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Medicaid entitlement for AMERICAN SAMOA- FY 2003 1st quarter -T19

Award Number: AS20031
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: 10/01/2003
PERIOD OF PERFORMANCE END DATE: 12/31/2003

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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: 2003 ( Subtotal = $3,727,000 )
2003	2003	AS DEPARTMENT OF HEALTH	LBJ TROPICAL MEDICAL CENTER	PAGO PAGO	AS	96799	AMERICAN SAMOA	USA	Grants to States for Medicaid	0	1	10/1/2002	NEW	$3,620,000
2003	2003	AS DEPARTMENT OF HEALTH	LBJ TROPICAL MEDICAL CENTER	PAGO PAGO	AS	96799	AMERICAN SAMOA	USA	Grants to States for Medicaid	1	1	6/16/2003	SUPPLEMENT FOR EXPANSION	$107,000
														Subtotal = $3,727,000

Grand Total All Awards = $3,727,000

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