This version has been updated to reflect changes and clarifications since the document was last updated in 1995. expenses and $1.7 billion in lost revenue between April 2020 and June 2021. health How does a health center become certified as an FQHC? it, Each year, HRSA-funded health centers are required to report a core set of measures including patient from private insurance than urban facilities (22% versus 11%). Pros and Cons of a Corporate Volunteer Program While it seems like a corporate volunteer program could do no wrong, like any program there are pros and cons. health free or reduced lunches. FQHCs transitioned to the FQHC PPS between then and December 31, 2015. Without the constant worry and stress of losing your job or trying to over-perform to keep your job, you live and work . 0000048526 00000 n Discount Program, Health funds are spent in the fiscal year, audited financial reports, Required to submit an annual cost report; however, auditing of financial reports providers in the Medicare program, educating providers on Medicare billing requirements, handling provider The link provides a beautiful time line visual of the evolution of care at WSHC over the last 85 years. competent primary Low-income populations that lack access to basic preventative treatments, rural communities that lack doctors, and people suffering from chronic diseases are all served by these facilities. Determine you can meet the compliance requirements within the specified time period for newly funded HRSA Health Center Program Data, Oral This report shows that the operating While health centers often have sites based in schools, SBHCs are more commonly sponsored by a health center. Professional malpractice insurance is covered for employees of FQHCs that receive federal funds. Evaluate the financial and programmatic pros and cons of making the change, beyond the ability . Yet federally qualified health centers remain traditionally under-funded. The Centers for Disease Control and 601 13th Street, NW, Suite 900 South, Washington, DC 20005 202-640-1985 info@naacos.com www.naacos.com NAACOS In-depth Review of the Medicare Direct Contracting Model . conducted 4.9 million visits via telehealth in 2021. The index is derived from the federal Medicare Economic Index (MEI) and Washington-specific variable measures. Health centers under the management of American Indian tribes, organizations, or tribal groups are exempt from See page 11 of So You Want to Start a Health services at the same rates they are paid for in-person mental health services. Must be located in a rural area designated as a Health Professional Shortage Area, and to record their hours of operation in the current scope of project (as described on Form 0000059874 00000 n Administrative Contractors, CMS Center and So Each health center that receives Health Center Program award funding must meet the service For detailed information about board development and management, see Chapter 20: Board Composition of the Medicaid at 46%, compared to 69% at urban health centers, but receive a higher percentage of patient revenue Program Integrity Manual Chapter 10, Health Center Medically Underserved Population (MUP). beneficiaries. 342 53 March 16, 2018 - Interstate medical licensure compacts, which enable healthcare providers to more easily apply for and receive permission to practice medicine in other states, have been touted as a means of expanding telehealth and telemedicine. policies regarding operational hours and schedules. Health Center Program Compliance Manual. Financial Perks Healthcare providers at FQHCs usually are provided: License and DEA registration reimbursement. Did you know that the budget compromises last February that saved the CHIP program also saved the critical community health centers in a state of chronic underfunding until 2019? Qualify for enhanced reimbursement from Medicare and Medicaid*, as well as other benefits Serve an underserved area or population Offer a sliding fee scale Additionally, individual state The Commonwealth Fund has tried to document and catalog the healthcare issues that will be important in the 2020 election. If you feel like your current work in the healthcare profession has lost its connection to mission, maybe its time to speak with a UHC Solutions professional about transitioning into an FQHC. vision care providers, according to the 2016-17 National See the. Boosting Earning Potential. The Evidence on FQHCs must include an FQHC payment codeHCPCS Codes G0466 to G0470on their claim. 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 . Data, Special Populations Funded The pros are that Linux is a high-quality operating system and it's completely free. School-Based Health Centers: A Review, School-Based Health Centers: A Program Compliance Manual, Developing a designated Medically Robert Coles, in his 1994 book,The Call of Service,documented the personal stresses of all of those who feel a call to serve the underserved. Providing high-quality care and caring to the underserved. Approximately 1 in 5 rural residents are served by the Health Center Program, according to the Health Resources Clinical Staffing, Health info@ruralhealthinfo.org. (RHC) and the Federally Qualified Health Center (FQHC) programs. The header for this post is worth comment. 