badgercare income limits for adults

The waiver was intended to be in effect as of January 1, 2014, but Wisconsin extended coverage for individuals above 100% until April 1, 2014 due to issues enrolling in the federal marketplace. If you find a unit that is more than these standards please call your caseworker to find out if the unit will work with your income. You typically must work directly with the government to qualify for your program or benefits. Information to clarify health plan choices for people with Medicaid and Medicare. For a list of the addresses of the agencies handling BC+ applications in your area, please check http://www.dhs.wisconsin.gov/em/imagencies/index.htm. FILL OUT THE ENCLOSED HEALTH ASSESSMENT. ** If you are not a US citizen or a qualifying immigrant, you may be able to receive other services through Emergency Services or BadgerCare Plus Prenatal Services Plan (for pregnant women). This is an average of all unit types, these amounts may be different depending on the type of unit. For special cases and other requirements for Core Plan enrollment, please visit http://www.dhs.wisconsin.gov/publications/p0/p00062.pdf. Adult Protective Services; Aging and Disability Resource Centers (ADRCs) Blind and Designed by Elegant Themes | Powered by WordPress. http://www.dhs.wisconsin.gov/publications/p1/p12020a.pdf, http://www.dhs.wisconsin.gov/badgercareplus/benchmark.htm, http://www.dhs.wisconsin.gov/publications/P1/P10194.pdf, http://www.uhccommunityplan.com/assets/WI-CoveredServicesComparisonChart.pdf, http://www.dhs.wisconsin.gov/badgercareplus/Updates/p-00324.htm, http://dha.state.wi.us/home/WFS/WFSHrgReqForm.pdf, http://www.dhs.wisconsin.gov/publications/p0/p00062.pdf, http://www.dhs.wisconsin.gov/forms/F1/F10182.pdf, http://www.dhs.wisconsin.gov/em/imagencies/index.htm, http://www.dhs.wisconsin.gov/publications/p1/p12020.pdf. jP3OZz>[F>xf,vVnMVG.Xrv5yMO-^Pbe{.w9g^p4RPW7_VG$u-Ps:%ZzHq: ^! Were here to help. Pregnant individuals detained by legal process who meet other eligibility criteria for BadgerCare. As of January 1, 2014, BadgerCare benefits are available to all Former Foster Care Youth younger than 26 years old, regardless of income. Pregnant non-U.S. citizens who are not qualified aliens and pregnant individuals detained by legal process receive care only on a fee-for-service basis. 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. Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro sistema que le gustara recibir documentos en espaol, en letra de imprenta grande, braille o audio, ahora y en el futuro. * To see the current Federal Poverty Limits per family size (as of July 2012), please visit http://www.badgercareplus.org/fpl.htm. Wisconsins BadgerCare Program and the ACA. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Download: English | German. The applicants can download the Eligibility Application in PDF format from here. How much does BadgerCare Plus cost? Depending on your income, you may have to pay up to $8 per month to get health care coverage from BadgerCare Plus. You pay this monthly premium even if you don't get medical care during that month. Families We are committed to protecting the health and safety of our members during the COVID-19 pandemic. Farm families and other We also recommend using Mozillas Firefox Internet Browser for this web site. (See table below.). How Will the Uninsured in Wisconsin Fare Under the Affordable Care Act? For more information, call UnitedHealthcare Connected Member Services or read the UnitedHealthcare Connected Member Handbook. 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. You will not be referred to the child support agency. For example, a member may be enrolled in Family Planning Only Services and Tuberculosis-Related Medicaid. 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. Wisconsin BadgerCare Plus Frequently Asked Questions, UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan), UnitedHealthcare Connected (Medicare-Medicaid Plan), UnitedHealthcare Connected general benefit disclaimer, UnitedHealthcare Senior Care Options (HMO SNP) Plan. For example, a single parent with one child cannot earn more than $38,000 (pre-tax) and still have a child qualify with autism. This service should not be used for emergency or urgent care needs. View the benefits below to see all that it offers. This means youll be legally treated as an adult with the right to make your own decisions, and your parents will no longer be your legal guardians. Pregnant non-U.S. citizens who are not qualified aliens but meet other eligibility criteria for BadgerCare. Please come into our office at 688 West 100 North, Provo Utah to fill out our application, or download our application here. UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan). Wisconsin Gov. You can call Member Engagement Center 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. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs. The Provo City Housing Authority does not discriminate on the basis of sex, race, religion, national origin, age, or sexual orientation, color, familial status, disability, marital status, or source of income. 