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us-mt/manual/dphhs/medicaid/aca007/page-2 — Page 2 · Axiom

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Axiom
Montana
Manual
Dphhs
Medicaid
Aca007
Page 2

Page 2

Official source

12 $8,694 13 $9,323 14 $9,953 15 $10,582 16 $11,212

Effective Date: 04/01/2026

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