NJ_Fee_PC.SP_Renewal_20230701-20240630
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NH_Fee_IPH.OPH_Renewal_20230701-20240831
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NC_Fee_IPH.OPH.BHI.BHO_New_20220701-20230630
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NC_Fee_IPH.OPH1_Renewal_20230701-20240630
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MO_Fee_OPH_Renewal_20230701-20240630
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MI_Fee_HCBS1_Renewal_20230101-20231231
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MI_Fee_HCBS3_Renewal_20221001-20230930
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IL_Fee_IPH.OPH4_New_20230101-20231231
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UT-23-0012
This amendment tracks cost sharing using the state's Provider Reimbursement Information System (PRISM).