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Friday, October 31, 2025 10/31/2025

Medicaid entitlement for 31 - FY 2023 - T21

Award Number: 2105MN5021
ORGANIZATION: CENTERS FOR MEDICARE & MEDICAID SERVICES, MEDICAID - BUDGET AND GRANTS BRANCH
OPDIV: CMS
AWARD CLASS: OPEN-ENDED
AWARD ACTIVITY TYPE: MEDICAID
PERIOD OF PERFORMANCE START DATE: 10/01/2022
PERIOD OF PERFORMANCE END DATE: 09/30/2024

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Medicaid entitlement for 31 - FY 2023 - T21


	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: 2023 ( Subtotal = -$7,247,368 )
	2023	2021	Human Services, Minnesota Department of	540 Cedar ST	Saint Paul	MN	55164	RAMSEY	USA	Children's Health Insurance Program	3	1	2/10/2023	SUPPLEMENT FOR EXPANSION	-$7,247,368
															Subtotal = -$7,247,368

	Issue Date FY: 2022 ( Subtotal = $1,146 )
	2022	2022	Human Services, Minnesota Department of	540 Cedar ST	Saint Paul	MN	55164	RAMSEY	USA	Children's Health Insurance Program	2	1	2/3/2022	SUPPLEMENT FOR EXPANSION	$1,146
															Subtotal = $1,146

	Issue Date FY: 2021 ( Subtotal = $114,761,781 )
	2021	2021	Human Services, Minnesota Department of	540 Cedar ST	Saint Paul	MN	55164	RAMSEY	USA	Children's Health Insurance Program	1	1	1/13/2021	NEW	$55,277,471
	2021	2021	Human Services, Minnesota Department of	540 Cedar ST	Saint Paul	MN	55164	RAMSEY	USA	Children's Health Insurance Program	0	1	10/1/2020	NEW	$59,484,310
															Subtotal = $114,761,781

	Grand Total All Awards = $107,515,559

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