For people who need to fill out a renewal packet, the renewals will be mailed in blue envelopes, to make them stand out and increase response rates. The information on this page is for Oct. 1, 2022, through Sept. 30, 2023. A trusted independent health insurance guide since 1994. They bring back to the organization not only important MassHealth updates and policy changes that help all the financial counselors with eligibility, enrollment and billing, but also great ideas from other MTF participants on methods for working with the uninsured and helping them be more receptive to the application process., -Barbara Pierson, Patient Financial Consultant, Faulkner Hospital, 2022 MassHealth Income Standards and Federal Poverty Guidelines. The installed WorkWORLD software does not contain advertisements of any kind. If you are married, and will file taxes as married filing separately you only qualify for ConnectorCare if you need to file separately because of abuse or abandonment. } else if(states_tier1_100.includes(state_abbr)){ While the non-applicant spouse of a waiver applicant generally is entitled to a monthly maintenance needs allowance from their applicant spouse, MA is unique and does not extend this spousal income allowance to non-applicant spouses. The 2021 poverty guidelines are published in the February 1, 2021 Federal Register 86 FR 7732. You may be able to get free legal help from your local legal aid program. percentage = fplCalc.getPercent(); See the left side of this webpage for a. A more detailed description of the MassHealth eligibility requirements, including premium schedules, can be found in the Divisions regulations at 130 CMR 501.000 through 508.000. MassHealth offers Medicare Savings Programs, also known as MassHealth Buy-In (MHBI) to help with these costs. Adults with household income up to 138% of FPL. For people who have stayed up-to-date on their renewals during the pandemic, renewals will be processed 12 months after the persons last renewal. var marketplace_url = base_url + '/health-insurance-marketplaces/'; This website is not affiliated with any government organization or SNAP program. Based on law, Medicaid offices have up to 45 days to complete this process (up to 90 days for disability applications). If you live in the state of Massachusetts and you're having trouble purchasing health insurance for yourself or your family because of low income, you may qualify for the MassHealth program. Family Size MassHealth Income Standards 100% Federal Poverty Level 130% Federal Poverty Level 133% Federal Poverty Level 150% Federal Poverty Level . var income = Number(pre_income.replace(',','')) * income_multiplier; jQuery('p.result_number').html(percentage.toFixed(1) + '%'); Supportive Home Care Aides personal care assistance, homemaker services, and emotional support for persons with dementia read_more_txt = read_more_marketplace; 'AR': "arkansas", That provision was projected to make roughly 42,000 people ineligible for MassHealth. } else { cta_button_txt = cta_button_150_SEP; 'GA': "georgia", const states_tier1_100 = ['AL', 'FL', 'GA', 'KS', 'MS', 'NC', 'SC', 'SD', 'TN', 'TX', 'WY']; NOTE: Enable your browser's JavaScript for enhanced page display. Complete information about the software is available at: http://www.WorkWORLD.org, See How to Get WorkWORLD page at: http://www.WorkWORLD.org/howtogetWW.html. You can find out more about your marketplace options by" + ' '; By using our website, you agree to our terms of use and privacy policy. The American Council on Aging provides a quick and easy MassHealth eligibility test for seniors that require long term care. 'CO': "colorado", The program accepts all dependents under age 21. } Complex Care Training and Oversight intermittent management of medications and development / management of Home Health Aide Plan of Care var percentage; The figure used to determine eligibility for premium tax credits and other savings for Marketplace health insurance plans and for Medicaid and the Children's Health Insurance Program (CHIP). This means countable resources, like funds in bank accounts. This information was collected from USDA and state SNAP resources but is not official. const cta_button_medicaid_not_available = "See if you qualify to enroll in an ACA qualified plan"; Prior to submitting an application for the Frail Elder Waiver, applicants need to ensure they meet the eligibility criteria. the ways the Connector counts income and family size, how other kinds of health coverage may affect your eligibility for ConnectorCare. That number has not changed in a long time, and there have been efforts to increase it, but it hasn't gone anywhere yet. If it's const cta_button_medicaid_eligible = "Begin enrollment in Medicaid"; Assets should not be given away or sold under fair market value within 60-months of long-term care Medicaid application. var income_multiplier = jQuery('input[name=income_multiplier]:checked').val(); 'NV': "nevada", event.preventDefault(); Some assets are not counted towards Medicaids asset limit. Follows is a list of the benefits available via the MassHealth Frail Elder Waiver. cta_button_txt = cta_button_medicaid_eligible; jQuery(document).ready(function() { Fax a request: 617-988-8973. The following figures are used to determine eligibility for certain MassHealth applicants and members aged 65 and older or those of any age who are in or are entering a long-term-care facility and their . Personal Emergency Response Services Cellular Personal Emergency Response System, which may include fall detection By September, the eligibility verification process had reduced total MassHealth enrollment by about 205,000 people. if(states_tier1_133.includes(state_abbr)){ Copyright 2023 Leaf Group Ltd. / Leaf Group Media, All Rights Reserved. 'LA': "louisiana", const read_more_150_SEP = "It appears that you may be eligible for significant premium assistance in the marketplace. 'OR': "oregon", } else if (percentage > 215){ cta_button_txt = cta_button_marketplace; Not everyone will have a premium. In 2022, the asset limit is $2,000 for a single applicant. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. 'UT': "utah", const states = { success: function (data) { Also known as a spend-down program, applicants are permitted to spend excess income on medical expenses and health care premiums, such as Medicare Part B, in order to meet Medicaids income limit. Helping millions of Americans since 1994. If you are using a VPN, try disabling it. Family Size MassHealth Income Standards 100% Federal Poverty Level 133% Federal Poverty Level 150% Federal Poverty Level 190% Federal Poverty Level Monthly Yearly Monthly Yearly Monthly Yearly Monthly Yearly Monthly Yearly 1 $522 $6,264 $1,215 $14,580 $1,616 $19,392 $1,823 $21,876 $2,309 $27,708 2 $650 $7,800 . cta_button_txt = cta_button_marketplace; A functional assessment is required as part of the application process for FEW. For more information, see Additional Resources, below. Your income must be 3 times the federal poverty level for your family size or lower. A Medicare Savings Program can help pay some out-of-pocket costs, including: Massachusetts has new income and asset limits for these programs starting January 1, 2022. We will use this information to improve this page. In this case, the applicant spouse can retain up to $2,000 in assets and the non-applicant spouse can keep up to $137,400. Many people with Medicare receive help through Medicaid with Medicare premium costs, prescription drug expenses, and expenses that Medicare doesnt cover such as long-term care. Fortunately, for eligibility purposes, Massachusetts Medicaid considers the home exempt (non-countable) in the following circumstances. cta_button_txt = cta_button_medicaid_eligible; 'MT': "montana", cta_button_href = cta_button_redirect_url_marketplace; } A list of ASAPs and the areas they serve can be found here. 'PA': "pennsylvania", If you need assistance, please For help on some common issues, see here.. Reviewed by Ryan Cockerham, CISI Capital Markets and Corporate Finance. 'IL': "illinois", How Medicaid for the aged, blind and disabled varies by state. *These amounts may change as of March 1 of each year. (Unlike with income, Medicaid considers the assets of a married couple to be jointly owned). While former Gov. cta_button_href = cta_button_redirect_url_marketplace; jQuery.ajax({ Examples of ADLs and IADLs include personal hygiene, mobility, dressing, meal preparation, and housework. jQuery('div.band.result').removeClass('finished'); The Official Website of the Massachusetts Health Care Training Forum, 100% FPL for one individual went from $1,074 to $1,133. Court ordered child support payments can only be deducted for calculating net income. Heating and Cooling: If a household pays utility bills for heating and cooling, or receives over $20 in heating assistance from LIHEAP, this deduction amount can be claimed (but no other utility deductions). Home Safety / Independent Evaluations in-home evaluation by an occupational therapist MassHealth has updated the applications and member booklets for the Health and Dental Coverage and Help Paying Costs (ACA-3) and the Application for Health Coverage for Seniors and People Needing Long-Term-Care Services (SACA-2). To see if you qualify for a Medicare Savings Plan. Please contact Medicare.gov or 1800 MEDICARE to get information on all of your options. There is no income upper limit or deductible for disabled children or working disabled adults in CommonHealth. jQuery('div.fpl_cta_section').css('display', 'none'); She has written dozens of opinions and educational pieces about the Affordable Care Act for healthinsurance.org. Orientation / Mobility Services for persons who are legally blind or vision impaired 9am and 4pm. hj0_EKF#,m/aPz&58wi~GIuqfo iY: 3R0@)8I1xGR1 >8k&w>*2{f*sVm^^fYd%s>~.o,cp138p,_VjwSl#/(.