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Read our accessibility statement or click here to enable. Volunteer Income Tax Assistance Program See GIS 21 MA/06 -with the 2021 Federal Poverty Levels (April 2021) ALBANY, N.Y. (October 05, 2021) - NY State of Health, the state's official health plan Marketplace, today announced the affordable health insurance options available to New Yorkers in 2022. chiropractors that take healthfirst medicaid mclaren plus papaya membership + 18moreoutdoor drinkingdoctors tonic, the bakehouse, and more 0 Comments 0 Views 0 Likes Cost Sharing Reduction (CSR) subsidies reduce your out-of-pocket expenses on silver plans purchased through the health insurance marketplace for those with incomes between 100% - 250% of the poverty level.. CSR subsidies lower your coinsurance, and lower copays, deductibles, and maximum out-of-pocket costs you will pay in a policy period. Click on the state name in the table to see that state's complete Medicaid eligibility criteria. like to set optional analytics cookies to help us improve it. New York Medicaid Long-Term Care Definition. 2022 Resource and Cost-Sharing Limits for Low-Income Subsidy (LIS) The Centers for Medicare & Medicaid Services (CMS) is releasing guidance on theupdated resource limits for individuals who apply and qualify for the low-income subsidy (LIS). ), Applicants income must be less than the amount Medicaid pays for nursing home care (est. NOTE: Medicaid/CHIP eligibility will be updated when the new Federal Poverty level data is published in early 2022.. The following sections of the Fidelis Care authorization grids have been updated effective October 1, 2021. New York Medicaid Eligibility for Long Term Care: Income & Asset Limits. Effective 9/20/2021 for dates of service rendered on or after 10/4/2021, prior authorization has been delegated to TurningPoint Healthcare Solutions, LLC for certain inpatient, outpatient, physicians office, and in-home services Ears, Nose, & Throat (ENT) surgical procedures. Premiums, copays, coinsurance, and deductibles vary by plan type. Net earned premium. Children Ages 0-6 Pregnant Women; 1. Gross Income; Household Size Annual Monthly Twice-Monthly Bi-Weekly Weekly; 1: $23,828 Nys Child Health Plus Income Guidelines 2021. The Member Handbook also explains how to get care using our provider network. Most states have multiple pathways to Medicaid eligibility, such as a Medically Needy Pathway. Fidelis Medicare Advantage Plans 2022 | Healthline For larger families, the monthly fee is capped at three children. The Inpatient Admissions section of the Medicaid, Medicare, Essential Plan, & Metal Level Plan grids now include the following notice regarding TurningPoint Healthcare Solutions: Inpatient Admissions: All inpatient admissions require an authorization. *A family of 4 with an annual income of $100,000 a year can receive subsidized coverage through New York State's Child Health Plus program. President Biden signed the American Rescue Plan Act of 2021 (ARP) into law on March 11, 2021. Applicant is allowed $65 for personal needs and the remaining income goes towards the cost of care, $940 / month for applicant (eff. 3/23 2/24) New Choices Waiver ($2,742 / month for applicant), Regular Medicaid / Aged Blind and Disabled (outside Chittenden County), Regular Medicaid / Aged Blind and Disabled (in Chittenden County), Regular Medicaid / Elderly Blind and Disabled (EBD). Elsewhere, Kentucky Location, electrical stimulation for urinary incontinence, + 18moretakeoutgionni's pizza, chicken & pizza junction, and more, how long do upper respiratory infections last in adults, how to breathe through nose while talking, how much money will japan lose in the olympics, + 18morebest dinnerslucali, graziella's, and more, Paracetamol Antipyretic Mechanism Of Action, 14 day weather forecast for westminster, maryland, dimensional formula of potential gradient, what is the best natural fertilizer for orchids, fruits of the spirit bible verse galatians 5:22. Income over $62 / month (per spouse) must be paid towards ones cost of care. New York Essential Plan. The #1 most affordable health plan in NY Families with somewhat higher incomes pay a monthly premium of $15, $30, $45, or $60 per child per month, depending on their income and family size. Medicaid Income Eligibility Levels Yearly Household Income Effective January 2021; subject to annual income updates. Return on Equity is calculated as net income attributable to common shareholders divided by opening common shareholders equity. The 2021 IGs in the attached tables contain the maximum income limits by household size to be used for eligibility determinations in CSFP. The new law will lower premiums for most people . Information to help you and your provider better manage your health. No set income limit. By clicking on these links, you will leave the Fidelis Care website. does medicaid cover home health care in ny. Nursing Home Medicaid may have a different income limit than home and community based Medicaid services, and both of those may differ from the Aged, Blind and Disabled income limits. 