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 | Issue Date FY: 2023 ( Subtotal = -$1,231,267 ) |
| | 2023 | 2022 | American Samoa Medicaid Agency | 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | Medical Assistance Program | 8 | 1 | 2/10/2023 | SUPPLEMENT FOR EXPANSION | -$1,414,179 |
| | 2023 | 2022 | American Samoa Medicaid Agency | 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | Medical Assistance Program | 7 | 1 | 11/3/2022 | SUPPLEMENT FOR EXPANSION | $182,912 |
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| Issue Date FY: 2022 ( Subtotal = $5,553,268 ) |
| | 2022 | 2022 | American Samoa Medicaid Agency | 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | Medical Assistance Program | 0 | 1 | 10/1/2021 | NEW | $1,525,000 |
| | 2022 | 2022 | American Samoa Medicaid Agency | 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | Medical Assistance Program | 5 | 1 | 8/24/2022 | SUPPLEMENT FOR EXPANSION | $1,099,751 |
| | 2022 | 2022 | American Samoa Medicaid Agency | 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | Medical Assistance Program | 2 | 1 | 11/16/2021 | SUPPLEMENT FOR EXPANSION | $95,000 |
| | 2022 | 2022 | American Samoa Medicaid Agency | 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | Medical Assistance Program | 4 | 1 | 7/1/2022 | NEW | $1,500,000 |
| | 2022 | 2022 | American Samoa Medicaid Agency | 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | Medical Assistance Program | 3 | 1 | 4/1/2022 | NEW | $1,333,517 |
| | 2022 | 2022 | American Samoa Medicaid Agency | 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | Medical Assistance Program | 1 | 1 | 1/1/2022 | NEW | $720,000 |
| | 2022 | 2022 | American Samoa Medicaid Agency | 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | Medical Assistance Program | 6 | 1 | 8/24/2022 | SUPPLEMENT FOR EXPANSION | -$720,000 |
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