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 | Issue Date FY: 2016 ( Subtotal = $3,853,427 ) |
| | 2016 | 2016 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20161-SSC | Medicaid entitlement for New Jersey - FY 2016 START 10012015 - SSC | 0 | 1 | CMS | 11/18/2015 | $957,692 |
| | 2016 | 2016 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20164-SSC | Medicaid entitlement for New Jersey - FY 2016 START 07012016 - SSC | 0 | 1 | CMS | 6/29/2016 | $1,065,725 |
| | 2016 | 2016 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20163-SSC | Medicaid entitlement for New Jersey - FY 2016 START 04012016 - SSC | 1 | 1 | CMS | 4/13/2016 | $10 |
| | 2016 | 2016 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20162-SSC | Medicaid entitlement for New Jersey - FY 2016 START 01012016 - SSC | 0 | 1 | CMS | 12/22/2015 | $917,868 |
| | 2016 | 2016 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20161-SSC | Medicaid entitlement for New Jersey - FY 2016 START 10012015 - SSC | 0 | 1 | CMS | 11/18/2015 | $136,608 |
| | 2016 | 2016 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20163-SSC | Medicaid entitlement for New Jersey - FY 2016 START 04012016 - SSC | 0 | 1 | CMS | 3/29/2016 | $908,755 |
| | 2016 | 2015 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20162-SSC | Medicaid entitlement for New Jersey - FY 2016 START 01012016 - SSC | 1 | 1 | CMS | 2/23/2016 | -$10 |
| | 2016 | 2015 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20162-SSC | Medicaid entitlement for New Jersey - FY 2016 START 01012016 - SSC | 0 | 1 | CMS | 12/22/2015 | -$133,221 |
|
| Issue Date FY: 2015 ( Subtotal = $5,205,473 ) |
| | 2015 | 2015 | NEW JERSEY STATE DEPT OF HEALTH & SR SVCS | CN 367 | TRENTON | NJ | 08625 | MERCER | USA | 1501NJBSDD | 2015 AIDD DDC | 1 | 1 | ACL | 10/16/2014 | $301,760 |
| | 2015 | 2015 | NEW JERSEY STATE DEPT OF HEALTH & SR SVCS | CN 367 | TRENTON | NJ | 08625 | MERCER | USA | 1501NJBSDD | 2015 AIDD DDC | 2 | 1 | ACL | 2/19/2015 | $1,231,530 |
| | 2015 | 2015 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20152-SSC | Medicaid entitlement for New Jersey - FY 2015 START 01012015 - SSC | 0 | 1 | CMS | 3/4/2015 | $963,076 |
| | 2015 | 2015 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20152-SSC | Medicaid entitlement for New Jersey - FY 2015 START 01012015 - SSC | 0 | 1 | CMS | 3/4/2015 | $17,076 |
| | 2015 | 2015 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20154-SSC | Medicaid entitlement for New Jersey - FY 2015 START 07012015 - SSC | 0 | 1 | CMS | 7/21/2015 | $909,908 |
| | 2015 | 2015 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20151-SSC | Medicaid entitlement for New Jersey - FY 2015 START 10012014 - SSC | 0 | 1 | CMS | 10/21/2014 | $931,000 |
| | 2015 | 2015 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20153-SSC | Medicaid entitlement for New Jersey - FY 2015 START 04012015 - SSC | 0 | 1 | CMS | 7/7/2015 | $864,100 |
| | 2015 | 2014 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20151-SSC | Medicaid entitlement for New Jersey - FY 2015 START 10012014 - SSC | 0 | 1 | CMS | 10/21/2014 | -$12,977 |
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| Issue Date FY: 2014 ( Subtotal = $3,533,275 ) |
| | 2014 | 2014 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20141-SSC | Medicaid entitlement for New Jersey - FY 2014 START 10012013 - SSC | 0 | 1 | CMS | 10/1/2013 | $1,182,000 |
| | 2014 | 2014 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20141-SSC | Medicaid entitlement for New Jersey - FY 2014 START 10012013 - SSC | 0 | 1 | CMS | 10/1/2013 | $23,645 |
| | 2014 | 2014 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20144-SSC | Medicaid entitlement for New Jersey - FY 2014 START 07012014 - SSC | 0 | 1 | CMS | 6/24/2014 | $1,037,006 |
| | 2014 | 2014 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20143-SSC | Medicaid entitlement for New Jersey - FY 2014 START 04012014 - SSC | 0 | 1 | CMS | 3/26/2014 | $687,283 |
| | 2014 | 2014 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20142-SSC | Medicaid entitlement for New Jersey - FY 2014 START 01012014 - SSC | 0 | 1 | CMS | 2/25/2014 | $822,000 |
| | 2014 | 2013 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20142-SSC | Medicaid entitlement for New Jersey - FY 2014 START 01012014 - SSC | 0 | 1 | CMS | 2/25/2014 | -$218,659 |