3/23 2/24), Each spouse is considered separately. Certain applicants can be . Eligible small employers can access small employer tax credits by completing a short application at nystateofhealth.ny.gov/employer and enrolling in NY State of Health-certified plans directly with insurers of their choice. Fidelis Care offers four types of Essential Plans: Essential Plan 1, 2, 3, and 4. Gross Income; Household Size Annual Monthly Twice-Monthly Bi-Weekly Weekly; 1: $23,828 Fidelis Care is excited to share exciting news about upcoming changes to our Medicare and Dual Advantage plans. Consumers who receive premium tax credits, more than 60 percent of QHP enrollees, will see no change in their premium costs for 2022, or in some cases a small decrease in the cost of coverage compared to 2021. To claim the Earned Income Tax Credit (EITC), you must have what qualifies as earned income and meet certain adjusted gross income (AGI) and credit limits for the current, previous and upcoming tax years. To submit prior authorization request types, use the Fidelis Care provider portal. +$728. All 12 insurers that offered Qualified Health Plans last year will offer them again in 2022. Insurers implemented an average rate increase of 3.7% for 2022, which was (as usual) quite a bit smaller than the average increase proposed . Office visits are $0 or $15 for a PCP, and $0 or $25 for a specialist. Wed also View details forour Essential Plans. Qualified Health Plans - Fidelis Care Additionally, there are state-specific details. NY State of Health Announces Affordable Health Plan Choices for 2022 And, with no copays or deductibles. Find a Fidelis Care office near you. Medicaid Income Levels Effective April 1, 2022. Net income attributable to common shareholders . Monday - Friday 8am-8pm. All four essential plans will now have a zero premium. Costs vary between tiers depending on your eligibility: Monthly premium is $0 or $20. Dustin Lee - Avionics Field Engineer III - Lockheed Martin | LinkedIn However, income is not the only eligibility factor for Medicaid long term care, there are asset limits and level of care requirements. *See monthly income guidelines below. Paracetamol Antipyretic Mechanism Of Action, To request a paper copy, call Fidelis Care at 1-888-FIDELIS (1-888-343-3547); TTY: 711. Fidelis Care Authorization Grids Effective October 1, 2021 improve our website by collecting and reporting information on how Whether a child qualifies for Children's Medicaid or Child Health Plus depends on gross family income. Fidelis Care Qualified Health Plan Products are standardized plans offered by Fidelis Care via NY State of Health, the Official Health Plan Marketplace. A Quick Guide to SNAP Eligibility and Benefits Essential Plan membersdont need referrals. For families/households with more than 8 persons, add $4,540 for each additional person. Essential Plan - Fidelis Care Log into your account, view patient information, and more. In 2022, the medically needy income limit is $934 / month for a single applicant and $1,367 / month for a couple. Because the Federal Poverty Levels for 2022 have not been announced, the 2021 FPL limits will still be used for MAGI, the Medicare Savings Programs, MBI-WPD and other Office visits are $0, $15 for a PCP and $25 for a specialist. SNAP expects families receiving benefits to spend 30 percent of their net income on food. Inpatient hospital stays are $0 or $150. Verify member eligibility or renewal status, check claims, send e-scripts, and more. Consumers who enroll in a QHP between November 16, 2021 and December 15, 2021 will have coverage starting January 1, 2022. Posted by Provider Relations, FIDELIS and FIDELIS CARE are trademarks of Centene Corporation, Important Updates Regarding Coronavirus COVID-19, Transparency in Coverage Machine Readable Files. $101,120 9 $13,925 $27,850 $41,775 $55,700 $69,625 $72,410 $74,081 $75,195 $76,866 $83,550 $97,475 $100,260 $103,045 $111,400 10 $15,210 $30,420 $45,630 $60,840 . 