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Adult Medicaid Manual MA-2360 MEDICAID DEDUCTIBLE

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IV. ALLOWABLE CHARGES

REVISED 01/01/09 – CHANGE NOTICE 04-09

(IV.)

REISSUED 01/01/09 – CHANGE NOTICE 04/09

(IV.)

REVISED 04/01/02 – CHANGE NOTICE 15/02

(IV.C.)

(IV.D.)

REISSUED 04/01/11-CHANGE NO.07-11

(IV.)

REVISED 04/01/11-CHANGE NO.07-11

(IV.E.1.b.5)

REISSUED 01/01/13-CHANGE NOTICE.01-13

(IV.E.2.b.)

REISSUED 01/01/13-CHANGE NOTICE.01-13

(IV.F.2.)

Father's budget:

Child's budget:

$1,000 Income

$800 Child's Income

- 20

+ $270 Deemed from Father

$980

$1,070

- 242

- 20

$738

$1,050

x 6

- 242

$4,428 Deductible

$808

 

x 6

 

$4,848

 

$4,848 Child's deductible

 

- $4,428 Father's deductible balance

 

$ 420 Child's remaining deductible

REVISED 01/01/14-CHANGE NO.11-13

(IV.F.3.)

Father's deductible

Child's deductible

$4,428

$4,848

- 500

- 500

3,928

4,348

-1,216 Part A deductible

-1,216 Part A deductible

2,712 Remaining

3,132 Remaining

-2,024 Additional charges

-2,024 Additional charges

688 Remaining

1,108 Remaining

- 800 1/7 charges

- 688 Father’s deductible balance

 

420 Deductible remaining

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