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Tuesday, May 18, 2021 5/18/2021

Medicaid entitlement for 61 - FY 2021 Quarter 1 - T19

Award Number: 2105WVINCT
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:

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	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 = $316,000 )
	2021	2021	WV ST DEPT HLTH & HUMAN RESOURCE	037462715	CHARLESTON	WV	93.778	Medical Assistance Program	1	1	1/1/2021	NEW	$11,000
	2021	2021	WV ST DEPT HLTH & HUMAN RESOURCE	037462715	CHARLESTON	WV	93.778	Medical Assistance Program	2	1	4/1/2021	NEW	$7,000
	2021	2021	WV ST DEPT HLTH & HUMAN RESOURCE	037462715	CHARLESTON	WV	93.778	Medical Assistance Program	0	1	10/1/2020	NEW	$298,000


	Grand Total All Awards = $316,000

Sum of Action Amount is $316,000;

Grand Total = $316,000

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