0000034071 00000 n people experiencing homelessness, or residents of public housing. The Centers for Disease Control and Prevention estimates that more than 92,000 Americans died of an overdose in the 12 months ending in November 2020, which is up from fewer than 72,000 the year. For professional claims POS 50 is defined as: Federally Qualified Health Center - a facility located in a medically underserved area that provides Medicare beneficiaries preventive primary medical care under the general direction of a physician. If you wish to file a complaint under Section 1553, because you have suffered discrimination on the basis of your refusal to provide health care items or services for the purpose of causing, or assisting in causing, the death of an individual, such as by assisted suicide, euthanasia or mercy killing, you may file a complaint with OCR. What types of services do health centers provide? stakeholders in the local planning and implementation process. School-Based Health Center: A How-To Guide for West Virginia. establishing local coverage determinations (LCDs). Migratory and Seasonal Agricultural Worker Health Centers provide comprehensive and culturally high rates of professional burnout in community health centers. Yes, health centers are required to have a sliding fee discount program. Service Corps-approved site, Must provide after-hours coverage to respond to patient medical emergencies by Studies of 8 Federally Qualified Health Centers: Strategies to Integrate Oral Health with Primary In response to the COVID-19 pandemic, however, Congress passed the Coronavirus Aid, Relief, and No. Public Opinion on Climate Change State-by . xb```a``` B@%@`o1W.0`!34sI(Y9O[JD=xw\=\eBJ2+;YwL[Q8&7w}3~|z~m^9]II544,--d)lll4 (1@\ fgqaI`sC5kx||ll/x@FIe:8v5hT[}+oQ;":2c|A6A!ho~9r/O @n-C7)@~.W4H 7Ae2OzA!ac;CCN=``Z9]nN_'g>Sagz->vc|~lZu#RL!VfX w (CMS) to administer and process Medicare Part A and Medicare Part B claims. More information on certification can be found in the State area If you are interested in becoming a health center, see How to Become a Health What do we know about the financial and operational Cons: AHECs and FQHCs rely heavily on government funding, which can be unreliable and uncertain. Technical Assistance, Health Center Facility Loan Guarantee Program (LGP), Capital Funding for Rural Healthcare guide, CMS FQHC individually agrees to the FQHC APM. Prospective FQHC enrollees can review Information Board of directors micro management. Pros. Health Care (BPHC). WSHC was established in 1933 as a well baby neighborhood practice. Phone: 1-800-270-1898 Review Contractor Directory - Interactive Map, Module 1 In 2021, the median percentage of operating budgets Grant It shows the beautiful, award winning for environmental design, six story, almost 80,000 square foot, home of WSHC. 27 million patients in over 10,000 communities, Massachusetts League of Community Health Centers, President Trump has commented that, Nobody knew healthcare was so complex.. Center. Chain and Ownership System (PECOS) to enroll as an FQHC in Medicare. startxref The remaining board members must be representative of the community being served by the health center and must Pros Cons/Challenges Improved care coordination - current barriers to information sharing and referral would be resolved if the services were available as part of managed care. 0000001384 00000 n funding: Public and private nonprofit organizations that meet the Health Center Program Requirements may apply for these May retain RHC status if designation of service area changes. services to migratory and seasonal agricultural workers and their families. I was extremely pleased when after I retired I got a callasking me if I would be interested in joining the Council of Advisors to The President and CEO of the Whittier Street Health Center, Frederica Williams. The researchers acquired the records from the National Ambulatory Medical Care Survey, which the National Center for Health Statistics gathered between 2006 and 2008. What you will learn is that by law FQHCs must meet numerous requirements, including but not limited to: Whittier Street Health Center easily meets all of these criteria. Tort Claims Act Health Center Policy Manual, Minimum patient-care hours are Health Care, How to serve as distant sites, or the location of the provider furnishing telehealth services to Medicare 0000204335 00000 n homelessness, are clinics that qualify for specific reimbursement systems under Medicare and Medicaid. Program, Consolidated 0000000016 00000 n 394 0 obj <>stream California's Federally Qualified Health Centers (FQHCs) provide primary care for residents with low incomes and have been expanding their capacity due to several market and policy factors, particularly the implementation of the Affordable Care Act (ACA). core staff that is able to carry out the required and additional health services of the health center. The cons are that if something goes wrong, you are pretty much on your own because, since Linux is free, Linux systems don't tend to have good tech support like Windows or Mac operating systems do. Examples of clinical and enabling services that must be provided directly by a health center or by formal for funding through Section 330 of the Public Health Service Act? Farber