The cost of assisted living starts around $4,695 a month. Provider Enrollment Applications. These counts do not include the Consumer Assessment of Healthcare Providers and New Jersey Medicaid does cover assisted living. Does Medicaid Cover In-Home Care in New Jersey? They must also be able to live independently, with minimal assistance from staff. A federal government managed website by theCenters for Medicare & Medicaid Services.7500 Security Boulevard Baltimore, MD 21244, An official website of the United States government, Improving Care for Medicaid Beneficiaries with Complex Care Needs and High Costs, Promoting Community Integration Through Long-Term Services and Supports, Eligibility & Administration SPA Implementation Guides, Medicaid Data Collection Tool (MDCT) Portal, Using Section 1115 Demonstrations for Disaster Response, Home & Community-Based Services in Public Health Emergencies, Unwinding and Returning to Regular Operations after COVID-19, Medicaid and CHIP Eligibility & Enrollment Webinars, Affordable Care Act Program Integrity Provisions, Medicaid and CHIP Quality Resource Library, Lawfully Residing Immigrant Children & Pregnant Women, Home & Community Based Services Authorities, September 2022 Medicaid & CHIP Enrollment Data Highlights, Medicaid Enrollment Data Collected Through MBES, Performance Indicator Technical Assistance, 1115 Demonstration Monitoring & Evaluation, 1115 Substance Use Disorder Demonstrations, Coronavirus Disease 2019 (COVID-19): Section 1115 Demonstrations, Seniors & Medicare and Medicaid Enrollees, Medicaid Third Party Liability & Coordination of Benefits, Medicaid Eligibility Quality Control Program, State Budget & Expenditure Reporting for Medicaid and CHIP, CMS-64 FFCRA Increased FMAP Expenditure Data, Actuarial Report on the Financial Outlook for Medicaid, Section 223 Demonstration Program to Improve Community Mental Health Services, Medicaid Information Technology Architecture, Medicaid Enterprise Certification Toolkit, Medicaid Eligibility & Enrollment Toolkit, SUPPORT Act Innovative State Initiatives and Strategies, SUPPORT Act Provider Capacity Demonstration, State Planning Grants for Qualifying Community-Based Mobile Crisis Intervention Services, Early and Periodic Screening, Diagnostic, and Treatment, Vision and Hearing Screening Services for Children and Adolescents, Alternatives to Psychiatric Residential Treatment Facilities Demonstration, Testing Experience & Functional Tools demonstration, Medicaid MAGI & CHIP Application Processing Time. Involved with DHS! Us, Privacy Pricing & availability: 888-434-4648. Resources, Commissioner & Key New Jersey Assisted Living and In-Home Care Medicaid Waiver Information for 2022 FamilyAssets Staff December 22, 2022 New Jersey offers long-term care resources to seniors through the New Jersey Department of Human Services (DHS), Division of Aging Services (DoA)and the Division of Disability Services (DDS). In New Jersey, Medicaid does not cover the cost of assisted living. Medicaid officials in New Jersey think that the changes may bring about additional Medicaid enrollees, but will save money long-term by postponing the nursing home. Clinical Requirements: An individual age 20 or younger can qualify for Managed Long Term Services and Supports (MLTSS) by meeting these established Medicaid requirements: Note: For children applying for MLTSS, and who meet Pediatric Clinical Eligibility as per the Comprehensive Waiver approved August 2017, parental income and resources are not counted in determining financial eligibility. Two Types of Medicaid Long Term Care Programs that Cover Assisted Living There are two types of programs under Medicaid Long Term Care (LTC) that will pay for costs in assisted living: Aged, Blind and Disabled Medicaid, and Home and Community Based Services (HCBS) Medicaid waivers. Life at Sunrise . See if you qualify today! Listed on 2023-01-03. - Individuals and Families, Important Statement, DHS In addition to meeting the above eligibility requirements, applicants must also have a low income and few assets. It's open to . In New Jersey, Medicaid will pay for assisted living costs if the individual meets all of the following criteria: You must have few resources in order to qualify financially for Medicaid. In a few states (Massachusetts, New York, and Iowa), assisted living discharge is considered an eviction and is handled under landlord-tenant law. 2023 VA Aid and Attendance Numbers . New Jersey Care Special Medicaid Program: Income <$1,133/mo. Home, Services Medicaid funds these stays for roughly $205 a day. Checkout this video: Watch this video on YouTube Job duties, Read More Whats the Difference Between a Medical Assistant and a Nurse?Continue, ContentsWhy pursue a career in medical assisting?What are the duties of a medical assistant?What are the educational requirements for medical assistants?What is the job outlook for medical assistants?How much do medical assistants make?What are the benefits of becoming a medical assistant?What are the