	0	0	0	0	0	0			0	0	0	0	0	0			0	0																													2																																																																																																																																														1	11	3-1;3-2;3-3;3-4;4a;7b;7c;7d;7e1;7e2;7f;7g;7h1;7h2;7i;8b1;9a1;9a2;9c1;9c2;15-1-I;15-3;	7b1;7f_2;13a;	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00											0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00									0.00	0.00					0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00																																	0.00	0.00			0.00	0.00																									0.00	0.00			0.00	0.00					0.00	0.00																																																																																																																																																																																																																																																										1	92.00	00010	
H4004	071	0	1	02	01	H4004_071_0	4	1	3	DEBIT CARD	01111111111111111111111111100000	Chronic Hypertension	Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%	Osteoporosis	Chronic Back Pain							1294	1264															2			2	11	1a;1b;3-1;3-2;3-3;3-4;4a;7b;7c;7d;7e1;7e2;7f;7g;7h1;7h2;7i;7k;8a2;8b1;9a1;9a2;9c1;9c2;11a;11b1;11b2;12;15-1-I;15-2;15-3;16a;	1	1a1;7b1;7f_2;13a;16c1;16c2;16c3;16c4;16c6;16c7;16c8;16c10;	2	2				1	11	7k;8a2;11a;11b1;11b2;12;15-2;15-3;16a;	16c1;16c2;16c3;16c4;16c6;16c7;16c8;16c10;																																											0	0			0	0																							0	0	0	0	0	0							0	0															0	0	0	0	0	0																																																																																																									0	0	0	0	0	0	0	0			0	0	0	0	0	0			0	0																													2																																																																																																																																														1	11	3-1;3-2;3-3;3-4;4a;7b;7c;7d;7e1;7e2;7f;7g;7h1;7h2;7i;8b1;9a1;9a2;9c1;9c2;15-1-I;15-3;	7b1;7f_2;13a;	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00											0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00									0.00	0.00					0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00																																	0.00	0.00			0.00	0.00																									0.00	0.00			0.00	0.00					0.00	0.00																																																																																																																																																																																																																																																										1	132.00	00010	
H4004	072	1	1	01	01	H4004_072_1	4	1	3	DEBIT CARD	01111111111111111111111111100000	Chronic Hypertension	Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%	Osteoporosis	Chronic Back Pain							4928	4721															2			2	01	11a;11b1;11b2;				2				1	01	11a;11b1;11b2;																																																																								0	0	0	0	0	0																																																																																																																																																																																					2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							1	210.00	00010	
H4004	072	2	1	01	01	H4004_072_2	4	1	3	DEBIT CARD	01111111111111111111111111100000	Chronic Hypertension	Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%	Osteoporosis	Chronic Back Pain							15921	15251															2			2	01	11a;11b1;11b2;				2				1	01	11a;11b1;11b2;																																																																								0	0	0	0	0	0																																																																																																																																																																																					2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							1	95.00	00010	
H4004	072	3	1	01	01	H4004_072_3	4	1	3	DEBIT CARD	01111111111111111111111111100000	Chronic Hypertension	Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%	Osteoporosis	Chronic Back Pain							11117	10649															2			2	01	11a;11b1;11b2;				2				1	01	11a;11b1;11b2;																																																																								0	0	0	0	0	0																																																																																																																																																																																					2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							1	100.00	00010	
H4004	073	1	1	02	01	H4004_073_1	4	1	3	DEBIT CARD	01111111111111111111111111100000	Chronic Hypertension	Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%	Osteoporosis	Chronic Back Pain							1689	1652															2			2	11	1a;1b;3-1;3-2;3-3;3-4;4a;7b;7c;7d;7e1;7e2;7g;7h1;7h2;7i;7k;8a2;8b1;9a1;9a2;9c1;9c2;11b1;11b2;12;15-1-I;15-2;15-3;	1	1a1;7b1;13a;	2	2				1	01	7k;8a2;11b1;11b2;12;15-2;15-3;																																												0	0			0	0																									0	0	0	0							0	0															0	0	0	0																																																																																																																																																											2																																																																																																																																														1	11	3-1;3-2;3-3;3-4;4a;7b;7c;7d;7e1;7e2;7g;7h1;7h2;7i;8b1;9a1;9a2;9c1;9c2;15-1-I;15-3;	7b1;13a;	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00											0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00									0.00	0.00					0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00																																	0.00	0.00			0.00	0.00																									0.00	0.00									0.00	0.00																																																																																																																																																																																																																																																										1	77.00	00010	
H4004	073	2	1	02	01	H4004_073_2	4	1	3	DEBIT CARD	01111111111111111111111111100000	Chronic Hypertension	Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%	Osteoporosis	Chronic Back Pain							7133	6976															2			2	11	1a;1b;3-1;3-2;3-3;3-4;4a;7b;7c;7d;7e1;7e2;7g;7h1;7h2;7i;7k;8a2;8b1;9a1;9a2;9c1;9c2;11b1;11b2;12;15-1-I;15-2;15-3;	1	1a1;7b1;13a;	2	2				1	01	7k;8a2;11b1;11b2;12;15-2;15-3;																																												0	0			0	0																									0	0	0	0							0	0															0	0	0	0																																																																																																																																																											2																																																																																																																																														1	11	3-1;3-2;3-3;3-4;4a;7b;7c;7d;7e1;7e2;7g;7h1;7h2;7i;8b1;9a1;9a2;9c1;9c2;15-1-I;15-3;	7b1;13a;	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00											0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00									0.00	0.00					0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00																																	0.00	0.00			0.00	0.00																									0.00	0.00									0.00	0.00																																																																																																																																																																																																																																																										1	63.00	00010	
H4004	073	3	1	02	01	H4004_073_3	4	1	3	DEBIT CARD	01111111111111111111111111100000	Chronic Hypertension	Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%	Osteoporosis	Chronic Back Pain							3325	3252															2			2	11	1a;1b;3-1;3-2;3-3;3-4;4a;7b;7c;7d;7e1;7e2;7g;7h1;7h2;7i;7k;8a2;8b1;9a1;9a2;9c1;9c2;11b1;11b2;12;15-1-I;15-2;15-3;	1	1a1;7b1;13a;	2	2				1	01	7k;8a2;11b1;11b2;12;15-2;15-3;																																												0	0			0	0																									0	0	0	0							0	0															0	0	0	0																																																																																																																																																											2																																																																																																																																														1	11	3-1;3-2;3-3;3-4;4a;7b;7c;7d;7e1;7e2;7g;7h1;7h2;7i;8b1;9a1;9a2;9c1;9c2;15-1-I;15-3;	7b1;13a;	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00											0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00									0.00	0.00					0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00																																	0.00	0.00			0.00	0.00																									0.00	0.00									0.00	0.00																																																																																																																																																																																																																																																										1	72.00	00010	
H4004	075	0	1	02	01	H4004_075_0	4	1	3	DEBIT CARD	01111111111111111111111111100000	Chronic Hypertension	Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%	Osteoporosis	Chronic back pain							548	506															2			2	11	1a;1b;4a;7k;8a2;8b1;9a1;9a2;11a;11b1;11b2;12;15-1-I;15-2;15-3;		1a1;13a;	2	2				1	01	7k;8a2;11a;11b1;11b2;12;15-2;15-3;																																												0	0			0	0																							0	0	0	0	0	0							0	0															0	0	0	0																																																																																																																																																											2																																																																																																																																														1	11	4a;8b1;9a1;9a2;15-1-I;	13a;									0.00	0.00																																							0.00	0.00					0.00	0.00	0.00	0.00																																							0.00	0.00																																							0.00	0.00																																																																																																																																																																																																																																																										1	75.00	00010	
