You must provide proof of citizenship and identity. Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non- contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities); Where applicable, requirements for gatekeeper referrals are waived in full; Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and. La llamada es gratuita. Young adults after leaving foster care (up to age 26): no income limit Enrollment in the plan depends on the plans contract renewal with Medicare. To stay informed about the latest program updates, limitations to in-person contacts, general COVID-19 resources, and more, please go to the COVID-19: ForwardHealth Program Updates for You and Your Family webpage. There is no gap in coverage that is typical in other states not implementing the Medicaid expansion because individuals with incomes above 100% are eligible for tax credits to purchase coverage in the Marketplaces. Once an applicant is determined eligible through the real-time eligibility process, they are considered eligible for BadgerCare Plus and/or Family Planning Only Services and will be enrolled for 12 months, unless changes affecting eligibility occur before the 12-month period ends. This assessment will help us learn about your health care needs. I want to apply for Under the previous waiver, childless adults were covered by a separate, less comprehensive benefits plan called the BadgerCare Plus Core Plan. The BadgerCare Reform provides more comprehensive benefits to childless adults compared to the previous waiver. Pregnant non-U.S. citizens who are not qualified aliens but meet other eligibility criteria for BadgerCare. Llame al 1-800-905-8671 TTY 711, o utilice su servicio de retransmisin preferido. You can sign up at any time. For a household of four people low income is $2,050 per month. You'll find a list of the currently available teaching aids below. If a member of a limited benefit category requests a service that is not covered under the limited benefit category, the provider may collect payment from the member if certain conditions are met. 4 Modified Adjusted Gross Income ( MAGI) For most taxpayers, your MAGI is close to AGI (Line 7 of your Form 1040 in 2018, and Line 8b in Each member will get their own card, and each card will include the member's ForwardHealth ID number. Receiving this service also entitles you to the following protections: Written information can be sent to an address other than your current residence. You have access to our member-only website. Diabetic supplies, ostomy supplies, and other disposable medical supplies, Prescription drugs (members will be automatically enrolled in the BadgerRX Gold Plan which is a separate program by Navitus Health Solutions), Durable medical equipment: coverage up to $2,500 per enrollment year (excluding cochlear implants, hearing aids, and hearing aid equipment, Home Care Services (e.g. We are not responsible for the products or services offered or the content on any linked website or any link contained in a linked website. These are: Family income must be at or below 200% of the Federal Poverty Level*, You are a child or young adult under 19 years old leaving foster care, regardless of income, You have a child in foster care or are currently taking care of a child within your home, You are a pregnant woman living up to 300% of the Federal Poverty Level*, You are a US citizen or qualifying immigrant**, You do not have any dependent children under 19 years old living with you, Your family income is at or below 200% of the Federal Poverty Level*, You currently do not have health insurance or have availed of one in the past 12 months, whether private or through an employer, You have not quit your job and in the process have lost your health insurance provided by the employer, You do not have access to health insurance within 3 months following the date of application, You do not have access to insurance through your current employer in the past 12 months, You are able to pay a non-refundable application fee (if you are homeless or are eligible to get Indian Health Services, you no longer need to pay this). If youre not sure who youre talking to, hang up the phone. If you think there should be more material, feel free to help us develop more! All Other Households 1 person $2266 / month 2 people $3052 / month 3 people $3840 / month 4 people $4626 / month 5 people $5412 / month 6 people $6200 / month 7 people $6986 / month Each You can access a table of copayments here: http://www.dhs.wisconsin.gov/publications/P1/P10194.pdf. The New Review and Approval Process Rule for Section 1115 Medicaid and CHIP Demonstration Waivers. Adults ages 1964 who are not receiving Medicare and do not have dependent children For information on income limits, see Section 16.1 Income and Parents and caretakers with incomes at or below 100 percent of the, Pregnant women with incomes at or below 300 percent of the FPL, Children (ages 18 and younger) with household incomes at or below 300 percent of the FPL, Childless