best medical assistant training programs in Kentucky?What are the top medical assistant, Read More Find the Best Medical Assistant Training in KentuckyContinue, ContentsFront Desk medical assistant Jobs: The Pros Front Desk Medical Assistant Jobs: The Cons The Pros of a Front Desk Medical Assistant Job The Cons of a Front Desk Medical Assistant Job The Pros and Cons of a Front Desk Medical Assistant Job Front Desk Medical Assistant Jobs: Pros and Cons The Advantages and Disadvantages, Read More Front Desk Medical Assistant Jobs: The Pros and ConsContinue. Home, DHS MLTSS uses NJ FamilyCare managed care organizations (also known as HMOs or health plans) to coordinate ALL services. Medicaid provides assistance to individuals who are 65 or older and in need of a Skilled Nursing Facility or an Assisted Living Facility Medicaid is the single largest payer of nursing home bills in America and serves as the option for many people who have no other way to finance their long-term care. Releases, Public and Legislative Affairs, & Publications, Providers & Stakeholders: In late July, he announced he is contacting 500 current and former residents to see if they, too . Provides: Assisted Living New Standard Senior Living is the onlyretirement community in the Egg Harbor Townshiparea with affordable, private assisted livingsuites that offers Medicaid and low-incomehousing options, in addition to private pay.More value and the best support for yourmoney and payment options you can. Listing for: One Brooklyn Health System. Also Check: General Doctor That Accepts Medicaid. The percentage of Medicaid occupancy is based upon the nursing facility's occupancy for the prior quarter of the year as MAGI-based eligibility levels, expressed as a percentage of the FPL, for several key and Results. 53 Haddonfield Rd. Disclaimer: We DO NOT check license status for facilities and DO NOT ensure each property is classified as an "assisted living" facility. Residents typically have their own private rooms or units, and share common areas such as kitchens, baths, and living rooms. Not all property counts toward the resource limit. In this blog post, well discuss New Jersey Medicaid assisted living Facilities and how they can help you or your loved ones. Nursing homes focus on providing medical care, while assisted living communities generally provide less care and focus more on housing and support. The most expensive facility in the state has a monthly cost of $15,600, while the least expensive has a monthly cost of just $1,764. As of December 2019, has enrolled 985,201 individuals in Medicaid and CHIP a net increase of 57.29% since the first Marketplace Open Enrollment Period and related Medicaid program changes in October 2013. To be eligible for Medicaid assisted living benefits in New Jersey, applicants must: CHIP enrollment in for the last day of A to Z, https://healthapps.state.nj.us/facilities/fsSearch.aspx, Contact . For applicants to regular Medicaid , the resource limits are higher, so that an individual can have up to $4,000 in resources and still qualify. Provider Type: Field is Required! How is Nursing Home Care covered in MLTSS? We can help you navigate Medicaid to arrive at the right choice for your circumstances.Our team has years of experience in preparing our clients for the option to use Medicaid in the future and applying for Medicaid benefits when a party is qualified. -Have a contract with the Division of Medical Assistance and Health Services (DMAHS) Staff can also distribute daily medications and assist with tasks like bathing or changing. Resources, Commissioner & Key Remember, Medicaid in New Jersey will pay for a nursing home, assisted living and home-based care. The 10 Best Assisted Living Facilities in Camden County, NJ for 2023 The average cost of assisted living in Camden County is $4,548 per month. There are several ways Medicaid programs cover services provided in or by assisted living facilities, according to a spokesperson from the U.S. Centers for Medicare & Medicaid Services. An official website of the United States government Importantly, most assisted living facilities in New Jersey accept Medicaid. One must not feel they need to enter into an inferior care environment to receive Medicaid in assisted living. Similar to assisted living, if your loved one has an income above a certain threshold, they may need to set up something called a qualified income trust or Miller trust.. In New Jersey, your home is an exempt resource as long as it is your principal residence. No matter where you are at in the process, contact us. 95 percent of its Medicaid certified beds filled in order to bill Medicaid for the bed-hold of a resident. The News Movement/AP. The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) recently sent a letter to the U.S. Occupational Safety and Health Administration (OSHA) regarding its forthcoming final healthcare standard on COVID-19. In New Jersey, assisted living residences are also licensed by the Department of Health and subject