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| | |
 | Issue Date FY: 2021 ( Subtotal = -$2,425,239 ) |
| | 2021 | 2020 | Ohio Department of Medicaid | 078802679 | COLUMBUS | OH | 93.378 | Integrated Care for Kids Model | 03 | 1 | 11/20/2020 | ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS) | -$2,425,239 |
| | 2021 | 2020 | Ohio Department of Medicaid | 078802679 | COLUMBUS | OH | 93.378 | Integrated Care for Kids Model | 04 | 1 | 2/3/2021 | ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS) | $0 |
|
| Issue Date FY: 2020 ( Subtotal = $2,508,360 ) |
| | 2020 | 2020 | Ohio Department of Medicaid | 078802679 | COLUMBUS | OH | 93.378 | Integrated Care for Kids Model | 00 | 1 | 12/16/2019 | NEW | $2,508,360 |
| | 2020 | 2020 | Ohio Department of Medicaid | 078802679 | COLUMBUS | OH | 93.378 | Integrated Care for Kids Model | 01 | 1 | 1/28/2020 | ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS) | $0 |
| | 2020 | 2020 | Ohio Department of Medicaid | 078802679 | COLUMBUS | OH | 93.378 | Integrated Care for Kids Model | 02 | 1 | 4/9/2020 | ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS) | $0 |
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