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| Issue Date FY: 2024 ( Subtotal = -$155,988 ) |
| 2024 | 2023 | Medicaid, State of Mississippi, Division of | 550 HIGH ST STE 1000 | JACKSON | MS | 39201 | HINDS | USA | Medical Assistance Program | 5 | 1 | 2/14/2024 | NEW | -$150,462 |
| 2024 | 2022 | Medicaid, State of Mississippi, Division of | 550 HIGH ST STE 1000 | JACKSON | MS | 39201 | HINDS | USA | Medical Assistance Program | 3 | 1 | 2/14/2024 | NEW | -$5,526 |
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| Issue Date FY: 2023 ( Subtotal = $247,968 ) |
| 2023 | 2023 | Medicaid, State of Mississippi, Division of | 550 HIGH ST STE 1000 | JACKSON | MS | 39201 | HINDS | USA | Medical Assistance Program | 2 | 1 | 4/1/2023 | NEW | $123,984 |
| 2023 | 2023 | Medicaid, State of Mississippi, Division of | 550 HIGH ST STE 1000 | JACKSON | MS | 39201 | HINDS | USA | Medical Assistance Program | 0 | 1 | 10/1/2022 | SUPPLEMENT FOR EXPANSION | $61,992 |
| 2023 | 2023 | Medicaid, State of Mississippi, Division of | 550 HIGH ST STE 1000 | JACKSON | MS | 39201 | HINDS | USA | Medical Assistance Program | 1 | 1 | 1/1/2023 | SUPPLEMENT FOR EXPANSION | $61,992 |
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