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Hartman RL, Huestis MA

Medicaid spending is reimbursed by the federal government at a rate of 50% but State spending on Medicaid is doubled through a cycle of payments and federal reimbursement sometimes referred to in Illinois as churning. Illinois collects the cigarette tax through stamps sold to distributors of tobacco products equal to the amount of the tax

These constituents are also known as harmful and potentially harmful constituents (HPHCs)

If you dont youll get error codes that can only be reset with a diagnostic tool