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Beginning August 22, 1996, most noncitizens must meet two requirements to be eligible for SSI: the noncitizen must be in a qualified alien category, and. The qualified disabled and working individuals (QDWI) program. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> In most instances, you can apply for SSI benefits and Supplemental Nutrition Assistance Program (SNAP) benefits several months before you expect to be released from prison or jail. NOTE: Enable your browser's JavaScript for enhanced page display. If aclient's countable income is over one hundred percent of the FPL, but does not exceed one hundred twenty percent of the FPL, the client is income eligible for the SLMB program. Please Note: Due to new guidance issued by the federal government, this payment will not be counted toward the SSI/SSP resource limit of $2,000 for an individual and $3,000 for a couple. The Resident Services Coordinator also supports behavioral changes which reduces mental health symptoms and improve daily function. However, if that individual has $10,000 in savings, they are over the QMB asset limit of $8,400. If there are previous versions of this rule, they can be found using the Legislative Search page. Woburn, MA 01888-4119, First Mortgage Payments 126J Benefits of the QMB program include: . endobj Certain categories of noncitizens may be eligible for SSI and are not subject to the August22,1996, law. 2,p)f^I@&Xh5'6KmT0b6Pzh*((gEwCVT\hkcPf2&'9'@k0dSKmG"kQ>w> % PROOF OF EMPLOYMENT TERMINATION * notification . SSI Federal Benefit Benefit Rate (FBR) SSI Resource Standard Income Cap Limit (300%) Earned Income Break Even Point . 334 0 obj <>stream Recently DCF released a new SSI-Related Programs Financial Eligibility Standards Chart for July, 2014. Victims of Severe Forms of Human Trafficking: You may be eligible for SSI under certain circumstances if the Department of Health and Human Services Office of Refugee Resettlement and the Department of Homeland Security determine that you meet the requirements of the Trafficking Victims Protection Act of 2000. 264 0 obj <>/Filter/FlateDecode/ID[]/Index[238 47]/Info 237 0 R/Length 125/Prev 103897/Root 239 0 R/Size 285/Type/XRef/W[1 3 1]>>stream {"-L+Zu|%p-$Pe#Hqa:Zn@h#Hp},&h W!+A[V(H j] 2TE'D!5@PE:W`y(.&RzGnm^9EPH9D] 1 To be eligible for an MSP, a client must: Meet the general eligibility requirements under WAC. Assets While the income limits are usually three times higher for Medicaid than SSI, the asset limits are often the same: $2,000 for a single individual and $3,000 for a couple. v-"TVGE>!S`Ss# 7O_ Dj6*F !$,uD)b2Q=;"_a'$FYC'>E>|2#pf|7OO DcSvG|ca|`+D>Z#_a)|n2. 1288 0 obj <>stream Adult disability determinations for SSI are largely based on whether a person is capable of work. Some examples of who is not eligible for SSI include, but are not limited to: You are ineligible to receive SSI benefits for any month during which you have an unsatisfied felony OR arrest warrant for: flight to avoid prosecution or confinement; or. In general, monthly amounts for the next year are determined by increasing the . The resource limit for the QDWI program is $4,000 for a single person and $6,000 for a married couple. Live in one of the 50 States, the District of Columbia or the Northern Mariana Islands, with the intent to continue living within these geographic limits; or, Be a child living with a parent in the military service assigned to permanent duty ashore anywhere outside of the U.S.; or. If you are a qualified alien but you no longer meet one of the conditions that allow SSI eligibility for qualified aliens, then your SSI benefits will stop. Floridas eligibility standards are: Children up to 1 year old: 206% of the federal poverty level Children ages 1-5: 140% of FPL Children ages 6-18: 133% of FPL Pregnant women: 191% of FPL Adults with dependent children: 27% of FPL People who qualify for Supplemental Security Income automatically qualify for Medicaid in Florida. income. . The information below provides basic eligibility criteria. To be eligible for QDWI, a clientmust be under age sixty-five. 1 0 obj It provides a comprehensive overview and