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Monday, November 3, 2025 11/3/2025

Medicaid entitlement for 17 - FY 2023 - T19

Award Number: 2205HI5ADM
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: 10/01/2021
PERIOD OF PERFORMANCE END DATE: 09/30/2022

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Medicaid entitlement for 17 - FY 2023 - T19


	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 = -$461,547 )
	2023	2023	Human Services, Hawaii Department of	1390 Miller St, RM 209	HONOLULU	HI	96813	HONOLULU	USA	Grants to States for Medicaid	2	1	1/19/2023	SUPPLEMENT FOR EXPANSION	$8,171,420
	2023	2022	Human Services, Hawaii Department of	1390 Miller St, RM 209	HONOLULU	HI	96813	HONOLULU	USA	Grants to States for Medicaid	3	1	1/19/2023	SUPPLEMENT FOR EXPANSION	-$3,668,580
	2023	2022	Human Services, Hawaii Department of	1390 Miller St, RM 209	HONOLULU	HI	96813	HONOLULU	USA	Grants to States for Medicaid	1	1	11/22/2022	SUPPLEMENT FOR EXPANSION	-$4,481,687
	2023	2021	Human Services, Hawaii Department of	1390 Miller St, RM 209	HONOLULU	HI	96813	HONOLULU	USA	Grants to States for Medicaid	0	1	11/22/2022	SUPPLEMENT FOR EXPANSION	-$482,700
															Subtotal = -$461,547

	Issue Date FY: 2022 ( Subtotal = $73,534,198 )
	2022	2022	Human Services, Hawaii Department of	1390 Miller St, RM 209	HONOLULU	HI	96813	HONOLULU	USA	Grants to States for Medicaid	5	1	5/12/2022	SUPPLEMENT FOR EXPANSION	-$6,603,547
	2022	2022	Human Services, Hawaii Department of	1390 Miller St, RM 209	HONOLULU	HI	96813	HONOLULU	USA	Grants to States for Medicaid	6	1	7/1/2022	NEW	$20,216,516
	2022	2022	Human Services, Hawaii Department of	1390 Miller St, RM 209	HONOLULU	HI	96813	HONOLULU	USA	Grants to States for Medicaid	1	1	1/1/2022	NEW	$20,513,000
	2022	2022	Human Services, Hawaii Department of	1390 Miller St, RM 209	HONOLULU	HI	96813	HONOLULU	USA	Grants to States for Medicaid	9	1	7/14/2022	NEW	-$4,878,673
	2022	2022	Human Services, Hawaii Department of	1390 Miller St, RM 209	HONOLULU	HI	96813	HONOLULU	USA	Grants to States for Medicaid	4	1	5/12/2022	SUPPLEMENT FOR EXPANSION	$243,902
	2022	2022	Human Services, Hawaii Department of	1390 Miller St, RM 209	HONOLULU	HI	96813	HONOLULU	USA	Grants to States for Medicaid	2	1	4/1/2022	NEW	$19,194,500
	2022	2022	Human Services, Hawaii Department of	1390 Miller St, RM 209	HONOLULU	HI	96813	HONOLULU	USA	Grants to States for Medicaid	0	1	10/1/2021	NEW	$24,857,000
	2022	2021	Human Services, Hawaii Department of	1390 Miller St, RM 209	HONOLULU	HI	96813	HONOLULU	USA	Grants to States for Medicaid	10	1	7/14/2022	NEW	-$8,500
															Subtotal = $73,534,198

	Grand Total All Awards = $73,072,651

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