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| Issue Date FY: 2021 ( Subtotal = -$201,228 ) |
| 2021 | 2020 | Health and Human Services, New Hampshire Dept of | 129 PLEASANT ST | CONCORD | NH | 03301 | MERRIMACK | USA | Medical Assistance Program | 4 | 1 | 1/27/2021 | SUPPLEMENT FOR EXPANSION | -$201,228 |
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| Issue Date FY: 2020 ( Subtotal = $649,000 ) |
| 2020 | 2020 | Health and Human Services, New Hampshire Dept of | 129 PLEASANT ST | CONCORD | NH | 03301 | MERRIMACK | USA | Medical Assistance Program | 0 | 1 | 10/1/2019 | NEW | $162,000 |
| 2020 | 2020 | Health and Human Services, New Hampshire Dept of | 129 PLEASANT ST | CONCORD | NH | 03301 | MERRIMACK | USA | Medical Assistance Program | 1 | 1 | 1/1/2020 | SUPPLEMENT FOR EXPANSION | $162,000 |
| 2020 | 2020 | Health and Human Services, New Hampshire Dept of | 129 PLEASANT ST | CONCORD | NH | 03301 | MERRIMACK | USA | Medical Assistance Program | 2 | 1 | 4/1/2020 | SUPPLEMENT FOR EXPANSION | $162,000 |
| 2020 | 2020 | Health and Human Services, New Hampshire Dept of | 129 PLEASANT ST | CONCORD | NH | 03301 | MERRIMACK | USA | Medical Assistance Program | 3 | 1 | 7/1/2020 | NEW | $163,000 |
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