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Adult Medicaid Manual MA-2360 MEDICAID DEDUCTIBLE

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V. THIRD PARTY RESPONSIBILITY

REISSUED 01/01/14-CHANGE NOTICE.11-13

(V.A.)

REISSUED 01/01/07-CHANGE NOTICE.03-07

(V.B.2.d.)

REISSUED 01/01/07-CHANGE NOTICE.03-07

(V.B.4.a.(1))

REVISED 01/01/14-CHANGE NOTICE.11-13

(V.B.4.b.(2))

The individual is responsible for the Part A deductible of $1,216 per benefit period.

REVISED 01/01/14-CHANGE NOTICE.XXXX

(V.C.1.d.)

Medicare pays the first 20 days of skilled care in a Medicare certified medical institution. Eligible individuals incur a co-insurance amount of $152.00 per day, for the 21st through the 100th day of skilled care. There is no Medicare coverage for skilled care after the 100th day. The facility usually determines whether care is Medicare-covered and for how long.

a. The a/b is responsible for the Medicare Part B premium of $104.90 per month until he goes on Medicare Buy-In.

REVISED 11/01/11 - CHANGE NOTICE 17-11

(V.C.4.b)

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