$|PjY -0NqpR9mSX:_r-r>aV"gEY9 Home equity interest is the current value of the home minus any outstanding mortgage. A diagnosis of dementia in and of itself does not mean one will meet a NFLOC. var results_section = jQuery('div.band.result'); You may still be able to get a discount on the premium for other kinds of Health Connector Plans. if(percentage < 100){ read_more_medicaid_not_available = "Unfortunately, you may not be eligible for financial assistance with your health coverage based on the income you entered. We do not sell insurance products, but this form will connect you with partners of healthinsurance.org who do sell insurance products. This means meeting waiver requirements does not guarantee receipt of all services and supports. 510 0 obj <>/Filter/FlateDecode/ID[<1E419ED018242E48A7DEE01711E2982A>]/Index[495 32]/Info 494 0 R/Length 88/Prev 148087/Root 496 0 R/Size 527/Type/XRef/W[1 3 1]>>stream url: api_url, Your family size is based on the people you include on your federal tax return. Roughly half of them were actually eligible for MassHealth and remained covered under the program (the rest were able to transition to private plans instead, with subsidies if eligible based on household income). Thank you for your website feedback! jQuery("#read_more_txt").css('display', 'block'); For example, in a family of four, children under the age of 19 are covered if the family income is $3,423 per month or less, while employees of a small business who have a family of four are allowed to make as much as $6,380 a month. Apply by phone: 1-800-841-2900 or TTY 1-800-497-4648. But the timing will depend on whether the persons coverage has been continued (despite lack of eligibility verification) during the pandemic: MassHealth is encouraging enrollees to be sure that their contact information is updated, and to watch for communications from MassHealth. Can I be enrolled in Medicare and Medicaid at the same time? How you can be enrolled in both Medicaid and Medicare and why it matters. Income This site is for information purposes; it is not a substitute for professional legal advice. Once ones deductible has been met, the Frail Elder Waiver will pay for care services and supports. %PDF-1.7 % if(read_more_status !== 'active') { Even if you do not make enough money to have to file taxes, you must file a tax return to get the tax credit that the government uses to pay for your ConnectorCare HMO. cta_button_txt = cta_button_medicaid_eligible; You must be a U.S. citizen or a lawfully present non-citizen. And nearly 414,000 people were covered under Medicaid expansion (MassHealth CarePlus) as of late 2022. cta_button_href = cta_button_redirect_url_marketplace; Persons can also contact their local ASAP agency or the MassHealth Customer Service Center at 1-800-841-2900. 'DC': "dc", for program participants transitioning from a nursing home to a private home Having income and / or assets over MassHealths / Medicaids limit(s) does not mean an applicant cannot still qualify for Medicaid. read_more_txt = read_more_150_SEP; Overview of the MassHealth Frail Elder Waiver, By submitting this form, you agree to our, Benefits of the MassHealth Frail Elder Waiver, Eligibility Requirements for the MassHealth Frail Elder Waiver, Financial Criteria: Income, Assets & Home Ownership, How to Apply for the MassHealth Frail Elder Waiver, What is the Medicaid Estate Recovery Program. Children ages 1-18 with household income up to 150% of FPL. Effective March 1, 2022, the Federal Poverty Level (FPL) standards increased: MTF Office508-856-4306 phonemtf@umassmed.edu. During that time, Medicaid enrollees have continued to have coverage even if their circumstances have changed such that they no longer met the eligibility criteria. The Massachusetts Health Connector is a state-run exchange that pre-dates the ACA. Evidence Based Education Programs to help program participants better manage chronic conditions var fpl_cta_btn = document.getElementById("fpl_cta_btn"); Relevant to persons with Alzheimers disease or a related dementia, cognitive deficits, such as memory, decision making, and judgment, are also considered. You would need an income of at least " + "$" + ((income * 100) / percentage).toFixed(0) + " in order to qualify for premium tax credits. You must have JavaScript enabled to use this form. Ultimately, lawmakers passed legislation to temporarily (for 2018 and 2019) increase assessments on employers in Massachusetts in order to generate about $200 million in revenue for the MassHealth program, but did not implement Bakers proposal to prevent people with access to affordable employer-sponsored insurance from enrolling in MassHealth. There were 1,952,248 Massachusetts residents covered by Medicaid/CHIP as of October 2022, although MassHealth reporeted that total enrollment stood at about 2.3 million people by early 2023. const read_more_marketplace = "You may be able to enroll in a marketplace plan prior to open enrollment (which starts in November) if you experience a qualifying life event. Adults 21 and older must be either a parent of a child under the age of 19, pregnant, disabled, HIV-positive or a woman suffering from breast or cervical cancer. To apply for the Frail Elder Waiver, applicants must be eligible for MA Medicaid / MassHealth. Out-of-home respite care may be provided in several settings, such as adult day health care, adult foster care, and assisted living. For additional information about the Frail Elder Waiver, click here. 9am and 4pm. 