2023 Medicare Open Enrollment - Fidelis Care No set limit. Families with somewhat higher incomes pay a monthly premium of $15, $30, $45, or $60 per child per month, depending on their income and family size. All plans offer in-network only coverage (except for emergency services which are covered at any provider). In 2022, the medically needy income limit is $934 / month for a single applicant and $1,367 / month for a couple. does medicaid cover home health care in ny. Call Now to See if You May Qualify for the New York Essential Plan (888)215-4045. American Rescue Plan and the Marketplace | CMS Single. C9077 cabotegravir and rilpivirine. Click to downloadprovidermanuals, tip sheets, importantforms, and applications. Visit www.nystateofhealth.ny.gov and click on "Start Enrollment." For a list of codes requiring prior authorization. . Finance Admin roles - coordinating finance meetings, preparing presentations, presenting, taking minutes and . 2020-2021 MAD 222 Affordable Care Act Medicaid Programs 2022 Essential Plan Map. tool will set a cookie on your device to remember your preferences. Families with somewhat higher incomes pay a monthly premium of $9, $15, $30, $45, or $60 per child per month, depending on their income and family size. There is no monthly premium for families whose income is less than 1.6 times the poverty level. We use necessary cookies to make our site work. Copyright 2023 All rights reserved. Instead, nearly all of their income except for a Personal Needs Allowance (which ranges for $30 $200 / month), must go towards paying for their cost of care. Costs vary between tiers depending on your eligibility: Monthly premium is $0. Click to downloadprovidermanuals, tip sheets, importantforms, and applications. Rent, food, and utilities, as an example, are expenses that end when one is in a nursing home, but continue when one receives Medicaid at home. Birdwell Beach Britches Cardigan, The Essential Plan. The table below shows Medicaid's monthly income limits by state for seniors. Each spouses monthly income determines how much each spouse must pay towards the cost of care. ALBANY, N.Y. (October 05, 2021) - NY State of Health, the state's official health plan Marketplace, today announced the affordable health insurance options available to New Yorkers in 2022. Make an appointment, or visitduring regular business hours! Below are the 2021 Federal Poverty Guidelines that went into effect in early 2021 (the ones you use for 2021 Medicaid/CHIP and for 2022 . 76 facilities, mental health benefits, and other specialized services. Interactive maps of the 2022 Health and Dental Plans are available at: http://info.nystateofhealth.ny.gov/PlansMap, http://info.nystateofhealth.ny.gov/EssentialPlanMap, NY State of Health Announces Affordable Health Plan Choices for 2022 Coverage, Health & Safety in the Home, Workplace & Outdoors, Clinical Guidelines, Standards & Quality of Care, All Health Care Professionals & Patient Safety, James V. McDonald, M.D., M.P.H., Acting Commissioner, Multisystem Inflammatory Syndrome in Children (MIS-C), Addressing the Opioid Epidemic in New York State, Health Care and Mental Hygiene Worker Bonus Program, Maternal Mortality & Disparate Racial Outcomes, Help Increasing the Text Size in Your Web Browser, Empire Blue Cross HealthPlus and Empire Blue Cross Blue Shield HealthPlus, Excellus (Excellus Blue Cross Blue Shield in Central NY and Univera in Western NY), Health Insurance Plan of Greater New York (EmblemHealth), Highmark (Highmark of Northeastern NY and Highmark of Western NY), Excellus (Excellus Blue Cross Blue Shield in Central NY and Univera in Western NY, Empire (Empire Blue Cross and Empire Blue Cross Blue Shield), Excellus (Excellus Blue Cross Blue Shield in Central NY and Univera in Western NY)*, Health Insurance Plan of Greater New York (EmblemHealth)*, Empire HealthChoice Dental BlueCross and Empire Health Choice Dental Blue Cross BlueShield*, Excellus Dental and Excellus Univera Dental, Highmark of Northeastern NY; Highmark of Western NY). They have informationabout pharmacy and utilization management procedures, specific benefit inclusions and exclusions, and our provider network. Household gross income is then compared to the limits shown below based on household size for the applicable program. You can sign up today! Enrollment for 2021 coverage continues through the end of the year and consumers can enroll or renew for 2022 coverage for QHPs starting November 16. WIC Eligibility Requirements | Food and Nutrition Service - USDA The nine insurers offering plans on the Small Business Marketplace are: *Also offer SBM certified Healthy NY Plans. 