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| Issue Date FY: 2023 ( Subtotal = -$247,495 ) |
| 2023 | 2022 | Health and Human Services, New Hampshire Dept of | 129 PLEASANT ST | CONCORD | NH | 03301 | MERRIMACK | USA | Medical Assistance Program | 4 | 1 | 2/3/2023 | SUPPLEMENT FOR EXPANSION | -$247,495 |
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| Issue Date FY: 2022 ( Subtotal = $659,447 ) |
| 2022 | 2022 | Health and Human Services, New Hampshire Dept of | 129 PLEASANT ST | CONCORD | NH | 03301 | MERRIMACK | USA | Medical Assistance Program | 1 | 1 | 1/1/2022 | NEW | $165,000 |
| 2022 | 2022 | Health and Human Services, New Hampshire Dept of | 129 PLEASANT ST | CONCORD | NH | 03301 | MERRIMACK | USA | Medical Assistance Program | 3 | 1 | 7/1/2022 | SUPPLEMENT FOR EXPANSION | $164,584 |
| 2022 | 2022 | Health and Human Services, New Hampshire Dept of | 129 PLEASANT ST | CONCORD | NH | 03301 | MERRIMACK | USA | Medical Assistance Program | 2 | 1 | 4/1/2022 | SUPPLEMENT FOR EXPANSION | $164,863 |
| 2022 | 2022 | Health and Human Services, New Hampshire Dept of | 129 PLEASANT ST | CONCORD | NH | 03301 | MERRIMACK | USA | Medical Assistance Program | 0 | 1 | 10/1/2021 | NEW | $165,000 |
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