PROVIDER	NAME
002801	CLF. JEFF. CMHC INC.
							Unit		Srvc
Srvc Cat	Service Desc	RU	FS	PA	Eff Date	Lap Date	Rate	Descr	Code
11000000	IND PSYCHOTHERAP(>INITIAL 30M)	5031	31	N	7/1/2001	06/30/10	13.00	15 min	1100
11010000	GEN ACCEPT IND MEASUREMENTS	5031	31	N	7/1/2001	06/30/10	20.00	EVENT	1101
11010000	GEN ACCEPT IND MEASUREMENTS	5035	35	N	7/1/2001	06/30/10	20.00	EVENT	1101
11020000	GEN ACCEPT IND MEASURE ORGANIC	5031	31	N	7/1/2001	06/30/10	40.00	EVENT	1102
11020000	GEN ACCEPT IND MEASURE ORGANIC	5035	35	N	7/1/2001	06/30/10	40.00	EVENT	1102
11030000	GEN ACCEPT PROJECTIVE TECHNIQU	5031	31	N	7/1/2001	06/30/10	40.00	EVENT	1103
11030000	GEN ACCEPT PROJECTIVE TECHNIQU	5035	35	N	7/1/2001	06/30/10	40.00	EVENT	1103
11040000	GEN ACCEPT GRAPHIC TEHCNIQUE	5031	31	N	7/1/2001	06/30/10	20.00	EVENT	1104
11040000	GEN ACCEPT GRAPHIC TEHCNIQUE	5035	35	N	7/1/2001	06/30/10	20.00	EVENT	1104
11050000	GEN ACCEPT PERSONALITY INVENTO	5031	31	N	7/1/2001	06/30/10	30.00	EVENT	1105
11050000	GEN ACCEPT PERSONALITY INVENTO	5035	35	N	7/1/2001	06/30/10	30.00	EVENT	1105
11060000	COMB 4/MOR INTEL/PERSON EVALS	5031	31	N	7/1/2001	06/30/10	80.00	EVENT	1106
11060000	COMB 4/MOR INTEL/PERSON EVALS	5035	35	N	7/1/2001	06/30/10	80.00	EVENT	1106
11070000	GROUP PSYCHOTHERAPY	5031	31	N	7/1/2001	06/30/10	7.00	30 MIN	1107
11070000	GROUP PSYCHOTHERAPY	5035	35	N	7/1/2001	06/30/10	7.00	30 MIN	1107
11080000	FAMILY PSYCHOTHERAPY	5031	31	N	7/1/2001	06/30/10	26.00	30 min	1108
11080000	FAMILY PSYCHOTHERAPY	5035	35	N	7/1/2001	06/30/10	26.00	30 MIN	1108
11090000	COLLATERAL FAMILY PSYCHOTHERAP	5031	31	N	7/1/2001	06/30/10	26.00	30 min	1109
11090000	COLLATERAL FAMILY PSYCHOTHERAP	5035	35	N	7/1/2001	06/30/10	26.00	30 MIN	1109
11100000	PSYCH EVAL-EXAM/EVAL PATIENT	5031	31	N	7/1/2001	06/30/10	75.00	EVENT	1110
11100000	PSYCH EVAL-EXAM/EVAL PATIENT	5035	35	N	7/1/2001	06/30/10	75.00	EVENT	1110
11110000	CMHC MEDICATION MGMT VISIT	5031	31	N	7/1/2001	06/30/10	20.00	EVENT	1111
11110000	CMHC MEDICATION MGMT VISIT	5035	35	N	7/1/2001	06/30/10	20.00	EVENT	1111
11110000	CMHC MEDICATION MGMT VISIT	5038	38	N	7/1/2001	06/30/10	20.00	EVENT	1111
11120000	CLOZAPINE SUPPORT SERVICE	5031	31	N	7/1/2001	06/30/10	30.00	EVENT	1112
11120000	CLOZAPINE SUPPORT SERVICE	5038	38	N	7/1/2001	06/30/10	30.00	EVENT	1112
11130000	INDIVIDUAL PSYCHOTHERAPY	5031	31	N	7/1/2001	06/30/10	26.00	30 min	1113
11130000	INDIVIDUAL PSYCHOTHERAPY	5038	38	N	7/1/2001	06/30/10	26.00	30 min	1113
11130000	INDIVIDUAL PSYCHOTHERAPY	5035	35	N	7/1/2001	06/30/10	26.00	30 MIN	1113
11140000	OP-INTAKE	5031	31	N	7/1/2001	06/30/10	79.83	Event	1114
11140000	OP-INTAKE	5035	35	N	7/1/2001	06/30/10	79.83	EVENT	1114
11140000	OP-INTAKE	5038	38	N	7/1/2001	06/30/10	79.83	EVENT	1114
