ihss application form san bernardino county

You will be notified if IHSS has been approved or denied. You may be eligible if you are 65 years of age, disabled, or blind. IHSS Providers Getting Paid by IHSS For providers hired by IHSS recipients Enrollment Packet. visit the In-Home Supportive Services Program website. If parents are unable to provide care due to disability or illness. IIN 22-003. If income too high for SSI, may qualify with share of cost. Under certain circumstances, the State of California will have the right to have your estate pay for the cost of some Medi-Cal benefits received after age 55, upon your admission to a skilled Nursing facility. Visit IRS's Certain Medicaid Waiver Payments May Be Excludable from Income for more information. You will be notified if IHSS has been approved or denied. Live at home or an abode of your own choosing (acute care hospital, long-term care facilities, and licensed community care facilities are not considered "own home"). The IHSS PA helps providers locate a variety of high-level quality training opportunities in their area by working cooperatively with other SB County agencies. San Bernardino County In-Home Supportive Services Public Authority 784 E. Hospitality Lane San Bernardino, CA 92415-0034 x Toll Free 1 (866) 985-6322 x Fax (909) 891-9130 CLIENT REGISTRY ASSESSMENT NAME:_____ Last Name First Name MI <> In alignment with the Countywide Vision to create a county in which those who reside and invest are able to prosper and achieve well-being, Human Services works to build a healthy community by strengthening individuals and families, enhancing quality of life and valuing people. You are considered your provider's employer and, therefore, it is your responsibility to hire, train, supervise, and fire this individual. If you are approved for IHSS, you must hire someone (your individual provider) to perform the authorized services. In-Home Supportive Services (IHSS) Program | County of San Bernardino In-Home Supportive Services The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. CONTACT US BY PHONE: 1-866-985-6322. IHSS is a Medi-Cal benefit. <> 1-(800)-722-0432, Copyright 2023 California Department of Social Services, Functional Index Rankings and Hourly Task Guidelines (revised 5/29/19)-, IHSS Protective Supervision Services for Minor Children -, Interviewing, Hiring and Firing a Provider -, IHSS Consumer and Provider Job Agreement -, Blind and Visually Impaired Accommodations -. The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. Provider Fraud and Elder Abuse complaint line: You may contact the social worker assigned to your case to determine the IHSS hourly rate in your county. 1505 E Warner Ave. Santa Ana, CA 92705. A social worker will conduct a reassessment of your needs on an annual basis, however, if your needs or condition changes, it is your responsibility to notify your social worker immediately. If approved, you will be notified of the services and the number of hours per month which have been authorized for you. Our Registry section (hyperlink this the Regitry bullet) contains information that will keep everyone up to date on how our Provider Registry is operating. You are considered your provider's employer and, therefore, it is your responsibility to hire, train, supervise, and fire this individual. The Department of Aging and Adult Services offer a wide variety of programs designed to help the senior, disabled , and at-risk adults in our county. ihss application form san bernardino county. To apply for IHSS, complete an application and submit it to your County IHSS Office. If approved, you will be notified of the services and the number of hours per month which have been authorized. 1 0 obj get answers. Submit a completed Health Care Certification form. You may be eligible if you are 65 years of age, disabled, or blind. Click the links for the employment verification forms. Health Insurance Counseling and Advocacy Program, Senior Community Service Employment Program, California Adult Protective Services Contact List. 2 0 obj To learn how to apply for services: Get Services IHSS . Step 1 - Visit your County IHSS Office If you already have Medi-Cal or once you are approved for it, call or visit your county In-Home Supportive Services (IHSS) office to complete an IHSS application. To apply for IHSS: Call (415) 355-6700. For additional resources, go to IHSS Recipient/Consumer Resources. California Department of Insurance is hosting the Senior Gateway website to educate seniors and their advocates and to provide helpful information about how to avoid becoming victims of personal or financial abuse. This form allows you to confirm your current address, your new home address and/or a new contact phone number. You can print this out and hand-write your answers or fill it out online directly on the page. Complete Health Care Certification If you are interested in joining an IHSS Provider Orientation in Riverside County, call us at 888-960-4477.. . If your county has homemaker employees, you may receive services from a county homemaker. IHSS Application in English San Bernardino County Workforce Development Board, Behavioral Health Commission (BHC) Meeting is Going Dark, Community Policy Advisory Committee (CPAC), Cultural Competency Advisory Committee (CCAC). 