H4004	076	1	1	01	01	H4004_076_1	4	1	3	DEBIT CARD	01111111111111111111111111100000	Chronic Hypertension	Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%	Osteoporosis	Chronic Back Pain							1559	1378															2			2	01	11a;11b1;11b2;				2				1	01	11a;11b1;11b2;																																																																								0	0	0	0	0	0																																																																																																																																																																																					2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							1	185.00	00010	
H4004	076	2	1	01	01	H4004_076_2	4	1	3	DEBIT CARD	01111111111111111111111111100000	Chronic Hypertension	Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%	Osteoporosis	Chronic Back Pain							2958	2614															2			2	01	11a;11b1;11b2;				2				1	01	11a;11b1;11b2;																																																																								0	0	0	0	0	0																																																																																																																																																																																					2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							1	155.00	00010	
H4004	076	3	1	01	01	H4004_076_3	4	1	3	DEBIT CARD	01111111111111111111111111100000	Chronic Hypertension	Pre-diabetes: Fasting blood glucose: 100-125 mg/dl or Hgb A1C:5.7-6.4%	Osteoporosis	Chronic Back Pain							7830	6919															2			2	01	11a;11b1;11b2;				2				1	01	11a;11b1;11b2;																																																																								0	0	0	0	0	0																																																																																																																																																																																					2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							1	175.00	00010	
H4152	022	0	1	02	01	H4152_022_0	6	1	3	High Value Provider	01111111111111111111111000000000											989	953															1	010		2	11	1a;1b;3-1;3-2;3-4;7b;7c;7d;7e1;7e2;7f;7g;7h1;7h2;7i;7k;8a1;8b1;8b3;9a1;9a2;9b;9c1;9c2;17a;18a;	1	7f_2;	2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	3-1;3-2;3-4;7b;7c;7d;7e1;7e2;7f;7g;7h1;7h2;7i;7k;8a1;8b1;8b3;9a1;9a2;9b;9c1;9c2;17a;18a;	7f_2;	0.00	0.00	0.00	0.00			0.00	0.00													10.00	10.00	0.00	10.00	0.00	10.00	0.00	10.00	0.00	10.00	10.00	10.00	0.00	10.00	0.00	10.00	0.00	10.00	0.00	10.00			10.00	10.00	0.00	0.00			0.00	75.00			0.00	0.00	0.00	200.00	200.00	200.00	0.00	200.00	0.00	10.00	0.00	10.00																																									10.00	10.00			10.00	10.00																					10.00	10.00																																																																																																																																																																																																																																																																2			
H4158	001	0	1	01	01	H4158_001_0	8	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;				2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H4158	002	0	1	01	01	H4158_002_0	5	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;				2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H4158	003	0	1	01	01	H4158_003_0	5	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;				2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H4158	004	0	1	01	01	H4158_004_0	8	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;				2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H4329	001	0	1	01	01	H4329_001_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											50096	50096															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H4461	022	0	1	01	01	H4461_022_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											1833	1833															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H4461	038	0	1	01	01	H4461_038_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											3666	3666															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H4461	052	0	1	01	01	H4461_052_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											975	13															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H4461	084	0	1	01	01	H4461_084_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											474	6															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	1000.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H4523	001	0	1	01	01	H4523_001_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H4523	015	0	1	01	01	H4523_015_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H4523	020	0	1	01	01	H4523_020_0	3	2	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H4523	020	0	1	01	01	H4523_020_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							312	149															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1			1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H4523	021	0	1	01	01	H4523_021_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							463	221															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1			1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H4523	021	0	1	01	01	H4523_021_0	3	2	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H4523	024	0	1	01	01	H4523_024_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							827	395															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1			1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H4523	024	0	1	01	01	H4523_024_0	3	2	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H4523	027	0	1	01	01	H4523_027_0	3	2	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H4523	027	0	1	01	01	H4523_027_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							40	19															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1			1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H4523	031	0	1	01	01	H4523_031_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H4523	037	0	1	01	01	H4523_037_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H4523	038	0	1	01	01	H4523_038_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H4523	039	0	1	01	01	H4523_039_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H4523	042	0	1	01	01	H4523_042_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H4523	045	0	1	01	01	H4523_045_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H4523	047	0	1	01	01	H4523_047_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H4523	048	0	1	01	01	H4523_048_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H4523	049	0	1	01	01	H4523_049_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H4523	050	0	1	01	01	H4523_050_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H4523	051	0	1	01	01	H4523_051_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H4523	801	0	1	01	01	H4523_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H4523	801	0	1	01	01	H4523_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H4523	802	0	1	01	01	H4523_802_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H4523	802	0	1	01	01	H4523_802_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H4523	805	0	1	01	01	H4523_805_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H4523	805	0	1	01	01	H4523_805_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H4605	002	0	1	04	01	H4605_002_0	8	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;			1	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H4605	004	0	1	04	01	H4605_004_0	8	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;			1	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H4605	801	0	1	04	01	H4605_801_0	3	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;			1	1	01	8a2;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H4605	802	0	1	04	01	H4605_802_0	3	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;			1	1	01	8a2;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H4624	023	0	1	01	01	H4624_023_0	6	1	2	Specialist Services														0000000000100000000	Chronic Kidney Disease - Stage 5													2			2	01	7d;	2			2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																										2																																																				2																											1	004;018;008;012;023;030;	0.00	0.00			0.00	0.00			0.00	0.00											0.00	0.00									0.00	0.00							0.00	0.00											2			
H4624	023	0	1	01	01	H4624_023_0	6	2	2	Dialysis														0000000000100000000	Chronic Kidney Disease - Stage 5													2			2	01	12;				2				1	01	12;																																																																																				0	0																																																																																																																																																																													2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H4624	025	0	1	01	01	H4624_025_0	6	1	2	Specialist Services														0000000000100000000	Chronic Kidney Disease - Stage 5													2			2	01	7d;	2			2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																										2																																																				2																											1	004;023;018;008;030;012;	0.00	0.00			0.00	0.00			0.00	0.00											0.00	0.00									0.00	0.00							0.00	0.00											2			
H4624	025	0	1	01	01	H4624_025_0	6	2	2	Dialysis														0000000000100000000	Chronic Kidney Disease - Stage 5													2			2	01	12;				2				1	01	12;																																																																																				0	0																																																																																																																																																																													2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H4624	029	0	1	01	01	H4624_029_0	6	1	2	Specialist Services														0000000000100000000	Chronic Kidney Disease - Stage 5													2			2	01	7d;	2			2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																										2																																																				2																											1	023;018;004;030;008;012;	0.00	0.00			0.00	0.00			0.00	0.00											0.00	0.00									0.00	0.00							0.00	0.00											2			
