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 | Issue Date FY: 2022 ( Subtotal = $93,076,256 ) |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQTMAP | Medicaid entitlement for 9 - FY 2022 - T19 | 2 | 1 | CMS | 10/1/2021 | $61,123,000 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQTADM | Medicaid entitlement for 9 - FY 2022 - T19 | 2 | 1 | CMS | 3/17/2022 | $97,500 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQTADM | Medicaid entitlement for 9 - FY 2022 - T19 | 1 | 1 | CMS | 10/1/2021 | $2,887,000 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQTADM | Medicaid entitlement for 9 - FY 2022 - T19 | 0 | 1 | CMS | 10/12/2021 | -$2,587,000 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQ1935 | Medicaid entitlement for 9 - FY 2022 - T19 | 0 | 1 | CMS | 10/1/2021 | $240,834 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQARPT | Medicaid entitlement for 9 - FY 2022 - T19 | 1 | 1 | CMS | 1/1/2022 | $500,000 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQARPT | Medicaid entitlement for 9 - FY 2022 - T19 | 2 | 1 | CMS | 4/1/2022 | $437,500 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQARPT | Medicaid entitlement for 9 - FY 2022 - T19 | 0 | 1 | CMS | 10/1/2021 | $1,250,000 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQMMIS | Medicaid entitlement for 9 - FY 2022 - T19 | 1 | 1 | CMS | 11/4/2021 | $59 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQMMIS | Medicaid entitlement for 9 - FY 2022 - T19 | 0 | 1 | CMS | 10/1/2021 | $4,330,000 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQIMPL | Medicaid entitlement for 9 - FY 2022 - T19 | 2 | 1 | CMS | 4/1/2022 | $121,000 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQIMPL | Medicaid entitlement for 9 - FY 2022 - T19 | 1 | 1 | CMS | 1/1/2022 | $121,000 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQIMPL | Medicaid entitlement for 9 - FY 2022 - T19 | 0 | 1 | CMS | 10/1/2021 | $121,000 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQCOFA | Medicaid entitlement for 9 - FY 2022 - T19 | 1 | 1 | CMS | 1/1/2022 | $8,250,000 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQCOFA | Medicaid entitlement for 9 - FY 2022 - T19 | 0 | 1 | CMS | 10/1/2021 | $2,750,000 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQTMAP | Medicaid entitlement for 9 - FY 2022 - T19 | 7 | 1 | CMS | 5/16/2022 | -$1,853 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQTMAP | Medicaid entitlement for 9 - FY 2022 - T19 | 8 | 1 | CMS | 4/19/2022 | -$152,500 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQTMAP | Medicaid entitlement for 9 - FY 2022 - T19 | 9 | 1 | CMS | 4/11/2022 | -$87,796 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQTMAP | Medicaid entitlement for 9 - FY 2022 - T19 | 10 | 1 | CMS | 6/13/2022 | -$85,750 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQTMAP | Medicaid entitlement for 9 - FY 2022 - T19 | 6 | 1 | CMS | 3/7/2022 | -$92,246 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQTMAP | Medicaid entitlement for 9 - FY 2022 - T19 | 3 | 1 | CMS | 10/12/2021 | $2,587,000 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQTMAP | Medicaid entitlement for 9 - FY 2022 - T19 | 5 | 1 | CMS | 3/17/2022 | -$97,500 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQTMAP | Medicaid entitlement for 9 - FY 2022 - T19 | 4 | 1 | CMS | 2/7/2022 | -$75,826 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQTADM | Medicaid entitlement for 9 - FY 2022 - T19 | 3 | 1 | CMS | 4/19/2022 | $152,500 |
| | 2022 | 2022 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2205CQ5021 | Medicaid entitlement for 9 - FY 2022 - T21 | 0 | 1 | CMS | 10/1/2021 | $18,249,427 |
| | 2022 | 2021 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2105CQCOFA | Medicaid entitlement for 9 - FY 2022 - T19 | 1 | 1 | CMS | 3/28/2022 | -$5,999,991 |
| | 2022 | 2021 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2105CQIMPL | Medicaid entitlement for 9 - FY 2022 - T19 | 3 | 1 | CMS | 3/28/2022 | -$147,690 |
