Common use of Number of Unduplicated Clause in Contracts

Number of Unduplicated. Beneficiaries to be Serviced Services Provided July 3 Medical, Behavioral and Dental Services August 3 Medical, Behavioral and Dental Services September 3 Medical, Behavioral and Dental Services October 3 Medical, Behavioral and Dental Services November 4 Medical, Behavioral and Dental Services December 4 Medical, Behavioral and Dental Services January 4 Medical, Behavioral and Dental Services February 4 Medical, Behavioral and Dental Services March 4 Medical, Behavioral and Dental Services April 4 Medical, Behavioral and Dental Services May 4 Medical, Behavioral and Dental Services Total for the Year: 40 Note: The number of unduplicated (individual) beneficiaries to be served should be counted only once per year.

Number of Unduplicated. Beneficiaries to be Serviced Services Provided July 3 4 Medical, Behavioral and Dental Services August 3 4 Medical, Behavioral and Dental Services September 3 8 Medical, Behavioral and Dental Services October 3 8 Medical, Behavioral and Dental Services November 4 8 Medical, Behavioral and Dental Services December 4 8 Medical, Behavioral and Dental Services January 4 8 Medical, Behavioral and Dental Services February 4 8 Medical, Behavioral and Dental Services March 4 8 Medical, Behavioral and Dental Services April 4 8 Medical, Behavioral and Dental Services May 4 8 Medical, Behavioral and Dental Services Total for the Year: 40 80 Note: The number of unduplicated (individual) beneficiaries to be served should be counted only once per year.

Number of Unduplicated. Beneficiaries to be Serviced Services Provided July 3 16 Medical, Behavioral and Dental Services August 3 16 Medical, Behavioral and Dental Services September 3 16 Medical, Behavioral and Dental Services October 3 16 Medical, Behavioral and Dental Services November 4 20 Medical, Behavioral and Dental Services December 4 16 Medical, Behavioral and Dental Services January 4 16 Medical, Behavioral and Dental Services February 4 16 Medical, Behavioral and Dental Services March 4 16 Medical, Behavioral and Dental Services April 4 16 Medical, Behavioral and Dental Services May 4 16 Medical, Behavioral and Dental Services Total for the Year: 40 180 Note: The number of unduplicated (individual) beneficiaries to be served should be counted only once per year.

Number of Unduplicated. Beneficiaries to be Serviced Services Provided July 3 9 Medical, Behavioral and Dental Services August 3 9 Medical, Behavioral and Dental Services September 3 9 Medical, Behavioral and Dental Services October 3 9 Medical, Behavioral and Dental Services November 4 9 Medical, Behavioral and Dental Services December 4 9 Medical, Behavioral and Dental Services January 4 9 Medical, Behavioral and Dental Services February 4 9 Medical, Behavioral and Dental Services March 4 9 Medical, Behavioral and Dental Services April 4 9 Medical, Behavioral and Dental Services May 4 5 Medical, Behavioral and Dental Services Total for the Year: 40 95 Note: The number of unduplicated (individual) beneficiaries to be served should be counted only once per year.