784 E. Hospitality Lane, San Bernardino, CA 92415, Health Insurance Counseling and Advocacy Program, Senior Community Service Employment Program, California Adult Protective Services Contact List. You may fax the requests to (909) 891-9130 or email to IHSSEmploymentVerif@hss.sbcounty.gov. If you have any questions about the provider enrollment process or requirements, contact your county IHSS Office or IHSS Public Authority. We are aware that the IHSS client needs to have a choice about who they employ. In order to be eligible for IHSS, you must be eligible for Medi-Cal. You may be eligible if you are 65 years of age, disabled, or blind. Disabled children are also eligible for IHSS. Website by ITSD Copyright %PDF-1.5 (909) 891-3700, 17270 Bear Valley Road Suite 108 The goal of our new site is to keep both IHSS Providers and Recipients informed about what services and resources are available from the Public Authority as well as other community agencies. Check out our Become a Service Provider and Training Resources links below for information on how to become an IHSS provider, as well as what types of training opportunities are available for providers who desire additional skill building. California Department of Insurance is hosting the Senior Gateway website to educate seniors and their advocates and to provide helpful information about how to avoid becoming victims of personal or financial abuse. In addition, I understand and agree to the following terms and limitations regarding payment for services by the IHSS program: 1. Provider Fraud and Elder Abuse complaint line: You may be eligible if you are 65 years of age, disabled, or blind. Fax Complete and fax the IHSS application to (619) 344-8077. If parents are out of the house working, school, training. The Public Authority is here to assist you, the IHSS recipient, in finding a provider that meets your needs and to provide excellent service. You can view the video to the right or open the guide below and we will walk you through the process. May 14, 2022; gta 5 drunk driver 1 not spawning; scotland recycling bins . You must make a referral for IHSS to the San Bernardino County Department of Aging and Adult Services by calling the IHSS Central Intake Unit at the following toll free telephone number: 877-800-4544 Fax 909-948-6560 An IHSS referral may be assigned to one of the six offices in San Bernardino County listed below: Preschool services feeds meals to children. The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. Register and learn how to use electronic timesheets. The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. The departments mission is to work in the partnership to promote and improve health, wellness, safety and quality of life. This assessment will include information given by you and, if appropriate, by your family, friends, physician or other health practitioner. The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. IHSS is considered an alternative to out-of-home care, such as nursing homes or board and care facilities. Disabled children are also eligible for IHSS. IHSS Service Desk for Providers & Recipients, (866) 376-7066, Suspect Fraud? Because unions negotiate with the employer of record in each county, the wage rates may vary from county to county. Disabled children are also eligible for IHSS. If denied, you will be notified of the reason for the denial. 01/17/2023. Providers play an important role by providing vital services to IHSS consumers. Based on the information gathered the social worker will assess the types of services you need and the number of hours the county will authorize for each of these services. Learn More Assisting You at Every Stage of the Process Complete an IHSS Application or Referral County of San Luis Obispo Residents can start an application by calling the Atascadero Office at (805) 461-6110, Arroyo Grande Office at (805) 474-2103, or by completing the Online Application Form. In addition, we want to share important information about what is happening at the state and local level regarding IHSS budgets, wages, benefits and other information. The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. IHSS/WPCS providers to enhance providers skills and improve, Due to a change in State law, effective July 1, 2022, IHSS and WPCS providers, You are receiving this letter because the new Public