to annual unannounced inspections in much the same manner as nursing facilities. For married couples, the limit is $3,000 in countable assets. A .gov website belongs to an official government organization in the United States. Official websites use .gov Assisted Living Program (ALP) . which is publicly reported by CMS but uses a different summary statistic. The State has also moved back to an income cap structure, which it hadn't used since the 1990s. There are both pros and cons to Medicaid assisted living facilities in New Jersey. Notice, Accessibility Contracts, Legal Notices, Licensing, MedComms. Medicaid Financing and Coverage Issues in Assisted Living Families looking for assisted living in New Jersey have a wide array of communities to choose from, since estimated that there are more than 30,000 assisted living communities serving seniors across the U.S., and over 262 statewide. You may also be required to have a medical need for the level of care provided in an ALF. In New Jersey, single individuals must have countable assets of $2,000 or less in order to qualify for Medicaid assistance to pay for an ALF. #330. A to Z. Staff, Disaster & Emergency -The individual cannot live safely on their own and would be a danger to themselves or others if they did not receive help with daily activities. designed to facilitate enrollment in Medicaid and CHIP. groups: children, pregnant women, parents/caretaker relatives, and, other adults. New jersey Medicaid Allowances : Senior Planning Services medicaid asset allowances Medicaid Asset Allowances Year 2022 Medicare Key Metrics Medicare Standard Part B Premium: $170.10 Medicare Co-Payment: $0.00 Skilled Nursing Facility (SNF): $194.50 New Jersey Connecticut Massachusetts New York Pennsylvania Income Limit $2,523.00* This is due to the extra therapy and treatment offered at these facilities, the higher staffing levels, and the additional training and certification . To apply for Medicaid benefits, interested individuals can contact their local Division of Aging Services office or the New Jersey Department of Human Services. A couple with both spouses applying can have up to $6,000 in assets. As of December 2019, has enrolled 985,201 individuals in Medicaid and CHIP a net increase of 57.29% since the first Marketplace Open Enrollment Period and related Medicaid program changes in October 2013. Help & Information, Press Medicaid in New Jersey Medicaid in NJ has undergone some really big changes in the last few years, and they are part of the reason that the programs seem so confusing. Get Individual; <$1,526/mo. Subscribe to our newsletter for the latest information, 74 Brick BoulevardBldg. Resources, Commissioner & Key Mr. Goldberg came to my house and in layman's language he explained Elder Care. The rules for Medicaid eligibility vary by state, household size, and year. This information is not a complete description of benefits. Age/Disability - the applicant must be age 65 or older, or blind, or disabled. Some of the cons include the fact that these facilities can be expensive, they may have long waiting lists, and they may not be available in all areas of the state. What is the Cost of Memory Care in Paterson , NJ? This gives enrollees of the program money from the state's Medicaid FamilyCare program to help cover the costs of assisted living. Nursing facilities have a larger support staff and multiple nursing stations to help patients who need intensive daily care. These eligibility standards include CHIP-funded Medicaid expansions. That someone has my back, guiding and protecting the estate, means more than words can express. These include: To be eligible for New Jersey Medicaid, a person must: In addition, a person must fall into one of the following categories: Copyright State of New Jersey, 1996 - 2008, NJ A to Z. To receive MLTSS, New Jersey residents must meet these requirements: Depending on the individuals needs and wishes, they can qualify for support towards at-home services, assisted living, or a nursing home. However, there are many traps for the unwary. ) or https:// means youve safely connected to the .gov website. There currently are six PACE organizations serving parts of ten counties. Many families may note that the monthly price for memory care is higher than assisted living and other kinds of senior living. The State University of New Jersey Rutgers Center for State Health Policy; 112 Paterson Street, 5th Floor . Lock A lock ( What are the benefits of renewing your license? Your compassion and understanding in such a difficult time is very comforting, especially when the business side of a loved one's passing needs to be addressed. Location and contact information: 461 NJ-168. How do I know if I am eligible for Medicaid assistance? 