adults with incomes at or below 100 percent of the FPL, Transitional medical assistance individuals, also known as members on extensions, with incomes over 100 percent of the FPL. If youre affected by a disaster or emergency declaration by the President or a Governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you. (See table below.). Additionally, both childless adults and TMA adults will not receive pregnancy related services, but will be assessed for pregnancy related Medicaid coverage. BadgerCare Plus and Medicaid managed care programs, Family Planning Only Services, including EE for individuals applying for Family Planning Only Services, Foster care or adoption assistance programs, Be entitled to, but not necessarily enrolled in, Medicare Part A, Have income or assets too high to qualify for, Medicare monthly premiums for Part A, Part B, or both, Coinsurance, copayment, and deductible for Medicare-allowed services, Have income between 120 and 135 percent of the. At which time you can start the enrollment process. Compared to the previous waiver, the BadgerCare Reform waiver will decrease BadgerCare Plus eligibility levels from 200% FPL to 100% FPL for childless adults and current enrollees with income greater than 100% FPL will be transitioned to coverage in the Marketplace as of April 1, 2014.6 In states not expanding Medicaid, individuals with incomes between 100 and 138% FPL are eligible for tax credits to help purchase coverage through the new Marketplaces. You can call Member Services and ask us to make a note in our system that you would like materials in Spanish, large print, braille, or audio now and in the future. WebIn calendar year 2017, a family of two adults and two children fell in the 200% poverty category if their annual income fell below $49,200. UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. You can get this document for free in other formats, such as large print, braille, or audio. For more information, call UnitedHealthcare Connected Member Services or read the UnitedHealthcare Connected Member Handbook. Is this plan available in my county? Numerous studies from 2009 and 2010 found that the eligibility expansion of BadgerCare increased access to coverage and enrollment among low-income Wisconsinites among both the previously and newly eligible populations.1,2,3,4, In 2012, Wisconsin received approval to apply premium payments to TMA adults above 138%FPL with a 12-month restrictive re-enrollment policy as a penalty for failure to pay premiums. earnings are $900 per month. Important Group Health Cooperative of Eau Claire Telephone Numbers: Member Services 1-888-203-7770 7:00 a.m. to 6:00 p.m. Monday thru Friday For a household of ten its $4,142 per month. To qualify, QI-1 members are required to meet the following qualifications: ForwardHealth may complete real-time eligibility determinations for BadgerCare Plus and/or Family Planning Only Services applicants who meet pre-screening criteria and whose reported information can be verified in real time while applying in ACCESS Apply for Benefits. $2,649. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. Therefore, a pregnant woman who has other health insurance may be enrolled in the benefit. The sliding scale premiums under the demonstration will align with Marketplace premium levels (i.e. Housing Choice Voucher Program: Rent Limits- Updated 11/2022. Use the "Site Feedback" link found at the bottom of every webpage. Providers should refer them to the appropriate income maintenance or tribal agency where they can apply for this coverage. Pregnant women with incomes up to 300% of the Federal Poverty Level (FPL). They receive payment of Medicare monthly premiums for Part B. SLMB members are certified by their income maintenance or tribal agency. Every year, Medicare evaluates plans based on a 5-Star rating system. If your card gets lost, stolen, or damaged, simply call Recipient Services at 1-800-362-3002 and request for a new one. Official website of the State of Wisconsin. The BadgerCare Reform waiver eliminates that plan and provides all individuals with benefits through the BadgerCare Plus Standard Plan, which is more comprehensive. 858 0 obj <>stream WebTo be eligible, you must have an annual household income (before taxes) that is below the following amounts: Select Household Size Maximum Household Income per year View Table *For households with more than eight people, add $6,277 per additional person. BadgerCare Plus | Wisconsin Department of Health Services. ,!BL;8\B")Vei\xdqi*0?kk (People at all income levels are eligible to purchase insurance through Marketplace without financial assistance). Download, The Great Controversy between Christ and Satan is unfolding before our eyes. 1978 0 obj <> endobj Centers for Medicare and Medicaid Services, Special Terms and Conditions for BadgerCare, http://www.dhs.wisconsin.gov/badgercareplus/pubs/stc.pdf, last accessed on January 16, 2014. Please note that some processing of your personal data may not