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| Issue Date FY: 2018 ( Subtotal = -$5,013,126 ) |
| 2018 | 2017 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 5 | 1 | 3/8/2018 | SUPPLEMENT FOR EXPANSION | -$4,968,126 |
| 2018 | 2016 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 4 | 1 | 3/8/2018 | SUPPLEMENT FOR EXPANSION | -$45,000 |
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| Issue Date FY: 2017 ( Subtotal = $8,451,000 ) |
| 2017 | 2017 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 2 | 1 | 4/1/2017 | NEW | $2,106,000 |
| 2017 | 2017 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 0 | 1 | 10/1/2016 | NEW | $3,193,000 |
| 2017 | 2017 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 1 | 1 | 1/1/2017 | NEW | $789,000 |
| 2017 | 2017 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 3 | 1 | 7/1/2017 | SUPPLEMENT FOR EXPANSION | $2,363,000 |
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