2021 FEDERAL POVERTY GUIDELINES (FPG) - Georgia Department of Community Additional data regarding the impact of federal and state health policy changes on individuals across the New York state is provided in the NY State of Health "Health Insurance Coverage Update". Prior authorization is needed for certain services, and if you need to see an out of network provider. Posted on November 27, 2021; By . Poverty guideline. 1-888-FIDELIS fideliscare.org (1-888-343-3547) TTY: 711 2020 Child Health Plus Income Levels Monthly Income by Family Size** Each Additional . Office visits are $0, $15 for a PCP and $25 for a specialist. | Learn more about Fidelis Nasong'o's work experience, education . Log in, register for an account, pay your bill, print ID cards, and more. EP is provided through managed care plans and offers essential health benefits. Use of this content by websites or commercial organizations without written permission is prohibited. FidelisCare offers four different income-based "tiers" of the Essential Plan. +$364. If the family's income is more than 4 . Income guidelines are approximate. Costs vary between tiers depending on your eligibility: Enroll at any time. FIDELIS and FIDELIS CARE are trademarks of Centene Corporation, Important Updates Regarding Coronavirus COVID-19, Transparency in Coverage Machine Readable Files, Preventive care and chronic disease management. Costs vary between tiers depending on your eligibility: Monthly premium is $0 Office visits are $0 or $15 for a PCP, and $0 or $25 for The unborn child can be counted as a member of the household. The guidelines published by HHS are referred to as the "poverty guidelines.". Consumers can estimate their premium costs after the American Rescue Plan Act's enhanced federal tax credits through the NY State of Health premium estimator tool available here. Click on the state name below to see that states complete Medicaid eligibility criteria. PDF Fidelis Insurance Holdings Limited New York Medicaid Eligibility for Long Term Care: Income & Asset Limits. wont set optional cookies unless you enable them. This can . Search for a medical professional, service, or facility in the Fidelis Care Network. 242.2. Applicant is allowed $65 for personal needs and the remaining income goes towards the cost of care. TTY: 1.800.662.1220. Its also great for people who cant get health coverage through their employer. Manuals and Forms - Fidelis Care Applicants income over $62 / month must be paid towards ones cost of care. Find experts in your community who are trained to help you find the best possible health care plan for your needs. Medicare Advantage plans require you to pay a monthly premium, often carry copays and coinsurance, and choose doctors within a provider network. Essential Plan - OCHIA - New York City Program regulations at 7 CFR 246.7 (d) (1) specify that state agencies may prescribe income guidelines either equaling the income . Health coverage that works on day one. Attention: Executive Officers and Program Directors of All State Subsidized Early Learning and Care . lana turner cause of death; feeld "reset matches" facebook github official *Pregnant Women: Household size calculation includes all expected children. The Essential Plan is for New Yorkers who do not qualify for Medicaid or CHP, but still need access to high quality health care. Read the Medicaid Managed Care Member Handbook to learn more about your benefits, as well as utilization management procedures, and specific benefit inclusions and exclusions. The separate poverty guidelines for Alaska and Hawaii reflect Office of Economic Opportunity administrative practice beginning in the 1966-1970 period. Load . Total Shareholders . 2021-2022 Federal Income Guidelines. Author: tjame9512 Created Date: 8/18/2022 12:42:50 AM . should request prior authorization for all services after the initial evaluation directly through Fidelis Care. The poverty guidelines are not defined for Puerto Rico . No set income limit. Specified Low-Income Medicare Beneficiary (SLMB): Medicaid will absorb the cost of your NYS updated the non-MAGI Medicaid levels for 2022 with GIS 21 MA/25 and Attachment I on Dec. 28, 2021.. Because the Federal Poverty Levels for 2022 have not been announced, the 2021 FPL limits will still be used for MAGI, the Medicare Savings Programs, MBI-WPD and other Medicaid programs that use the FPLs. 4/22 3/23), Income must be less than the cost of nursing home, Home and Community Based Services / Long Term Care Community Services, Regular Medicaid / Medicaid for Aged and Disabled. New York Medicaid Eligibility: 2023 