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Monday, May 10, 2021 5/10/2021

Medicaid entitlement for 17 - FY 2021 Quarter 1 - T19

Award Number: 2105HIINCT
ORGANIZATION: CENTERS FOR MEDICARE & MEDICAID SERVICES, MEDICAID - BUDGET AND GRANTS BRANCH
OPDIV: CMS
AWARD CLASS: OPEN-ENDED
AWARD ACTIVITY TYPE: MEDICAID

Group Awards By Issue Date FY or Funding FY:

View Award Abstract


	Issue Date FY	Funding FY	Recipient Name	DUNS Number	City	State	CFDA Number	CFDA Program Title	Award Code	Budget Year	Action Date	Action Type	Action Amount

	Issue Date FY: 2021 ( Subtotal = $170,000 )
	2021	2021	HI ST DEPARTMENT OF HUMAN SERVICES	824671176	HONOLULU	HI	93.778	Medical Assistance Program	4	1	4/22/2021	SUPPLEMENT FOR EXPANSION	-$169,000
	2021	2021	HI ST DEPARTMENT OF HUMAN SERVICES	824671176	HONOLULU	HI	93.778	Medical Assistance Program	0	1	10/1/2020	NEW	$169,000
	2021	2021	HI ST DEPARTMENT OF HUMAN SERVICES	824671176	HONOLULU	HI	93.778	Medical Assistance Program	1	1	1/1/2021	NEW	$85,000
	2021	2021	HI ST DEPARTMENT OF HUMAN SERVICES	824671176	HONOLULU	HI	93.778	Medical Assistance Program	3	1	4/1/2021	NEW	$85,000


	Grand Total All Awards = $170,000

Sum of Action Amount is $170,000;

Grand Total = $170,000

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