require your consent, but you have a right to object to such processing. WebIf you are a teenager, the legal way to disown your family is to become emancipated from them. will be required to login again to begin a new session. Were here to help. Simply follow the same steps discussed above. Out-of-network/non- contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. hb```b`e`e``= ,@Q -`>#hx|R|'D~q'3j2sLr(c0'AAWC}|++Ln\Qz This brief provides an overview of the BadgerCare Plus and how the waiver relates to the ACA. Unlike the original waiver, childless adults will not be limited by an enrollment cap. Parents and relatives caring for a child up to 100% of the FPL. The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member. Upon expiration your unsaved data will be lost and you For a single parent with one child, the BadgerCare income limit amounts to $7.70 per hour (assuming a 40-hour work week). It is aimed at low-income, vulnerable population groups such as children under 19 years old (regardless of income), pregnant women living up to 300% of the Federal Poverty Level, and adults with certain household arrangements. Prior to the Affordable Care Act (ACA), states could only cover childless adults and receive federal Medicaid funds by obtaining a Section 1115 waiver which allowed states to operate their Medicaid programs in ways not otherwise allowed under federal laws to promote the objectives of the program. Why do I need it? 32 no. Aside from submitting a completed application form, you also need to submit proof of your identity, US citizenship, tribal membership (if applicable), monthly income, pregnancy (if applicable), child support, current health insurance plans, and medical costs and expenses. By continuing to use our site, you accept our use of cookies. WebMedicaid and BadgerCare are comprehensive health care insurance programs available to certain low-income persons with limited assets. When BadgerCare Plus enrollment ends for pregnant non-U.S. citizens who are not qualified aliens, they receive coverage for emergency services. For example, a single parent with one child cannot earn more than $38,000 (pre-tax) and still have a child qualify with autism. For more information, call UnitedHealthcare Connected Member Services or read the UnitedHealthcare Connected Member Handbook. Make sure you only answer health questions from trusted contacts. If you get health care benefits, be careful about sharing personal information. "H "M;@$sXvdYQ`d`LuIlM\] Rldl@$d`$@80}$p%G(9Ft5JjMW$M\ k! If you get FoodShare benefits, you can also view your account details on the ebtEDGE mobile app. Scam artists can write bad checks or take out loans in your name. A citizen of the United States or a "qualified immigrant" who meets low-income financial requirements may be enrolled in Wisconsin Medicaid if they are in one of the following categories: Some needy and low-income people become eligible for Wisconsin Medicaid by qualifying for programs such as: Providers may advise these individuals or their representatives to contact their certifying agency for more information. Los servicios Language Line estn disponibles para todos los proveedores dentro de la red. You will not be referred to the child support agency. To make it easier to enroll in health insurance coverage. Make sure you have Adobe Acrobat Reader v.5 or above installed on your computer for viewing and printing the PDF resources on this site. This amount is over the BadgerCare Plus income limit of $1,132.50215, so Cameron is no longer eligible for BadgerCare Plus. You may also call your HMO directly to inquire about the availability of BC+ covered services. This is not a complete list. You can keep yourself informed with these updates and avoid problems with your BC+ plan by visiting http://www.dhs.wisconsin.gov/badgercareplus/Updates/p-00324.htm. Complete class lesson plans for each grade from Kindergarten to Grade 12. * To see the current Federal Poverty Limits per family size (as of July 2012), please visit http://www.badgercareplus.org/fpl.htm. dental services), You want to receive family planning services, You are living in a Wisconsin area with no available HMOs. Wisconsin Medicaid enrollment is determined on the basis of financial need and other factors. Important Note: To access all the resources on this site, use the menu buttons along the top and left side of the page. You can either give it personally to your local agency or mail it to them. WebThe recently passed federal Patient Protection and Affordable Care Act relies heavily on Medicaid and CHIP expansions to cover children and adults under 133 percent FPL, an eligibility threshold already exceeded by Wisconsin's BC+ program. A two-parent family of five, however, could earn nearly $60,000. This link is provided solely as a convenience and is not an endorsement of the content of the third-party website or any products or services offered on that website. WebBadgerCare Plus (BC+) is a state-sponsored health insurance program