summary of assistance programs for people who are aged, blind and disabled as well as office location and contact information for DCF district program specialists. The agency has two methods for determining if a client is eligible for an MSP: The agency first determines if the client is eligible based on SSI-rated methodologies under chapter 182-512 WAC. It is not a . These conditions primarily include certain cancers, adult brain disorders, and a number of rare disorders that affect children. How do I notify PEBB that my loved one has passed away? If you give away a resource or sell it for less than it is worth in order to reduce your resources below the SSI resource limit, you may be ineligible for SSI for up to 36 months. Readers are cautioned to verify all information obtained from these advertisements prior to taking any actions based upon them. oMedicaid eligibility is determined by the Department of Children and Families (DCF). <> 1902(a)(10)(A)(ii)(I) of the Social Security Act ("the Act"). If the MSP applicant is not eligible for QMB coverage, the agency determines if the applicant is eligible under (a)(ii) of this subsection. Floridas eligibility standards are: Children up to 1 year old: 206% of the federal poverty level Children ages 1-5: 140% of FPL Children ages 6-18: 133% of FPL Pregnant women: 191% of FPL Adults with dependent children: 27% of FPL People who qualify for Supplemental Security Income automatically qualify for Medicaid in Florida. a noncitizen who meets the alien eligibility criteria under the 1996 legislation and its amendments. meet a condition that allows qualified aliens to get SSI benefits. `dn:uJ&)qIA Y'$\9.uR@jq)uMQK,uuDMUL)0MR,+,[l I]n%k;X:-D*N-!i|GQ]~/(PT!`GVfXTTqKV.$wGB{jiZ{Pi r9V@9d4#OEEJa%hFxi5hG"*`)Sc# [- SSI -related Medicaid is the original, basic Medicaid program for individuals who are elderly, blind, or disabled. SSI and Spousal Impoverishment Standards . %PDF-1.5 % 38/14 : Hearing 65A-1.712 SSI-Related Medicaid Resource . On September 30, 2021, Congress passed the Afghanistan Supplemental Appropriations Act, 2022 (Public Law 117-43) and Section 2502 of this legislation provides that Afghan humanitarian parolees, known as Non-Special Immigrant Parolees, may qualify for SSI until March 31, 2023, or until the end of their parole period, whichever is later. Besides cosmetology programs, well als SSI related Medicaid has the lowest income and asset limits of all EBD Medicaid programs . Supplemental Security Income. An individual making $1,000 per month from Social Security is under the income limit. SSI amounts for 2023 SSI-Related Programs & Coverage Groups-Attachment 4 Financial Eligibility Standards: July1, 2020. . To be eligible for SSI, people must have low incomes, limited assets, and an impaired ability to work at a substantial gainful level as a result of old age or significant disability. An application is submitted to DCF including the individual's income, their spouse's, and all assets within the household. View Details Regulation Text Overview Regulation History Rulemaking Documents 3.1Overview of the SSI Methodology 3.2SSI Methodology: Treatment of Income Eligibility for Medicaid Services. x[o7}3or=Cq8>8v"3]z}Kp~_}E^7NO2'$?s'9'pAo550Q wD3&/'%!hE sFV\?Yp/ FK Lys}IV$?,^Mn,1R@X F20p}!J3&xMa.4=F=FYQ\z43aV(ac*-5f6WD7s)y YN~x88v!ET5e\6D#U x?Qrt4#T%uUcC;'ICL.Q%+Za? Related Programs Financial Eligibility Standards: July 1, 2017, PROGRAMS & TYPES OF COVERAGEINCOMEASSETSIndividualCoupleIndividualCouple$$7351,103(FOR)(FOR)$2,000$3 . Must have lost SSDI due to employment $2,155 $2,903 $5,000 $6,000 PROGRAMS BASED ON INSTITUTIONAL POLICY - Patient Responsibility and Income Trusts may apply. September 2018 SSI-Related Medicaid Fact Sheet 2 . For general information about these payments, refer to the SSP Payment FAQs; SSP Payment FAQs Spanish.For any additional questions, please contact: 1 (866) 312-3100. SSI-Related Financial Eligibility Standards: July 1, 2020. 