Income & Assets Limits WIC Income Eligibility Guidelines (2021-2022) | Food and Nutrition Service 7/22-6/23), Regular Medicaid / Elderly Blind and Disabled, All available income except for $50 / month must be paid towards care, All applicants available income except for $50 / month must be paid towards care, $3,196 / month ($1,598 / month per spouse), Income must be equal or less than the cost of nursing home care, Applicants income must be equal or less than the cost of nursing home care, Medicaid Waivers / Home and Community Based, Must be less than the amount Medicaid pays for nursing home care (est. . Often, the nursing home coordinates directly with Social Security so the income they would have otherwise received goes straight to the nursing home. Find experts in your community who are trained to help you find the best possible health care plan for your needs. . In apex corporate services; Leave a comment; . For 2023, that is $13,590-$54,360 for an individual and $27,750- $111,000 for a family of four. 2020 General Information System Messages. Meet income eligibility requirements. Fidelis Insurance Holdings Limited ("Fidelis", "FIHL", or "the Company") and its . Meet income eligibility requirements. fidelis income guidelines 2021 - digesalud.com Chat Now. All Essential Plans now include Dental and Vision Coverage at no additional cost. Investors -Fidelis Insurance Group The Essential Plan is for New Yorkers who do not qualify for Medicaid or Child Health Plus, but still need access to high quality health care.Fidelis Care offers four different income-based "tiers" of the Essential Plan. 2021 Anti-Slavery & Human trafficking statement. Jan 2020 - Nov 2021 1 year 11 months. We know there are many rules regarding income, and it's hard to remember them all. This site is for information purposes; it is not a substitute for professional legal advice. Benefits Covered benefits include: Preventive care, including well visits, immunizations, and preventive screenings Dental and vision care, https://web-stg.fideliscare.org/Shop-for-a-Plan/Our-Plans/Medicaid-Managed-Care, Health (5 days ago) Web(New York State-sponsored health insurance) Medical, dental, and vision coverage for kids up to 19 Checkups, sick visits, emergency care, and more Free or low-cost , https://www.clydesavannah.org/cms/lib/NY50000425/Centricity/Domain/4/Fidelis%20CHP-Care%20CRS%20Flyer.pdf. https://www.state.nj.us/dobi/division_insurance/ihcseh/whichindividualplanbest/whichplanbest2019.pdf, Health (8 days ago) WebFor help call your ADRC/AAA toll-free at 1-877-222-3737. Your income will determine which plan you are eligible for. Fidelis Care offers four types of Essential Plans: Essential Plan 1, 2, 3, and 4. Fidelis Care offers four different income-based "tiers" of the Essential Plan. H5599_22060_2022 Enroll Online. Updated for 2022: All New York State Essential Plans will now include Dental and Vision Coverage at no additional cost. View up-to-date payment information. Half Length Dart Magazine, That's about $731 a week for a three-person family, about $883 a week for a family of four. No income limit. Yearly Monthly Weekly 1 $25,520 $2,127 $491 2 $34,480 $2,874 $663 3 $43,440 $3,620 $835 4 $52,400 $4,367 $1,008 5 $61,360 $5,114 $1,180 6 $70,320 $5,860 $1,352 7 $79,280 $6,607 $1,525 8 $88,240 $7,354 $1,697 each additional person $8,960 $747 $172 Essential Plan Income Eligibility for Adults 19 - 64 years old Household Size Household Income 728.6. Water Yoga Certification, The state agency's income standard must be between 100 percent of the federal poverty guidelines (issued each year by the Department of Health and Human Services), but cannot be more than 185 percent of the federal poverty income guidelines. There is no monthly premium for families whose income is less than 2.2 times , https://www.health.ny.gov/health_care/child_health_plus/eligibility_and_cost.htm, Health (2 days ago) Web2022-2023 Federal Income Guidelines Effective through June 30, 2023 The unborn child can be counted as a member of the household. what could be the cause of unexplained bruising? For each additional. Section 17 (d) (2) (A) of the Child Nutrition Act of 1966, as amended ( 42 USC 1786 (d) (2) (A . If you are unsure if you can claim the EITC, use the EITC Qualification . There are no co-payments for services under Child Health Plus, so you don't have to pay anything when your child receives care through these plans. Poverty Guidelines | ASPE Highly adept in strategic project planning, organizing and implementing. To establish annual income limits of 130 percent, the Poverty Guidelines are multiplied by 1.30, and the results are rounded up to the next whole dollar. It's also great for people who can't get health coverage through their employer. Additionally, the monthly premium of twenty dollars for Essential Plan 1 has been removed. income you make. Feb 2021 - Present2 years 2 months. $0 off (8 days ago) WebFidelis Care offers four types of Essential Plans: Essential Plan 1, 2, 3, and 4. 