LifeSmile is an oral wellness program that helps you focus on your oral health and well-being with education and tips for improving and maintaining good dental health habits. Universal caseload, or task-based processing, is a different way of handling public assistance cases. Information on the grant awarded for the State Innovation Model Proposal, Offers resources for agencies who operate the Weatherization Assistance Program in the state of Michigan. Medicare Supplement plansalso known as Medigap plansdon't directly cover dental, but they "pick up some of the out-of-pocket costs like copayments, coinsurance and deductibles," says Worstell.. Coverage effective across all 50 states and D.C. as of Oct. 1 Beginning in October, all 50 states and D.C. will prioritize dental coverage for Medicaid enrollees who are pregnant or postpartum through at least 60 days after pregnancy, the Centers for Medicare & Medicaid Services announced Sept. 22. Points of Light(POL) Initiative Information on the Children's Foster Care program and becoming a Foster Parent. Any questions should be directed to Provider Inquiry, Michigan Department of Health and Human Services, phone toll-free 800-292-2550 or email at providersupport@michigan.gov. This page contains policy bulletins issued in 2022. There are two programs in the state of Michigan. Speak with a Licensed Medicare Sales Agent 877-388-0596 - TTY 711. You can contribute up to $3,650 for single coverage or $7,300 for family coverage in 2022, plus $1,000 in catch-up contributions if you're 55 or older. Health Care Coverage information and resources. Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. SPOTLIGHT & RELEASES. Information on treatment and services for juvenile offenders, success stories, and more. ;xZ`zPd K_KJt(A1vPoodw>|Z'sM{X||h48WI#?ZI}OzlE-? The governor called for significant investments in two critical areas: $68.7 million in adult dental Medicaid coverage, which will result in $243 million total when related federal funds are included. Information on treatment and services for juvenile offenders, success stories, and more. The Manual was created in Adobe Acrobat portable document format (PDF). Information on the Children's Foster Care program and becoming a Foster Parent. [6] The findings about Michigan Medicaid expansion coverage's impact on dental health are similar to other findings on health outcomes made by the University of Michigan Institute for Healthcare Policy and Innovation ( IHPI) team, said senior author John Ayanian. In addition, there are resources and links to information on infant oral health and community participants. The Qualified Medicare Beneficiary (QMB) program provides Medicare coverage of Part A and Part B premiums and cost sharing to low-income Medicare beneficiaries. Recipients can be classified as full dual-eligibles or partial dual-eligibles. Information on American Indian Services, Employment and Training. To be eligible for this benefit program, you must be a resident of Michigan and meet all of the following: 18 years of age and under; and Uninsured (and ineligible for Medicaid). If you have any questions, please call theM.O.M. Ambulatory . Get benefit help and information for you and/or your child in your language. Recipients who qualify for Medicare Savings Programs that also offer full Medicaid-related benefits coverage may also access some routine dental services and certain extras. Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. Information on communicable & chronic diseases. Information about the health care programs available through Medicaid and how to qualify. A smaller zipped copy(14MB) is also available. xR=o0-?$B"bHiHsHY:q|g>=!;H3D`B!p*(yAM _nH(.+E`:#J(9v6+\S+uK]{J5SH,T_loX^H7WdUea!mGBf,J!]m5HnT"gdIz~;M~a3! Molina Healthcare providesdental services to pregnant women. EPSDT is Medicaid's comprehensive child health program. Home to an array of public health programs, initiatives and interventions aimed at improving the health and well-being of women, infants, families and communities. The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid. xf{ a8 YdD@ '[Mb90BB $[Uwu3Z3=l!B!B!B!B!B!B{>/OU{[}z_:Xzr{oTWWwz5,j~L'?+J/?={BK+Cu~7%B"Uz$IR^9NOUOW]'Mvp+J/?uofk j +rXPr{oTWt3grnO;j~LDy?:!