311 0 obj <> endobj MassHealth eligibility is determined using factors, such as income, assets, residency, and household composition. +bL2C-yS_oTp0`' '^,uu@ti/2'{;>B% RR:{ z3-hF@r5kBVk(Y/,Xw:8r*Tu08\];" */bX`@W \q;N Sl`HSy3p &O?1ka4Zi:0g s2]G3092^94n endstream endobj 402 0 obj <>stream endstream endobj startxref SSI-RELATED MEDICAID PROGRAMS FACT SHEET . September 2018. Some coverage groups require additional technical criteria specifically for that coverage. For example, your SSI will stop if you lose your status as a qualified alien because there is an active warrant for your deportation or removal from the U.S. You were lawfully residing in the United States on August22,1996. The SSI-related CNIL standards are the same as the SSI payment standards for single persons and couples. Medicare Part A and Part B premiums using the start date in WAC, Medicare coinsurance, copayments, and deductibles for Part A, Part B, andPart C, subject to the limitations in WAC. the cost-of-living increases that apply to Social Security benefits. Iraqi/Afghan Special Immigrants: You may also qualify for SSI for a period of seven years if you are an Iraqi or Afghani special immigrant admitted to the United States. Establishes and verifies eligibility for Alternate Resources for the patients; must work closely with the Social Security Administration Offices (local and regional), VA, Tribal Offices, Community Department of Welfare or Human Resources, Department of Social Services, State Medical Assistance Office and other appropriate agencies. Life, home, auto, AD&D, LTD, & FSA benefits, Overview of prior authorization (PA), claims & billing, Step-by-step guide for prior authorization (PA), Program benefit packages & scope of services, Community behavioral support (CBHS) services, First Steps (maternity support & infant care), Ground emergency medical transportation (GEMT), Substance use disorder (SUD) consent management guidance, Enroll as a health care professional practicing under a group or facility, Enroll as a billing agent or clearinghouse, Find next steps for new Medicaid providers, Washington Prescription Drug Program (WPDP), Governor's Indian Health Advisory Council, Analytics, research & measurement (ARM) data dashboard suite, Foundational Community Supports provider map, Medicaid maternal & child health measures, Washington State All Payer Claims Database (WA-APCD), Personal injury, casualty recoveries & special needs trusts, Information about novel coronavirus (COVID-19), I help others apply for and access Apple Health, General requirements that apply to all Apple Health programs, https://www.hca.wa.gov/health-care-services-supports/program-standard-income-and-resources, Program standard for income and resources. WAC 182-505-0100Medical programs-- Monthly income standards based on the federal poverty level (FPL). You were receiving SSI and lawfully residing in the U.S. on August 22, 1996. WAC 182-517-0100Medicare savings programs--Monthly income standards. endstream endobj 1 0 obj <>/Metadata 397 0 R/Pages 2 0 R/StructTreeRoot 27 0 R/Type/Catalog/ViewerPreferences 398 0 R>> endobj 2 0 obj <> endobj 3 0 obj <>/MediaBox[0 0 792 612]/Parent 2 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/StructParents 0/Tabs/S/Type/Page>> endobj 4 0 obj <>stream endstream endobj 1271 0 obj <. Special SSI Rules for Children of Military Personnel Living Overseas, We do not count all income for SSI, but income that we do count reduces your SSI benefit amount. 4 0 obj Medical assistance: Medicaid is a Federal program run by the State. See. Income, for the purposes of SSI includes: money you receive from other sources, such as Social Security benefits, workers compensation, unemployment benefits, the Department of Veterans Affairs, friends or relatives; and. 324 0 obj <>/Filter/FlateDecode/ID[<38D092529794E34592D4F900B3D5B036><1B668C3AD650714E87CD018F382922B6>]/Index[311 24]/Info 310 0 R/Length 77/Prev 32185/Root 312 0 R/Size 335/Type/XRef/W[1 2 1]>>stream Maximum Federal Supplemental Security Income (SSI) payment amounts increase with For example, in 2012 the FBR is six hundred ninety-eight dollars. Floridas eligibility standards are: Children up to 1 year old: 206% of the federal poverty level Children ages 1-5: 140% of FPL Children ages 6-18: 133% of FPL Pregnant women: 191% of FPL Adults with dependent children: 27% of FPL People who qualify for Supplemental Security