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 | Issue Date FY: 2022 ( Subtotal = $1 ) |
| | 2022 | 2022 | Public Health and Human Services, Montana Department of | 111 N Sanders Street Rm 108 | HELENA | MT | 59601 | LEWIS AND CLARK | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 8 | 1 | 4/12/2022 | NEW | $1 |
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| Issue Date FY: 2020 ( Subtotal = -$483 ) |
| | 2020 | 2018 | Public Health and Human Services, Montana Department of | 111 N Sanders Street Rm 108 | HELENA | MT | 59601 | LEWIS AND CLARK | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 7 | 1 | 5/26/2020 | NEW | -$483 |
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| Issue Date FY: 2019 ( Subtotal = -$97,212 ) |
| | 2019 | 2019 | Public Health and Human Services, Montana Department of | 111 N Sanders Street Rm 108 | HELENA | MT | 59601 | LEWIS AND CLARK | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 6 | 1 | 6/3/2019 | NEW | $483 |
| | 2019 | 2018 | Public Health and Human Services, Montana Department of | 111 N Sanders Street Rm 108 | HELENA | MT | 59601 | LEWIS AND CLARK | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 4 | 1 | 10/3/2018 | NEW | -$49,938 |
| | 2019 | 2018 | Public Health and Human Services, Montana Department of | 111 N Sanders Street Rm 108 | HELENA | MT | 59601 | LEWIS AND CLARK | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 5 | 1 | 1/17/2019 | NEW | -$47,757 |
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| Issue Date FY: 2018 ( Subtotal = $651,922 ) |
| | 2018 | 2018 | Montana | 111 N Sanders Street, Rm 108 | HELENA | MT | 59601 | LEWIS AND CLARK | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 3 | 1 | 7/18/2018 | NEW | $150,172 |
| | 2018 | 2018 | Montana | 111 N Sanders Street, Rm 108 | HELENA | MT | 59601 | LEWIS AND CLARK | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 1 | 1 | 2/1/2018 | NEW | $180,000 |
| | 2018 | 2018 | Montana | 111 N Sanders Street, Rm 108 | HELENA | MT | 59601 | LEWIS AND CLARK | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 2 | 1 | 4/11/2018 | SUPPLEMENT FOR EXPANSION | $191,750 |
| | 2018 | 2018 | Montana | 111 N Sanders Street, Rm 108 | HELENA | MT | 59601 | LEWIS AND CLARK | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 0 | 1 | 12/6/2017 | NEW | $130,000 |
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