Health Order issued on December 22,, Providers with an Electronic Services Portal (ESP) account can view and download a copy of, Beginning 3/28/22, providers and recipients will have the option to receive notifications through text message, Providers will now be able to update their residence/mailing address and/or telephone via the ESP. If denied, you will be notified of the reason for the denial. Find out more CPR/First Aid February 17, 2023 9:00 am-4:00 pm Recurring - see all IHSS Office 784 E Hospitality Ln. IHSS hours. Print . Home | About Us | Services | Senior Centers | 536 E. Virginia Way Apply to Become an IHSS Provider Public Authority and IHSS The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. Complete the SOC 295 Application For IHSS. The appropriate CDSS form to download and fill out is the SOC 840 IHSS Program Provider or Recipient Change of Address and/or Telephone. The In-Home Supportive Services (IHSS) program provides in-home assistance to eligible aged, blind and disabled individuals as an alternative to out-of-home care and enables recipients to remain safely in their own homes. Serves veterans and their families and ensure they receive the benefits they have earned. The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. To be eligible, you must be 65 year of age and over, or disabled, or blind. Enroll my Preschooler in a Head Start Program? To be eligible, you must be over 65 years of age, or disabled, or blind. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The Department of Aging and Adult Services offer a wide variety of programs designed to help the senior, disabled , and at-risk adults in our county. Disabled children are also eligible for IHSS. Training is an important tool in supporting the daily routine of all care providers. In-Home Supportive Services (IHSS) Program The IHSS Program will help pay for services provided to you so that you can remain safely in your own home. Public Authority assists in administering the IHSS program by connecting care providers with clients that qualify for this type of assistance. The types of services which can be authorized through IHSS are housecleaning, meal preparation, laundry, grocery shopping, personal care services (such as bowel and bladder care, bathing, grooming and paramedical services), accompaniment to medical appointments, and protective supervision for the mentally impaired. You must make a referral for IHSS to the San Bernardino County Department of Aging and Adult Services by calling the IHSS Central Intake Unit at the following toll free telephone number: If you are currently receiving Medi-Cal Services, a county social worker will interview you at your home to determine your eligibility and need for IHSS. This process may take slightly longer depending on how you respond to the Eligibility Workers request for information. Get free assistance with your personal care and daily chores from a qualified, IHSS Provider who comes to your home. IHSS Application in Armenian You may be eligible if you are 65 years of age, disabled, or blind. 760) 326-9328, 9445 Fairway View Place Suite 110 This resource is designed to assistcounty eligibility workers and other partners who provide services to the public. x=nH|12d'Yq,+NdKU-r EdUWgx~|OLOgz?gWx=[Gir_?EN.>:9{"Ie/K#0A_c|E|*GS9W,cp"=Kgs>G}~8`k!H7^/x-|gp~Clc/,6;W'4ms*TDYyyxr,zRw8HSd;2x+OE"UJ1UL*AlAFYqiDvLqSS@U"$+2eRf-dT)uzRD~+>_~xMa[GZHTrvA!S`,j=G4Y$z{2*oHS4M"-,%c$y8(Y [s^fF>Z,lk/`p*yS+90.xR! A completed Health Care Certification (SOC 873) must be received by the county prior to authorization of services. AVENUE AUBURN, CA 95603 **PLEASE CALL YOUR COUNTY TO GET LOCAL IHSS OFFICE ADDRESS** \r ONLY PLACER COUNTY PROVIDERS AND CASES SHOULD MAIL TO PLACER COUNTY. Over 550,000 IHSS providers currently serve over 650,000 recipients. For more information and resourcesvisit the In-Home Supportive Services Program website. Call IHSS at (510) 577-1800 or; Go to the Alameda County Social Services website; Find My IHSS Social Worker. From working safely in the home to proper lifting techniques, the Public Authority can assist in locating training classes that are low cost, or in many cases free to all IHSS providers. ihss application form san bernardino county. Have a Medi-Cal eligibility determination. All other IHSS correspondence should be sent to the assigned IHSS worker. 4 0 obj IHSS Timesheet Issues/Questions: Cost: Free. IHSS Fraud Hotline: 888-717-8302 Our Department of Public Health is working closely with the California Department of Public Health to ensure FDA-approved vaccinations meet state guidance on safety and effectiveness. If parents are sleeping or caring for other family members. Your In-Home Supportive Services (IHSS) income may be exempt if you received income from a Medicaid waiver or IHSS program for providing care to an individual you lived with. An In-Home Supportive Services (IHSS) provider is someone who gets paid to provide services to a person who receives in-home supportive services under the IHSS Program. 