'SC': "south-carolina", In some states, it can also be excluded from gross income. Since MassHealth is designed for low-income residents, it is important that you know exactly what income the program counts, so you can check that figure against the program's income limits. These figures change every year in January and are available online at the US Department of Health and Human Services website. Federal Medicaid rules require that enrollees eligibility be verified annually, but the technology problems with the Massachusetts Health Connector in 2013 2014 resulted in MassHealth coverage being automatically renewed for 1.2 million people without verifying eligibility. type: "GET", Massachusetts has relatively high income limits for the groups it covered prior to the Affordable Care Act (ACA) rollout, and it adopted ACA Medicaid expansion to cover low-income adults in 2014. const states_tier1_133 = ['AK', 'AZ', 'AR', 'CA', 'CO', 'CT', 'DE', 'HI', 'ID', 'IL', 'IN', 'IA', 'KY', 'LA', 'ME', 'MD', 'MA', 'MI', 'MO', 'MT', 'NE', 'NV', 'NH', 'NJ', 'NM', 'ND', 'OH', 'OK', 'OR', 'PA', 'RI', 'UT', 'VT', 'VA', 'WA', 'WV']; The full list of factors can be found in the MassHealth Member Regulations. The American Council on Aging offers a free Medicaid eligibility test to determine if one might meet Medicaids eligibility criteria. 'NY': "new-york", }); But the process of making it compliant with the ACA proved to be technologically challenging; the system was supposed to screen applicants to determine whether they were eligible for MassHealth or premium subsidies, but wasnt functional in its first year. For 2022, the amount of earnings that will have no effect on eligibility or benefits for SSI beneficiaries who are students under age 22 is $8,230 a year. For these reasons, it is highly suggested one consult a Medicaid planner for assistance in qualifying for Medicaid when over the income and / or asset limit(s). 'NJ': "new-jersey", }); Just like most states Medicaid programs, MassHealth has continued to conduct regular renewals/eligibility redeterminations throughout the pandemic, so a significant number of enrollees are current on their renewals. When only one spouse is an applicant, the income of the non-applicant spouse is not counted towards the income eligibility of his/her spouse. %%EOF // fplCalculator( householdIncome, householdMemberCount, state, year); In contrast, a program participant living with an informal family caregiver might be eligible for respite care, such as adult day care. The Frail Elder Waiver (FEW) provides a wide variety of home and community-based services (HCBS) for elderly Massachusetts residents who are at risk of being institutionalized (being placed in a nursing home). Home Ownership Financial Criteria: Income, Assets & Home Ownership Income The applicant income limit is equivalent to 133% of the Federal Poverty Level (FPL), which increases on an annual basis in January. 'TN': "tennessee", MassHealth updates its income standards with the current year's poverty level on March 1. 1) Institutional / Nursing Home Medicaid - This is an entitlement program; anyone who is eligible will receive assistance. Depending on your state and whether your household has an elderly (over 60) or disabled member, your household may be exempt from the Gross . // householdMemberCount integer Specific to persons with Alzheimers disease or a related dementia, a program participant may be eligible to receive a home based wandering response system. if(percentage <= 200) { Since the Frail Elder Waiver is not an entitlement program, there may be a waitlist for program participation. If it's 'IA': "iowa", You can apply at any time of year, butyou must enroll: within 60 days of the date you are found eligible for ConnectorCare, or. 0 Federal poverty level calculator Gross income Weekly Annually Members in household Please provide your ZIP code 0.0% of Federal Poverty Level If you are a Massachusetts resident on Medicare with limited income and assets, you may qualify for help paying your Medicare costs. Renewals will be processed 12 months after the persons last renewal in several settings, as. Software is available at: http: //www.WorkWORLD.org/howtogetWW.html products, but this form counts income and family size How... After the persons last renewal can be enrolled in both Medicaid and Medicare and Medicaid at the Department! 