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| Issue Date FY: 2025 ( Subtotal = -$1,036,285,026 ) |
| 2025 | 2025 | Social Services, Missouri Department of | 221 W High St Rm 310 | JEFFERSON CITY | MO | 65101 | COLE | USA | Medical Assistance Program | 0 | 1 | 10/17/2024 | SUPPLEMENT FOR EXPANSION | $18,138,892 |
| 2025 | 2024 | Social Services, Missouri Department of | 221 W High St Rm 310 | JEFFERSON CITY | MO | 65101 | COLE | USA | Medical Assistance Program | 1 | 1 | 10/17/2024 | SUPPLEMENT FOR EXPANSION | -$1,054,423,918 |
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| Issue Date FY: 2024 ( Subtotal = $12,820,754,461 ) |
| 2024 | 2024 | Social Services, Missouri Department of | 221 W High St Rm 310 | JEFFERSON CITY | MO | 65101 | COLE | USA | Medical Assistance Program | 2 | 1 | 4/1/2024 | NEW | $3,893,144,132 |
| 2024 | 2024 | Social Services, Missouri Department of | 221 W High St Rm 310 | JEFFERSON CITY | MO | 65101 | COLE | USA | Medical Assistance Program | 4 | 1 | 4/10/2024 | SUPPLEMENT FOR EXPANSION | -$668,450,025 |
| 2024 | 2024 | Social Services, Missouri Department of | 221 W High St Rm 310 | JEFFERSON CITY | MO | 65101 | COLE | USA | Medical Assistance Program | 7 | 1 | 7/25/2024 | SUPPLEMENT FOR EXPANSION | -$1,074,226,876 |
| 2024 | 2024 | Social Services, Missouri Department of | 221 W High St Rm 310 | JEFFERSON CITY | MO | 65101 | COLE | USA | Medical Assistance Program | 0 | 1 | 10/1/2023 | NEW | $3,665,774,988 |
| 2024 | 2024 | Social Services, Missouri Department of | 221 W High St Rm 310 | JEFFERSON CITY | MO | 65101 | COLE | USA | Medical Assistance Program | 1 | 1 | 1/1/2024 | NEW | $3,686,185,815 |
| 2024 | 2024 | Social Services, Missouri Department of | 221 W High St Rm 310 | JEFFERSON CITY | MO | 65101 | COLE | USA | Medical Assistance Program | 5 | 1 | 7/1/2024 | NEW | $3,410,705,112 |
| 2024 | 2024 | Social Services, Missouri Department of | 221 W High St Rm 310 | JEFFERSON CITY | MO | 65101 | COLE | USA | Medical Assistance Program | 3 | 1 | 4/10/2024 | SUPPLEMENT FOR EXPANSION | $38,814,713 |
| 2024 | 2023 | Social Services, Missouri Department of | 221 W High St Rm 310 | JEFFERSON CITY | MO | 65101 | COLE | USA | Medical Assistance Program | 6 | 1 | 7/25/2024 | SUPPLEMENT FOR EXPANSION | -$131,193,398 |
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