PROVIDER                NAME             
022901       NORTHWESTERN HUMAN SRVCS                         
                                                                                    Unit       S/A
  Srvc Cat   Service Desc               RU     FS   PA  Eff Date  Lap Date   Rate   Descr      Code
 13740000   NHS PLANNED FSS RESPITE          5035 35 Y   4/1/2002  06/30/10 120.00  DAY       1374
 14090000   MH RESIDENTIAL-RESPITE           5035 35 Y   7/1/2001  06/30/10 28.25  Day       1409
 14050000   MH RESIDENTIAL - Rate may vary by Client        5031 31 Y   7/1/2001  06/30/10 38.45  Day       1405
 14070000   MH RESIDENTIAL - Rate may vary by Client        5035 35 Y   9/1/2001  06/30/10 28.72  DAY       1407
 14100000   MH RESIDENTIAL - Rate may vary by Client        5035 35 Y   7/1/2001  06/30/10 28.25  Day       1410
 14120000   MH RESIDENTIAL - Rate may vary by Client        5035 35 Y   7/1/2001  06/30/10 28.25  DAY       1412
 14130000   MH RESIDENTIAL - Rate may vary by Client        5035 35 Y   7/1/2001  06/30/10 28.25  DAY       1413
 14140000   MH RESIDENTIAL - Rate may vary by Client        5035 35 Y   7/1/2001  06/30/10 28.25  DAY       1414
 14150000   MH RESIDENTIAL - Rate may vary by Client        5035 35 Y   7/1/2001  06/30/10 28.25  DAY       1415
 14160000   MH RESIDENTIAL - Rate may vary by Client        5035 35 Y   9/1/2001  06/30/10 28.72  DAY       1416