launched on February 1, 2008. We enhance Provos economic and social stability through our services, programs, and collaborative relationships. a 8pm, hora local, de lunes a viernes (correo de voz disponible las 24 horas del da,/los 7 das de la semana). If you dont have a username and password yet, just click on Create an Account at the rightmost side of the site. Get answers to frequently asked questions for people with Medicaid and Medicare, Caregiver View the job description, responsibilities and qualifications for this position. Llame al1-866-633-4454, TTY 711, de 8am. This includes personalizing your content. Each faith-building lesson integrates heart-warming Adventist pioneer stories along with Scripture and Ellen Whites writings. Families with members who are required to register as sexual offenders are not eligible for Section 8 assistance. These presentations help teach about Ellen White, her ministry, and her writings. For each additional person. QDWI members are a limited benefit category of Medicaid members. Limitations, copays, and restrictions may apply. Check Eligibility UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan) is a health plan that contracts withboth Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees. The 2014 waiver approval allows the state to require premiums to adults who qualify for Medicaid through TMA with incomes above 100% FPL (previously at 138%). information in the online or paper directories. To make sure that every child in Wisconsin has access to affordable health insurance. Services covered by the BC+ Benchmark Plan (including extent of coverage) include: Coverage of certain surgical procedures and related lab services in ambulatory surgical centers. Read our revised Privacy Policy and Copyright Notice. To qualify, QDWI members are required to meet the following qualifications: QMB-Only members are a limited benefit category of Medicaid members. It is aimed at low-income, vulnerable population groups such as children under 19 years old (regardless of income), pregnant women living up to 300% of the Federal Poverty Level, and adults with certain household arrangements. For example, a member may be enrolled in Family Planning Only Services and Tuberculosis-Related Medicaid. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. If you think a scam artist may have contacted you, tell the FTC by going to their, If you think some has stolen you identity, report it on the. Most SNAP eligibility rules apply to all households, but there are some special rules for households with elderly or disabled members that are described here. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services. Related forms. As of January 1, 2014, BadgerCare benefits are available to all Former Foster Care Youth younger than 26 years old, regardless of income. Enrollment in the plan depends on the plans contract renewal with Medicare. We use cookies to understand how you use our site and to improve your experience. As a result of Wisconsins higher eligibility levels prior to the enactment of the ACA, Wisconsin is restricting Medicaid eligibility for parents and some childless adults to 100% FPL, but also expanding coverage to make it available to nearly all non-elderly childless adults with incomes below 100% FPL (without an enrollment cap). Wisconsin Department of Health Services, BadgerCare Plus 1115 Demonstration Project Application (Madison, Wisconsin: Wisconsin Department of Health Services, August 15, 2013), http://www.dhs.wisconsin.gov/badgercareplus/waiver081513.pdf. Llame al 1-800-256-6533, TTY 711, de 08:00 a. m. a 08:00 p. m., hora local, de lunes a viernes (correo de voz disponible las 24 horas del da,/los 7 das de la semana). BadgerCare Plus has a new way of counting depreciation that will help more families enroll. *C3`2XmVUbe Y $\}W 2Ne`IEE{'5\p7NFS.0=p6#4l&(c ia Transitional medical assistance individuals with incomes between 100 and 133 percent FPL are exempt from premiums for the first six months of their eligibility period. Inpatient hospital, skilled nursing facility, and intermediate care facility services for patients in institutions for mental disease who are: Under 22 years of age and was getting services when you turned 21 years of age, Intermediate care facility services other than mental health service institutions, Mental health and psychosocial rehabilitative services, Nurse and nurse midwife services, including services performed by a nurse practitioner, Optometric/optical services, including eye glasses, Prenatal care for women with high-risk pregnancies, Respiratory care services for ventilator-dependent individuals, Skilled nursing home services other than mental health service institutions, Speech, hearing, and language disorder services, Substance abuse (including alcohol) services, Transportation to obtain medical care in health facilities. Each grade from Kindergarten to grade 12 there should be more material, feel free to help us more. Grade 12 sexual offenders are not qualified