3. New Jerseys Medicaid program provides coverage for certain long-term care services, including adult day care. View Pricing & Availability Learn More Brookdale Hamilton ContentsWhat are patient medication assistance programs?Who is eligible for patient medication assistance programs?How do patient medication assistance programs work?What are the benefits of patient medication assistance programs?Are there any drawbacks to patient medication assistance programs?How can I find out if I am eligible for a patient medication assistance program?How do I apply for a patient, Read More Patient Medication Assistance Programs You May Qualify ForContinue, ContentsIntroduction to the Eastern Suffolk Boces Medical Assistant ProgramWhat the Eastern Suffolk Boces Medical Assistant Program entailsThe benefits of the Eastern Suffolk Boces Medical Assistant ProgramThe curriculum of the Eastern Suffolk Boces Medical Assistant ProgramThe admissions requirements for the Eastern Suffolk Boces Medical Assistant ProgramThe tuition and fees for the Eastern Suffolk Boces Medical Assistant, Read More The Eastern Suffolk Boces Medical Assistant ProgramContinue, ContentsIntroductionWhat is a Letter of Request for Medical Financial Assistance?Who Can Write a Letter of Request for Medical Financial Assistance?When is a Letter of Request for Medical Financial Assistance Needed?How to Write a Letter of Request for Medical Financial AssistanceTips for Writing a Letter of Request for Medical Financial AssistanceWhat to Include in a Letter, Read More How to Write a Letter of Request for Medical Financial AssistanceContinue, ContentsJob duties Education and training Certification Salary Job outlook Working conditions Pros and cons Key differences Takeaway Medical assistants and nurses both play vital roles in the healthcare industry. Medicaid-certified adult day care programs must provide social and recreational activities, as well as health-related services, to adults who are unable to care for themselves during the day. Also, one car is exempt regardless of its value, as long as you or a family member uses it for transportation. For more detailed information on Medicaid financial eligibility, click here. New Jersey Medicaid offers an assisted living waiver, which seniors may use to pay for memory care. An assisted living waiver is a state-specific Medicaid program that helps persons who need a nursing facility level of care (NFLOC) live in assisted living residences as an alternative to moving into nursing homes. December 5, 2022 . I was wrong. Us, Privacy The individual does not require hospitalization or skilled nursing care. In addition to meeting asset limits, you must also have income below a certain level in order to qualify for Medicaid assistance. Smoke detectors are required in all resident bedrooms, living rooms, studio units, and apartments, as well as common areas. Its essential to check with each facility to understand their specific policies and thoroughly research the quality and reputation of a facility before moving forward. The program allows for a greater reach of home and community-based services and promotes inclusion, quality, and efficiency, according to the New Jersey Division of Medical Assistance and Health Services. Location: Dousman Accounts Receivable Insurance Billing Specialist starting at $20/hr! The states median monthly cost for this type of care is $4,957, which is slightly higher than the national average of $4,000. Other eligibility criteria also apply, for example, with respect to citizenship, immigration status and residency. These services can be provided by a trained caregiver in the seniors home or in an assisted living facility. Beauty Salon Guest meals Community living arrangements are designed to help people with chronic illnesses or disabilities live as independently as possible in the community. the CMS Medicaid Adult Core Set. What is a Medicaid Assisted Living Facility? Attorney Advertising. Home, DHS The amount of your copayment will depend on your level of income. 4. Our team is comprised of an industry-leading range of professionals whose experience in important caregiver issues make them a resource throughout New Jersey. There is another option known as the Program of All-Inclusive Care for the Elderly (PACE) program. Adult day care is more affordable too, at $1,950. Services A to Z, Consumers & Clients What are the Costs of Medicaid Assisted Living Facilities in New Jersey? Our legal team at the Elder Law Department at Goldberg Law Group can help you understand your options and how to meet and maintain your Medicaid eligibility so you can get the care you deservewherever you are. For the eligibility groups reflected in the table, an individuals income, computed using the Modified Adjusted Gross Income (MAGI)-based income rules described in 42 CFR 435.603, is compared to the income standards identified in this table to determine if they are income eligible for Medicaid or CHIP. This is above the norm for the country, where seniors are likely to pay around $4,500. The typical assisted living facility in New Jersey charges a fee of $6,495 per month for accommodation and care. Capacity: 124 assisted living units Phone #: (888) 539-5370 Brandywine Senior Living at Princeton is an assisted senior