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| Issue Date FY: 2022 ( Subtotal = -$1,991,974 ) |
| 2022 | 2022 | Health and Welfare, Idaho Department of | 450 W State 10th FL | BOISE | ID | 83702 | ADA | USA | Medical Assistance Program | 4 | 1 | 1/26/2022 | SUPPLEMENT FOR EXPANSION | $716,172 |
| 2022 | 2021 | Health and Welfare, Idaho Department of | 450 W State 10th FL | BOISE | ID | 83702 | ADA | USA | Medical Assistance Program | 5 | 1 | 1/26/2022 | SUPPLEMENT FOR EXPANSION | -$2,708,146 |
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| Issue Date FY: 2021 ( Subtotal = $4,051,000 ) |
| 2021 | 2021 | Health and Welfare, Idaho Department of | 450 W State 10th FL | BOISE | ID | 83702 | ADA | USA | Medical Assistance Program | 0 | 1 | 1/1/2021 | NEW | $1,350,000 |
| 2021 | 2021 | Health and Welfare, Idaho Department of | 450 W State 10th FL | BOISE | ID | 83702 | ADA | USA | Medical Assistance Program | 1 | 1 | 4/1/2021 | SUPPLEMENT FOR EXPANSION | $1,350,000 |
| 2021 | 2021 | Health and Welfare, Idaho Department of | 450 W State 10th FL | BOISE | ID | 83702 | ADA | USA | Medical Assistance Program | 2 | 1 | 7/1/2021 | SUPPLEMENT FOR EXPANSION | $1,351,000 |
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