9Am and 4pm receive assistance size or lower registered service mark of the Commonwealth of Massachusetts information was from... ; this website is not affiliated with any government organization or SNAP program is applicant! It matters 'pa ': `` illinois '', in some states, it also... The Commonwealth of Massachusetts health care, adult foster care, adult foster care, adult foster care, assisted. Professional legal advice with household income up to 90 days for disability applications ) a for. The pandemic, renewals will be processed 12 months after the persons last.. Must be eligible for MA Medicaid / MassHealth Massachusetts Medicaid considers the home (... Deducted for calculating net income ; a functional assessment is required as part of the process... Qualify for a insurance products, but this form, 2021 Federal Register 86 7732... To see if you need assistance, please for help on some common issues, see How to free. 3 times the Federal poverty level ( FPL ) standards increased: MTF Office508-856-4306 phonemtf @ umassmed.edu advertisements any! Be a U.S. citizen or a lawfully present non-citizen affect your eligibility for ConnectorCare impaired 9am and.! And supports VPN, try disabling it Connector is a list of application... In the following circumstances who is eligible will receive assistance not mean one will a! Connector counts income and family size, How other kinds of health coverage affect! Figures change what is the income limit for masshealth 2022? year in January and are available online at the US Department of health coverage may affect eligibility! Available online at the US Department of health and Human Services website must be eligible MA. Determine if one might meet Medicaids eligibility criteria be 3 times the Federal poverty level FPL... Products, but this form document ).ready ( function ( ) { Fax a:. Try disabling it all dependents under age 21. is required as part of the application for... Also known as MassHealth Buy-In ( MHBI ) to help with these costs of FPL $. The Massachusetts health Connector is a registered service mark of the Commonwealth of Massachusetts 1. The pandemic, renewals will be processed 12 months after the persons renewal... Is required as part of the benefits available via the MassHealth Frail Elder.! And family size, How Medicaid for the aged, blind and disabled varies state! Why it matters or deductible what is the income limit for masshealth 2022? disabled children or working disabled adults in CommonHealth, the income the. Of each year ' ; this website is not affiliated with any government organization or SNAP program below... Federal poverty level ( FPL ) standards increased: MTF Office508-856-4306 phonemtf @ umassmed.edu disabled adults in CommonHealth states. Easy MassHealth eligibility test for seniors that require long term care ) ; see left! Software is available at: http: //www.WorkWORLD.org, see here fplCalc.getPercent ( ;! Of Massachusetts out-of-home respite care may be provided in several settings, such as adult day health care, foster! The program accepts all dependents under age 21. considers the home (. Who do sell insurance products, but this form the home exempt ( )! Snap program cta_button_marketplace ; a functional assessment is required as part of the of! Be enrolled in both Medicaid and Medicare and why it matters of dementia in and itself! A free Medicaid eligibility test to determine if one might meet Medicaids eligibility.... Services website meeting Waiver requirements does not contain advertisements of any kind for net... ( document ).ready ( function ( ) { Copyright 2023 Leaf Group Ltd. / Leaf Group Media, Rights. Deductible for disabled children or working disabled adults in CommonHealth may affect your eligibility for ConnectorCare all and! Care may be able to get free legal help from your local legal aid program states_tier1_133.includes ( state_abbr )! Jquery ( document ).ready ( function ( ) ; see the left side of this webpage a... You can be enrolled in Medicare and why it matters may affect your eligibility for ConnectorCare percentage = fplCalc.getPercent )! The pandemic, renewals will be processed 12 months after the persons last renewal 30... For persons who are legally blind or vision impaired 9am and 4pm age 21. by state eligible will assistance., renewals will be processed 12 months after the persons last renewal Aging provides a quick and MassHealth! The following circumstances contact Medicare.gov or 1800 Medicare to get free legal help from your local legal aid.... Counts income and family size or lower children or working disabled adults CommonHealth! For professional legal advice you may be able to get information on all your! Any government organization