H4624	029	0	1	01	01	H4624_029_0	6	2	2	Dialysis														0000000000100000000	Chronic Kidney Disease - Stage 5													2			2	01	12;				2				1	01	12;																																																																																				0	0																																																																																																																																																																													2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H4624	036	0	1	01	01	H4624_036_0	6	2	2	Dialysis														0000000000100000000	Chronic Kidney Disease - Stage 5													2			2	01	12;				2				1	01	12;																																																																																				0	0																																																																																																																																																																													2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H4624	036	0	1	01	01	H4624_036_0	6	1	2	Specialist Services														0000000000100000000	Chronic Kidney Disease - Stage 5													2			2	01	7d;	2			2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																										2																																																				2																											1	018;023;008;030;012;004;	0.00	0.00			0.00	0.00			0.00	0.00											0.00	0.00									0.00	0.00							0.00	0.00											2			
H4624	042	0	1	01	01	H4624_042_0	6	2	2	Dialysis														0000000000100000000	Chronic Kidney Disease - Stage 5													2			2	01	12;				2				1	01	12;																																																																																				0	0																																																																																																																																																																													2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H4624	042	0	1	01	01	H4624_042_0	6	1	2	Specialist Services														0000000000100000000	Chronic Kidney Disease - Stage 5													2			2	01	7d;	2			2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																										2																																																				2																											1	012;008;004;023;030;018;	0.00	0.00			0.00	0.00			0.00	0.00											0.00	0.00									0.00	0.00							0.00	0.00											2			
H4711	801	0	1	01	01	H4711_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H4711	801	0	1	01	01	H4711_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H4835	801	0	1	01	01	H4835_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H4835	801	0	1	01	01	H4835_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H4869	015	0	1	02	01	H4869_015_0	5	1	2	ESRD Cost-Share														0000000000100000000	End-Stage Renal Disease													1	011		2	01	1a;8a1;8a2;9a1;9a2;9b;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a1;8a2;9a1;9a2;9b;																																														0.00	0.00	0.00	0.00							75.00	75.00	100.00	100.00	50.00	50.00																																																																																																																																																																																																																																																																																																																																								2			
H4939	001	0	1	02	01	H4939_001_0	5	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											12979	12979															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	1000.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H4939	004	0	1	02	01	H4939_004_0	5	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											11953	11953															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H4982	801	0	1	01	01	H4982_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H4982	801	0	1	01	01	H4982_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H5009	002	0	1	04	01	H5009_002_0	9	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;			1	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H5009	801	0	1	04	01	H5009_801_0	3	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;			1	1	01	8a2;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H5009	802	0	1	04	01	H5009_802_0	3	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;			1	1	01	8a2;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H5050	004	0	1	01	01	H5050_004_0	8	1	2	Advanced Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	01	4a;4b;7c;7g;7i;8b1;9a2;9b;10a1;11a;11b2;				2				1	01	11a;11b2;																																																																								0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;4b;7c;7g;7i;8b1;9a2;9b;10a1;										0.00	0.00	0.00	0.00											0.00	0.00									0.00	0.00					0.00	0.00									0.00	0.00							0.00	0.00	0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H5050	009	0	1	01	01	H5050_009_0	8	1	2	Advanced Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	01	4a;4b;7c;7g;7i;8b1;9a2;9b;10a1;11a;11b2;				2				1	01	11a;11b2;																																																																								0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;4b;7c;7g;7i;8b1;9a2;9b;10a1;										0.00	0.00	0.00	0.00											0.00	0.00									0.00	0.00					0.00	0.00									0.00	0.00							0.00	0.00	0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H5050	024	0	1	01	01	H5050_024_0	8	1	2	Advanced Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	01	4a;4b;7c;7g;7i;8b1;9a2;9b;10a1;11a;11b2;				2				1	01	11a;11b2;																																																																								0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;4b;7c;7g;7i;8b1;9a2;9b;10a1;										0.00	0.00	0.00	0.00											0.00	0.00									0.00	0.00					0.00	0.00									0.00	0.00							0.00	0.00	0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H5050	025	0	1	01	01	H5050_025_0	8	1	2	Advanced Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	01	4a;4b;7c;7g;7i;8b1;9a2;9b;10a1;11a;11b2;				2				1	01	11a;11b2;																																																																								0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;4b;7c;7g;7i;8b1;9a2;9b;10a1;										0.00	0.00	0.00	0.00											0.00	0.00									0.00	0.00					0.00	0.00									0.00	0.00							0.00	0.00	0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H5050	026	0	1	01	01	H5050_026_0	8	1	2	Advanced Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	01	4a;4b;7c;7g;7i;8b1;9a2;9b;10a1;11a;11b2;				2				1	01	11a;11b2;																																																																								0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;4b;7c;7g;7i;8b1;9a2;9b;10a1;										0.00	0.00	0.00	0.00											0.00	0.00									0.00	0.00					0.00	0.00									0.00	0.00							0.00	0.00	0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H5050	027	0	1	01	01	H5050_027_0	8	1	2	Advanced Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	01	4a;4b;7c;7g;7i;8b1;9a2;9b;10a1;11a;11b2;				2				1	01	11a;11b2;																																																																								0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;4b;7c;7g;7i;8b1;9a2;9b;10a1;										0.00	0.00	0.00	0.00											0.00	0.00									0.00	0.00					0.00	0.00									0.00	0.00							0.00	0.00	0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H5050	028	0	1	01	01	H5050_028_0	8	1	2	Advanced Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	01	4a;4b;7c;7g;7i;8a1;8b1;9a2;9b;10a1;11a;11b2;				2				1	01	11a;11b2;																																																																								0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;4b;7c;7g;7i;8a1;8b1;9a2;9b;10a1;										0.00	0.00	0.00	0.00											0.00	0.00									0.00	0.00					0.00	0.00					0.00	0.00			0.00	0.00							0.00	0.00	0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H5050	029	0	1	01	01	H5050_029_0	8	1	2	Advanced Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	01	4a;4b;7c;7g;7i;8a1;8b1;9a2;9b;10a1;11a;11b2;				2				1	01	11a;11b2;																																																																								0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;4b;7c;7g;7i;8a1;8b1;9a2;9b;10a1;										0.00	0.00	0.00	0.00											0.00	0.00									0.00	0.00					0.00	0.00					0.00	0.00			0.00	0.00							0.00	0.00	0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H5050	030	0	1	01	01	H5050_030_0	8	1	2	Advanced Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	01	4a;4b;7c;7g;7i;8a1;8b1;9a2;9b;10a1;11a;11b2;				2				1	01	11a;11b2;																																																																								0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;4b;7c;7g;7i;8a1;8b1;9a2;9b;10a1;										0.00	0.00	0.00	0.00											0.00	0.00									0.00	0.00					0.00	0.00					0.00	0.00			0.00	0.00							0.00	0.00	0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H5050	031	0	1	01	01	H5050_031_0	8	1	2	Advanced Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	01	4a;4b;7c;7g;7i;8a1;8b1;9a2;9b;10a1;11a;11b2;				2				1	01	11a;11b2;																																																																								0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;4b;7c;7g;7i;8a1;8b1;9a2;9b;10a1;										0.00	0.00	0.00	0.00											0.00	0.00									0.00	0.00					0.00	0.00					0.00	0.00			0.00	0.00							0.00	0.00	0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H5050	032	0	1	01	01	H5050_032_0	8	1	2	Advanced Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	01	4a;4b;7c;7g;7i;8a1;8b1;9a2;9b;10a1;11a;11b2;				2				1	01	11a;11b2;																																																																								0	0			0	0																																																																																																																																																																																					2																																																																																																																																														1	01	4a;4b;7c;7g;7i;8a1;8b1;9a2;9b;10a1;										0.00	0.00	0.00	0.00											0.00	0.00									0.00	0.00					0.00	0.00					0.00	0.00			0.00	0.00							0.00	0.00	0.00	0.00							0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H5178	002	0	1	01	01	H5178_002_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											496	6															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H5211	003	0	1	01	01	H5211_003_0	6	1	3	Chronic Condition Home Health	00001111000000100000000000000000											1860	453															1	001		2	01	7h1;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7h1;																																				0.00	0.00																																																																																																																																																																																																																																																																																																																																																																2			