living facility in MERCER County, NJ in the 08540 zip code area that provides senior assisted living to a maximum of 124 older adults. In New Jersey, the 2020 rate was 31.8 retail prescriptions per 100 people, significantly lower than the national average of 43.3 and nearly half the number of prescriptions in 2012. . The Assisted Living Medicaid program is unique. The State has a template available and describes it in some (although not enough) detail. has adopted one or I wanted to extend my gratitude for your assistance, advice and knowledge in elder law to help my fathers estate and Medicaid Application come to fruition. For example, an individual must be aged 65 or older, blind, or disabled in order to be eligible for Medicaid. The Cost of Assisted Living in New Jersey Although every assisted living facility has a unique pricing structure, you may want to budget for around $6,495 per month, which is the average fee for New Jersey published in the 2021 Genworth Cost of Care Survey. New Jersey Medicaid Managed Long Term Services & Supports (MLTSS) Speak with a Senior Care Expert Today (For Free) (855) 481-6777 A A A Financial Assistance Veterans Helpful Guides Assisted Living Senior Care Product Reviews Medicare Advantage Assisted Living New Jersey Medicaid Managed Long Term Services & Supports (MLTSS) Table of Contents . Call TTY 711 for more information. Medicaid and Assisted Living in New Jersey: What You Need to Know, The Medicaid Waiver Program and Assisted Living in New Jersey, Medicaid and Long-Term Care in New Jersey, Applying for Medicaid in New Jersey: What You Need to Know, How to Pay for Assisted Living with Medicaid in New Jersey, Medicaid and Adult Day Care in New Jersey, Where to Get More Information About Medicaid and Assisted Living in New Jersey, Patient Medication Assistance Programs You May Qualify For, The Eastern Suffolk Boces Medical Assistant Program, How to Write a Letter of Request for Medical Financial Assistance. In New Jersey, the monthly income limit for a single individual is $2,199. SECURE Act 2.0 . Help & Information, Press This is higher than the national median of $3,750 . Assisted living is a great middle-ground for a person who needs a little extra care than at-home support can provide. These programs pay for hospital services, doctor visits, prescriptions, nursing home care and other healthcare needs, depending on what program a person is eligible for. I'm still learning, but he and his group put my mind at ease. Each facility has its own specific conditions for admission. gross income (MAGI). Each facility is different, so it is important to research the specific services offered by each one. Medicaid can only cover the cost of care services in assisted living and memory care. Required fields are marked. Your email address will not be published. When should you renew your license? more of the targeted enrollment strategies outlined in guidance CMS issued on May 17, 2013, The facility is in a mostly well-to-do area, with a median per-family income of $79,486. Notice, Accessibility Your home equity is not counted when determining whether you meet the asset limits for Medicaid eligibility. In some states, Medicaid also covers the cost of assisted living for certain individuals. Senior Housing Options: What Services are Provided by Medicaid Assisted Living Facilities in New Jersey? Source: Medicaid -Reside in a state-licensed assisted living facility For Medicaid FFS claims, assisted living facilities are responsible for deducting the Cost Share/PPL amounts from their FFS claims manually. NJ Elder Law Center at Goldberg Law Group 2023. How much does it cost to renew your license? If this all sounds confusing and overwhelming, you're not alone. Notice, Accessibility If you or a loved one are considering moving into an assisted living facility in New Jersey and are worried about how you will pay for it, contact your local Area Agency on Aging to see if you qualify for the Residential Care Subsidy Program. Applying for Medicaid can be a complicated and emotional process as you explore the best option for your family and their changing healthcare needs. The program provides a broad range of care and non-care support services including personal care assistance, home-delivered meals, respite care, home modifications, and others. Services A to Z, Consumers & Clients The average cost of memory care in Paterson, NJ, is $6,728 per month. In federal fiscal year (FFY) 2019, reported of 24 frequently reported health care quality measures in the CMS Medicaid Adult Core Set. Source: Medicaid/CHIP Any individual who is pending or newly eligible for NJ FamilyCare Plan A and is living in, or requesting placement, in a NF/SCNF will be referred to the DoAS Office of Community Options (OCCO) for MLTSS clinical eligibility assessment. Seniors who enroll are able to direct tax-free payments from their life insurance policies to cover housing and long-term care costs. Click here for more information about PACE. Medicaid with assisted living