| | | | | | | | | | | | | | | |
| |
| Issue Date FY: 2018 ( Subtotal = $2,232,538 ) |
| 2018 | 2018 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 10 | 1 | 11/1/2017 | SUPPLEMENT FOR EXPANSION | $3,195,945 |
| 2018 | 2017 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 14 | 1 | 3/1/2018 | SUPPLEMENT FOR EXPANSION | -$836,253 |
| 2018 | 2016 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 13 | 1 | 3/1/2018 | SUPPLEMENT FOR EXPANSION | -$34,000 |
| 2018 | 2016 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 12 | 1 | 11/1/2017 | SUPPLEMENT FOR EXPANSION | -$93,154 |
|
| Issue Date FY: 2017 ( Subtotal = $38,354,065 ) |
| 2017 | 2017 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 3 | 1 | 6/22/2017 | SUPPLEMENT FOR EXPANSION | $433,585 |
| 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 | $9,452,000 |
| 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 | $189,396 |
| 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 | $7,840,000 |
| 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 | $10,120,000 |
| 2017 | 2017 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 9 | 1 | 7/1/2017 | NEW | $10,363,000 |
| 2017 | 2016 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 4 | 1 | 6/22/2017 | SUPPLEMENT FOR EXPANSION | -$26,916 |
| 2017 | 2016 | Pennsylvania Medicaid | Department of Human Services 625 Forster St | HARRISBURG | PA | 17120 | DAUPHIN | USA | Medical Assistance Program | 7 | 1 | 9/26/2017 | SUPPLEMENT FOR EXPANSION | -$17,000 |
|
|