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 | Issue Date FY: 2021 ( Subtotal = $26,276,000 ) |
| | 2021 | 2021 | WA ST DEPARTMENT OF SOCIAL & HEALTH SERVICES | 127347115 | OLYMPIA | WA | 93.778 | Medical Assistance Program | 2 | 1 | 4/1/2021 | SUPPLEMENT FOR EXPANSION | $6,569,000 |
| | 2021 | 2021 | WA ST DEPARTMENT OF SOCIAL & HEALTH SERVICES | 127347115 | OLYMPIA | WA | 93.778 | Medical Assistance Program | 3 | 1 | 7/1/2021 | SUPPLEMENT FOR EXPANSION | $6,569,000 |
| | 2021 | 2021 | WA ST DEPARTMENT OF SOCIAL & HEALTH SERVICES | 127347115 | OLYMPIA | WA | 93.778 | Medical Assistance Program | 0 | 1 | 10/1/2020 | NEW | $6,569,000 |
| | 2021 | 2021 | WA ST DEPARTMENT OF SOCIAL & HEALTH SERVICES | 127347115 | OLYMPIA | WA | 93.778 | Medical Assistance Program | 1 | 1 | 1/1/2021 | SUPPLEMENT FOR EXPANSION | $6,569,000 |
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