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Medicaid entitlement for New Hampshire - FY 2020

Award Number: 2005NH5001
ORGANIZATION: CENTERS FOR MEDICARE & MEDICAID SERVICES, SURVEY AND CERTIFICATION GROUP
OPDIV: CMS
AWARD CLASS: OPEN-ENDED
AWARD ACTIVITY TYPE: OTHER
PERIOD OF PERFORMANCE START DATE: 04/01/2020
PERIOD OF PERFORMANCE END DATE: 06/30/2020

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Medicaid entitlement for New Hampshire - FY 2020


	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: 2022 ( Subtotal = -$114,304 )
	2022	2022	Health and Human Services, New Hampshire Dept of	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid	7	1	4/22/2022	NEW	$1
	2022	2022	Health and Human Services, New Hampshire Dept of	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid	5	1	12/15/2021	SUPPLEMENT FOR EXPANSION	$300
	2022	2020	Health and Human Services, New Hampshire Dept of	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid	4	1	11/19/2021	NEW	-$58,037
	2022	2020	Health and Human Services, New Hampshire Dept of	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid	6	1	11/30/2021	NEW	-$56,568
															Subtotal = -$114,304

	Issue Date FY: 2021 ( Subtotal = $657,975 )
	2021	2021	Health and Human Services, New Hampshire Dept of	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid	2	1	10/7/2020	NEW	$138,949
	2021	2021	Health and Human Services, New Hampshire Dept of	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid	0	1	10/7/2020	NEW	$148,187
	2021	2021	Health and Human Services, New Hampshire Dept of	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid	1	1	10/7/2020	NEW	$223,350
	2021	2020	Health and Human Services, New Hampshire Dept of	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid	3	1	10/20/2020	NEW	$147,489
															Subtotal = $657,975

	Grand Total All Awards = $543,671

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