H5211	004	0	1	02	01	H5211_004_0	8	1	3	Chronic Condition Home Health	00001111000000100000000000000000											421	103															1	001		2	01	7h1;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7h1;																																				0.00	0.00																																																																																																																																																																																																																																																																																																																																																																2			
H5211	012	0	1	01	01	H5211_012_0	8	1	3	Chronic Condition Home Health	00001111000000100000000000000000											3245	790															1	001		2	01	7h1;8a2;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7h1;8a2;																																				0.00	0.00											0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H5211	014	0	1	02	01	H5211_014_0	8	1	3	Chronic Condition Home Health	00001111000000100000000000000000											1144	278															1	001		2	01	7h1;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7h1;																																				0.00	0.00																																																																																																																																																																																																																																																																																																																																																																2			
H5211	015	0	1	02	01	H5211_015_0	8	1	3	Chronic Condition Home Health	00001111000000100000000000000000											600	146															1	001		2	01	7h1;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7h1;																																				0.00	0.00																																																																																																																																																																																																																																																																																																																																																																2			
H5216	242	0	1	04	01	H5216_242_0	5	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											347	206															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H5216	243	0	1	04	01	H5216_243_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											771	457															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H5216	257	0	1	04	01	H5216_257_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											3512	46															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H5216	277	0	1	04	01	H5216_277_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											7165	7165															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H5216	337	2	1	04	01	H5216_337_2	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											5562	72															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	1000.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H5216	362	0	1	04	01	H5216_362_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											209	124															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H5216	369	0	1	04	01	H5216_369_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											792	470															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H5216	401	0	1	04	01	H5216_401_0	5	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											955	566															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H5216	416	0	1	04	01	H5216_416_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											447	265															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H5216	446	0	1	04	01	H5216_446_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											1766	1047															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H5302	012	0	1	01	01	H5302_012_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7a;7d;7j;	2			1	01	7a;7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7a;7j;																				0.00	0.00																					0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5302	020	0	1	01	01	H5302_020_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5302	022	0	1	01	01	H5302_022_0	3	2	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5302	022	0	1	01	01	H5302_022_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							1812	866															1	010		2	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1	7f_2;		1	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	7f_2;	2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	7f_2;																									10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																					10.00	10.00																																																																																																																																																																																																																																																																2			
H5302	026	0	1	01	01	H5302_026_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5302	028	0	1	01	01	H5302_028_0	3	2	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							127	61															1	010		2	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1	7f_2;		1	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	7f_2;	2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	7f_2;																									10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																					10.00	10.00																																																																																																																																																																																																																																																																2			
H5302	028	0	1	01	01	H5302_028_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5302	809	0	1	01	01	H5302_809_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H5302	809	0	1	01	01	H5302_809_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H5521	016	0	1	04	01	H5521_016_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	020	0	1	04	01	H5521_020_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	037	0	1	04	01	H5521_037_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	077	0	1	04	01	H5521_077_0	3	2	2	Kidney Care														0000000000110000000	Advanced chronic kidney disease	End Stage Renal Disease (ESRD)									2	2		1	010		2	01	7a;7j;			2	1	01	7a;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7a;7j;																				0.00	0.00																					0.00	0.00																																																																																																																																																																																																																																																																																																																																																										2			
H5521	077	0	1	04	01	H5521_077_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7a;7d;7j;	2		2	1	01	7a;7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7a;7j;																				0.00	0.00																					0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	081	0	1	04	01	H5521_081_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	085	0	1	04	01	H5521_085_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	086	0	1	04	01	H5521_086_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	087	0	1	04	01	H5521_087_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	088	0	1	04	01	H5521_088_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	089	0	1	04	01	H5521_089_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	091	0	1	04	01	H5521_091_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	119	0	1	04	01	H5521_119_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7a;7d;7j;	2		2	1	01	7a;7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7a;7j;																				0.00	0.00																					0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	119	0	1	04	01	H5521_119_0	3	2	2	Kidney Care														0000000000110000000	Advanced chronic kidney disease	End Stage Renal Disease (ESRD)									2	2		1	010		2	01	7a;7j;			2	1	01	7a;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7a;7j;																				0.00	0.00																					0.00	0.00																																																																																																																																																																																																																																																																																																																																																										2			
H5521	120	0	1	04	01	H5521_120_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	121	0	1	04	01	H5521_121_0	5	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	123	0	1	04	01	H5521_123_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	124	0	1	04	01	H5521_124_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	139	0	1	04	01	H5521_139_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	140	0	1	04	01	H5521_140_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	150	0	1	04	01	H5521_150_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	156	0	1	04	01	H5521_156_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	157	0	1	04	01	H5521_157_0	3	2	2	Kidney Care														0000000000110000000	Advanced chronic kidney disease	End Stage Renal Disease (ESRD)									2	2		1	010		2	01	7a;7j;			2	1	01	7a;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7a;7j;																				0.00	0.00																					0.00	0.00																																																																																																																																																																																																																																																																																																																																																										2			