| | 2022 | 2021 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2105CQMMIS | Medicaid entitlement for 9 - FY 2022 - T19 | 1 | 1 | CMS | 3/29/2022 | -$671,958 |
| | 2022 | 2016 | DEPARTMENT OF PUBLIC HEALTH-D IV. OF PH | COMMENWEALTH HEALTH CTR. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | NH23IP000736 | CNMI IMMUNIZATION PROGRAM | 03 | 5 | CDC | 10/31/2021 | -$76,538 |
| | 2022 | 2014 | DEPARTMENT OF PUBLIC HEALTH-D IV. OF PH | COMMENWEALTH HEALTH CTR. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | NH23IP000736 | CNMI IMMUNIZATION PROGRAM | 04 | 5 | CDC | 4/19/2022 | -$14,729 |
| | 2022 | 2014 | DEPARTMENT OF PUBLIC HEALTH-D IV. OF PH | COMMENWEALTH HEALTH CTR. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | NH23IP000736 | CNMI IMMUNIZATION PROGRAM | 04 | 5 | CDC | 4/19/2022 | -$5,645 |
| | 2022 | 2014 | DEPARTMENT OF PUBLIC HEALTH-D IV. OF PH | COMMENWEALTH HEALTH CTR. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | NH23IP000736 | CNMI IMMUNIZATION PROGRAM | 04 | 5 | CDC | 4/19/2022 | -$37,309 |
| | 2022 | 2014 | DEPARTMENT OF PUBLIC HEALTH-D IV. OF PH | COMMENWEALTH HEALTH CTR. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | NH23IP000736 | CNMI IMMUNIZATION PROGRAM | 04 | 5 | CDC | 4/19/2022 | -$7,233 |
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| Issue Date FY: 2021 ( Subtotal = $88,665,951 ) (Continued on the next page) |
| | 2021 | 2021 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2105CQTADM | Medicaid entitlement for 9 - FY 2021 Quarter 1 - T19 | 5 | 1 | CMS | 2/26/2021 | $30,000 |
| | 2021 | 2021 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2105CQTADM | Medicaid entitlement for 9 - FY 2021 Quarter 1 - T19 | 4 | 1 | CMS | 11/18/2020 | $84,000 |
| | 2021 | 2021 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2105CQTADM | Medicaid entitlement for 9 - FY 2021 Quarter 1 - T19 | 1 | 1 | CMS | 10/1/2020 | $216,000 |
| | 2021 | 2021 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2105CQIMPL | Medicaid entitlement for 9 - FY 2022 - T19 | 2 | 1 | CMS | 7/1/2021 | $133,841 |
| | 2021 | 2021 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2105CQIMPL | Medicaid entitlement for 9 - FY 2022 - T19 | 1 | 1 | CMS | 4/1/2021 | $90,000 |
| | 2021 | 2021 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2105CQIMPL | Medicaid entitlement for 9 - FY 2022 - T19 | 0 | 1 | CMS | 1/1/2021 | $92,000 |
| | 2021 | 2021 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2105CQCOFA | Medicaid entitlement for 9 - FY 2022 - T19 | 0 | 1 | CMS | 7/1/2021 | $6,000,000 |
| | 2021 | 2021 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2105CQTMAP | Medicaid entitlement for 9 - FY 2021 Quarter 1 - T19 | 5 | 1 | CMS | 11/18/2020 | -$84,000 |
| | 2021 | 2021 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2105CQTMAP | Medicaid entitlement for 9 - FY 2021 Quarter 1 - T19 | 4 | 1 | CMS | 2/26/2021 | -$30,000 |
| | 2021 | 2021 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2105CQTMAP | Medicaid entitlement for 9 - FY 2021 Quarter 1 - T19 | 1 | 1 | CMS | 10/1/2020 | $62,109,000 |
| | 2021 | 2021 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2105CQMMIS | Medicaid entitlement for 9 - FY 2022 - T19 | 0 | 1 | CMS | 1/1/2021 | $3,399,735 |
| | 2021 | 2021 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2105CQ5021 | Medicaid entitlement for 9 - FY 2021 Quarter 1 - T21 | 1 | 1 | CMS | 1/1/2021 | $3,594,576 |
| | 2021 | 2021 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2105CQ5021 | Medicaid entitlement for 9 - FY 2021 Quarter 1 - T21 | 0 | 1 | CMS | 10/1/2020 | $13,629,384 |
| | 2021 | 2021 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2105CQARPT | Medicaid entitlement for 9 - FY 2021 Quarter 4 - T19 | 0 | 1 | CMS | 7/1/2021 | $2,000,000 |
| | 2021 | 2020 | Department of Public Health-D iv. of PH | Commenwealth Health Ctr. | Saipan | MP | 96950-0409 | NORTHERN MARIANA ISLANDS | USA | 2005CQINCT | Medicaid entitlement for 9 - FY 2021 Quarter 2 - T19 | 1 | 1 | CMS | 3/2/2021 | -$1,687,000 |
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