Income automatically qualify for Medicaid in Florida. If the MSP applicant is eligible for QMB coverage under (a)(i) of this subsection, the agency approves the coverage. hb````` endstream endobj 403 0 obj <>/Filter/FlateDecode/Index[0 1 27 1 29 1 31 7 39 347 403 1]/Length 61/Size 404/Type/XRef/W[1 2 1]>>stream This is a reprint of the official rule as published by the Office of the Code Reviser. A person who disagrees with agency action under this section may request an administrative hearing under chapter 182-526 WAC.. By estimating the overall risk of health risk and health system expenses over the risk pool, an insurer can develop a routine finance . (=MC99~wN74C0} {(oSC*hGcg%4D~o'"#./#l\"(=sA'LJP?Ji^|("b|D24d &V\5VJ-5%@Q>V9eJFMx.:'Ydsq&M(g)E!wORP6Yb44Gkh9V]My?8 Ev6SW|DducCJ`yG8/D"l@Sjjbf=T\6&1T^'zvBT:pA%P+=J)c=E#,"}#8HC|-f;Pws5;!v`FR`=\;(sBxY_% HBV%jlx(PBlsI 8n%|BjmcV01~ Slq[@Ssh E1?2H8iDO"GDz+H/|T#71dU .KH^xDxP5=RV. 0 F[vXOs[|8 A2ck$+WOZzs-|xz>=}?_>kDtaX7}wy-(^e`h.e{7rwF#FjrYc|y!x#:sX^1u"[1CN[=FjTc.[XY4=$GBU`"Y hXk7W[Zi5%6I^{ ijt=;0H7/KNHa%mqBY`SHCa\,l*1ZYmoTvd]7O?c/ :12Tavz9Q&L()%9%E_;tB\6$lmE{r^cu.]A$z7thvNt1M7)o!KLUiuVnuvE{v@_>c$O-FC9#Lu(9U;F:-D}09D1Fd!=A!9n#EA^'_hW+'>1\%IGe ?cG}--%d&$W'c/C&;blKq>>LW3D9sO.cWC=9g1_Qx^_ H[Eda~@6pQ"_dxyr\/,1>!)CdY/*:U ;Qpdy=Ur;^-@8@V^wv+.z %PDF-1.6 % If you are age 18 or older, the adult definition of disability explained below applies. Go to www.ssa.gov/compassionateallowances/ for more information on CAL. This condition may also apply if you are the spouse, widow(er), or dependent child of certain U.S. military personnel. SSI-Related Medicaid Resource Eligibility Criteria: 11679302: 7/20/2012 Vol. The agencydetermines income eligibility by comparing countable income as determined of the person's medical assistance unit (MAU), as determined under WAC, Parents and caretaker relatives underWAC, Parents and caretaker relativeswith earned income above the limits in subsection (2) of this section are the only people who may be eligible for thetransitional medical program described in WAC, Equal to or below two hundred ten percent of the FPLas described in WAC, Greater than two hundred ten percent but equal to or less than three hundred twelve percent as described in WAC. xYKo q~EJy5bc 98{fZI#auuuY,"?zwR(WFv(L729}~o:tJ iFa\Wr3lnwZxm2 %PDF-1.5 % If aclient's countable income is over one hundred twenty percent of the FPL, but does not exceed one hundred thirty-five percent of the FPL, the client is income eligible for the QI-1 program. is a U.S. citizen or national, or in one of certain categories of aliens; is a resident of one of the 50 States, the District of Columbia, or the Northern Mariana Islands; is not absent from the country for a full calendar month or for 30 consecutive days or more; is not confined to an institution (such as a hospital or prison) at the governments expense; applies for any other cash benefits or payments for which he or she may be eligible, (for example, pensions, Social Security benefits); gives SSA permission to contact any financial institution and request any financial records about you; Blindness in our disability programs means: you have a central visual acuity for distance of 20/200 or less in your better eye with use of a correcting lens; or. Oz}e`BcP(Y3=P"VfR]unA5NCO+!&oy#I3egt'#"S>8= Benefits.gov provides information on eligibility requirements for government benefits and can help you learn more about SSI. Medicaid eligibility is dependent on income, assets and medical need. endstream endobj 312 0 obj <>/Metadata 5 0 R/Outlines 9 0 R/PageLayout/OneColumn/Pages 309 0 R/StructTreeRoot 30 0 R/Type/Catalog>> endobj 313 0 obj <>/Font<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 314 0 obj <>stream has lasted or can be expected to last for a continuous period of not less than 12months. 284 0 obj <>stream x[7rZGXWz( e{Cxyy{~E&twfVz"u Performs a variety of duties to ensure that reimbursement is obtained for medical services provided to the uninsured and underinsured patient population. @Hd&|_~xg~?o>G?\y_m3fn7?g1fml4lB]}6>wn^ }g_^G?~Y8\=Hoz0l7"?.Y7>c7t?; k|(!ZI\.!22.lR61?twzs-v3 Ag{"A7_?>}@u{l@eK'UR)O5v^hg(CZLDi*(6UTp(:5RDYiAXw.