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 | Issue Date FY: 2022 ( Subtotal = $7,401,653 ) |
| | 2022 | 2022 | American Samoa Medicaid Agency | 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | HAWAII | USA | Children's Health Insurance Program | 2 | 1 | 9/22/2022 | SUPPLEMENT FOR EXPANSION | $700,000 |
| | 2022 | 2022 | American Samoa Medicaid Agency | 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | HAWAII | USA | Children's Health Insurance Program | 1 | 1 | 4/21/2022 | SUPPLEMENT FOR EXPANSION | $254,010 |
| | 2022 | 2022 | American Samoa Medicaid Agency | 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | HAWAII | USA | Children's Health Insurance Program | 0 | 1 | 10/1/2021 | NEW | $6,447,643 |
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