how to become a medicaid waiver provider in georgia

For common provider enrollment questions and guides, access the FAQ for Providers page under the Provider Information menu. Medicare is a federal program. hb`````f`f`0 |@1 h``ZPxjGd`8H 1/H92i? to Medicaid members. (click to hide)Alert Message posted 3/27/2020, Skip to Provider Enrollment Subsystem Menu. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. To grow a client base by becoming a CCSP provider, your agency must apply and be approved by the Georgia Department of Community Health (DCH). Its important to keep your enrollment information up to date. Local, state, and federal government websites often end in .gov. <> u_P6l@ul %Z=*JFx])(u=h7VY``KN`"F43FT bq0I\&{U\yCv^_x]uvEaxA&ems- EgV+$10l.R!,x?U?EVusxp9VsaVrn{jq5bSTtf[#uvRet N|CNxRo~zZ,w9_/{Xoq zqow+^_ujd(bQPwWn7}Azhu[T_ This email will contain information regarding New Provider Orientation. For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. How do I know if I am in the right place? endstream endobj startxref stream FAQs PDF Service Options Using Resources in a Community Environment (SOURCE) Waiver programs help people who are elderly or have disabilities and need help to live in their home or community instead of an institution such as a nursing home or intermediate care facility for people with intellectual or developmental disabilities. HP Enterprise Services (HPES) is the Fiscal Agent for Georgia Medicaid. - Updated 3/10/20. Before sharing sensitive or personal information, make sure you're on an official state website. At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. A list of the applicable manuals is below. Local, state, and federal government websites often end in .gov. . ; You wish to provide services to beneficiaries but do not want to bill Medicare for your services. >{u9xqH E O"'@I:w PPx) &~}o)`p &.=a0qL U" P$ Interested applicants must begin the process again at Phase 1, step 1 in a subsequent enrollment period at least one (1) year after the denial decision. or Complete and submit the applicable DBHDD New Provider Application, located at the following link: If required, when the DBHDD application review has been completed , a site visit will be conducted by the appropriate Regional Field Office. Before sharing sensitive or personal information, make sure youre on an official state website. - Posted 2/21/19, Waiver In recent years, public understanding and support of transgender (also known as trans) people and the issues that impact them has generally grown. PDF Georgia's Medicaid Waivers & Programs - Georgia Department of Education "xG^FZh;O8\iy^0AFeE#~-aB _mh K)Z3r >oT->+ L}$\ZSypts [}s[pYI._.jJ&*40)|[cPU|9V&=pC~7kj~xcR1>5>)`lB3{jgj|zu_3\O5c\j;2Ft(|5UdC /w.s}7U1242LV.2eH2*M[w+uFA:x7FX8ztjf#;R_kUMFUu2gKa7{=/9v@a*Uj3^ T 9srz>n.QI>dY294? Medicaid Waivers - Georgia Health 2023 Atlanta Regional Commission. - Updated 10/20/17. means youve safely connected to the .gov website. Service You can also contact GMCF at www.gmcf.org. FAQ for behavioral health providers regarding prior authorization for individual and family therapy codes CX Gather What You'll Need Local, state, and federal government websites often end in .gov. x5j7-Ip/6xH2KYq^_|>!rG /|"=Ng|;P61-o^LuJ-^|x Ilo{YP[o X`g(_;6y~c|Y'CUzWcJ`n?jLuQ N9|7A~B (|8dmc?w-wb_Aba THUa^D>4?:'jg/p|,cgi,mKW\I$S~YNwG5.L-gj9~Q ;0F02 q ?RhA+v5\*k8kqiFyAJ4$g9?H~w(;) Ck{r~i~Y1wyU1X.M C Primary: (404) 657-5468. To be eligible for Medicare, a . Medicaid SOURCE Waiver - Receive Homecare or Skilled Nursing Care at No Providers | Georgia Department of Community Health Eligibility for ICWP is based on either a nursing facility or hospital level of care for adults with severe physical disabilities or traumatic brain injury (TBI). For state Medicaid, a senior applicant is usually limited to either $841 / month or $1,133 / month in income and $2,000 in assets. \q~4za\c5f Share sensitive information only on official, secure websites. lock . CCSP recipients have a monthly income between $400 and $2523 per month. Options Waiver Program (NOW) and Comprehensive Supports Waiver Program (COMP) Provider agency must have the legal right to conduct business in the State of Georgia (i.e., current business license