11150000	OP-LIABILITY	5031	31	N	7/1/2001	06/30/10	13.50	EVENT	1115
11150000	OP-LIABILITY	5035	35	N	7/1/2001	06/30/10	13.50	EVENT	1115
11150000	OP-LIABILITY	5038	38	N	7/1/2001	06/30/10	13.50	EVENT	1115
11160000	CMHC CLNT MANAGE RN	5031	31	N	7/1/2001	06/30/10	13.00	15 MIN	1116
11160000	CMHC CLNT MANAGE RN	5035	35	N	7/1/2001	06/30/10	13.00	15 MIN	1116
11160000	CMHC CLNT MANAGE RN	5038	38	N	7/1/2001	06/30/10	13.00	15 MIN	1116
11170000	CMHC PSYCH CLNC MED ADMIN	5031	31	N	7/1/2001	06/30/10	15.00	EVENT	1117
12450000	CMHC FORENSIC UNITS	5031	31	N	7/1/2001	06/30/10	9.39	15 MIN	1245
12450000	CMHC FORENSIC UNITS	5038	38	N	7/1/2001	06/30/10	9.39	15 MIN	1245
12450000	CMHC FORENSIC UNITS	5035	35	N	7/1/2001	06/30/10	9.39	15 MIN	1245
12700000	LIC AD PSCH PARTIAL	5031	31	N	7/1/2001	06/30/10	14.00	Hour	1270
12700000	LIC AD PSCH PARTIAL	5035	35	N	7/1/2001	06/30/10	15.00	Hour	1270
12700000	LIC AD PSCH PARTIAL	5038	38	N	7/1/2001	06/30/10	14.00	Hour	1270
12710000	CLOZOPINE SUPP SRVC	5031	31	N	7/1/2001	06/30/10	30.00	EVENT	1271
13200000	SOC REHAB-FAMILY TRAINING	5031	31	N	7/1/2001	06/30/10	35.96	Hour	1320
13200000	SOC REHAB-FAMILY TRAINING	5035	35	N	7/1/2001	06/30/10	35.96	HOUR	1320
14000000	CRR - CMHC	5031	31	N	7/1/2002	06/30/10	75.39	DAY	1400
14000000	CRR - CMHC	5031	31	N	7/1/2001	06/30/02	73.35	Day	1400
14000000	CRR - CMHC	5038	38	N	7/1/2002	06/30/10	75.39	DAY	1400
14000000	CRR - CMHC	5038	38	N	7/1/2001	06/30/02	73.35	DAY	1400
14010000	CMHC RESPITE CRR	5031	31	N	7/1/2001	06/30/10	26.00	DAY	1401
14010000	CMHC RESPITE CRR	5038	38	N	7/1/2001	06/30/10	26.00	DAY	1401
15200000	CMHC EMERGENCY DAY	5031	31	N	7/1/2001	06/30/10	26.00	30 MIN	1520
15200000	CMHC EMERGENCY DAY	5035	35	N	7/1/2001	06/30/10	26.00	30 MIN	1520
15210000	CMHC EMERGENCY EVENING	5031	31	N	7/1/2001	06/30/10	5.94	HOUR	1521
15220000	CMHC EMERG PLACEMENT SVC	5031	31	N	7/1/2001	06/30/10	50.00	EVENT	1522
15220000	CMHC EMERG PLACEMENT SVC	5035	35	N	7/1/2001	06/30/10	50.00	EVENT	1522
15300000	CMHC CRISIS MOBILE INDIVIDUAL	5031	31	N	7/1/2001	06/30/10	18.12	15 MIN	1530
15300000	CMHC CRISIS MOBILE INDIVIDUAL	5035	35	N	7/1/2001	06/30/10	18.12	15 MIN	1530
15310000	CMHC CRISIS MOBILE TEAM	5031	31	N	7/1/2001	06/30/10	27.18	15 MIN	1531
15310000	CMHC CRISIS MOBILE TEAM	5035	35	N	7/1/2001	06/30/10	27.18	15 MIN	1531
15350000	CMHC CRISIS MOBILE IND [STATE]	5031	31	N	7/1/2001	06/30/10	8.22	15 MIN	1535
15350000	CMHC CRISIS MOBILE IND [STATE]	5035	35	N	7/1/2001	06/30/10	8.22	15 MIN	1535
15360000	CMHC CRISIS MOBILE TEAM[STATE]	5031	31	N	7/1/2001	06/30/10	12.33	15 MIN	1536
15360000	CMHC CRISIS MOBILE TEAM[STATE]	5035	35	N	7/1/2001	06/30/10	12.33	15 MIN	1536
15500000	HOUS SUPP/SUPP LIV	5038	38	Y	7/1/2001	06/30/10	26.00	HOUR	1550