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Monday, June 30, 2025 6/30/2025

Medicaid entitlement for 21 - FY 2021 Quarter 1 - T19

Award Number: 2005ININCT
ORGANIZATION: CENTERS FOR MEDICARE & MEDICAID SERVICES, MEDICAID - BUDGET AND GRANTS BRANCH
OPDIV: CMS
AWARD CLASS: OPEN-ENDED
AWARD ACTIVITY TYPE: MEDICAID
PERIOD OF PERFORMANCE START DATE: 10/01/2020
PERIOD OF PERFORMANCE END DATE: 09/30/2021

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Medicaid entitlement for 21 - FY 2021 Quarter 1 - T19


	Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

	Issue Date FY: 2021 ( Subtotal = -$4,234,500 )
	2021	2020	Indiana Family and Social Services Administration	402 W WASHINGTON ST RM E-414	INDIANAPOLIS	IN	46204	MARION	USA	Grants to States for Medicaid	7	1	11/18/2020	SUPPLEMENT FOR EXPANSION	-$3,746,500
	2021	2020	Indiana Family and Social Services Administration	402 W WASHINGTON ST RM E-414	INDIANAPOLIS	IN	46204	MARION	USA	Grants to States for Medicaid	8	1	2/24/2021	SUPPLEMENT FOR EXPANSION	-$488,000
															Subtotal = -$4,234,500

	Issue Date FY: 2020 ( Subtotal = $6,248,996 )
	2020	2020	Indiana Family and Social Services Administration	402 W WASHINGTON ST RM E-414	INDIANAPOLIS	IN	46204	MARION	USA	Grants to States for Medicaid	5	1	7/1/2020	SUPPLEMENT FOR EXPANSION	$488,000
	2020	2020	Indiana Family and Social Services Administration	402 W WASHINGTON ST RM E-414	INDIANAPOLIS	IN	46204	MARION	USA	Grants to States for Medicaid	6	1	8/10/2020	SUPPLEMENT FOR EXPANSION	-$826,504
	2020	2020	Indiana Family and Social Services Administration	402 W WASHINGTON ST RM E-414	INDIANAPOLIS	IN	46204	MARION	USA	Grants to States for Medicaid	2	1	4/1/2020	NEW	$3,789,000
	2020	2020	Indiana Family and Social Services Administration	402 W WASHINGTON ST RM E-414	INDIANAPOLIS	IN	46204	MARION	USA	Grants to States for Medicaid	0	1	10/1/2019	NEW	$2,150,000
	2020	2020	Indiana Family and Social Services Administration	402 W WASHINGTON ST RM E-414	INDIANAPOLIS	IN	46204	MARION	USA	Grants to States for Medicaid	4	1	4/28/2020	SUPPLEMENT FOR EXPANSION	-$2,150,000
	2020	2020	Indiana Family and Social Services Administration	402 W WASHINGTON ST RM E-414	INDIANAPOLIS	IN	46204	MARION	USA	Grants to States for Medicaid	1	1	1/1/2020	NEW	$2,841,000
	2020	2019	Indiana Family and Social Services Administration	402 W WASHINGTON ST RM E-414	INDIANAPOLIS	IN	46204	MARION	USA	Grants to States for Medicaid	3	1	4/28/2020	SUPPLEMENT FOR EXPANSION	-$42,500
															Subtotal = $6,248,996

	Grand Total All Awards = $2,014,496

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