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| | |
 | Issue Date FY: 2022 ( Subtotal = -$2,945,422 ) |
| | 2022 | 2022 | Alabama Medicaid Agency | 501 Dexter Ave | MONTGOMERY | AL | 36104 | MONTGOMERY | USA | Medical Assistance Program | 4 | 1 | 3/9/2022 | SUPPLEMENT FOR EXPANSION | $469,931 |
| | 2022 | 2021 | Alabama Medicaid Agency | 501 Dexter Ave | MONTGOMERY | AL | 36104 | MONTGOMERY | USA | Medical Assistance Program | 5 | 1 | 3/9/2022 | SUPPLEMENT FOR EXPANSION | -$3,415,353 |
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| Issue Date FY: 2021 ( Subtotal = $12,797,000 ) |
| | 2021 | 2021 | Alabama Medicaid Agency | 501 Dexter Ave | MONTGOMERY | AL | 36104 | MONTGOMERY | USA | Medical Assistance Program | 2 | 1 | 4/1/2021 | NEW | $3,092,000 |
| | 2021 | 2021 | Alabama Medicaid Agency | 501 Dexter Ave | MONTGOMERY | AL | 36104 | MONTGOMERY | USA | Medical Assistance Program | 3 | 1 | 7/1/2021 | NEW | $3,091,000 |
| | 2021 | 2021 | Alabama Medicaid Agency | 501 Dexter Ave | MONTGOMERY | AL | 36104 | MONTGOMERY | USA | Medical Assistance Program | 0 | 1 | 10/1/2020 | NEW | $3,522,000 |
| | 2021 | 2021 | Alabama Medicaid Agency | 501 Dexter Ave | MONTGOMERY | AL | 36104 | MONTGOMERY | USA | Medical Assistance Program | 1 | 1 | 1/1/2021 | SUPPLEMENT FOR EXPANSION | $3,092,000 |
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