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| Issue Date FY: 2019 ( Subtotal = $360,878 ) |
| 2019 | 2019 | Amer. Samoa Medicaid Agency | 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | Medical Assistance Program | 5 | 1 | 11/15/2018 | SUPPLEMENT FOR EXPANSION | $580,878 |
| 2019 | 2018 | Amer. Samoa Medicaid Agency | 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | Medical Assistance Program | 6 | 1 | 1/22/2019 | SUPPLEMENT FOR EXPANSION | -$220,000 |
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| Issue Date FY: 2018 ( Subtotal = $220,000 ) |
| 2018 | 2018 | Amer. Samoa | American Samoa Medicaid Agency 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | Medical Assistance Program | 1 | 1 | 1/1/2018 | NEW | $800,000 |
| 2018 | 2018 | Amer. Samoa | American Samoa Medicaid Agency 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | Medical Assistance Program | 0 | 1 | 10/1/2017 | NEW | $220,000 |
| 2018 | 2018 | Amer. Samoa | American Samoa Medicaid Agency 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | Medical Assistance Program | 3 | 1 | 7/1/2018 | NEW | $220,000 |
| 2018 | 2018 | Amer. Samoa | American Samoa Medicaid Agency 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | Medical Assistance Program | 4 | 1 | 8/2/2018 | SUPPLEMENT FOR EXPANSION | -$800,000 |
| 2018 | 2018 | Amer. Samoa | American Samoa Medicaid Agency 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | Medical Assistance Program | 2 | 1 | 4/26/2018 | SUPPLEMENT FOR EXPANSION | -$220,000 |
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