{4$~ If you cannot afford child care, payment assistance is available. Legislation policy and planning information. You will be enrolled automatically and get an ID card from the dental plan. Meaning children with Medicaid must receive dental care that provides the following: Regular dental care maintenance, including teeth cleanings and checkups Tooth restorative care When you join a Health Plan, the Health Plan will send you a plan handbook and a health plan card. Original Medicare Part A and Part B benefits do not provide coverage for routine dental care, so many recipients need to find solutions to help pay for dental services like checkups, X-rays, and teeth cleanings. Information & resources for Community and Faith-Based partners. <> information about the Department's public safety programs. These plans make it easy to receive Delta Dental coverage and protect your health. You will receive the current published version of the manual that is available at that time. Pregnant Medicaid members will get dental coverage from the first day of the month when Molina finds out about the pregnancy through the postpartum period. According to the American Dental Association, 36% of lower-income Americans have lived through untreated cavities. We use cookies on our website. Effective January 1, 2022 Page 1 of 36. Pregnant Women Dental (PWD) is an enhanced dental benefit for pregnant women enrolled in Medicaid and is provided by Delta Dental of Michigan and the Michigan Department of Health and Human Services. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Adult Behavioral Health & Developmental Disability Services. Infant Oral Health Training and Resource Materials for Medical Providers, On-Line Oral Health Training for Medical Providers, Adult & Children's Services collapsed link, Safety & Injury Prevention collapsed link, Emergency Relief: Home, Utilities & Burial, Adult Behavioral Health & Developmental Disability, https://dev.michigan.local/som/json?sc_device=json. Archived proposed Medicaid policy distributed for public comment and consultation summaries are available electronically upon request. MDHHS implemented the rate increase on October 1st, 2022, and it received CMS approval in November. Can't find what you're looking for? Find a Healthy Michigan Plan If you do not have this software, or a lower version, you can click on the Adobe Acrobat Reader Icon below to download the software free of charge. endobj The Healthy Michigan Plan (HMP) provides dental benefits to Michigan residents at a low cost to increase access to care for low-income populations who do not qualify for or who are not enrolled in other Medicare or Medicaid programs. There are three categories of Medicaid long-term care programs for which Michigan seniors may be eligible. Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 960 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> <>/Metadata 1981 0 R/ViewerPreferences 1982 0 R>> Additionally, the states agency contracts with private insurers to administer benefits and each insurer may have a different process for prior authorization or approval of service, so recipients should contact their provider to confirm which services are covered for their qualifying category. Information on the Safe Delivery Program, laws, and publications. However, if you decide to print, it is suggested printing be limited to only those chapters relevant to your practice or interest, and that printing be done in black and white. If you are pregnant, you can find a Molina dentalprovider by visiting MolinaHealthcare.com, select Medicaid, then Find a Provider to view the Molina dentistsnear you. We're here to help. Adult Behavioral Health & Developmental Disability Services. Medicare-Medicaid Full and Partial Dual Eligibility. Enrollment in the plan depends on the plan's contract renewal with Medicare. Find a Pregnant Women Dental Michigan Medicaid - Michigan Dental Association Michigan Medicaid Home Government/Insurance/Advocacy Dental Benefits Michigan Medicaid Member's Only Content You must be a member to view this content. participating dentist, Healthy Michigan Plan For Notices of Proposed Policy, click here. Keeping your smile healthy is an important part of keeping your body healthy. Birth, Death, Marriage and Divorce Records. If you are using a dial-up modem, we recommend you use the CD version of the Manual. The Michigan Domestic & Sexual Violence Prevention and Treatment Board administers state and federal funding for domestic violence shelters and advocacy services, develops and recommends policy, and develops and provides technical assistance and training. Michigan Medicaid covers limited dental services for adults, including dental check-ups, teeth cleaning, X-rays, fillings, tooth extractions, and dentures. This dental insurance plan in Michigan offers a yearly maximum of $1,250 per individual. <> Information about the health care programs available through Medicaid and how to qualify. It outlines everything you need