{"reporting_entity_name":"Molina-Healthcare-of-California","reporting_entity_type":"health insurance issuer","last_updated_on":"2026-07-01","version":"2.0.0","provider_references":[{"provider_group_id":205402,"network_name":["IN NETWORK"],"provider_groups":[{"npi":[1750370847],"tin":{"type":"ein","value":"850443276","business_name":"CHILDRENS TREATMENT CENTER LLC"}}]}],"in_network":[{"negotiation_arrangement":"ffs","name":"PH BODY FLUID NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83986","description":"PH BODY FLUID NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[205402],"negotiated_prices":[{"setting":"both","negotiated_type":"UCR","negotiated_rate":4.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"UCR","negotiated_rate":4.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"UCR","negotiated_rate":4.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Subacute Care - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0190","description":"SUBACUTE CARE","negotiated_rates":[{"provider_references":[205402],"negotiated_prices":[{"setting":"both","negotiated_type":"PERDIEM","negotiated_rate":550.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"PERDIEM","negotiated_rate":550.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"PERDIEM","negotiated_rate":550.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]}]}