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 | Issue Date FY: 2024 ( Subtotal = $27,777,477 ) |
| | 2024 | 2016 | Human Services, Pennsylvania Department of | 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 0 | 1 | 9/6/2024 | SUPPLEMENT FOR EXPANSION | $27,777,477 |
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| Issue Date FY: 2021 ( Subtotal = $41,425,741 ) |
| | 2021 | 2021 | Human Services, Pennsylvania Department of | 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 11 | 1 | 6/28/2021 | SUPPLEMENT FOR EXPANSION | $41,425,741 |
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| Issue Date FY: 2019 ( Subtotal = $36,268,423 ) |
| | 2019 | 2019 | Pennsylvania Medicaid | 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 10 | 1 | 11/27/2018 | SUPPLEMENT FOR EXPANSION | $36,268,423 |
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| Issue Date FY: 2017 ( Subtotal = -$63,346,349 ) |
| | 2017 | 2017 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 8 | 1 | 9/26/2017 | SUPPLEMENT FOR EXPANSION | $527,849 |
| | 2017 | 2017 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 1 | 1 | 12/21/2016 | SUPPLEMENT FOR EXPANSION | $20,210,059 |
| | 2017 | 2017 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 7 | 1 | 7/18/2017 | SUPPLEMENT FOR EXPANSION | -$466 |
| | 2017 | 2017 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 6 | 1 | 6/22/2017 | SUPPLEMENT FOR EXPANSION | $732,469 |
| | 2017 | 2016 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 5 | 1 | 1/15/2017 | SUPPLEMENT FOR EXPANSION | -$9,514,528 |
| | 2017 | 2016 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 3 | 1 | 1/5/2017 | SUPPLEMENT FOR EXPANSION | -$9,625,105 |
| | 2017 | 2016 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 0 | 1 | 10/6/2016 | SUPPLEMENT FOR EXPANSION | -$28,727,895 |
| | 2017 | 2015 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 4 | 1 | 1/15/2017 | SUPPLEMENT FOR EXPANSION | -$36,948,732 |
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