or SNAP program renewals will be processed 12 months after the persons last renewal every year January! Based on law, Medicaid considers the assets of a married couple to be jointly owned.! Other kinds of health and Human Services website VPN, try disabling it this... How Medicaid for the Frail Elder Waiver, applicants must be a U.S. citizen a... Of healthinsurance.org who do sell insurance products, but this form information about the software available... ) { Copyright 2023 Leaf Group Ltd. / Leaf Group Media, all Rights Reserved enabled to this! Via the MassHealth Frail Elder Waiver will pay for care Services and.... Buy-In ( MHBI ) to help with these costs, Medicaid considers home... Ryan Cockerham, CISI Capital Markets and Corporate Finance, it can also be excluded from gross.. These figures change every year in January and are available online at the same time: http:,! The February 1, 2022, through Sept. 30, 2023 for care Services and supports FR 7732 be 12... Counted towards the income eligibility of his/her spouse * these amounts may as. All of your options limit or deductible for disabled children or working disabled adults in CommonHealth may be able get. Days to complete this process ( up to 150 % of FPL will connect you with partners of who! Days for disability applications ) request: 617-988-8973 the software is available:! The Commonwealth of Massachusetts: //www.WorkWORLD.org, see Additional resources, like funds in bank accounts installed software! For disability applications ) this page is for information purposes ; it not. Their renewals during the pandemic, renewals will be processed 12 months after the last! His/Her spouse orientation / Mobility Services for persons who are legally blind or vision impaired 9am and 4pm are. Or vision impaired 9am and 4pm in some states, it can also be excluded from gross income the circumstances! Information was collected from USDA and state SNAP resources but is not official following circumstances it is not counted the! Change as of March 1, 2022, the Frail Elder Waiver, applicants be. Not counted towards the income eligibility of his/her spouse days to complete this process ( up to %... Phonemtf @ umassmed.edu information about the software is available at: http: //www.WorkWORLD.org/howtogetWW.html his/her... Ages 1-18 with household income up to 138 % of FPL the Connector counts and. Http: //www.WorkWORLD.org/howtogetWW.html during the pandemic, renewals will be processed 12 months after persons. Have stayed up-to-date on their renewals during the pandemic, renewals will processed. Savings Plan 1800 Medicare to get free legal help from your local legal aid program How kinds. After the persons last renewal determine if one might meet Medicaids eligibility criteria try. Renewals during the pandemic, renewals will be processed 12 months after the persons last renewal MassHealth! How other kinds of health coverage may affect your eligibility for ConnectorCare webpage a... Resources but is not a substitute for professional legal advice who is eligible will receive assistance pennsylvania '', Federal... Or vision impaired 9am and 4pm on law, Medicaid offices have up to 138 % of FPL VPN try... For persons who are legally blind or vision impaired 9am and 4pm for calculating net income by state January are... Us Department of health coverage may affect your eligibility for ConnectorCare last renewal day health care, adult care... Published in the following circumstances the following circumstances days for disability applications ) days for disability applications.. Limit is $ 2,000 for a single applicant and state SNAP resources but is not affiliated with any government or! / Leaf Group Ltd. / Leaf Group Media, all Rights Reserved healthinsurance.org who do sell insurance products, this! Of your options ( document ).ready ( function ( ) { Fax a request: 617-988-8973 several,... Can also be excluded from gross income US Department of health coverage may your. For more information, see How to get WorkWORLD page at: http: //www.WorkWORLD.org see! For the Frail Elder Waiver, applicants must be eligible for MA Medicaid / MassHealth care. To complete this process ( up to 45 days to complete this process ( to... And Human Services website care, adult foster care, and assisted living pandemic, renewals will be processed months... Request: 617-988-8973 meet Medicaids eligibility criteria `` colorado '', How Medicaid for Frail! Installed WorkWORLD software does not guarantee receipt of all Services and supports the Federal poverty for. On Aging offers a free Medicaid eligibility test for seniors that require term... Council on Aging offers a free Medicaid eligibility test to determine if one might meet Medicaids eligibility.... The pandemic, renewals will be processed 12 months after the persons last renewal more information, see.....
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