to know about your Molina Healthcare of Michigan Medicaid Health Plan. Any information we provide is limited to those plans we do offer in your area. Information on child support services for participants and partners. Information about the health care programs available through Medicaid and how to qualify. Medicaid coverage so you can receive quality services at no cost. Full dual-eligibility may grant recipients access to routine dental care and some emergency or restorative procedures with prior authorization. Pregnant Medicaid members are able to use their Molina Healthcare Medicaid ID card to obtain dental services. Join or renew membership today by calling 800-589-2632 or apply online. Benefits are provided only in nursing homes. Licensing information for Adult Foster Care and Homes for the Aged, Child Day Care Facilities, Child Caring Institutions, Children's Foster Care Homes, Child Placing Agencies, Juvenile Court Operated Facilities and Children's or Adult Foster Care Camps. Information about audits conducted by the Office of Audit. Prior authorizations and medical conditions that may bypass these requirements, To request or view upcoming training sessions please refer to the Michigan Department of Health and Human Services website at, Any questions should be directed to Provider Inquiry, Michigan Department of Health and Human Services, phone toll-free 800-292-2550 or email at, Behavioral and Physical Health and Aging Services Administration, Immunization Info for Families & Providers, Michigan Maternal Mortality Surveillance Program, Informed Consent for Abortion for Patients, Informed Consent for Abortion for Providers, Go to Child Welfare Medical and Behavioral Health Resources, Go to Children's Special Health Care Services, General Information For Families About CSHCS, Go to Emergency Relief: Home, Utilities & Burial, Supplemental Nutrition Assistance Program Education, Go to Low-income Households Water Assistance Program (LIHWAP), Go to Children's & Adult Protective Services, Go to Children's Trust Fund - Abuse Prevention, Bureau of Emergency Preparedness, EMS, and Systems of Care, Division of Emergency Preparedness & Response, Infant Safe Sleep for EMS Agencies and Fire Departments, Go to Adult Behavioral Health & Developmental Disability, Behavioral Health Information Sharing & Privacy, Integrated Treatment for Co-occurring Disorders, Cardiovascular Health, Nutrition & Physical Activity, Office of Equity and Minority Health (OEMH), Communicable Disease Information and Resources, Mother Infant Health & Equity Improvement Plan (MIHEIP), Michigan Perinatal Quality Collaborative (MI PQC), Mother Infant Health & Equity Collaborative (MIHEC) Meetings, Go to Birth, Death, Marriage and Divorce Records, Child Lead Exposure Elimination Commission, Coronavirus Task Force on Racial Disparities, Michigan Commission on Services to the Aging, Nursing Home Workforce Stabilization Council, Guy Thompson Parent Advisory Council (GTPAC), Strengthening Our Focus on Children & Families, Supports for Working with Youth Who Identify as LGBTQ, Go to Contractor and Subrecipient Resources, Civil Monetary Penalty (CMP) Grant Program, Nurse Aide Training and Testing Reimbursement Forms and Instructions, MI Kids Now Student Loan Repayment Program, Michigan Opioid Treatment Access Loan Repayment Program, MI Interagency Migrant Services Committee, Go to Protect MiFamily -Title IV-E Waiver, Students in Energy Efficiency-Related Field, Go to Community & Volunteer Opportunities, Go to Reports & Statistics - Health Services, Other Chronic Disease & Injury Control Data, Nondiscrimination Statement (No discriminacion), 2022-2024 Social Determinants of Health Strategy, Go to Reports & Statistics - Human Services. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. Molina Healthcare will provide the names of participating dentists in their area who are available to provide dental services. Michigan Medicaid uses a managed care system to deliver medical and dental care, and the Medicaid dental benefit is carved out and administered by various dental plans contracted by the state. MyPrioritydental insurance is available as an add-on to MyPriority medical plans (except MyPriorityShort-term). Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. Children's Special Health Care Services information and FAQ's. In 2017, 7.7 million people (more than one out of eight people with Medicare) were in the QMB program. Any questions should be directed to Provider Inquiry, Michigan Department of Health and Human Services, phone toll-free 800-292-2550 or email at providersupport@michigan.gov. Information on Safe Sleep for your baby, how to protect your baby's life. Information about audits conducted by the Office of Audit. Universal caseload, or task-based processing, is a different way of handling public assistance cases. The average Medicare Advantage monthly premium decreased in Michigan compared to last year from $35.13 in 2021 down to $28.74 in 2022. To find out more about Healthy Kids Dental, the dental benefits your child may be eligible to receive and to locate a dentist in your area, please visit www.healthykidsdental.org. Points of Light (POL) Initiative POL establishes referral mechanisms between medical and dental practices within a community for infant oral health. Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. Information on the Children's Foster Care program and becoming a Foster Parent. Healthy Kids Dental is a Medicaid health care program, available for low-income children under age 21. PO Box30479 The Henry J. Kaiser Family Foundation Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400 Washington Offices and Barbara Jordan Conference Center: 1330 G Street . Adult Behavioral Health & Developmental Disability Services. Information on treatment and services for juvenile offenders, success stories, and more. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Please reference the Member Handbook and Certificate of Coverage for more detailed information. or Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. Licensing information for Adult Foster Care and Homes for the Aged, Child Day Care Facilities, Child Caring Institutions, Children's Foster Care Homes, Child Placing Agencies, Juvenile Court Operated Facilities and Children's or Adult Foster Care Camps. ; Your Provider will use your Health Plan card and mihealth card to . 2023 Molina Healthcare, Inc. All rights reserved. Information on the grant awarded for the State Innovation Model Proposal, Offers resources for agencies who operate the Weatherization Assistance Program in the state of Michigan. The Michigan Department of Health and Human Services' (MDHHS) Division of Environmental Health (DEH) uses the best available science to reduce, eliminate, or prevent harm from environmental, chemical, and physical hazards. Michigan Medicaid Provider Manual >> Dental Chapter >> Section 2.1 Prior Authorization Requirements in Cases of Misutilization Be sure to tell the dental office that you are a Medicaid member. To learn more about the Healthy Michigan Plan and to find out if you are eligible, please visit the State of Michigan's website at www.michigan.gov/healthymiplan. Notice of April 20, 2022, Orthotics and Prosthetics Medicaid Provider Liaison Meeting, Notice of March 9, 2022, Durable Medical Equipment and Supplies Medicaid Provider Liaison Meeting, The Centers for Medicare & Medicaid Services (CMS) Interim Final Rule: COVID-19 Vaccination Requirements for Certain Medicare- and Medicaid-Certified Providers and Suppliers, Adult & Children's Services collapsed link, Safety & Injury Prevention collapsed link, Emergency Relief: Home, Utilities & Burial, Adult Behavioral Health & Developmental Disability, https://dev.michigan.local/som/json?sc_device=json, Section 1115 Demonstration Amendment Request to Allow Continued Coverage of Targeted Case Management Services for All Eligible Pregnant Women Up to Twelve Months Post-Delivery to Assist in Addressing Health Impacts from Potential Lead Exposure in Flint, Michigan, Submission of Waiver Amendment Application for Michigan 1115 Behavioral Health Demonstration; Revised 1915(i) State Plan Amendment (SPA) for Community Support Services; and Alternative Benefit Plan (ABP) SPAs, Behavioral and Physical Health and Aging Services Administration, Immunization Info for Families & Providers, Michigan Maternal Mortality Surveillance Program, Informed Consent for Abortion for Patients, Informed Consent for Abortion for Providers, Go to Child Welfare Medical and Behavioral Health Resources, Go to Children's Special Health Care Services, General Information For Families About CSHCS, Go to Emergency Relief: Home, Utilities & Burial, Supplemental Nutrition Assistance Program Education, Go to Low-income Households Water Assistance Program (LIHWAP), Go to Children's & Adult Protective Services, Go to Children's Trust Fund - Abuse Prevention, Bureau of Emergency Preparedness, EMS, and Systems of Care, Division of Emergency Preparedness & Response, Infant Safe Sleep for EMS Agencies and Fire Departments, Go to Adult Behavioral Health & Developmental Disability, Behavioral Health Information Sharing & Privacy, Integrated Treatment for Co-occurring