2. Unless, something changes, then you must update immediately. 2008 Department of Aging and Adult Services. providers should return their form to the Department of Healthcare Services. 2008 Department of Aging and Adult Services. California Department of Insurance is hosting the Senior Gateway website to educate seniors and their advocates and to provide helpful information about how to avoid becoming victims of personal or financial abuse. San Bernardino County 211 get connected. <>>> This assessment will include information given by you and, if appropriate, by your family, friends, physician or other health practitioner. bUH \@le>x$;C+92L?DTGKtpS(t``hurRCjy`(V/iF/1YwXV zRR@~)r*"D8+KCU$r?P2YS;`]/"EqyN8XBIMuU:: E;JTD1$tTTXdnDB\ vR 5vuP>.},FQei1`EH* 'dV0cg`eZ*. Notifying the County IHSS office within 10 days when I hire or fire a provider. 2008 Department of Aging and Adult Services. Enhances the quality of life in the community by administrating support programs to persons in need of financial, nutritional and/or medical assistance while working with families and individuals to attain self-sufficiency. If approved for IHSS, you must hire someone (your individual provider) to perform the authorized services. IHSS Fraud Hotline: 888-717-8302 In alignment with the Countywide Vision to create a county in which those who reside and invest are able to prosper and achieve well-being, Human Services works to build a healthy community by strengthening individuals and families, enhancing quality of life and valuing people. To be eligible, you must be over 65 years of age, or disabled, or blind. IHSS Application in Spanish. You may be eligible if you are 65 years of age, disabled, or blind. The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. Learn first aid assessment and treatment techniques. The purpose of the IHSS program is to provide supportive services to persons who are aged, blind, or disabled, and who are limited in their . The Enrollment Packet is the employment paperwork for . Partnering with parents and the community to deliver reliable child support services to make a positive difference in the lives of children. % Former foster youth perseveres, becomes veterinarian. The Public Authority was established to enhance inhome supportive services ("IHSS") in San - Bernardino County ("the County") under California Welfare and Institutions Code Section 12300 et seq., and San Bernardino County Ordinance #3842 (Chapter 42 of Division 2 of Title 1 of the San Bernardino County Code). Disabled children are also eligible for IHSS. The Public Authority phone number is 1-866 985-6322. We hope you find our site helpful, and encourage you to feel free to call us with any questions you have about our services here at the IHSS Public Authority. IHSS IHSS Appeals Conservatorships Educational Advocacy Due Process Representation Blog Contact Us Our Mission American Advocacy Group exists to provide top quality, affordable advocacy services for the elderly and individuals, of any age, diagnosed with developmental and physical disabilities. You may be eligible if you are 65 years of age, disabled, or blind. Welcome to the County of Orange Social Services Agency In-Home Supportive Services (IHSS) website. The Department of Aging and Adult Services offer a wide variety of programs designed to help the senior, disabled , and at-risk adults in our county. In-Home Supportive Services Registry by San Bernardino County Public Authority serving Rimforest, CA. The Public Authority has a recruitment staff dedicated to recruiting caring and hardworking individuals to meet the needs of IHSS clients. San Bernardino County Homeless Partnership, Community Action Partnership of San Bernardino County. As a team, Human Services departments collaborate with community partners to provide a wide range of quality programs and services that address the changing and emerging needs of county residents. This program covers residents of the following counties: San Bernardino County, CA. If you have any questions you can email us at employment@hr.sbcounty.gov or give us a call at (909) 387-8304. IHSS Provider Help Line, (866) 376-7066, Suspect Fraud? If you want to become an IHSS provider, you must complete all the steps outlined in the document linked below before you can be enrolled as a provider and receive payment from the IHSS program for providing services. Call IHSS at (510) 577-1900 or; Go to the Alameda County Social Services web portal. endobj Based on your ability to safely perform certain tasks for yourself, the social worker will assess the types of services you need and the number of hours the county will authorize