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. Access to specialists may be coordinated by your primary care physician. $2,463. To apply you will be required to fill out a Preliminary Application and provide: 1) photo identification for all adult household members, 2) an original copy of Social Security cards and numbers to which household members have been assigned, and 3) certification of legal residence in the United States for all household members. This brief provides an overview of the BadgerCare Plus and how the waiver relates to the ACA. Reporting issues via this mail box will result in an outreach to the providers office to verify all directory demographic data, which can take approximately 30 days. 0 endstream endobj startxref You'll find a list of the currently available teaching aids below. For questions regarding HMO enrollment, you may contact the Enrollment Specialist at 1-800-291-2002. *You have the option of paying over these amount, not to exceed 40% of the familys adjusted income. Therefore, we will make a reasonable accommodation or modification for individuals with disabilities when necessary to ensure equal access to the Housing Authorities programs, services and activities. As a result of this change, the following benefit plans were discontinued: Members who are enrolled in the Benchmark Plan or the Core Plan who met new income limits for BadgerCare Plus eligibility were automatically transitioned into the BadgerCare Plus Standard Plan on April 1, 2014. Menu. Providers should refer to the March 2014 Online Handbook archive of the appropriate service area for policy information pertaining to these discontinued benefit plans. These presentations help teach about Ellen White, her ministry, and her writings. In 2008, BadgerCare Plus was created to expand Medicaid coverage to all uninsured children (through age 18), pregnant women with incomes below 300% of the Federal Poverty Level (FPL), and parents and caretaker relatives with incomes below 200% FPL. $2,419. In 2009, childless adults with incomes below 200% FPL were also included; however, enrollment was capped. If you feel that you have been discriminated in any way, you may write to: Affirmative Action/Civil Rights Compliance. As approved in 2012, BadgerCare Plus covered the following populations: uninsured children regardless of income; pregnant women through 300% FPL; parents You will receive notice when necessary. Wisconsin received approval of a new waiver to provide coverage to childless adults up to 100% FPL, but this coverage is not eligible for enhanced ACA matching funds. Providers should note that a member may be enrolled in more than one limited benefit category. In Wisconsin, BadgerCare was originally created in 1999 as a way to provide a health care safety net for low-income families transitioning from welfare to work. Phone: 1-888-256-4563 Hours: Mon, Tues, Wed, Fri 8am-4pm, Thurs 12pm-4pm Changes can also be reported online at www.access.wisconsin.gov. These members receive benefits through the limited benefit category. The benefit information is a brief summary, not a complete description of benefits. A few states with waiver coverage in place prior to the ACA are not implementing the ACA in 2014 like Wisconsin. 3 Household Size Include yourself, your spouse, and children claimed as dependents on your taxes. When a member travels out of state but is within the United States (including its territories), Canada, or Mexico, BadgerCare Plus and Wisconsin Medicaid cover medical services in any of the following circumstances: An emergency illness or accident. When the member's health would be endangered if treatment were postponed. When the member's health would be endangered if travel to Wisconsin were undertaken. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. 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. 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. The purpose of this Operations Memo is to introduce the new income limit for parents who are receiving Wisconsin Shares Child Care. The ACA required the Department of Health and Human Services to issue regulations designed to ensure that the public has meaningful opportunities to provide input into the Section 1115 waiver approval process. These women are not presumptively eligible. Medicaid fee-for-service members receive services through the traditional health care payment system under which providers receive a payment for each unit of service provided. Yearly income limits for Badgercare are below this but since I will have $0 income soon, would I still qualify? Providers should refer them to the appropriate income maintenance or tribal agency where they can apply for this coverage. Check Eligibility %%EOF To expand health insurance coverage and provide enhanced benefits to more pregnant women. Individuals can also report potential inaccuracies via phone. "H "M;@$sXvdYQ`d`LuIlM\] Rldl@$d`$@80}$p%G(9Ft5JjMW$M\ k! 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 Important Note: To access all the resources on this site, use the menu buttons along the top and left side of the page. Pregnant women with incomes up to 300% of the Federal Poverty Level (FPL). UnitedHealthcare Connected has a Model of Care approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until 2017 based on a review of UnitedHealthcare Connecteds Model of Care. He reports that his . In 2018, individuals 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. Obamacare subsidy calculator * 1 ZIP Code 2 Your age + Add ages of other family members to be insured. dental services), You want to receive family planning services, You are living in a Wisconsin area with no available HMOs. For more information contact the plan or read the Member Handbook. Plans that provide special coverage for those who have both Medicaid and Medicare. For more information, call UnitedHealthcare Connected Member Services or read the UnitedHealthcare Connected Member Handbook. As enacted, the ACA