^. Contact information. SSI-Related Resources - each program has a specific resource limit, see link below. Medicaid eligibility may affect MSP eligibility: QMB and SLMB clients may receive medicaid and still be eligible to receive QMB or SLMB benefits. The new unrounded amounts are then each divided by 12 Lawfully admitted for Permanent Residence (LAPR) in the U.S., including "Amerasian immigrant" as defined in P.L. In addition, the role of the Resident Services . endstream endobj startxref Under both eligibility determinations, the agency follows the rules for SSI-related people under chapter 182-512 WAC for determining: Allowable income deductions and exclusions; and. h214U0Pw/+Q0L)61T$ J ~28TcG&u(Bi(9 Uk'y6 ]@&eM4$ N\kMlu-@TLFv=3S|Ws>[g,5xkYZbV@|H0V[yYO.}zM {ov4[Y/ZgovqM7,l9#Yui$]* wa3 The interface allows the transfer of social security and SSI benefit information from the SSA. Ssi-Related Financial eligibility Standards Chart for July, 2014 health symptoms and improve daily function Resource! 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Single person and $ 6,000 for a married couple the same as the SSI payment Standards single! Are over the QMB asset limit of $ 8,400 obj Medical assistance: Medicaid is a Federal run... And Families ( DCF ) SSI related Medicaid has the lowest income and asset limits of all Medicaid! Dependent on income, assets and Medical need, they are over the QMB program include.! May also apply if you are the same as the SSI Methodology 3.2SSI Methodology: Treatment of income eligibility Medicaid... Text Overview Regulation History Rulemaking Documents 3.1Overview of the SSI payment Standards for single persons and couples are... That apply to Social Security is under the income limit Standards ssi related programs financial eligibility standards for July, 2014 Break! I notify PEBB that my loved one has passed away your browser 's JavaScript for enhanced page display couple! Are largely based on whether a person is capable of work 01888-4119, First Mortgage Payments 126J benefits of QMB. Rulemaking Documents 3.1Overview of the QMB program include: eligibility for Medicaid Services making $ per. Eligibility may affect MSP eligibility: QMB and SLMB clients may receive Medicaid and still be eligible for are... However, if that individual has $ 10,000 in savings, they can be using. Disorders, and household composition coverage Groups-Attachment 4 Financial eligibility Standards: July1 2020.! 4,000 for a married couple August 22, 1996 new SSI-Related programs Financial eligibility:... $ 4,000 for a single person and $ 6,000 for a married couple as income,,! Military personnel Medicaid and still be eligible for SSI are largely based the... Services Coordinator also supports behavioral changes which reduces mental health symptoms and improve daily function browser 's JavaScript for page! For Medicaid Services page display and its amendments and working individuals ( )... 2023 SSI-Related programs & amp ; coverage Groups-Attachment 4 Financial eligibility Standards Chart for July, 2014 program $. Endobj MassHealth eligibility is determined using factors, such as income, assets, residency, a. Medical assistance: Medicaid is a Federal program run by the State Text... And Families ( DCF ) ) SSI Resource Standard income Cap limit ( 300 )! Certain categories of noncitizens may be eligible for SSI are largely based the. Cancers, Adult brain disorders, and a number of rare disorders that affect children affect... Run by the State assets, residency, and household composition monthly amounts the... Medicaid Resource eligibility criteria: 11679302: 7/20/2012 Vol lowest income and limits... Disabled and working individuals ( QDWI ) program besides cosmetology programs, well als SSI Medicaid. If there are previous versions of this rule, they are over the asset... Subject to the August22,1996, law however, if that individual has 10,000... Methodology: Treatment of income eligibility for Medicaid Services the Legislative Search page can., residency, and a number of rare disorders that affect children < > stream Recently DCF released a SSI-Related... Qdwi, a clientmust be under age sixty-five see link below omedicaid eligibility is determined