Assisted living is a great middle-ground for a person who needs a little extra care than at-home support can provide. Kingsway Recovery is an outpatient treatment and detox center in Mullica Hill, NJ. Finally, you will want to make sure that the facility offers the services that you need. What are the financial criteria for Medicaid eligibility? Hint: if you want a list of all the facilities in a county, just select the county and click the Start Search button. MLTSS provides long-term services through the states FamilyCare managed care program. The table below presents the most recent, point-in-time count of total Medicaid and For this reason, they may not work well for individuals who require 24/7 care. Whats the Difference Between a Medical Assistant and a Nurse? We strongly urge every consumer to conduct due diligence on facilities they are considering. Under prior law, our state's old Medicaid rules were part of a plan called a 1915 (c) waiver. To be eligible to enroll, you must live in the PACE provider service area. An individual 21 and older can qualify for Managed Long Term Services and Supports (MLTSS) by meeting these established Medicaid requirements: Financial Requirements: These include monthly income, as well as total liquid assets. Medicaid in New Jersey at Home vs. in Assisted Living vs. a Nursing Home, Important Facts About New Jersey Medicaid, Forbes & Fortune Magazine Extraordinary Women in Business Clelia Pergola, How NJ Guardians Can Help Their Loved Ones Qualify for Medicaid, Goldberg Law Group is mentioned in Ad-vo-cate for Mom & Dad, Important Information for College Children, Helping Seniors and Their Loved Ones Plan for a Better Future, Be under 65 and have been determined to be blind or disabled by the state or the Social Security Administration, Meet requirements regarding income and assets, Require assistance with daily activities, such as bathing, dressing, or mobility. Different states have different financial criteria for Medicaid eligibility. Qualification and eligibility are based on strict criteria for approval. Medicaid provides health insurance to parents/caretakers and dependent children, pregnant women, and people who are aged, blind or disabled. Our state's 1115 Demonstration Plan changed the way Medicaid funds placements in assisted living residences. However, there are many Medicaid assisted living facilities in New Jersey that cost much more than this. Home, DHS If you think you may be eligible for Medicaid benefits, contact your local Medicaid office or the Medicaid Hotline at 1-800-356-1561 to find out more about the program and how to apply. This table reflects the principal but not all MAGI coverage groups. You may hear this referred to as global options or the comprehensive waiver program, but the question is the same. This table does not include notations of states that have elected to provide CHIP coverage of unborn children from conception to birth. Parents and caretaker relatives with income over the income standard for coverage under this group may be eligible for coverage in the adult group in states that have expanded to cover the adult group. These include: Community Living Arrangements: However, Medicaid and Medicare coverages for assisted living costs, just like . While home care can increase the care recipients level of comfort, they should get proper advice to ensure that their needs are met. Involved with DHS! Under New Jersey's Medicaid Plan, assisted living facilities are allowed to accept an unlimited number of individuals who are eligible for MLTSS long term care. When you are looking for a Medicaid assisted living facility in New Jersey, there are a few things you will want to keep in mind. Before you sign anything or even consider a placement, you should really call an elder law attorney and make sure they can guide you through the assisted living process and the application for assisted living Medicaid in New Jersey. My back, guiding and protecting the estate, means more than words can express Special! 6,495 per month provided in an assisted living is a great middle-ground for a nursing home, MLTSS. Applying can have up to $ 6,000 in assets living residences ).. New Jerseys Medicaid program provides coverage for certain individuals bill Medicaid for latest... Will depend on your level of income living rooms reported by CMS but uses a different summary statistic care (... Disabled in order to be eligible to enroll, you 're not alone income limit a... As it is your principal residence the monthly price for memory care on! Recipients level of care services, including adult day care they need enter! 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Kingsway Recovery is an outpatient treatment and detox Center in Mullica Hill, NJ a complicated and process... For the country, where seniors are likely to pay for memory in. Its own specific conditions for admission much more than this Law group 2023 are able to live independently with!
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