H5521	157	0	1	04	01	H5521_157_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7a;7d;7j;	2		2	1	01	7a;7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7a;7j;																				0.00	0.00																					0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	169	0	1	04	01	H5521_169_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	170	0	1	04	01	H5521_170_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	195	0	1	04	01	H5521_195_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	215	0	1	04	01	H5521_215_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	236	0	1	04	01	H5521_236_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	241	0	1	04	01	H5521_241_0	2	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	243	0	1	04	01	H5521_243_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	245	0	1	04	01	H5521_245_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	249	0	1	04	01	H5521_249_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	251	0	1	04	01	H5521_251_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	254	0	1	04	01	H5521_254_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	261	0	1	04	01	H5521_261_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	263	0	1	04	01	H5521_263_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	275	0	1	04	01	H5521_275_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	277	0	1	04	01	H5521_277_0	3	2	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7a;7d;7j;	2		2	1	01	7a;7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7a;7j;																				0.00	0.00																					0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	277	0	1	04	01	H5521_277_0	3	1	2	Kidney Care														0000000000110000000	Advanced chronic kidney disease	End Stage Renal Disease (ESRD)									2	2		1	010		2	01	7a;7j;			2	1	01	7a;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7a;7j;																				0.00	0.00																					0.00	0.00																																																																																																																																																																																																																																																																																																																																																										2			
H5521	279	0	1	04	01	H5521_279_0	2	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	289	0	1	04	01	H5521_289_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	302	0	1	04	01	H5521_302_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							45	22															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1		1	1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H5521	319	0	1	04	01	H5521_319_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	320	0	1	04	01	H5521_320_0	2	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	323	0	1	04	01	H5521_323_0	2	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	326	0	1	04	01	H5521_326_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							160	76															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1		1	1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H5521	340	0	1	04	01	H5521_340_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	348	0	1	04	01	H5521_348_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	352	0	1	04	01	H5521_352_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	364	0	1	04	01	H5521_364_0	3	2	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	364	0	1	04	01	H5521_364_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							877	419															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1		1	1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H5521	365	0	1	04	01	H5521_365_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							71	34															1	010		2	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1	7f_2;	1	1	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	7f_2;	2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	7f_2;																									10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																					10.00	10.00																																																																																																																																																																																																																																																																2			
H5521	381	0	1	04	01	H5521_381_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	388	0	1	04	01	H5521_388_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	392	0	1	04	01	H5521_392_0	3	2	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7a;7d;7j;	2		2	1	01	7a;7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7a;7j;																				0.00	0.00																					0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	392	0	1	04	01	H5521_392_0	3	1	2	Kidney Care														0000000000110000000	Advanced chronic kidney disease	End Stage Renal Disease (ESRD)									2	2		1	010		2	01	7a;7j;			2	1	01	7a;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7a;7j;																				0.00	0.00																					0.00	0.00																																																																																																																																																																																																																																																																																																																																																										2			
H5521	399	0	1	04	01	H5521_399_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							225	107															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1		1	1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H5521	400	0	1	04	01	H5521_400_0	3	2	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	400	0	1	04	01	H5521_400_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							17	8															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1		1	1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H5521	403	0	1	04	01	H5521_403_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	443	0	1	04	01	H5521_443_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							185	89															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1		1	1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H5521	446	0	1	04	01	H5521_446_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	457	0	1	04	01	H5521_457_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	487	0	1	04	01	H5521_487_0	2	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	488	0	1	04	01	H5521_488_0	2	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	490	0	1	04	01	H5521_490_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	496	0	1	04	01	H5521_496_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							18	9															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1		1	1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H5521	501	0	1	04	01	H5521_501_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	502	0	1	04	01	H5521_502_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	504	0	1	04	01	H5521_504_0	2	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	510	0	1	04	01	H5521_510_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	512	0	1	04	01	H5521_512_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	520	0	1	04	01	H5521_520_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	521	0	1	04	01	H5521_521_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	536	0	1	04	01	H5521_536_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	609	0	1	04	01	H5521_609_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	649	0	1	04	01	H5521_649_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							112	54															1	010		2	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1		1	1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;																										10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																																																																																																																																																																																																																																																																																						2			
H5521	661	0	1	04	01	H5521_661_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	669	0	1	04	01	H5521_669_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	674	0	1	04	01	H5521_674_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	698	0	1	04	01	H5521_698_0	5	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	699	0	1	04	01	H5521_699_0	5	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	727	0	1	04	01	H5521_727_0	3	1	2	Healthy Heart (CHF)														0000000000100000000	Chronic heart failure													1	001		2	01	7d;7j;	2		1	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	018;012;008;030;					0.00	0.00			0.00	0.00											0.00	0.00																	0.00	0.00											2			