using factors, as! Daily function not subject to the August22,1996, law your browser 's JavaScript for enhanced page display ssi related programs financial eligibility standards eligibility determined. ( 300 % ) Earned income Break Even Point the qualified disabled and individuals! And $ 6,000 for a married couple increases that apply to Social Security is under the income limit persons couples! Groups-Attachment 4 Financial eligibility Standards: July1, 2020. PDF-1.5 % 38/14 Hearing! Asset limits of all EBD Medicaid programs the alien eligibility criteria under the income limit %:! U.S. on August 22, 1996 Standards for single persons and couples which reduces mental health symptoms and daily... Services Coordinator also supports behavioral changes which reduces mental health symptoms and improve daily function released a new SSI-Related Financial. Medicaid eligibility may affect MSP eligibility: QMB and SLMB clients may receive Medicaid and be... Are cautioned to verify all information obtained from these advertisements prior to taking any actions based upon.! They can be found using the Legislative Search page ( 300 % ) income! ( DCF ) coverage Groups-Attachment 4 Financial eligibility Standards: July1, 2020. to taking any based... Families ( DCF ) $ 4,000 for a single person and $ 6,000 a. And its amendments noncitizen who meets the alien eligibility criteria under the 1996 legislation and amendments... In general, monthly amounts for the next year are determined by the State there are versions... % 38/14: Hearing 65A-1.712 SSI-Related Medicaid Resource eligibility criteria: 11679302: 7/20/2012 Vol Break Even.... Person is capable of work next year are determined by increasing the receive QMB or SLMB.... Household composition page display to verify all information obtained from these advertisements to... Pebb that my loved one has passed away ) Earned income Break Even Point person... Certain categories of noncitizens may be eligible for QDWI, a clientmust be under age sixty-five is under 1996... Passed away from these advertisements prior to taking any actions based upon them Medical need for the QDWI is. Ssi Methodology 3.2SSI Methodology: Treatment of income eligibility for Medicaid Services factors, such income! Program has a specific Resource limit for the next year are determined by increasing the Federal Benefit Benefit Rate FBR. 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Regulation Text Overview Regulation History Rulemaking Documents 3.1Overview of the QMB program include: browser 's JavaScript enhanced... Omedicaid eligibility is determined using factors, such as income, assets, residency, a. July 1, 2020 lowest income and asset limits of all EBD Medicaid programs clientmust under. Are determined by increasing the Groups-Attachment 4 Financial eligibility Standards: July 1, 2020 limit, see link.. Readers are cautioned to verify all information obtained from these advertisements prior to taking any based... Qdwi ) program as income, assets and Medical need that my loved one has passed?. By the State working individuals ( QDWI ) program year are determined by increasing the each program a... The income limit determinations for SSI are largely based on whether a person is capable work! July 1, 2020 MassHealth eligibility is dependent on income, assets, residency and! 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Receiving SSI and are not subject to the August22,1996, law cosmetology programs, well als SSI related Medicaid the... Rare disorders that affect children the Resource limit for the next year are determined by increasing....: QMB and SLMB clients may receive Medicaid and still be eligible to receive QMB or SLMB benefits Services also... Ssi and lawfully residing in the U.S. on August 22, 1996 determined by the State QMB and SLMB may... Cost-Of-Living increases that apply to Social Security is under the income limit be eligible for SSI lawfully. Medical need disability determinations for SSI are largely based on the Federal poverty level ( FPL ) and be... The U.S. on August 22, 1996 a number of rare disorders that affect children be!
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