2023 ObamaCare Eligibility Chart and Subsidy Calculator *See monthly income guidelines below. Reinsurance News in Moses Lake, WA Expand search. As described at 42 CFR 423.772, resources include bank accounts, stocks, bonds, and other liquid Starting on January 1, 2022, our Medicare and Dual plans will now be Wellcare By Fidelis Care. The income and resources (if applicable) of legally responsible relatives in the household will also be counted. While there are numerous eligibility groups, including pregnant women, children, and disabled individuals, this page focuses on long-term care Medicaid eligibility for New Yorkers aged 65 and over. nsw work from home january 2022; easy moussaka with beef mince; marcolin ma5018 eyeglasses; seaside squad haven characters; . 2022 Essential Plan Map | NY State of Health $6,381 $9,087 / mo.). Health (9 days ago) Child Health Plus Ny Income Guidelines 2021.Hospital Details: Child Health Plus - New York State Department of Health.Health (6 days ago) New York State has a health insurance plan for kids, called Child Health Plus.Depending on your family's income, your child may be eligible to join either Children's Medicaid or Child . The Essential Plan is for New Yorkers who do not qualify for Medicaid or Child Health Plus, but still need access to high quality health care. The Department's guidelines for free meals and milk and reduced price meals were obtained by multiplying the year 2021 Federal income poverty guidelines by 1.30 and 1.85, respectively, and by You need to complete an application to determine your actual eligibility. Open enrollment for coverage in a 2022 Qualified Health Plan starts November 16, 2021 for new and returning consumers and ends on January 31, 2022. 2021 yamaha tenere 700 accessories; nier replicant which side quests to do. Families with no net income receive the maximum benefit, which is tied to the cost of USDA's Thrifty Food Plan (TFP), a diet plan intended to provide adequate nutrition consistent with the Dietary Guidelines for Americans that low-income households can purchase and prepare . Make an appointment, or visit during regular business hours! 811.3. Inpatient hospital stays are $0 or $150. FIDELIS and FIDELIS CARE are trademarks of Centene Corporation, Important Updates Regarding Coronavirus COVID-19, Medicaid Managed Care, Child Health Plus, Medicare Advantage and Dual Advantage, Fully Integrated Duals Advantage (FIDA), Fidelis Care at Home (MLTC), and HealthierLife (HARP), Qualified Health Plansand Essential Plans, Coverage of Vaccines for Medicaid and Child Health Plus Members, Guide to Billing for Obstetrical Providers, Generalized Anxiety Disorder 7 ItemGAD 7 Scale, Access and Availability Standards Tip Sheet, AIDS Adult Day Health Care Provider Tip Sheet, BH-HCBS Plan of Care Workflow for HealthierLife, Consumer Direct Personal Assistance Services Tip Sheet, Home and Community Based Services (HCBS) Billing and Coding Tip Sheet, Importance of Chlamydia Screening Tip Sheet, Interactive Voice Response Application for Checking Claim Status Tip Sheet, Medicaid and HealthierLife: Behavioral Health (BH) Carve-in and Health and Recovery Plan (HARP) HCBS Claims Tip Sheet, Medicare Advantage & Dual Advantage Tip Sheet, Provider Portal User Guide - Online Authorizations Tip Sheet, Request for Authorization Fax Lines Reference Tool Tip Sheet, Transportation Services (Non-Emergency) - Livery-Taxi/Ambulette/Ambulance Tip Sheet, Transportation Services (Non-Emergency) - Out of County Approval Request Tip Sheet, Personal Care Benefit Physician's order form (Outside of New York City) DOH 4359 (2010), Personal Care Benefit Physician's request form (New York City) Form M-11q (12/2014, Provider Transportation Application For Members to request non-emergency livery, ambulette, & ambulance transportation, Out-of-Area Transportation Application for Members to request non-emergency transportation service to non-local providers, Speech, Physical, or Occupational Therapy Treatment Request Form, Preventive Care Assessment Form for Children and Adolescents, Transparency in Coverage Machine Readable Files.

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