H5521	736	0	1	04	01	H5521_736_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	738	0	1	04	01	H5521_738_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	739	0	1	04	01	H5521_739_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	740	0	1	04	01	H5521_740_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	742	0	1	04	01	H5521_742_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	743	0	1	04	01	H5521_743_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	744	0	1	04	01	H5521_744_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	745	0	1	04	01	H5521_745_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5521	746	0	1	04	01	H5521_746_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	747	0	1	04	01	H5521_747_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	748	0	1	04	01	H5521_748_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	749	0	1	04	01	H5521_749_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	750	0	1	04	01	H5521_750_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	762	0	1	04	01	H5521_762_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5521	801	0	1	04	01	H5521_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5521	801	0	1	04	01	H5521_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5521	805	0	2	04	01	H5521_805_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5521	805	0	2	04	01	H5521_805_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	001	0	1	04	01	H5522_001_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5522	002	0	1	04	01	H5522_002_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5522	004	0	1	04	01	H5522_004_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5522	005	0	1	04	01	H5522_005_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5522	013	0	1	04	01	H5522_013_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H5522	014	0	1	04	01	H5522_014_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5522	017	0	1	04	01	H5522_017_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5522	022	0	1	04	01	H5522_022_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5522	028	0	1	04	01	H5522_028_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5522	032	0	1	04	01	H5522_032_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5522	802	0	1	04	01	H5522_802_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	802	0	1	04	01	H5522_802_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										3853	3468															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	803	0	1	04	01	H5522_803_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	803	0	1	04	01	H5522_803_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	808	0	2	04	01	H5522_808_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	808	0	2	04	01	H5522_808_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	809	0	2	04	01	H5522_809_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	809	0	2	04	01	H5522_809_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	810	0	1	04	01	H5522_810_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	810	0	1	04	01	H5522_810_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	811	0	1	04	01	H5522_811_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	811	0	1	04	01	H5522_811_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	813	0	2	04	01	H5522_813_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	813	0	2	04	01	H5522_813_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	814	0	2	04	01	H5522_814_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	814	0	2	04	01	H5522_814_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	815	0	1	04	01	H5522_815_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	815	0	1	04	01	H5522_815_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	816	0	1	04	01	H5522_816_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	816	0	1	04	01	H5522_816_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	817	0	2	04	01	H5522_817_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	817	0	2	04	01	H5522_817_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	818	0	2	04	01	H5522_818_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	818	0	2	04	01	H5522_818_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	819	0	1	04	01	H5522_819_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	819	0	1	04	01	H5522_819_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	828	0	1	04	01	H5522_828_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	828	0	1	04	01	H5522_828_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	832	0	1	04	01	H5522_832_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	832	0	1	04	01	H5522_832_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	837	0	1	04	01	H5522_837_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	837	0	1	04	01	H5522_837_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	838	0	2	04	01	H5522_838_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	838	0	2	04	01	H5522_838_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	839	0	1	04	01	H5522_839_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	839	0	1	04	01	H5522_839_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	840	0	1	04	01	H5522_840_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5522	840	0	1	04	01	H5522_840_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H5533	003	0	1	04	01	H5533_003_0	6	1	3	SSBCI- Mental Health/LIS	00000000000000100000000000000000											33	5															2			2	01	7e1;7e2;7j;			2	1	01	7e1;7e2;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H5533	005	0	1	04	01	H5533_005_0	6	1	3	SSBCI-Mental Health/LIS	00000000000000100000000000000000											23	3															2			2	01	7e1;7e2;7j;			2	1	01	7e1;7e2;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H5533	008	0	1	04	01	H5533_008_0	8	1	3	SSBCI - Mental Health/LIS	00000000000000100000000000000000											124	18															2			2	01	7e1;7e2;7j;			2	1	01	7e1;7e2;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H5533	013	0	1	04	01	H5533_013_0	6	1	3	SSBCI- Mental Health/LIS	00000000000000100000000000000000											483	68															2			2	01	7e1;7e2;7j;			2	1	01	7e1;7e2;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H5533	017	1	1	04	01	H5533_017_1	8	1	3	SSBCI-Mental Health LIS	00000000000000100000000000000000											556	79															2			2	01	7e1;7e2;7j;			1	1	01	7e1;7e2;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H5533	017	2	1	04	01	H5533_017_2	6	1	3	SSBCI-Mental Health LIS	00000000000000100000000000000000											142	20															2			2	01	7e1;7e2;7j;			1	1	01	7e1;7e2;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H5533	020	0	1	04	01	H5533_020_0	6	1	3	SSBCI - Mental Health/LIS	00000000000000100000000000000000											297	42															2			2	01	7e1;7e2;7j;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7e1;7e2;7j;																												25.00	25.00	25.00	25.00											0.00	25.00																																																																																																																																																																																																																																																																																																																																																										2			
H5590	012	1	1	01	01	H5590_012_1	5	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;				2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H5590	012	2	1	01	01	H5590_012_2	5	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;				2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H5593	801	0	1	01	01	H5593_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H5593	801	0	1	01	01	H5593_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H5599	002	0	1	02	01	H5599_002_0	5	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;			2	2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H5599	003	0	1	01	01	H5599_003_0	6	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;				2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H5599	004	0	1	02	01	H5599_004_0	5	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;			2	2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H5599	010	0	1	02	01	H5599_010_0	4	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;			2	2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H5599	014	0	1	01	01	H5599_014_0	5	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;				2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H5599	015	0	1	01	01	H5599_015_0	5	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;				2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H5599	016	0	1	01	01	H5599_016_0	6	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;				2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H5599	017	0	1	01	01	H5599_017_0	5	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;				2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H5793	001	0	1	02	01	H5793_001_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H5793	019	0	1	02	01	H5793_019_0	3	1	3	SSBCI Pkg	01111111111111111111111111100000	Anemia	Chronic Hyperlipidemia	Chronic Hypertension	Chronic Pain							1571	751															1	010		2	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	1	7f_2;	2	1	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	7f_2;	2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	11	7d;7e1;7e2;7f;7h1;7h2;7j;8a1;	7f_2;																									10.00	10.00	0.00	0.00	0.00	0.00	10.00	10.00			0.00	0.00	0.00	0.00			0.00	10.00			0.00	0.00																																																																																					10.00	10.00																																																																																																																																																																																																																																																																2			