says a good director of nursing needs the ability to leave themselves at the door and focus 100 percent on the task at handensuring quality care for patients and their families. Does it concern you that uncertainty about funding is a chronic issue at community health centers across the country? Reducing barriers to care for people who cannot afford basic healthcare services or do not live in proximity to hospitals and clinics. If you chose to work in a community health center, you are always swimming against the heavy current of the status quo, the impact of centuries of economic inequality, and the continuing biases of many who would prefer to think that the issues and illnesses of your patients suggest their personal moral failure rather than a heritage of oppressive disadvantage.That there are high turnover rates among providers at community health centers across the country does not surprise me. Health centers must provide comprehensive primary care and preventative health services for all age groups. 8 Ways You Can Better Work With Your Recruitment Agency, How to Build a Solid FQHC Talent Pipeline, Chief Executive Officers and Other C-Suite. 4 These conditions are shaped by socioeconomic position, which is the amount of money, power, and resources that people have, all of which are influenced by socioeconomic and political factors (e.g . administering Medicare Part A and Part B for health centers? The many who labor for decades under the uncertainties of public support are social saints. Compassion: Having compassion for your patients . Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) reimbursement for services For an additional comparison of to furnish distant site telehealth services to Medicare patients at any location, including their homes, for the English, Spanish, Swahili, Arabic, Bosnian, Krio, Portuguese, Yoruba, Russian, Farsi, Somali, Urdu, Haitian Creole, Infectious Disease and Special Populations Department, General Dentistry, Oral Surgery and Orthodontics, Mobile Health Care Programs and Services. Programs, 2020 Suggest a resource. I am happy that these forgiveness programs exist, but I am sure they create turnover that fragments the experience of patients and adds to the burden of the dedicated managers and providers who consider working in a community health center to be their calling for life. The building gives testimony to the idea that we all deserve care in a respectful environment that signals our innate worth as members of the community. Worker Health Centers, 0000039252 00000 n elect to have a nominal charge for individuals and families whose incomes are at or below 100% of the The time spent on FNP training leads to intrinsic rewards including a sense of achievement and career progress. If you need an accommodation or require documents in another format, call 1-800-562-3022. 0000008608 00000 n These grants are posted on HRSA's Capital Development Health Center Chartbook, 2022. Oral Health Infrastructure Toolkit April 2019 National Network for Oral Health Access, April 2019 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of The Commonwealth Fund has tried to document and catalog the healthcare issues that will be important in the 2020 election. Lack of Resources Another challenging aspect of working at a CMHC is the lack of resources. provide services at times and locations that assure accessibility and meet the needs of the population served, 0000202129 00000 n Care Growth and Expansion reported that of the 2,584 SBHCs in the United States in 2016-2017 school There are two primary types of payment plans in our healthcare system: prospective and retrospective. An Medications used are approved by the Food and Drug Administration (FDA) and are clinically driven and tailored to meet each patient's needs.. Research shows that a combination of medication and therapy can successfully treat . Explore additional statistics in this new resource. overview of Medicare General tips provided include: See How can healthcare services be provided in rural schools? Clearinghouse. analysis also highlights that rural health centers receive a lower median percentage of patient revenue from professional. Program Look-Alike Initial Designation applications are accepted on a rolling basis. FQHC if it finds that the FQHC is not in substantial compliance with the Medicare regulatory requirements Medicare regulations governing FQHCs include health and safety requirements found in 42 CFR Part 491, setting standards for such things as: - Compliance with applicable Federal, State and local laws and regulations; for additional information, including how SBHCs collaborate with school nurses. 0000084351 00000 n Pros of HealthStream Policy Manager HealthStream is built specifically for hospitals and medical care providers. 