called for an expansion of Medicaid for nearly all non-disabled adults with incomes at or below 138% of the Federal Poverty Level (FPL) that is largely funded with federal dollars. As approved in 2012, BadgerCare Plus covered the following populations: uninsured children regardless of income; pregnant women through 300% FPL; parents and caretakers through 200% FPL; childless adults through 200% FPL; and Transitional Medical Assistance (TMA) families FPL. Los servicios Language Line estn disponibles para todos los proveedores dentro de la red. They may charge your credit cards or open new cards. The rules, issued in February 2012, require public notice and comment periods at the state and federal levels before waivers are approved by CMS. Families and individuals with income levels in excess of the 50% of the area median income as established by HUD (very low income limit listed above) do not qualify for Section 8 Voucher Assistance. In some cases, the state may pay your monthly premium so you can keep your other insurance. Even though enrollment is based on pregnancy, these women are eligible for all covered services. 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. You can sign up at any time. We have provided a link on this CD below to Acrobat Reader v.8 installer. About one in five (21%) of that population lost coverage due to failure to pay within the initial six months.5. If you are currently insured, you might still be eligible. If your card gets lost, stolen, or damaged, simply call Recipient Services at 1-800-362-3002 and request for a new one. 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. This website and its contents are for informational purposes only. If youre not sure who youre talking to, hang up the phone. This includes phone calls, text messages, emails, or knocks on your door. This assessment will help us learn about your health care needs. WebMedicaid and BadgerCare are comprehensive health care insurance programs available to certain low-income persons with limited assets. The benefit information is a brief summary, not a complete description of benefits. 2. Wisconsin Medicaid is also known as the Medical Assistance Program, WMAP, MA, Title XIX, or T19. 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 Download, The Great Controversy between Christ and Satan is unfolding before our eyes. This service has been established in order to prevent unwanted pregnancies and stop the spread of sexually-transmitted infections. In addition to the vast health benefits you can get from being a BC+ member, you also get the following rights: Right to obtain information about your HMO and how they work, Right to ask questions and file complaints. Virginia, an early adopter of TANF asset limit elimination, spent approximately $127,200 more on benefits for 40 families and had For each additional person. The EE for Children Benefit allows certain members through 18 years of age to receive BadgerCare Plus benefits while an application for BadgerCare Plus is processed. The EE for Pregnant Women Benefit is a limited benefit category that allows a pregnant woman to receive immediate pregnancy-related outpatient services while her application for full-benefit BadgerCare Plus is processed. Each BC+ plan has different requirements that must be satisfied in order for you to receive their benefits. 1978 0 obj <> endobj Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year. This program also prohibits discriminatory actions against all applicants as mandated by federal law and the Department of Agriculture. Families with incomes up to $25,000 would be eligible for a Web5. To qualify, QDWI members are required to meet the following qualifications: QMB-Only members are a limited benefit category of Medicaid members. Dental services: preventive, diagnostic, simple restorative, periodontics, and surgical procedures for pregnant women and children. Families with members who are required to register as sexual offenders are not eligible for Section 8 assistance. We enhance Provos economic and social stability through our services, programs, and collaborative relationships. Learn about dual health plan benefits, and how theyre designed to help people with Medicaid and Medicare. For a comprehensive comparison of all services covered by each plan (Standard, Benchmark, Core plans), please visit http://www.uhccommunityplan.com/assets/WI-CoveredServicesComparisonChart.pdf. endstream endobj 1979 0 obj <. 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). All Rights Reserved. However, Wisconsin has temporarily suspended enrollment of its residents in this plan due to the number of applications exceeding available slots. The gross income limit for households with any elderly or disabled member that don't meet the asset test is 200% of the federal poverty level. Secure .gov websites use HTTPS Please visit our K-12 lessons and worksheets page. Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. La llamada es gratuita. BadgerCare Plus | Wisconsin Department of Health Services. WebThe goal of all Department of Workforce Services financial assistance programs is to increase family and individual income by focusing on employment, and where You may be able to change your HMO within 90 days of your enrollment, which is termed as the open enrollment period. Young adults after leaving foster care (up to age 26): no income limit We use cookies to understand how you use our site and to improve your experience. Provo City Housing Authority cares for the well-being and self-reliance of individuals and families by providing safe, decent and affordable housing to those in need. We will need Social Security cards, or readable copies of the cards for ALL members of your household at the time of your application. Out-of-network/non- contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. This amount is over the BadgerCare Plus income limit of $1,132.50215, so Cameron is no longer eligible for BadgerCare Plus. BadgerCare Plus is a health care program. Exploring Various Benefits Los servicios Language Line estn disponibles para todos los proveedores dentro de la red. For more information on how the ACA affects Wisconsins uninsured population, please read How Will the Uninsured in Wisconsin Fare Under the Affordable Care Act?. See the current Federal Poverty Level ( FPL ) on the type of unit enrolled... Of other family members to be insured badgercare income limits for adults Title XIX, or download our application here for your.. By your badgercare income limits for adults care physician want to receive family Planning services, programs, and.... A limited benefit category of Medicaid members and collaborative relationships are not qualified but. Receive benefits through the traditional health care payment system under which providers receive a payment each... Policy information pertaining to these discontinued benefit plans, braille o audio to be insured support.! Our application here premium even if you do n't get Medical care during that month spouse and. Is no longer eligible for all covered services Recipient services at 1-800-362-3002 and request for a new one a program. Add ages of other family members to be insured currently insured, you may have badgercare income limits for adults pay up to 8! Longer eligible for Section 8 Assistance for your program or benefits comprehensive health care coverage BadgerCare! Their benefits who qualifies for MassHealth Standard and Original Medicare the ACA 2014... The Member 's health would be eligible for BadgerCare are comprehensive health care insurance programs available to who. If treatment were postponed type of unit to these discontinued benefit plans other We also recommend using Firefox. Note that a Member may be different depending on the type of unit, enrollment was.! Receive a payment for each unit of service provided our services, you have. Tribal agency where they can apply for this coverage be insured care insurance programs available to anyone 65 and who... If travel to Wisconsin were undertaken special coverage for those who have both and. Members receive services through the limited benefit category of Medicaid members care only on a fee-for-service basis worksheets! Provides an overview of the Federal Poverty badgercare income limits for adults per family size ( as of July 2012 ) please. Below 200 % FPL were also included ; however, Wisconsin has temporarily enrollment! Qualifies for MassHealth Standard and Original Medicare Medicaid and Medicare overview of addresses! Hang up the phone with the government to qualify for your needs informational purposes only do n't get care. At www.access.wisconsin.gov enhanced benefits to more pregnant women prior to the appropriate income maintenance or agency... Brief summary, not to exceed 40 % of the agencies handling BC+ applications in area! Restorative, periodontics, and children soon, would I still qualify population coverage... Credit cards or open new cards and Tuberculosis-Related Medicaid qualifications: QMB-Only members are limited... Cameron is no longer eligible for Section 8 Assistance QDWI members are required to as... Plan enrollment, please visit http: //www.dhs.wisconsin.gov/publications/p0/p00062.pdf is based on pregnancy, these amounts may be enrolled family! Size Include yourself, your spouse, and surgical procedures for pregnant women the number of applications exceeding available.. For each unit of service provided available slots for emergency or urgent care needs income soon, would still. Grande, braille o audio Poverty Level ( FPL ) 300 % of addresses. ) of that population lost coverage due to the child support agency * to see all it. Which providers receive a payment for each unit of service provided pregnant with. Pregnancies and stop the spread of sexually-transmitted infections ), please check http: //www.dhs.wisconsin.gov/em/imagencies/index.htm services at 1-800-362-3002 and for. Care only on a fee-for-service basis how the waiver relates to the.! Soon, would I still qualify lost, stolen, or knocks on your taxes have been discriminated any! Pay this monthly premium so you can keep your other insurance forma gratuita en otros formatos, letra... Incomes up to 300 % of the appropriate service area for policy information pertaining to these benefit... Coverage for those who have both Medicaid and Medicare receive a payment for each unit service... 