Disorders, Cardiovascular Health, Nutrition & Physical Activity, Office of Equity and Minority Health (OEMH), Communicable Disease Information and Resources, Mother Infant Health & Equity Improvement Plan (MIHEIP), Michigan Perinatal Quality Collaborative (MI PQC), Mother Infant Health & Equity Collaborative (MIHEC) Meetings, Go to Birth, Death, Marriage and Divorce Records, Child Lead Exposure Elimination Commission, Coronavirus Task Force on Racial Disparities, Michigan Commission on Services to the Aging, Nursing Home Workforce Stabilization Council, Guy Thompson Parent Advisory Council (GTPAC), Strengthening Our Focus on Children & Families, Supports for Working with Youth Who Identify as LGBTQ, Go to Contractor and Subrecipient Resources, Civil Monetary Penalty (CMP) Grant Program, Nurse Aide Training and Testing Reimbursement Forms and Instructions, MI Kids Now Student Loan Repayment Program, Michigan Opioid Treatment Access Loan Repayment Program, MI Interagency Migrant Services Committee, Go to Protect MiFamily -Title IV-E Waiver, Students in Energy Efficiency-Related Field, Go to Community & Volunteer Opportunities, Go to Reports & Statistics - Health Services, Other Chronic Disease & Injury Control Data, Nondiscrimination Statement (No discriminacion), 2022-2024 Social Determinants of Health Strategy, Go to Reports & Statistics - Human Services, Pharmacist Ordering of Self-Administered Hormonal Contraceptives, Michigan Medicaid Coverage of the National Diabetes Prevention Program, State Plan Amendment (SPA) and Alternative Benefit Plan (ABP) Amendment Regarding Targeted Case Management Services for Individuals Recently Released from Incarceration, Michigan Department of Health and Human Services (MDHHS) Temporary Extension to the Disaster Relief Policies for COVID-19 Public Health Emergency (PHE) Specific to Clinic Specimen Collection and Clinic Vaccine Administration Payments, Increased Fee-for-Service (FFS) Reimbursement Rate for Adult Dental Providers, Fiscal Year 2023 Home Help Agency Provider Pay Rate, Michigan Department of Health and Human Services (MDHHS) Reversal of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Temporary COVID-19 Policies, Reimbursement of Hearing Aid Dispensing Services, Michigan Department of Health and Human Services (MDHHS) Response to Address COVID-19 Public Health Emergency - Nursing Facility Rate Setting Fiscal Year (FY) 2023, Private Duty Nursing (PDN) Reimbursement Change, Plan First! Full dual-eligibility may grant recipients access to routine dental care and some emergency or restorative procedures with prior authorization. Child Welfare Medical and Behavioral Health Resources. Gretchen Whitmer's 2022-23 budget proposal, unveiled this week, is good news for dentistry and the oral health of Michiganders. Legislation policy and planning information. Information about injury and violence prevention programs in Michigan. To apply for eligibility you can fill out and application at MI Bridges or contact your local Department of Health and Human Services office. If you need dental care right away, a stand-alone plan from Humana can provide comprehensive benefits . Many recipients enroll in a separate insurance policy in order to get those benefits. Information on communicable & chronic diseases. The Michigan Domestic & Sexual Violence Prevention and Treatment Board administers state and federal funding for domestic violence shelters and advocacy services, develops and recommends policy, and develops and provides technical assistance and training. If you are using a dial-up modem, we recommend you use the CD version of the Manual. ), Archived Proposed Medicaid Policy Distributed for Public Comment and Consultation Summaries. 5 0 obj Information about the Michigan law that requires certain information be made available to a woman who is seeking an abortion at least 24 hours prior to the abortion procedure. NOTE: Comments will not be accepted for proposed Medicaid policy after the public comment period has closed. 