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Family and Children's Medicaid MA-3315 MEDICAID DEDUCTIBLE

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IV. THIRD PARTY RESPONSIBILITY

REVISED 1/01/13 – CHANGE NO. 01-13

(IV.B.2)

REISSUED 01/01/15 – CHANGE NO. 05-14

(IV.B.3.)

REVISED 01/01/15 – CHANGE NO. 05-14

(IV.B.4)

REVISED 01/01/15 – CHANGE NO. 05-14

(IV.C.1)

REISSUED 01/01/15 – CHANGE NO. 05-14

(IV.C.)

For more information about Medicare costs, visit www.medicare.gov.

REVISED 1/01/13 – CHANGE NO. 01-13

(IV. D.)

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