for each of these services. For translated documents, please go to Fact Sheets, Armenian, or Chinese. Help Stop Medi-Cal Fraud and Abuse To keep you safe during COVID-19,we're here to assist you by email and phone, Monday-Friday, 8:00 a.m. to 5:00 p.m. Service Center locations:On our map below, click on our two Service Centers for their location details. form and you must return it to the county before care services can be authorized. Website by ITSD Copyright 3 0 obj Improves the well-being of children, empowers families and strengthens communities. San Bernardino, CA 92408 + Google Map CRP/First Aid - Learn the signs of cardiac arrest, assessment, compressions, and rescue breathing. Registry providers are requirement to update monthly. IIN 22-001. myAvatar Chart Documentation Procedural Changes (IIN 21-002) (760) 243-8400. Helps at-risk children by improving communication, planning, coordination and collaboration between child serving agencies. It is intended to help individuals understand their rights and responsibilities in the In-Home Supportive Services (IHSS) program. IIN 22-002. IHSS helps older adults and people with disabilities with daily activities such as bathing, dressing, laundry, shopping, and cooking. stream English Spanish Employment Verification Confidential fax 909-891-9077 is designed for a limited number of IHSS providers who are not eligible for Medi-Cal, Medicare, or other health insurance. 01/17/2023. New Timeframes for Completion of Progress Notes. IHSS Office 784 E Hospitality Ln. Welcome to the San Bernardino County HSS Public Authority Website! Strives to be recognized as a progressive system of seamless, accessible and effective services that promote prevention, intervention, recovery and resiliency for individuals, families and communities. IHSS Consumer and Provider Job Agreement - Full Color, Black and White Communicating with Your Provider - Full Color, Black and White Setting and Maintaining Boundaries - Full Color, Black and White Supervising Your Provider - Full Color, Black and White Deciding When to Fire a Provider - Full Color, Black and White San Bernardino County IHSS Public Authority - Updated by MS: 5/21/2018 Public Authority Provider Registry Application 784 East Hospitality Lane San Bernardino, CA 92415-0034 Toll Free: (866) 985-6322 Fax: (909) 891-9130 RELEASE OF INFORMATION/WAIVER FORM To Whom It May Concern: . contact your county social services agency. This assessment will include information given by you and, if appropriate, by your family, friends, physician or other licensed health care professional. It is easy to set up your profile and start applying with San Bernardino County. Thank you for the opportunity to assist you! We also encourage you to schedule an appointment if you need to conduct business in person. TEMP 3021 (3/21) Page 2 of 2 XX MAIL TO: PLACER COUNTY IHSS PAYROLL-COVID SICK LEAVE 11512 B. Versions Form popularity Fillable & printable CA Public Authority Registry Update Form - San Bernardino County 2018 The Registry is a service that includes recruiting and screening IHSS caregivers, maintaining a database of available caregivers, helping clients with interview assistance, and referring Registry caregivers to IHSS clients. 2008 Department of Aging and Adult Services. If you are not receiving Medi-Cal Services, a county Eligibility Worker will send you an application for Medi-Cal Services to assess your eligibility. ihss application form san bernardino county. Welcome to the County of San Bernardino Human Services' website. Who live or work in San Bernardino County, Through San Bernardino County Homeless Veterans Initiative. Help Stop Medi-Cal Fraud and Abuse Find substance use disorders and/or alcohol recovery services? Disabled children are also eligible for IHSS. If the provider qualifies, the State withholds the applicable amounts for disability insurance and Social Security taxes. 4. Choose the correct version of the editable PDF form from the list and get started filling it out. Strives to protect endangered children, preserve and strengthen their families and develop alternative family settings. You will be required to complete an Application for In-Home Supportive Services (SOC 295). If you need to complete IHSS Provider Orientation, call us at (888) 960-4477.Be prepared with your current email address so our staff can set up access to our online system. Safety. The goal of our new site is to keep both IHSS Providers and Recipients informed about what services and resources are available from the Public Authority. If you do not have a provider then you may contact the San Bernardino County IHSS Public Authority to assist you in finding a provider. Disabled children are also potentially eligible for IHSS. I am an older adult and need help taking care of myself. The IHSS Career Pathways Program Is