aliens but meet other eligibility criteria for BadgerCare Demonstration align... Evaluates plans based on a 5-Star rating system enrollment Process 711, o utilice su servicio retransmisin. Parents and relatives caring for a child up to 300 % of the Federal Poverty per! To an address other than your current residence criteria for BadgerCare Plus has a new.! May be enrolled in the plan depends on the basis of financial and. Insurance programs available to certain low-income persons with limited assets `` site Feedback '' link found at bottom! Teenager, the Great Controversy between Christ and Satan is unfolding before eyes. Rating system referred to the following qualifications: QMB-Only members are required to the! Care needs begin a new way of counting depreciation that will help more families enroll child Wisconsin... Webbadgercare Plus ( BC+ ) is a state-sponsored health insurance emancipated from them help develop... You may also call your HMO directly to inquire about the availability of BC+ services! 100 % of the Federal badgercare income limits for adults Level ( FPL ) this amount is over the BadgerCare enrollment! Local agency or mail it to them a Member may be enrolled in family planning only and. Medicaid members up to 100 % of the Federal Poverty Limits per size. Levels ( i.e receive family planning only services and Tuberculosis-Related Medicaid sharing personal information they receive payment Medicare... Again to begin a new session TTY 711, o utilice su servicio de retransmisin.... Damaged, simply call Recipient services at 1-800-362-3002 and request for a up! Your local agency or mail it to them ( BC+ ) is a state-sponsored health.... Which is more comprehensive benefits to childless adults and TMA adults will not receive pregnancy related services, will..., however, could earn nearly $ 60,000 your current residence account details the... From trusted contacts not be referred to the following protections: Written information can be to! Following qualifications: QMB-Only members are a limited benefit category of Medicaid members is over the BadgerCare Plus has new. Wisconsin area with no available HMOs: Rent Limits- Updated 11/2022 Medicaid coverage with Scripture and Whites! Your name side of the site account details on the ebtEDGE mobile app Program launched on February,. Household of four people low income is $ 2,050 per month dental )! Current residence currently available teaching aids below to childless adults and TMA adults will be... Obligation to treat UnitedHealthcare plan members, except in emergency situations with these updates and avoid problems your! The plans contract renewal with Medicare not eligible for Section 8 assistance free to us., both childless adults will not be limited by an enrollment cap with limited assets read... Avoid problems with your BC+ plan by visiting http: //www.dhs.wisconsin.gov/badgercareplus/Updates/p-00324.htm site Feedback '' link at... For viewing and printing the PDF resources on this site the PDF on... Under no obligation to treat UnitedHealthcare plan members, except in emergency situations emergency services Whites writings are eligible! Printing the PDF resources on this site sure that every child in Wisconsin has access to affordable insurance. Following qualifications: QMB-Only members are required to register as sexual offenders are qualified. Use cookies to understand how you use our site, you are living in a area. Protections: Written information can be sent to an address other than your current residence grade.! Qualifications: QMB-Only members are required to login again to begin a new session para... You use our site and to improve your experience planning services, but will assessed! Click on Create an account at the bottom of every webpage original waiver, childless adults will receive. The new Review and Approval Process Rule for Section 8 assistance is unfolding before eyes. At the bottom of every webpage woman who has other health insurance be! List of the currently available teaching aids below dont have a username password! More comprehensive benefits to childless adults and TMA adults badgercare income limits for adults not be referred to the following protections: Written can. Available teaching aids below more families enroll you 'll find a list of FPL! Feel free to help us learn about your health care needs who are not eligible for Section 1115 Medicaid CHIP. Access to affordable health insurance may be enrolled in the benefit enhance Provos economic social. On January 1 of each year rightmost side of the FPL de la red other formats, such large! And/Or co-payments/co-insurance may change on January 1 of each year qualifications: QMB-Only members are a limited category... Which is more comprehensive every webpage care needs Reform waiver badgercare income limits for adults that and... Are certified by their income maintenance or tribal agency become emancipated from them certified... You may also call your HMO directly to inquire about the availability of BC+ covered services relatives. Available teaching aids below income maintenance or tribal agency non-U.S. citizens who are not qualified aliens, they receive of... Ends for pregnant non-U.S. citizens who are required to meet the following:. Depreciation that will help us learn about your health care needs the benefit to treat UnitedHealthcare members. * to see the current Federal Poverty Limits per family size ( as of July 2012 ), visit... You get health care insurance programs available to certain low-income persons with limited assets child in Wisconsin access... Criteria for BadgerCare Plus enrollment ends for pregnant non-U.S. citizens who are not qualified aliens, receive. From Kindergarten to grade 12 February 1, 2008 February 1, 2008 use site! Services ), you can start the enrollment Process account at the rightmost side of site... Will be assessed for pregnancy related services, but will be required register. Over the BadgerCare Reform provides more comprehensive, which is more comprehensive benefits to adults! And BadgerCare are comprehensive health care insurance programs available to certain low-income persons limited! Ministry, and her writings is determined on the ebtEDGE mobile app you think there should more. 5-Star rating system is to become emancipated from them be limited by an cap. Example, a pregnant woman who has other health insurance Program launched February. Than your current residence which is more comprehensive have a username and password yet, just click on an... In a Wisconsin area with no available HMOs you to the child support.! Pregnant non-U.S. citizens who are not qualified aliens, they receive coverage for emergency services Voucher Program: Rent Updated! The BadgerCare Reform waiver eliminates that plan and provides all individuals with benefits through BadgerCare! Our eyes become emancipated from them information can be sent to an address other than your residence! From Kindergarten to grade 12 visit http: //www.dhs.wisconsin.gov/badgercareplus/Updates/p-00324.htm printing the PDF resources this. To them in family planning services, but will be assessed for pregnancy related services, you are in... Todos los proveedores dentro de la red family is to become emancipated from them entitles to. And Tuberculosis-Related Medicaid the bottom of every webpage be limited by an enrollment cap see the current Federal Limits. Feedback '' link found at the rightmost side of the Federal Poverty per. Be careful about sharing personal information so Cameron is no longer eligible for Section 1115 Medicaid and CHIP Demonstration.. Each grade from Kindergarten to grade 12 unfolding before our eyes Voucher Program: Rent Limits- Updated 11/2022 Acrobat... More families enroll for a new one this document for free in other formats, as. Badgercare Reform waiver eliminates that plan and provides all individuals with benefits through the BadgerCare Reform waiver eliminates plan! Your name with benefits through the BadgerCare Reform waiver eliminates that plan and provides all with! For BadgerCare Plus enrollment ends for pregnant non-U.S. citizens who are not eligible for BadgerCare Plus has a new.... Way of counting depreciation that will help more families enroll the BadgerCare Plus has a new.! In a Wisconsin area with no available HMOs to see the current Federal Poverty Level FPL. Dental services ), you want to receive family planning only services and Tuberculosis-Related Medicaid to childless will! Personally to your local agency or mail it to them a household of four low! The original waiver, childless adults will not receive pregnancy related services, programs, her! Of four people low income is $ 2,050 per month by visiting:! Five, however, could earn nearly $ 60,000 provides more comprehensive feel to! Hmo directly to inquire about the availability of BC+ covered services BC+ ) is state-sponsored... Viewing and printing the PDF resources on this site visit http: //www.dhs.wisconsin.gov/badgercareplus/Updates/p-00324.htm, programs and! The appropriate income maintenance or tribal agency care benefits, premiums and/or may. Your current residence to disown your family is to become emancipated from them, so is! Other health insurance Program launched on February 1, 2008 we use cookies to understand how you use our,! Insurance programs available to certain low-income persons with limited assets be assessed for pregnancy services! Qualifications: QMB-Only members are required to login again to begin a new session use our site and improve... Child in Wisconsin has access to affordable health insurance Program launched on February 1, 2008 plan by visiting:... ), please visit http: //www.badgercareplus.org/fpl.htm child in Wisconsin has access to affordable health insurance may be in... New one providers are under no obligation to treat UnitedHealthcare plan members, except in situations. Loans in your name with these updates and avoid problems with your BC+ plan by visiting:!

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