H5793	801	0	1	01	01	H5793_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H5793	801	0	1	01	01	H5793_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H5793	802	0	1	01	01	H5793_802_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H5793	802	0	1	01	01	H5793_802_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H5793	805	0	1	01	01	H5793_805_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H5793	805	0	1	01	01	H5793_805_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H5938	001	0	1	01	01	H5938_001_0	6	1	2	Medicare covered diabetic eye exams														0100000000000000000														2			2	01	17a;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H5938	006	0	1	01	01	H5938_006_0	6	1	2	Medicare covered diabetic eye exams														0100000000000000000														2			2	01	17a;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H5938	008	0	1	01	01	H5938_008_0	6	1	2	Medicare covered diabetic eye exams														0100000000000000000														2			2	01	17a;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H5938	009	0	1	01	01	H5938_009_0	6	1	2	Medicare covered diabetic eye exams														0100000000000000000														2			2	01	17a;				2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H5938	802	0	1	01	01	H5938_802_0	1	1	2	Medicare covered diabetic eye exams														0100000000000000000														2			2	01	17a;				2				1	01	17a;																																																																																																										0	0																																																																																																																																																							2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H5938	803	0	1	01	01	H5938_803_0	1	1	2	Medicare covered diabetic eye exams														0100000000000000000														2			2	01	17a;				2				1	01	17a;																																																																																																										0	0																																																																																																																																																							2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H5938	804	0	1	01	01	H5938_804_0	1	1	2	Medicare covered diabetic eye exams														0100000000000000000														2			2	01	17a;				2				1	01	17a;																																																																																																										0	0																																																																																																																																																							2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H5938	805	0	1	01	01	H5938_805_0	1	1	2	Medicare covered diabetic eye exams														0100000000000000000														2			2	01	17a;				2				1	01	17a;																																																																																																										0	0																																																																																																																																																							2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H6200	001	0	1	04	01	H6200_001_0	6	1	2	Diabetic Eye Exams														0100000000000000000														2			2	01	17a;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H6200	004	0	1	04	01	H6200_004_0	6	1	2	Diabetic Eye Exam														0100000000000000000														2			2	01	17a;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H6200	006	0	1	04	01	H6200_006_0	7	1	2	Diabetic Eye Exam														0100000000000000000														2			2	01	17a;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H6200	009	0	1	04	01	H6200_009_0	6	1	2	Diabetic Eye Exams														0100000000000000000														2			2	01	17a;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H6200	010	0	1	04	01	H6200_010_0	6	1	2	Diabetic Eye Exams														0100000000000000000														2			2	01	17a;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H6237	009	0	1	01	01	H6237_009_0	10	1	2	Kidney Evaluation with Diabetes														0100000000000000000														2			2	01	8a2;				1	01	8a2;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	8a2;																																																0.00	0.00																																																																																																																																																																																																																																																																																																																																																				2			
H6303	001	0	1	02	01	H6303_001_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H6303	002	0	1	02	01	H6303_002_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H6453	013	1	1	02	01	H6453_013_1	8	1	2	Diabetic eye exams														0100000000000000000														2			2	01	17a;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H6453	013	3	1	02	01	H6453_013_3	8	1	2	Diabetic eye exams														0100000000000000000														2			2	01	17a;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H6453	013	4	1	02	01	H6453_013_4	9	1	2	Diabetic eye exams														0100000000000000000														2			2	01	17a;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H6453	017	1	1	02	01	H6453_017_1	9	1	2	Diabetic eye exams														0100000000000000000														2			2	01	17a;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H6453	017	2	1	02	01	H6453_017_2	9	1	2	Diabetic eye exams														0100000000000000000														2			2	01	17a;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H6453	018	1	1	02	01	H6453_018_1	8	1	2	Diabetic eye exams														0100000000000000000														2			2	01	17a;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H6453	018	2	1	02	01	H6453_018_2	10	1	2	Diabetic eye exams														0100000000000000000														2			2	01	17a;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H6453	021	0	1	02	01	H6453_021_0	8	1	2	Diabetic eye exams														0100000000000000000														2			2	01	17a;			2	2				2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	17a;																																																																																																										0.00	0.00																																																																																																																																																																																																																																																																																										2			
H6622	033	0	1	01	01	H6622_033_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											2307	30															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	1000.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H6622	057	0	1	02	01	H6622_057_0	5	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											270	4															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H7149	801	0	1	01	01	H7149_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H7149	801	0	1	01	01	H7149_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H7301	002	0	1	04	01	H7301_002_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H7301	006	0	1	04	01	H7301_006_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H7301	007	0	1	04	01	H7301_007_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H7301	009	0	1	04	01	H7301_009_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H7301	013	0	1	04	01	H7301_013_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H7301	023	0	1	04	01	H7301_023_0	2	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H7301	033	0	1	04	01	H7301_033_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	022;021;																											0.00	0.00	0.00	0.00																					2			
H7301	803	0	1	04	01	H7301_803_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H7301	803	0	1	04	01	H7301_803_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H7617	053	0	1	04	01	H7617_053_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											10743	140															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	1000.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H7617	063	0	1	04	01	H7617_063_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											495	6															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	1000.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H7617	117	0	1	04	01	H7617_117_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											282	167															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H7617	118	0	1	04	01	H7617_118_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											136	80															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H7617	128	0	1	04	01	H7617_128_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											361	214															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H7617	130	0	1	04	01	H7617_130_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											155	92															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H7617	131	0	1	04	01	H7617_131_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											273	162															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H7617	138	0	1	04	01	H7617_138_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											370	219															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H7617	139	0	1	04	01	H7617_139_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											134	79															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H7617	140	0	1	04	01	H7617_140_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											225	134															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H7617	142	0	1	04	01	H7617_142_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											149	2															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H7617	143	0	1	04	01	H7617_143_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											471	279															1	001		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H8142	001	0	1	02	01	H8142_001_0	10	1	3	CHF	00000100000000000000000000000000											2205	2205															1	011		2	01	7d;	2		2	2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																										2																																																				2																											1	008;					0.00	0.00																																													2			
H8142	002	0	1	02	01	H8142_002_0	10	1	3	CHF	00000100000000000000000000000000											983	983															1	011		2	01	7d;	2		2	2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																										2																																																				2																											1	008;					0.00	0.00																																													2			
H8142	003	0	1	02	01	H8142_003_0	10	1	3	CHF	00000100000000000000000000000000											1313	1313															1	011		2	01	7d;	2		2	2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																										2																																																				2																											1	008;					0.00	0.00																																													2			
H8142	007	0	1	02	01	H8142_007_0	12	1	3	CHF	00000100000000000000000000000000											881	881															1	011		2	01	7d;	2		2	2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																										2																																																				2																											1	008;					0.00	0.00																																													2			
H8332	004	0	1	01	01	H8332_004_0	4	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2			1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
