PROVIDER	NAME
090201	INDIANA COUNTY GUIDANCE
								Unit	S/A
Srvc Cat	Service Desc	RU	FS	PA	Eff Date	Lap Date	Rate	Descr	Code
PKG09022	ICGC FBMH NON-FFP	5035	35	Y	7/1/2002	06/30/10	26.93	15 MIN	1575
PKG09021	ICGC FBMH FFP	5035	35	Y	7/1/2002	06/30/10	26.93	15 MIN	1570