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 | Issue Date FY: 2024 ( Subtotal = $5,340,494 ) |
| | 2024 | 2014 | Human Services, Pennsylvania Department of | 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 0 | 1 | 9/6/2024 | SUPPLEMENT FOR EXPANSION | $5,340,494 |
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| Issue Date FY: 2017 ( Subtotal = $51,473,112 ) |
| | 2017 | 2017 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 2 | 1 | 1/11/2017 | SUPPLEMENT FOR EXPANSION | $36,467,033 |
| | 2017 | 2017 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 1 | 1 | 1/11/2017 | SUPPLEMENT FOR EXPANSION | $13,445,469 |
| | 2017 | 2017 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 0 | 1 | 12/21/2016 | SUPPLEMENT FOR EXPANSION | $1,560,610 |
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