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 | Issue Date FY: 2021 ( Subtotal = -$148,041 ) |
| 2021 | 2019 | MS ST OFFICE OF THE GOVERNOR, DIVISION OF MEDICAID | 036720175 | JACKSON | MS | 93.796 | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 5 | 1 | 11/19/2020 | NEW | -$97,450 |
| 2021 | 2019 | MS ST OFFICE OF THE GOVERNOR, DIVISION OF MEDICAID | 036720175 | JACKSON | MS | 93.796 | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 4 | 1 | 11/19/2020 | NEW | -$50,591 |
|
 | Issue Date FY: 2020 ( Subtotal = $569,816 ) |
| 2020 | 2020 | MS ST OFFICE OF THE GOVERNOR, DIVISION OF MEDICAID | 036720175 | JACKSON | MS | 93.796 | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 3 | 1 | 2/5/2020 | NEW | $569,816 |
|
 | Issue Date FY: 2019 ( Subtotal = $1,456,163 ) |
| 2019 | 2019 | MS ST OFFICE OF THE GOVERNOR, DIVISION OF MEDICAID | 036720175 | JACKSON | MS | 93.796 | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 2 | 1 | 8/1/2019 | NEW | $406,075 |
| 2019 | 2019 | MS ST OFFICE OF THE GOVERNOR, DIVISION OF MEDICAID | 036720175 | JACKSON | MS | 93.796 | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 0 | 1 | 1/17/2019 | NEW | $527,354 |
| 2019 | 2019 | MS ST OFFICE OF THE GOVERNOR, DIVISION OF MEDICAID | 036720175 | JACKSON | MS | 93.796 | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 1 | 1 | 7/2/2019 | NEW | $522,734 |
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