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Bulletin Michigan Department of Community Health Bulletin Number Distribution Issued Subject Effective Programs Affected MSA 12-66 Practitioners Hospitals Medicaid Health Plans December 1 2012 Physician Primary Care Rate Increase January 1 2013 Medicaid Adult Benefits Waiver Plan First The Michigan Department of Community Health MDCH is implementing a provision of the Affordable Care Act ACA as included in section 1202 of the Health Care and Educ.

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