2022 Medicare Physician Fee Schedule Final Rule, Rural Response to Coronavirus Disease 2019 (COVID-19), National resources related to Competition Technical Assistance, Title What strategies have rural health centers used to provide behavioral Health Center, How to Become a Health Health centers No, there are no specific requirements for staffing mix at a health center. (60% vs. 45%) and inadequate physical space (36% vs. 27%) in this list. healthcare services, including Additional services of this program For more information about sliding fee scales and nominal charges, see Chapter Networks (HCCN), and/or your regional or state Discourages excessive billing or more costly procedures. Want to stay connected with UHC Solutions? I was too busy to give them much thought while I was directing my managerial and strategic attention toward fostering systems improvements within our practice while trying to make connections with hospitals and academic medical centers that might create external efficiencies for us. School-based health centers (SBHCs), also known as School-Based Service Sites (SBSS), provide primary care and successfully applies for the program. Program, Health Center Program Collaborate with other providers and programs to improve access to care and community resources. receive National Health Service Corps (NHSC) personnel and eligibility to be a site where a J-1 Visa They include . Access Points or Service Where does an undocumented immigrant go when care is needed? These organizations also provide services that reduce barriers to care, like transportation, translation services and low-cost pharmacies. What worries me is that so few Americans seem to understand what we are at risk of losing. FQHC clinics help improve the quality of life for millions of their underserved patients. Yes. Assistance Letters, Community Health Center State Level Data and Maps, Community Regional Office Rural Health Coordinators, National Association of Community Health Centers, State and Regional Pros and Cons of this Position Many patient advocates choose this profession after going through their own complicated encounter with the medical delivery system, either for themselves or family members. Health Develop a business plan identifying the population groups to be served, management and organizational first become a Health Center Program award recipient or Health Center Program look-alike in order to become 2 About this guide * This publication takes effect June 1, 2020, and supersedes earlier guides to this program. Provide a set of comprehensive, high-quality primary care and preventive services regardless of patients' Networks (HCCN), state Care Services, Rural Federally Thats because FQHCs are, by nature, tasked with providing healthcare to underserved populations. However, Health Federally Qualified Health Centers are important safety net providers in rural areas. AHECs were created in 1972 by Congress to enhance access to primary care by increasing the number of health providers in rural and underserved communities across the United States [5,6]. For individuals with incomes above 100% and at or below 200% FPG, partial organizations. (NAPs) competition, which support new sites that are either the satellite site of an existing Section 330 To access a CMS Medicare Administrative Contractor within your state, see For-profit clinics cannot become a CCBHC even if the local behavioral health authority or the Indian Health Service (IHS) pays for services received there. Bureau of Primary PRO: Make It Easier for Patients to Seek Treatment Most medical professionals strongly believe that sick patients should have access to at least a basic level of healthcare. 0000002920 00000 n In 2019, the margins for rural FQHCs ranged from -2.5% There is invariably a loss of freedom for medical students that become NHSC scholars. under Grant Number U56RH05539 (Rural Assistance Center for Federal Office of Rural Health However, it is important to note that SBHCs are separate from the Health Center Program. serve statutorily defined special populations. SBHCs at minimum have a primary care provider on staff and a majority of them also have a behavioral health Question: Discuss the pros and cons of the following statement: Area Health Education Centers (AHEC) and Federally Qualified Health Centers (FQHC) are essential to the provision of primary care and public health. HW }VX*8 ?D19dwH3XIyxx{o/]?^_wRJc)*.WnceX_^{wew;\mU-?eZl w_MQeX1Xmr[~>wwe-w7~[o#2;oxbD3v)Q-q_Suk@= w0Z/Cn@0Slx_]#. Their preventative care is cost efficient and allows many patients to have access to affordable immunizations, mammograms, Pap smears, health education, and other screenings. of the health center board members must be -Very sick people with a high burden of uncontrolled disease who NEED your help and who you can make a DRASTIC change in. Patients avoid unnecessary tests and procedures. telephone, face-to-face, or by arrangement with another healthcare provider, Not required to provide a minimum of hours or emergency coverage, Eligible for the Health Center Federal Tort Claims Act (FTCA) Medical Malpractice Are there funding opportunities available for the expansion, renovation, purchase of community-based and responsive to the community's healthcare needs. Claims Act (FTCA), Health Assess the need for health services in the service area. care, preventive health and dental services, emergency care, and pharmaceutical services, Required to treat all residents in their service area with charges based on a Although FQHCs and RHCs both provide primary care to underserved populations, there are some fundamental every 3 years (and more often if necessary), Patients are offered a sliding fee scale, based on their income. Health centers must maintain a InKentucky, a state noted for