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LUSEDRA (Fospropofol Disodium) Injection [Eisai Inc.]
Updated Date: Jan 5, 2009 EST
New York
Official Program Name: NY Bridges to Health for Children w/SED (0469)
State: New York
Waiver Authority: 1915(c)
Date Originally Approved: 07/19/2007

Missouri
Official Program Name: MO Children w/DD (MOCDD) (40185.R03.00)
State: Missouri
Waiver Authority: 1915(c)
Date Originally Approved: 10/01/1995

Colorado
Official Program Name: CO Persons with Brain Injury (0288.R02.00)
State: Colorado
Waiver Authority: 1915(c)
Date Originally Approved: 07/01/1995

Utah
Official Program Name: UT - Individuals Aged 65 and Older (0247.90.R2)
State: Utah
Waiver Authority: 1915 (c)
Date Originally Approved: 7/1/1992

Illinois
Official Program Name: Illinois Family Planning 1115
State: Illinois
Waiver Authority: 1115 Family Planning
Date Originally Approved: 06/23/2003

Maryland
Official Program Name: MD - Waiver for Children with Complex Medical Needs (40118.90.R3)
State: Maryland
Waiver Authority: 1915 (c)
Date Originally Approved: 1/1/1993

Maryland
Official Program Name: MD - Waiver for Older Adults (0265.90.R1.05)
State: Maryland
Waiver Authority: 1915 (c)
Date Originally Approved: 7/1/1993

Colorado
Official Program Name: CO -Children Home & Community Based Services Medicaid Waiver (4157.90.R2)
State: Colorado
Waiver Authority: 1915 C
Date Originally Approved: 7/1/2003

Florida
Official Program Name: Florida Managed Care Waiver (Medipass) 1915(b)
State: Florida
Waiver Authority: 1915(b)
Date Originally Approved: 01/1990

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Updated Date: Jan 5, 2009 EST
California
Official Program Name: CA - Nursing Facility Sub-acute (0384.90.01)
State: California
Waiver Authority: 1915 C
Date Originally Approved: 2/28/2002

New York
Official Program Name: NY Bridges to Health for Children w/DD (0470)
State: New York
Waiver Authority: 1915(c)
Date Originally Approved: 07/19/2007



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