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| Issue Date FY: 2013 ( Subtotal = $5,584,509 ) |
| | 2013 | 2013 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20131-SSC | MEDICAID ENTITLEMENT FOR NEW JERSEY - FY 2013 START 10012012 - SSC | 0 | 1 | CMS | 10/23/2012 | $1,018,000 |
| | 2013 | 2013 | NEW JERSEY STATE DEPT OF HEALTH & SR SVCS | CN 367 | TRENTON | NJ | 08625 | MERCER | USA | 1301NJBSDD | 2013 AIDD DDC | 1 | 1 | ACL | 10/26/2012 | $771,815 |
| | 2013 | 2013 | NEW JERSEY STATE DEPT OF HEALTH & SR SVCS | CN 367 | TRENTON | NJ | 08625 | MERCER | USA | 1301NJBSDD | 2013 AIDD DDC | 3 | 1 | ACL | 5/8/2013 | $201,869 |
| | 2013 | 2013 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20132-SSC | MEDICAID ENTITLEMENT FOR NEW JERSEY - FY 2013 START 01012013 - SSC | 1 | 1 | CMS | 1/22/2013 | $1,019,000 |
| | 2013 | 2013 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20132-SSC | MEDICAID ENTITLEMENT FOR NEW JERSEY - FY 2013 START 01012013 - SSC | 1 | 1 | CMS | 1/22/2013 | $27,644 |
| | 2013 | 2013 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20131-SSC | MEDICAID ENTITLEMENT FOR NEW JERSEY - FY 2013 START 10012012 - SSC | 0 | 1 | CMS | 10/23/2012 | $91,230 |
| | 2013 | 2013 | NEW JERSEY STATE DEPT OF HEALTH & SR SVCS | CN 367 | TRENTON | NJ | 08625 | MERCER | USA | 1301NJBSDD | 2013 AIDD DDC | 5 | 1 | ACL | 6/11/2013 | $519,215 |
| | 2013 | 2013 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20133-SSC | MEDICAID ENTITLEMENT FOR NEW JERSEY - FY 2013 START 04012013 - SSC | 0 | 1 | CMS | 4/11/2013 | $1,057,874 |
| | 2013 | 2013 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20134-SSC | MEDICAID ENTITLEMENT FOR NEW JERSEY - FY 2013 START 07012013 - SSC | 0 | 1 | CMS | 8/13/2013 | $877,862 |
|
| Issue Date FY: 2012 ( Subtotal = $4,200,183 ) |
| | 2012 | 2012 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20124-SSC | MEDICAID ENTITLEMENT FOR NEW JERSEY - FY 2012 START 07012012 - SSC | 0 | 1 | CMS | 7/24/2012 | $997,107 |
| | 2012 | 2012 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20121-SSC | MEDICAID ENTITLEMENT FOR NEW JERSEY - FY 2012 START 10012011 - SSC | 0 | 1 | CMS | 12/1/2011 | $1,013,119 |
| | 2012 | 2012 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20122-SSC | MEDICAID ENTITLEMENT FOR NEW JERSEY - FY 2012 START 01012012 - SSC | 0 | 1 | CMS | 12/21/2011 | $889,000 |
| | 2012 | 2012 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20123-SSC | MEDICAID ENTITLEMENT FOR NEW JERSEY - FY 2012 START 04012012 - SSC | 0 | 1 | CMS | 4/17/2012 | $92,620 |
| | 2012 | 2012 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20123-SSC | MEDICAID ENTITLEMENT FOR NEW JERSEY - FY 2012 START 04012012 - SSC | 1 | 1 | CMS | 5/22/2012 | $743,303 |
| | 2012 | 2012 | NEW JERSEY STATE DEPT OF HEALTH & SR SVCS | CN 367 | TRENTON | NJ | 08625 | MERCER | USA | 1201NJBS3A | 2012 ADDDC | 1 | 1 | ACF | 10/19/2011 | $264,441 |
| | 2012 | 2012 | NEW JERSEY STATE DEPT OF HEALTH & SR SVCS | CN 367 | TRENTON | NJ | 08625 | MERCER | USA | 1201NJBS3A | 2012 ADDDC | 4 | 1 | ACF | 2/2/2012 | $1,317,894 |
| | 2012 | 2012 | NEW JERSEY STATE DEPT OF HEALTH & SR SVCS | CN 367 | TRENTON | NJ | 08625 | MERCER | USA | 1201NJBS3A | 2012 ADDDC | 5 | 1 | ACF | 2/10/2012 | $635 |
| | 2012 | 2011 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20121-SSC | MEDICAID ENTITLEMENT FOR NEW JERSEY - FY 2012 START 10012011 - SSC | 0 | 1 | CMS | 12/1/2011 | -$1,015,669 |
| | 2012 | 2011 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20122-SSC | MEDICAID ENTITLEMENT FOR NEW JERSEY - FY 2012 START 01012012 - SSC | 0 | 1 | CMS | 12/21/2011 | -$102,266 |
| | 2012 | 2007 | NEW JERSEY STATE DEPT OF HEALTH & SR SVCS | CN 367 | TRENTON | NJ | 08625 | MERCER | USA | 0701NJBS3A | 2007 ADDDDC | 13 | 1 | ACF | 7/23/2012 | -$1 |
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| Issue Date FY: 2011 ( Subtotal = $5,916,064 ) (Continued on the next page) |
| | 2011 | 2011 | NEW JERSEY STATE DEPT OF HEALTH & SR SVCS | CN 367 | TRENTON | NJ | 08625 | MERCER | USA | 1101NJBS3A | 2011 ADDDC | 4 | 1 | ACF | 5/26/2011 | $759,936 |
| | 2011 | 2011 | NJ ST DEPARTMENT OF HEALTH AND SENIOR SERVICES | CN 360 | TRENTON | NJ | 08625 | MERCER | USA | NJ20112-SSC | MEDICAID ENTITLEMENT FOR NEW JERSEY - FY 2011 START 01012011 - SSC | 0 | 1 | CMS | 12/29/2010 | $918,000 |
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