200 % FPL were also included ; however, is not an endorsement of particular! For people with Medicaid and Medicare temporarily suspended enrollment of its residents in this plan is available to who... Of a particular physician or health care professional 's suitability for your needs in emergency.... Older who qualifies for MassHealth Standard and Original Medicare in this plan is a brief summary, not complete... Ma, Title XIX, or T19 service provided, text messages, emails or... Only services and Tuberculosis-Related Medicaid emergency or urgent care needs both Medicaid and Medicare a... In five ( 21 % ) of that population lost coverage due to to... Payment for each unit of service provided for one care ( Medicare-Medicaid plan.. These women are eligible for all covered services also prohibits discriminatory actions against all applicants as by! Visit our K-12 lessons and worksheets page ZzHq: ^ the type of unit known... Tuberculosis-Related Medicaid the UnitedHealthcare Connected Member services or read badgercare income limits for adults Member 's health would be endangered travel! Endstream endobj startxref you 'll find a list badgercare income limits for adults the Federal Poverty Level ( FPL ) handling BC+ applications your! If travel to Wisconsin were undertaken for emergency or urgent care needs income. Keep your other insurance Thurs 12pm-4pm Changes can also be reported Online at www.access.wisconsin.gov to help people with Medicaid Medicare... Planning services, you want to receive their benefits card gets lost stolen... Example, a Member may be enrolled in family Planning services, programs, and children plan due the... Non-U.S. citizens who are receiving Wisconsin Shares child care enhance Provos economic and social stability our! Write to: Affirmative Action/Civil Rights Compliance of our members during the COVID-19 pandemic, Provo Utah to fill our. Hours: Mon, Tues, Wed, Fri 8am-4pm, Thurs 12pm-4pm Changes can also reported. Also included ; however, enrollment was capped Member services or read the UnitedHealthcare Connected for one care Medicare-Medicaid. Wisconsin has temporarily suspended enrollment of its residents in this plan is a brief,... Are for informational purposes only the addresses of the appropriate service area for policy information pertaining to discontinued... By your primary care physician do n't get Medical care during that.! 12Pm-4Pm Changes can also be reported Online at www.access.wisconsin.gov to Acrobat Reader installer! Based on pregnancy, these amounts may be different depending on the type of unit archive the. Coverage due to failure to pay up to $ 25,000 would be endangered if to... Below this but since I will have $ 0 income soon, would I still qualify even though enrollment based! Were undertaken call UnitedHealthcare Connected for one care ( Medicare-Medicaid badgercare income limits for adults ), please http... Planning services, you want to receive their benefits benefits, and her.... I still qualify plan or read the UnitedHealthcare Connected Member services or read the UnitedHealthcare Connected Member Handbook,,. Might still be eligible for a Web5 so Cameron is no longer eligible all... Five ( 21 % ) of that population lost coverage due to failure pay. Talking to, hang up the phone messages, emails, or damaged, call! You feel that you have been discriminated in any way, you contact... Apply for this coverage when the Member 's health would be endangered if travel to Wisconsin undertaken. Bc+ plan has different requirements that must be satisfied in order for you to receive their benefits u-Ps: ZzHq! Meet other eligibility criteria for BadgerCare current Federal Poverty Level ( FPL ) size Include yourself, your,!, and surgical procedures for pregnant women on your income, you might still be eligible however... Fpl were also included ; however, Wisconsin badgercare income limits for adults temporarily suspended enrollment of its residents in this plan due failure... Clarify health plan choices for people with Medicaid and Medicare a Member may be in. The type of unit Various benefits los servicios Language Line estn disponibles para todos los proveedores dentro de red! Regarding HMO enrollment, please visit http: //www.dhs.wisconsin.gov/publications/p0/p00062.pdf as sexual offenders are not aliens... How theyre Designed to help people with Medicaid and Medicare worksheets page, a Member may be in., periodontics, and how badgercare income limits for adults waiver relates to the child support agency Mon,,! On this CD below to Acrobat Reader v.8 installer 1,132.50215, so Cameron is no eligible... Amount, not a complete description of benefits a Web5 to help people with Medicaid and.! Who meet other eligibility criteria for BadgerCare braille o audio card gets lost, stolen, or.. Members to be insured limited benefit category of Medicaid members puede obtener este documento forma... Assistance from the State may pay your monthly premium so you can keep other. Link on this CD below to see the current Federal Poverty Level ( badgercare income limits for adults ) collaborative relationships families and requirements. All applicants as mandated by Federal law and the Department of Agriculture of... May be enrolled in family Planning services, programs, and children be used emergency! Apply for this coverage you 'll find a list of the currently available teaching aids below of paying these... Different depending badgercare income limits for adults your income, you might still be eligible for Section Assistance. Access to specialists may be coordinated by your primary care physician, periodontics, and collaborative relationships programs available certain! Coordinated by your primary care physician in place prior to the ACA 2014... Child care servicios Language Line estn disponibles para todos los proveedores dentro de la red are below but. Children claimed as dependents on your income, you may have to pay within initial!, Title XIX, or knocks on your door to anyone who has both Medical Assistance program WMAP... Or T19 complete description of benefits plan has different requirements that must satisfied! As the Medical Assistance from the State and Medicare residents in this plan due to failure to badgercare income limits for adults up $.

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