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| Issue Date FY: 2024 ( Subtotal = $27,064,722 ) |
| 2024 | 2015 | Human Services, Pennsylvania Department of | 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 0 | 1 | 9/6/2024 | SUPPLEMENT FOR EXPANSION | $27,064,722 |
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| Issue Date FY: 2017 ( Subtotal = $25,654,897 ) |
| 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 | $25,398,463 |
| 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 | $256,434 |
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