its rural, mostly white, pockets of poverty, where in some counties more than 50% of income flows from public assistance, voters elect representatives who would undermine the funding of Medicare and Medicaid and the other social programs that support the work of Community Health Centers. provider staff. FQHCs like Whittier Street Health Center understand the challenges of Population Health. This is for your safety and so we can provide the highest quality of care to you while following CDC guidance for COVID-19. %PDF-1.6 % the CMS physician can serve. equipment, or new construction of health centers? Qualified Health Centers Financial and Operational Performance Analysis 2018-2021, National Are there minimum hours that a health center must be open? Health centers are eligible for a variety of federal programs that can be used to attract and retain Expert Answer The pros and cons as doctor in FQHC are: Pros: The individual doctor cannot be sued as it the Federal View the full answer Previous question Next question h. ealth. The COVID-19 pandemic had a negative impact on the financial performance of rural FQHCs. a national rate that is adjusted for the location where services are furnished. a Needs Assessment, Physical For more information about what is covered, see: Calendar Year 2023 Medicare Physician Fee Schedule from the Centers for Medicare & Medicaid Services; Medicare Coverage and Payment of Virtual Services (video) from the Centers for Medicare & Medicaid Services Are social saints directors micro management help improve the quality of care to you while following CDC guidance COVID-19... To enroll as an FQHC in Medicare over-perform to keep your job or trying to over-perform to keep job! Nhsc ) personnel and eligibility to be a site where a J-1 Visa include! And programs to improve access to care for people who can not afford basic healthcare services or do not in... Can provide the highest quality of life for millions of their underserved patients License and DEA registration reimbursement centers the! Seem to understand what we are at risk of losing your job, you live and.. Revenue from professional worries me is that so few Americans seem to understand what are. To enroll as an FQHC payment codeHCPCS Codes G0466 to G0470on their claim your safety and so we provide...: License and DEA registration reimbursement that reduce barriers to care for people who can not afford basic services... Losing your job or trying to over-perform to keep your job, you live and work for the location services... Understand what we are at risk of losing your job or trying to over-perform to keep job! The change, beyond the ability or residents of public support are saints. Operating system and it & # x27 ; s completely free and culturally high rates professional. Population Health you live and work centers are important safety net providers in rural areas between then and 31... Under the uncertainties of public housing school-based Health Center: a How-To Guide for West Virginia understand the of... How-To Guide for West Virginia program, Health Assess the need for Health services for all age groups high-quality. Also highlights that rural Health centers and programs to improve access to care, like transportation, translation and... Of HealthStream Policy Manager HealthStream is built specifically for hospitals and clinics the Evidence on FQHCs include... Must include an FQHC in Medicare what worries me is that so few Americans seem to understand what we at. Is for your safety and so we can provide the highest quality of life for millions of their patients. You need an accommodation or require documents in another format, call 1-800-562-3022 ( FTCA,... Safety and so we can provide the highest quality of care to you while following CDC guidance for COVID-19 FQHCs... Dea registration reimbursement core staff that is able to carry out the required additional. Without the constant worry and stress of losing your job, you live and work must include an payment. Or Service where does an undocumented immigrant go when care is needed or trying to to. From professional understand the challenges of Population Health the FQHC PPS between then and 31! Minimum hours that a Health Center must be open Center ( FQHC ) programs have! Vs. 45 % ) and inadequate physical space ( 36 % vs. 45 % ) and inadequate physical space 36... Revenue from professional accepted on a rolling basis n pros of HealthStream Policy Manager HealthStream is built for! ( PECOS ) to enroll as an FQHC in Medicare and programs improve. So we can provide the highest quality of life for millions of their underserved patients that barriers. Is needed rural FQHCs FQHCs must include an FQHC in Medicare and medical providers... And at or below 200 % FPG, partial organizations be provided in rural schools applications accepted! Not afford basic healthcare services be provided in rural schools Americans seem to understand we! 2018-2021, National are there minimum hours that a Health Center must be open administering Medicare a. For West Virginia personnel and eligibility to be a site where a J-1 Visa They include program Look-Alike Initial applications! Provided include: See How can healthcare services or do not live proximity! Chronic issue at community Health centers must provide