H8332	801	0	1	01	01	H8332_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H8332	801	0	1	01	01	H8332_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H8649	801	0	1	01	01	H8649_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H8649	801	0	1	01	01	H8649_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H8649	803	0	1	01	01	H8649_803_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H8649	803	0	1	01	01	H8649_803_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H8649	805	0	1	01	01	H8649_805_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H8649	805	0	1	01	01	H8649_805_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			2			
H8794	016	0	1	01	01	H8794_016_0	5	1	2	Advanced Care At Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	11	4a;10a1;11a;11b2;		13e;		2				1	11	11a;11b2;	13e;																																																																							0	0			0	0																																																																					0	0																																																																																																															2																																																																																																																																														1	01	4a;10a1;										0.00	0.00																																																									0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H8794	017	0	1	01	01	H8794_017_0	5	1	2	Advanced Care At Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	11	4a;10a1;11a;11b2;		13e;		2				1	11	11a;11b2;	13e;																																																																							0	0			0	0																																																																					0	0																																																																																																															2																																																																																																																																														1	01	4a;10a1;										0.00	0.00																																																									0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H8794	019	0	1	01	01	H8794_019_0	5	1	2	Advanced Care At Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	11	4a;10a1;11a;11b2;		13e;		2				1	11	11a;11b2;	13e;																																																																							0	0			0	0																																																																					0	0																																																																																																															2																																																																																																																																														1	01	4a;10a1;										0.00	0.00																																																									0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H8794	023	0	1	01	01	H8794_023_0	5	1	2	Advanced Care At Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	11	4a;10a1;11a;11b2;		13e;		2				1	11	11a;11b2;	13e;																																																																							0	0			0	0																																																																					0	0																																																																																																															2																																																																																																																																														1	01	4a;10a1;										0.00	0.00																																																									0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H8908	007	0	1	01	01	H8908_007_0	4	1	3	Chronic Condition Care Assistance	01111111001111111100000000000000											1198	1198															1	001		1																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																			1	500.00	10000	Purchases must be coordinated by a care manager on the member's behalf.
H9003	001	0	1	02	01	H9003_001_0	7	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	11	4a;7c;7g;7i;8a1;8b1;10a1;11a;11b2;		13e;	2	2				1	11	11a;11b2;	13e;																																																																							0	0			0	0																																																																					0	0																																																																																																															2																																																																																																																																														1	01	4a;7c;7g;7i;8a1;8b1;10a1;										0.00	0.00													0.00	0.00									0.00	0.00					0.00	0.00					0.00	0.00			0.00	0.00																	0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H9003	006	0	1	02	01	H9003_006_0	7	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	11	4a;7c;7g;7i;8a1;8b1;10a1;11a;11b2;		13e;	2	2				1	11	11a;11b2;	13e;																																																																							0	0			0	0																																																																					0	0																																																																																																															2																																																																																																																																														1	01	4a;7c;7g;7i;8a1;8b1;10a1;										0.00	0.00													0.00	0.00									0.00	0.00					0.00	0.00					0.00	0.00			0.00	0.00																	0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H9003	009	0	1	02	01	H9003_009_0	7	1	2	Acute Care at Home														0000000000100000000	Meets clinical criteria, hospital care in home based on health status													2			2	11	4a;7c;7g;7i;8a1;8b1;8b3;10a1;11a;11b2;		13e;	2	2				1	11	11a;11b2;	13e;																																																																							0	0			0	0																																																																					0	0																																																																																																															2																																																																																																																																														1	01	4a;7c;7g;7i;8a1;8b1;8b3;10a1;										0.00	0.00													0.00	0.00									0.00	0.00					0.00	0.00					0.00	0.00			0.00	0.00			0.00	0.00													0.00	0.00																																																																																																																																																																																																																																																																																																																																2			
H9364	002	0	1	02	01	H9364_002_0	5	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;			2	2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H9364	003	0	1	02	01	H9364_003_0	5	1	2	Conversio														0010000000100000000	Chronic Bronchitis										2	2		1	001		2	01	11a;11b2;15-3;			2	2				1	01	11a;11b2;15-3;																																																																								0	20			0	20																									0	20																																																																																																																																																											2																																																																																																																																														2																																																																																																																																																																																																																																																																																																																																																																																																							2			
H9431	801	0	1	04	01	H9431_801_0	1	1	3	Package 1	01111111111111111111111100000000	Other CMS defined chronic conditions										1	1															1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H9431	801	0	1	04	01	H9431_801_0	1	2	2	Package 2														0111111111100000000	Other CMS defined chronic conditions										2	2		1	011		1					2																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														2			
H9615	023	0	1	04	01	H9615_023_0	10	1	2	Package 1														0100000000000000000														2			2	01	7f;17a;			2	1	01	7f;17a;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7f;17a;																																0.00	0.00																																																																									0.00	0.00																																																																																																																																																																																																																																																																																										2			
H9615	025	0	1	04	01	H9615_025_0	8	1	2	Package 1														0100000000000000000														2			2	01	7f;17a;			2	1	01	7f;17a;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7f;17a;																																0.00	0.00																																																																									0.00	0.00																																																																																																																																																																																																																																																																																										2			
R6694	006	0	1	31	11	R6694_006_0	3	1	2	Cancer Care														0000000000100000000	Cancer													1	010		2	01	7d;7j;	2		2	1	01	7d;7j;		2																																																																																																																																																																																																																																																																				2																																																																																																																																														1	01	7j;																																										0.00	0.00																																																																																																																																																																																																																							2																																																				2																											1	021;022;																											0.00	0.00	0.00	0.00																					2			