Now Available. Disabled children are also eligible for IHSS. The IHSS program provides hands-on and/or verbal assistance (reminding or prompting) for the services listed above. In order for any individual to be paid by the IHSS program, they must be approved as an IHSS eligible provider. Preparing for Power Outages - Recipient Registration Register for the IHSS Website to: View your timesheet and payment statuses Enter and submit timesheets No longer mail paper timesheets Request additional timesheets Enroll in direct deposit Claim sick leave Registration FAQs (PDF) Disabled children are also eligible for IHSS. IHSS Application in Chinese The State issues all checks for individual provider payments. Uncategorized. Care for a family member, a friend, or a referral who is an IHSS Recipient. 784 E. Hospitality Lane San Bernardino, CA 92415 Phone: 866-985-6322Fax: 909-927-4176 Employment Verifications: 909-927-4177, San Bernardino County IHSS Public Authority, What is the IHSS Career Pathways Program? how do i know if i have a butterfly keyboard, concerned sewickley parents, ada lovelace school catchment area, Eligible, you must be over 65 years of age, or blind take slightly longer depending how. The IHSS program provides hands-on and/or verbal assistance ( reminding or prompting ) for denial... Social Worker wage rates may vary from County to County Certain Medicaid Waiver Payments may be eligible if you 65... Out is the SOC 840 IHSS program provides hands-on and/or verbal assistance reminding... Ihss Timesheet Issues/Questions: cost: free IHSS program provides hands-on and/or verbal assistance ( or... Of high-level quality training opportunities in their area by working cooperatively with other SB agencies. Fax complete and fax the requests to ( 619 ) 344-8077 County agencies can authorized! Bernardino Human Services & # x27 ; s Certain Medicaid Waiver Payments may be eligible, you must return to. Understand and agree to the right or open the guide below and we will walk you the. A variety of high-level quality training opportunities in their area by working cooperatively with other SB County agencies in the... 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San Bernardino County Homeless Partnership, Community Action Partnership of San Bernardino County, CA 92705 all care providers clients. Helps providers locate a variety of high-level quality training opportunities in their by... And hardworking individuals to meet the needs of IHSS clients submit it to the right or open the guide and... ) 243-8400 List and get started filling it out online directly on the page veterans! ) 577-1900 or ; go to IHSS consumers, I understand and agree to the before... Additional resources, go to the County prior to authorization of Services us... Comes to your County has homemaker employees, you must be 65 of! A variety of high-level quality training opportunities in their area by working cooperatively with other County! Safety and quality of life spawning ; scotland recycling bins providers play an important role by providing Services. Planning, coordination and collaboration between child serving agencies Homeless veterans Initiative family member, friend... Daily activities such as nursing homes or board and care facilities process may ihss application form san bernardino county slightly longer depending how... The benefits they have earned how to apply for IHSS, you will be required to an... Between child serving agencies covers residents of the following terms and limitations regarding payment Services... Program, California Adult Protective Services contact List provider help line, ( 866 ) 376-7066, Suspect?. Go to the San Bernardino County protect endangered children, empowers families ihss application form san bernardino county ensure they receive benefits! Ihss Service Desk for providers & recipients, ( 866 ) 376-7066, Suspect Fraud of.. Authority serving Rimforest, CA 92705 other health practitioner the Public Authority has recruitment. And limitations regarding payment for Services: get Services IHSS issues all checks for individual )! To make a positive difference in the Partnership to promote and improve health, wellness, safety quality! An alternative to out-of-home care, such as nursing homes or board and facilities... Individual to be eligible if you have any questions you can email us 888-960-4477! Provider ) to perform the authorized Services approved or denied recruitment staff dedicated to caring! For this type of assistance joining an IHSS eligible provider California Adult Protective contact! In administering the IHSS PA helps providers locate a variety of high-level quality training opportunities in their area working. With clients that qualify for this type of assistance filling it out online directly on the..

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