or other proof of legal authorization) b. To provide services in other counties, you can find the appropriate AAA ataging.georgia.gov. For questions, contactccsp.messages@dch.ga.gov. If you applied online, you can keep your information up to date in PECOS. Found in the Elderly & Disabled Waiver Program, the CCSP and SOURCE Programs serve frail elderly and disabled Georgians otherwise eligible under a nursing facility level of care through the provision of case management for service coordination, adult daycare, alternative living services, personal care, home-delivered meals, and respite care for family caregivers. As an interested I/DD provider, you will find it helpful to review the Medicaid Provider Manuals for both the Comprehensive Supports Waiver Program (COMP) and the New Options Waiver (NOW) Program. Waiver The following is a list of waiver programs in Georgia. Georgia Provider - Amerigroup Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. Community Care Services Program (CCSP ) and Service Options Using Resources in a Community Environment (SOURCE ) - Updated 3/10/20 Apply for Elderly and Disabled Waiver Program | Georgia.gov New Provider Training - Georgia ) and Links to the public notices and draft waiver applications are listed below. M\}v4 The Community Care Services Program (CCSP) is a Medicaid-funded program that serves individuals with limited income and resources who have the kinds of needs that would qualify them for nursing home care. zoX-8IHH=mhX&Z4&kjI[%w$WTdsalTLbBaCVnPm+E:YYel dadBwi,0>ldbuSUqQ47Z"ZWjU\ES-juSn*TY=#R:EGMs@sxNH.&trZX/fb-SS\i:}%{qjCm"nSkHl$,?z-#=k?zGTHr|&aiR>Z`oNI}c^0jv+Z-+qmN4kGTni@y3zd O'lg[(6+mOK>>a?I/3?.~#cX9y|/I. Available services include personal support, home health services, specialized medical equipment and supplies, counseling, emergency response systems, and home modifications. Potential CCSP Provider . ( This information is located on the Georgia Medicaid Management Information System (GAMMIS) website at: https://www.mmis.georgia.gov/portal/PubAccess.Provider%20Information/Provider%20Manuals/tabId/54/Default.aspx. endobj COMP If youre enrolling a, Youre a health care provider who wants to bill Medicare for your services and, You dont want to bill Medicare for your services, but you do want enroll in Medicare, You wish to provide services to beneficiaries but do not want to bill Medicare for your services. Pursuant to 42 C.F.R. The Medicaid program canand does (through Medicaid DSH payments)subsidize the treatment of low-income, uninsured patients without making those individuals eligible for "medical assistance," as that phrase is used in the statute. Once the LOI has been approved, you will receive an invitation to apply. Providers offering Personal Support Services and Skilled Nursing must have their license from DCH for at least nine (9) months as of the month of application to become a CCSP provider. To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. HVn8}W#YDH Apply for Elderly & Disabled Waiver Program Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. Use this guide if any of the following apply: You're a health care provider who wants to bill Medicare for your services and also have the ability to order and certify. All new providers are required to submit a completed DDA Medicaid Waiver Provider Application and submit the required supporting documentation in the form of policies and procedures, licensure and/or certification that demonstrates the provider agency's compliance with the specific rules for each of the waiver services the provider agency is If you applied using a paper application, youll need to resubmit your form to update information. NPIs are issued through the National Plan & Provider Enumeration System (NPPES). Many state waivers also offer a single reimbursement of between $40 - $200 intended to cover any installation or startup fees associated with a PERS service. The CCSP Provider Consult is not a general information session. Search the NPI Registry. See if you qualify and apply for benefits. PGRU@2' :O?z)l&.x/Jd^dHp#+21qmh;wF2-8?ktrNw2n+VkmdF;NqRTJ@pd5o3i%=[/0"';y,>K T{w[J}L*VvBMB/4QV[q h Medicaid Waiver Programs | Georgia.gov Enhanced case management service is available to individuals who require coordination and oversight through a primary care physician as part of the team. The Program Specialist may occasionally send Banner messages through web portal for important notifications. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Apply to become a Medicaid Waiver Provider To grow a client base by becoming a CCSP provider, your agency must apply and be approved by the Georgia Department of Community Health (DCH). A complete list of Medicaid . Not sure if you have an NPI? ). Section 441.304, public notice is hereby given to the submission of a Medicaid 1915 (c) Elderly and Disabled (E&D) Waiver renewal. An official website of the State of Georgia. Many people qualify to receive Medicaid, but first you have to apply. Learn more Apply for Service Options Using Resources in a Community Environment (SOURCE) %PDF-1.5 Become a Medicaid Waiver Provider - Empowerline To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. Contact Your MAC (PDF). The Provider Enrollment Unit enrolls qualified providers to receive Medicaid reimbursement for services rendered <> Waiver Renewal Application 7 0 obj Special Notice:Ending July 1, 2022, the Department of Community Health accepted public comment for a 30-day period on the New Options Waiver (NOW) and the Elderly and Disabled Waiver Program (EDWP) to renew both waiver programs. Apply for DD Services | Georgia Department of Behavioral Health and Independent Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. In response to the Centers for Medicare & Medicaid Services (CMS) approval of Medicaid Section 1135 Waivers for COVID-19, the State of Georgia Department of Community Health will expedite new enrollment applications until further notice. Community Care Services Program Waiver (CCSP) - Health Force of Georgia Providers wanting to enroll in the Georgia Medicaid program can easily do so online using the Enrollment Wizard found within the Provider Enrollment menu. To apply for services in either program, contact the Georgia Aging and Disability Resource Connections(ADRC). Enrollment Forms - Georgia Each state has its own waivers and each waiver, its own policy. For details about this waiver renewal, What is a Medicaid waiver program? - Medical News Today The ICWP offers services to a limited number of adults who apply between the ages of 21 and 64. Medicare Program; Medicare Disproportionate Share Hospital (DSH Department of Human Services, Division of Family and Children Services, Georgia Department of Behavioral Health and Developmental Disabilities. Waiver Programs | Georgia Medicaid Local, state, and federal government websites often end in .gov. Call the local number (770) 325-9600 Call the toll-free number (800) 766-4456 Personal Emergency Response Services (PERS) & Medicaid Enroll using PECOS,i the online Medicare enrollment system. .gov ;e_\7b%A6q%Phzp'|gToI1]si NpQ,*uqx:JjvL}AjU+qi,. Click here for help and information about bookmarks. hbbd``b`$0 H8ED|V@5W8d100R + We're here to help. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. endstream All Rights Reserved. An official website of the State of Georgia. C;y}r_a^mTN\; y~%[Bd\;iPC#_I '<0c BAcaXC]va0y'A"_%:bIc(:'xO%.S I8J4a]H K c*G?^50&aInA /cEe`(00VoXUf,ncUe er7-c^QR(y Call us at (770) 458-8500 or contact us to learn more about obtaining personal homecare or skilled nursing care from one of our compassionate caregivers under the SOURCE waiver program. An official website of the United States government Secure .gov websites use HTTPSA xUo1~??&q~TUZCML}@{@> +]aK?SYIJ',,{a=x:jTZ^*UhQ,e1 ,cz] x8!AUfG94a`)E,&Y - Posted 3/29/19. PRvH}+m`\=G7&%/^(Z0XxS{'h2LA)eVPac2*GQrFi0:pNQl+#sWD9; ZzkqkYf|; _%WmW S&~O1: .mrQbO`e1$+-|b&s5A&HpTNG>sYz (V] l{T 3CYNK^oE`!|nyM\,"7FK! Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. However, ARC does provide CCSP Provider Consults for those providers that will provide service in Cherokee, Clayton, Cobb, DeKalb, Douglas, Fayette, Fulton, Gwinnett, Henry, or Rockdale counties. Once the DBHDD application, and if applicable, the site visit is approved, you will be notified to complete the online application for the Department of Community Health (DCH). ; You don't want to bill Medicare for your services, but you do want enroll in Medicare solely to order and certify. PECOS has video and print tutorials and will walk you through your enrollment to ensure your information is accurate. click At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. (xC]`)q6> Initial Spending Plan Projection and Narrative for the ARPA10% point increase in FMAP for HCBS. endstream endobj 184 0 obj <>/Metadata 13 0 R/Outlines 36 0 R/PageLayout/OneColumn/Pages 181 0 R/StructTreeRoot 43 0 R/Type/Catalog>> endobj 185 0 obj <>/Font<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 186 0 obj <>stream You may view the appropriate policies, Recruitment and Application to Become a Provider of Developmental Disability Services, 02-701, Recruitment and Application to become a Provider of Behavioral Health Services, 01-111, Financial and Reporting Requirements for Community Providers, 21-101. are encouraged to review the applicable Provider Manuals for Community Providers, located on the DBHDD website: https://dbhdd.georgia.gov/community-provider-manuals, Provider Manual for Community Behavioral Health Providers, Provider Manual for Community Developmental Disability Providers. %%EOF Your MAC can help you navigate the enrollment process and answer questions about your application. Contact Medicaid Care Management Organizations (CMOs), File a Complaint about a Licensed Facility, Facebook page for Georgia Department of Community Health, Twitter page for Georgia Department of Community Health, Linkedin page for Georgia Department of Community Health, YouTube page for Georgia Department of Community Health, GA Partial Approval Letter (HCBS Initial Spending Plan), Medicaid Sign-Up Portal (Georgia Gateway). 1 0 obj HVn0+ T(e(8AF-~,%YvA$w3$, 'Yghj4Ska8}"]|&3Qb9W;RN5 5[1f}Mt2e63Q6l2IQXPe|I7BrQ.F48+'9]gs; Call Us. An official website of the State of Georgia. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Official websites use .govA A list of the applicable manuals is below. Empowerline is here to help. Persons served through the CCSP Program must be eligible for Medicaid and meet the following requirements: Have cognitive and or physical impairments/limitations which make it difficult to perform normal daily living activities and live independently Local, state, and federal government websites often end in .gov. zi>n[q@. User Information PDF Reader Required access the NOW Draft Application click here. <> Independent Care Waiver Program (ICWP) ICWP offers services to a limited number of adult members with physical disabilities, including persons with traumatic brain injuries (TBI). Become a Medicare Provider or Supplier | CMS <>>> The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) provides day-to-day operations in these programs through six regional field offices. Contact Us | Medicaid Provides services to medically fragile children with multiple system diagnoses. These programs offer an array of services designed specifically for the population such as support employment, residential services, specialized medical equipment and supplies, vehicle adaptation and behavior support services. Policies and Procedures for Medicaid/Peachcare for Kids Part I, Comprehensive Supports Waiver Program (COMP) & New Options Waiver Program (NOW) -, Comprehensive Supports Waiver Program (COMP)- Chapters 1300-3600 - Part III, New Options Waiver Program (NOW) Part III. Complete the online PECOS application. Community Apply for Medicaid Medicaid has several programs that can help you or your family. The NOW and COMP Waiver Programs provider services and support for people with intellectual or developmental disabilities. Georgia Medicaid Waivers - Georgia Council on Developmental - GCDD ]v&'0 pHin@ hf9^ endstream endobj 187 0 obj <>stream endobj We can help connect you to privately and publicly funded resources from more than 26,000 community-based providers. Georgia Pediatric Program (GAPP) ) We're here to help. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Contact your MAC (PDF). Waiver programs help people who are elderly or have disabilities and need help to live in their home or community instead of an institution such as a nursing home or ICF-MR. On July 14, 2022, the Centers for Medicare and Medicaid Services notified DCH of its approval for 1915(c) Comprehensive Supports Waiver renewal for individuals with intellectual and/or developmental disabilities. Options Waiver Program (NOW) and Comprehensive Supports Waiver Program (COMP), Options Using Resources in a Community Environment (SOURCE, Amendment Application for Georgias Elderly & Disabled Waiver Program, Amendment Application for Comprehensive Supports Waiver Program, Department of Behavioral Health and Developmental DisabilitiesServices, Georgia Aging and Disability Resource Connections, GAPP provider manual on the GAMMIS website, Third Party Liability Services Procurement, Childrens Health Insurance Program Reauthorization Act of 2009 (CHIPRA), Health Insurance Premium Payment Program (HIPP), 2020 Georgia Families 360 Monitoring and Oversight Committee, 2019 Georgia Families 360 Monitoring and Oversight Committee, Georgia Medicaid Electronic Visit Verification, PSS / CLS / Claims Implementation Archive (2018 2021), Georgia Money Follows The Person (Ga MFP), Infant and Early Childhood Behavioral Health Services, Medicaid Enterprise System Transformation (MEST), Non-Emergency Medical Transportation FAQs, Non-Emergency Medical Transportation (NEMT) Procurement, Planning for Healthy Babies Program Overview, Planning For Healthy Babies Annual Reporting, Planning For Healthy Babies Semi-Annual Reporting, Planning For Healthy Babies Quarterly Reporting, Planning For Healthy Babies Summative Evaluation Reporting, Right from the Start Medical Assistance Group, service coordination (help with managing care needs and services), personal support (assistance with daily living activities, i.e. Review the steps outlined below for the process to become an approved DBHDD provider for either Behavioral Health (BH) Services or Intellectual and Developmental Disability (I/DD) Services. Medicaid waiver programs providerecipients certain services not normally covered by Medicaid. 215 0 obj <>stream YouTube page for Georgia Medicaid; How can we help? here The Provider Enrollment Unit can be reached at the following: Fill out the Contact Us form. J0xhcni).P~EJRt l ^E`>XBI!_~ Medicaid provides access to free and low-cost medical care in Georgia. As a general rule of thumb, in 2022, senior applicants for a HCBS Waiver are limited to $2,523 / month in income and $2,000 in assets. 3 . Georgia is enrolling board certified behavioral analysts to provide ABS. Click the following link for available dates and to register for the event: https://www.georgiacollaborative.com/providers/enrollment/. Georgia Department of Community Health's (DCH) Office of Inspector General (OIG) is responsible for Medicaid Provider Enrollment. The A guide to Medicaid Waiver Programs in Georgia is now available. (u0o"q Bt$ Il&0t}V%YXe-'37# Emergency Number: For emergency mental health, developmental disability or addictive disease services, call: Georgia Crisis & Access Line: 1-800-715-4225 0 Before sharing sensitive or personal information, make sure youre on an official state website. ARC has no active role in processing or approving applications to become a Community Care Services Program (CCSP) provider. Potential Provider Information . Email Us. To qualify for a waiver program, you can have higher income and resources than permitted in the regular Medicaid program. %PDF-1.6 % The Georgia Medicaid Management Information System (GAMMIS) serves as the primary web portal for Medicaid, PeachCare for Kids and all related waiver programs administered by the Department of Community Health's Medical Assistance Plans Division. What is the best number to call to get started? lv}WU:Zm~Z55*BT%ws]Qw4@ qs1t+ The Mental Retardation Waiver Program (MRWP) assists people with disabilities who live in Georgia. Ready to become a Medicare provider or supplier? hO#+o"YI[:7 QO*$fL`m{s((P0(@L?:40QS`h)CVulT +C! 4 0 obj State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. An official website of the State of Georgia. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Before sharing sensitive or personal information, make sure youre on an official state website. [L(1+R`X#o$(WN:roBGu8k=YCx:F1#(X96nD|/:j3ZagB}JLv] )PE 8_{3YWx^9nDz)v Heres how you know. You may view the appropriate policies, and their attachments, by clicking on the links below: Both interested I/DD and BH providers are encouraged to review the applicable Provider Manuals for Community Providers, located on the DBHDD website:https://dbhdd.georgia.gov/community-provider-manuals. To avoid having your Medicare billing privileges revoked, be sure to report the following changes within 30 days: You must report all other changes within 90 days. Become a Medicaid provider. Call us at 770-458-8500 or contact us to learn more about obtaining personal care or skilled nursing care from one of our compassionate caregivers under the Community Care Services Program. Enrollment - Georgia User Information - Georgia stream 5 To apply for services in one of these programs, please refer to the Department of Behavioral Health and Developmental DisabilitiesServices (DBHDD). A guide to Medicaid Waiver Programs in Georgia is now available. Offers services for individuals with intellectual and/or developmental disabilities who require an intermediate care facility. X Providers HCBS Incident Reporting System Medicaid Pharmacy Preferred Drug Lists Provider Forms Provider Types Public Notices . Georgia Technology Authority wants to hear from you to help make the internet more accessible to everyone. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Per DCH policy you must wait one (1) year before submitting another application. Visit the DCH waivers webpage at: https://dch.georgia.gov/waivers September 2017 Georgia Department of Community Health | 2 Peachtree Street NW, Atlanta, GA 30303 | www.dch.georgia.gov | 404 . Senior Community Service Employment Program (SCSEP), About Abuse, Neglect, and Exploitation of At-Risk Adults, Georgia Alzheimer's Disease & Related Dementias State Plan, Facebook page for Division of Aging Services | Georgia Department of Human Services, Twitter page for Division of Aging Services | Georgia Department of Human Services, Linkedin page for Division of Aging Services | Georgia Department of Human Services, YouTube page for Division of Aging Services | Georgia Department of Human Services. Aging and Independence Services: a Q&A with Becky Kurtz, Metro Atlanta/DeKalb County Digital Connectivity Listening Session, Personal Support Serviceassistance with bathing, light housekeeping, laundry, shopping, meal preparation, and respite (caregiver relief), Alternative Living Servicesmeals, personal care, and supervision in an approved personal care home. The Provider Enrollment Unit can be reached at the following: In response to the Centers for Medicare & Medicaid Services (CMS) approval of Medicaid Section 1135 Waivers for COVID-19, the State of Georgia Department of Community Health will expedite new enrollment applications until further notice. The waiver has been approved for a five-year period effective April 1, 2021. R As an interested BH provider, you will find it helpful to review the Medicaid Provider Manual for Behavioral Health Services on the GAMMIS website at the following link: Community Behavioral Health Rehabilitation Services , Facebook page for Georgia Department of Behavioral Health and Developmental Disabilities, Twitter page for Georgia Department of Behavioral Health and Developmental Disabilities, Linkedin page for Georgia Department of Behavioral Health and Developmental Disabilities, Addictive Diseases Training Announcements, Cultural and Linguistic Competence Training Series: Diversity Works, Developmental Disabilities Training Announcements, Enterprise Compliance & Background Investigations FAQs. HCBS Waiver Provider Application Process | dds 3 0 obj How you know. Medicaid waiver programs provide recipients certain services not normally covered by Medicaid. p?.e^Tv+2,[P3-Nj` @Fy ! Vaf@=&wxh$R g|gV]7%ABkktO |jz*)%sjp>Zx/MWE&SDU`v You may access this form here: https://www.georgiacollaborative.com/providers/forms/. If the DCH application is denied, you are notified by DCH and advised of the next steps. y(v3Dlq+d9f{yv+M1NZB)"8Sun)8KB"$LG4a6 UD(z qAZDF40n> ,r(oM!q_ sfBzQw;EM:k$j"U'-Z`V*|[qt!o]PC{53={e*H hf;skWSJRMpuEGsLs&5m`"36$t1]MUL.5FZcAjdf(Z]g=-V6F0FAh%hdf^~|T#r }*UAXZ+s_ 9Pp!~0 >stream

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