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Wednesday, July 9, 2025 7/9/2025

Medicaid entitlement for Amer. Samoa - FY 2015 Quarter 4 - T19

Award Number: AS20154
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: 10/01/2014
PERIOD OF PERFORMANCE END DATE: 09/30/2015

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Medicaid entitlement for Amer. Samoa - FY 2015 Quarter 4 - T19


	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: 2015 ( Subtotal = $110,000 )
	2015	2015	LBJ TROPICAL MED/MEDICAID	LBJ TROPICAL MEDICAL CENTER	PAGO PAGO	AS	96799	AMERICAN SAMOA	USA	Grants to States for Medicaid	6	1	7/1/2015	SUPPLEMENT FOR EXPANSION	$55,000
	2015	2015	LBJ TROPICAL MED/MEDICAID	LBJ TROPICAL MEDICAL CENTER	PAGO PAGO	AS	96799	AMERICAN SAMOA	USA	Grants to States for Medicaid	0	1	7/1/2015	SUPPLEMENT FOR EXPANSION	$55,000
	2015	2014	LBJ TROPICAL MED/MEDICAID	LBJ TROPICAL MEDICAL CENTER	PAGO PAGO	AS	96799	AMERICAN SAMOA	USA	Grants to States for Medicaid	10	1	8/20/2015	SUPPLEMENT FOR EXPANSION	-$25,000
	2015	2014	LBJ TROPICAL MED/MEDICAID	LBJ TROPICAL MEDICAL CENTER	PAGO PAGO	AS	96799	AMERICAN SAMOA	USA	Grants to States for Medicaid	9	1	8/20/2015	SUPPLEMENT FOR EXPANSION	$25,000
	2015	2014	LBJ TROPICAL MED/MEDICAID	LBJ TROPICAL MEDICAL CENTER	PAGO PAGO	AS	96799	AMERICAN SAMOA	USA	Grants to States for Medicaid	4	1	8/20/2015	SUPPLEMENT FOR EXPANSION	$25,000
	2015	2014	LBJ TROPICAL MED/MEDICAID	LBJ TROPICAL MEDICAL CENTER	PAGO PAGO	AS	96799	AMERICAN SAMOA	USA	Grants to States for Medicaid	7	1	8/31/2015	SUPPLEMENT FOR EXPANSION	$65
	2015	2014	LBJ TROPICAL MED/MEDICAID	LBJ TROPICAL MEDICAL CENTER	PAGO PAGO	AS	96799	AMERICAN SAMOA	USA	Grants to States for Medicaid	8	1	8/31/2015	SUPPLEMENT FOR EXPANSION	-$65
	2015	2014	LBJ TROPICAL MED/MEDICAID	LBJ TROPICAL MEDICAL CENTER	PAGO PAGO	AS	96799	AMERICAN SAMOA	USA	Grants to States for Medicaid	2	1	8/31/2015	SUPPLEMENT FOR EXPANSION	$65
	2015	2014	LBJ TROPICAL MED/MEDICAID	LBJ TROPICAL MEDICAL CENTER	PAGO PAGO	AS	96799	AMERICAN SAMOA	USA	Grants to States for Medicaid	3	1	8/31/2015	SUPPLEMENT FOR EXPANSION	-$65
	2015	2014	LBJ TROPICAL MED/MEDICAID	LBJ TROPICAL MEDICAL CENTER	PAGO PAGO	AS	96799	AMERICAN SAMOA	USA	Grants to States for Medicaid	5	1	8/20/2015	SUPPLEMENT FOR EXPANSION	-$25,000
															Subtotal = $110,000

	Grand Total All Awards = $110,000

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