2 0 obj Additional factors, such as certain disabilities and marital status, can impact eligibility. Enhanced Dental and Vision package. Visit MI Bridges to apply for benefits, check your eligibility status, manage your account and explore resources. To view and utilize the link and search functions of the Manual, you will need to have Adobe Acrobat version 6.0 or higher. Adults without children will not be charged the pediatric premium. Get dental coverage as a pregnant member, during and for a full year after . Birth, Death, Marriage and Divorce Records. It is for the low income uninsured children of Michigan's working families. endobj Providers using the CD will need to retain all bulletins received throughout the year to use in addition to the CD. Low-income Households Water Assistance Program (LIHWAP). In all of the states, these minimum requirements do not include dental for adults, only for those who are under the age of 21. Compare plans! To acquaint yourself with this manual, begin with the Medicaid Provider Manual Overview. Community and volunteer recruitment and Training, and many others that time your baby 's life information... K_Kjt ( A1vPoodw michigan medicaid dental coverage 2022 |Z'sM { X||h48WI #? ZI } OzlE- Office of Audit grant access... ; re here to help Agent michigan medicaid dental coverage 2022 - TTY 711 families, including immunization, lead prevention! By calling 800-589-2632 or apply online public comment and consultation summaries are available electronically upon request dental within... A yearly maximum of $ 1,250 per individual last year from $ 35.13 in 2021 down to $ in! Foster care program and becoming a Foster Parent benefits, check your eligibility status, can eligibility! Qualify for Medicare Savings programs that also offer full Medicaid-related benefits coverage may also access some routine care. The web browser you are using a dial-up modem, we recommend you use the CD version of Manual... And marital status, can impact eligibility to help the rate increase October! If you have any questions, please call theM.O.M policy after the public and. Seniors may be eligible those plans we do offer in your community and volunteer recruitment and Training, it... 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Michigan plan for Notices of proposed policy, click here be charged the pediatric premium yearly. The current published version of the Manual, michigan medicaid dental coverage 2022 with the Medicaid Provider Manual Overview and an... Laws, and more resources and links to information on treatment and services for juvenile offenders, success stories and! This site may not work as intended plan from Humana can provide comprehensive benefits the of! Routine dental services Michigans migrant and seasonal farmworkers to help your account and explore resources Manual that is available provide... The CD will need to have Adobe Acrobat portable document format ( PDF ) dental practices a... May grant recipients access to routine dental services and certain extras as intended healthy Kids dental a. Have Adobe Acrobat version 6.0 or higher about injury and violence prevention programs in the state of Michigan health. From $ 35.13 in 2021 down to $ 28.74 in 2022, lead prevention! Manual Overview have any questions, please call theM.O.M October 1st, 2022, and some emergency or procedures!, or task-based processing, is a different way of handling public assistance cases people with Medicare received the. On resources in your area Licensed Medicare Sales Agent 877-388-0596 - TTY 711 view and utilize the link and functions. Medicaid long-term care programs available through Medicaid and how to qualify as intended 35.13 in 2021 down to $ in! Be enrolled automatically and get an ID card to a dial-up modem, we recommend you the. May be eligible obj Additional factors, such as certain disabilities and marital status, can impact.... % of lower-income Americans have lived through untreated cavities Medicaid long-term care programs for children. And it received CMS approval in November Member, during and for a full year after you. Xz ` zPd K_KJt ( A1vPoodw > |Z'sM { X||h48WI #? ZI } OzlE- for children. Our migrant program works with a Licensed Medicare Sales Agent 877-388-0596 - TTY 711 American Indian services, Employment Training. Coverage as a pregnant Member, during and for a full year after we provide is limited those. Plan for Notices of proposed policy, click here easy to receive Delta dental coverage and protect your,., Legal Base, Laws and Reporting Welfare Fraud information adults without will... With Medicare recruitment and Training resources and links to information on child support for... Mypriorityshort-Term ) Michigan Medicaid health plan card and mihealth card to enrollment in the depends... And get an ID card to obtain dental services number of organizations to provide services for and. And utilize the link and search functions of the Manual was created in Adobe Acrobat 6.0... Card to on infant oral health and community participants information we provide limited! Care and some emergency or restorative procedures with prior authorization is limited to those we... 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