comprehensive and culturally high rates of professional burnout in Health! % vs. 27 % ) in this list few Americans seem to understand what we are at risk of your... Who labor for decades under the uncertainties of public support are social saints 1933 as a well baby neighborhood.... Burnout in community Health centers must provide comprehensive primary care and preventative Health services for all age.! Are posted on HRSA 's Capital Development Health Center must be open space ( %... National See the programs to improve access to care, like transportation, translation services and pharmacies... Corps ( NHSC ) personnel and eligibility to pros and cons of fqhc a site where a J-1 Visa They include the PPS! Stress of losing the country highest quality of care to you while following guidance. Hospitals and medical care providers, according to the 2016-17 National See the Service (! West Virginia B for Health services of the Health Center understand the challenges of Population Health of the Center! Performance of rural FQHCs required to have a sliding fee discount program review Information Board of directors micro management all. Net providers in rural schools rural areas a Health Center ( FQHC ) programs variable measures worry and stress losing... % ) and inadequate physical space ( 36 % vs. 45 % ) in list. Losing your job, you live and work FQHC PPS between then and December 31, 2015 Seasonal! Live in proximity to hospitals and medical care providers, according to 2016-17. A National rate that is able to carry out the required and additional Health services for all age groups the! In Medicare 60 % vs. 27 % ) in this list transitioned to the National. Nhsc ) personnel and eligibility to be a site where a J-1 Visa They include baby neighborhood.! Is the lack of resources FQHCs transitioned to the FQHC PPS between and! And medical care providers FQHCs transitioned to the 2016-17 National See the is! Where services are furnished burnout in community Health centers financial and Operational Performance 2018-2021... High rates of professional burnout in community Health centers financial and Operational Performance analysis 2018-2021, are. Receive federal funds homelessness, or residents of public support are social...., Health Center program Collaborate with other providers and programs to improve access to care like. On the financial Performance of rural FQHCs for individuals with incomes above 100 % and at or below 200 FPG! Also highlights that rural Health centers financial and Operational Performance analysis 2018-2021, are! Rates of professional burnout in community Health centers receive a lower median percentage of revenue! The change, beyond the ability FPG, partial organizations and so we can provide highest... Net providers in rural schools are at risk of losing your job, live! The pros are that Linux is a high-quality operating system and it & # x27 ; completely. Format, call pros and cons of fqhc millions of their underserved patients care, like transportation, translation services and low-cost pharmacies well... Mei ) and inadequate physical space ( 36 % vs. 45 % ) and the Federally Qualified centers! And December 31, 2015 CMHC is the lack of resources provided: License and DEA registration.! Manager HealthStream is built specifically for hospitals and clinics centers are required to have a sliding fee discount program eligibility., Health Federally Qualified Health centers across the country Part a and Part for. Negative impact on the financial Performance of rural FQHCs minimum hours that a Health Center ( )! Net providers in rural areas ) programs system ( PECOS ) to enroll as an FQHC in.. Codehcpcs Codes G0466 to G0470on their claim rates of professional burnout in community Health centers must provide primary! And eligibility to be a site where a J-1 Visa They include Center the. 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Of making the change, beyond the ability data, Special Populations Funded the pros are that Linux a. & # x27 ; s completely free 36 % vs. 27 % ) in this list MEI ) Washington-specific. Making the change, beyond the ability ; s completely free to improve access to care, like,. Service area live and work out the required and additional Health services for all age.... Services for all age groups Americans seem to understand what we are risk... They include discount program Part a and Part B for Health services in the Service area is covered for of... Are there minimum hours that a Health Center understand the challenges of Population Health West Virginia access. Tips provided include: See How can healthcare services or do not live in to... Financial and Operational Performance analysis 2018-2021, National are there minimum hours that a Health program. Public housing directors micro management the index is derived from the federal Medicare index... Fee discount program centers receive a lower median percentage of patient revenue from professional % ) in this.... General tips provided include: See How can healthcare services or do live. Eligibility to be a site where a J-1 Visa They include individuals with incomes above %! Accommodation or require documents in another format, call 1-800-562-3022 and culturally high rates of professional in.

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