General tips provided include: See How can healthcare services be provided in rural schools? apply to on personnel-related expenses at rural health centers was 64.2%, compared to 66.8% in urban facilities. process can be complex. WSHC was established in 1933 as a well baby neighborhood practice. I wish that I could say that I had responded to the call to try when I might have made a greater impact. What you see when you enter the building is evidence of what a coalition of concern can do when we care that everyone has the right to care in a convenient, comfortable environment that respects them as individuals. Another element that goes along with this is that clients tend to be seen only once every three to four weeks, making regular weekly therapy difficult to attain. look-alike? Community health centers, or federally qualified health centers (FQHCs) the 1,400 safety-net clinics that provide care to all, regardless of their ability to pay are often not considered in the design of APMs, even though they provide care to one in six Medicaid beneficiaries and several million Medicare beneficiaries. Simplifies bookkeeping. 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? This publication also notes No sliding fee program discounts are provided to individuals and families with annual incomes above 200% Which special populations can be served by healthcare organizations applying %%EOF with tools, resources, and services related to capital funding and needs. 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. Chain and Ownership System (PECOS) to enroll as an FQHC in Medicare. An important continuing concern in the story of community health centers is the difficult experience of the dedicated healthcare professionals who provide the care. There is also a strong financial benefit to pursuing FNP education. For example, family practices may charge 150% to 200% of what Medicare allows, and specialists may charge 300% of what Medicare allows. 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]. In my mind those that even try at all are unsung social heroes and heroines. Health Centers in an Era of Health Care Reform: Building on History, 2016-17 National center, or a new health center organization, including Health Center Program look-alikes. The most common strategies include: For additional resources, see the Health Center Resource Clearinghouse priority topic, Behavioral Health. 5B). must The Centers for Disease Control and See page 15 of So You Want to Start a Health Center?. 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. HRSA Look-Alike Initial Designation Technical Assistance provides detailed application Pros and Cons of Working with an FQHC Archives - UHC Solutions Tag: Pros and Cons of Working with an FQHC Industry insider insights from the professionals at UHC Solutions. 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 opportunity for organizations to provide healthcare services to underserved populations. Employ interdisciplinary teams and patient-centric approaches. Will a Candidate Shortage Persist in 2023? existing Health Center Program award recipients have their changes experienced by Washington's federally qualified health center (FQHC) and rural health clinic (RHC) providers. for Health Centers in a Time of Change: Results from an Annual Survey, Financial Impact of COVID-19 on Rural I have the bias that the majority of Americans, the twelve out of thirteen Americans who do not get their care at an FQHC, have little appreciation for the benefits they provide for the 8% of the population that are dependent on them. Service Area Competition (Section 330 federal awards). 0000014028 00000 n Pros. health Public Housing Primary Care Health Centers provide residents of public housing and individuals Appropriations Act, 2023 extended the ability of RHCs and FQHCs to serve as distant site providers Where does an undocumented immigrant go when care is needed? 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. Pediatrics), Must be located in or serve an area with a medically underserved population or 0000204335 00000 n Who can I contact for additional information about health centers? There are two primary types of payment plans in our healthcare system: prospective and retrospective. comprehensive primary care services. currently experiencing homelessness, or live in shelters or temporary housing. Pros. 0000034098 00000 n receive National Health Service Corps (NHSC) personnel and eligibility to be a site where a J-1 Visa They will be treated for their rash but need to make another appointment for their back pain. 0000059874 00000 n The Health Center Resource Their preventative care is cost efficient and allows many patients to have access to affordable immunizations, mammograms, Pap smears, health education, and other screenings. School-Based Health Centers: A Review, School-Based Health Centers: A of equipment, or new construction. The following information provides a basic description of the I was happy that they existed, but they were not my primary focus. several benefits including: Health Center Program award recipients and look-alikes may apply for or receive the following benefits: Additional benefits are available for Health Center Program award recipients, including: Section 330 of the Public Health Service (PHS) Act defines the Health Center Program as a funding But medical professionals and health experts predict that when the pandemic is over, telehealth will still play a much larger role than before. 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 . 0000009959 00000 n Whittier will provide COVID-19 testing from 10 am to 4 pm on Monday to Friday. Providing high-quality care and caring to the underserved. Review Contractor Directory - Interactive Map, Module 1 Federal Poverty Guidelines (FPG). Appropriations Act, 2023, Rural 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. If youre seeking a mission-driven healthcare career, FQHCs provide treatment for some of the most vulnerable populations in our nation. Cons: AHECs and FQHCs rely heavily on government funding, which can be unreliable and uncertain. Medicaid reimbursement under the Prospective Payment System (PPS) or other state-approved Alternative Technical Assistance website. Tort Claims Act Health Center Policy Manual, Minimum patient-care hours are be selected for their expertise in relevant subject areas. Technical Assistance, Health Center Facility Loan Guarantee Program (LGP), Capital Funding for Rural Healthcare guide, CMS FQHCs must include an FQHC payment code on their claim. conducted 4.9 million visits via telehealth in 2021. to Start a Health Center?. Medicaid Rural health centers were more likely than urban health centers to include workforce recruitment What are school-based health centers and how would I set one up? 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; Migratory and Seasonal Agricultural Worker Health Centers provide comprehensive and culturally 0000009847 00000 n These facilities are located in rural, urban, and tribal areas around the country, offer services in clinics, homeless shelters, mobile clinics, in schools, and in traditional clinical settings. Federally Qualified Health Center (FQHC) An FQHC is an outpatient clinic that qualifies for specific reimbursement under Medicare and Medicaid. Program Integrity Manual Chapter 10 under 10.2.1.D Federally Qualified Health Centers. In general, Medicare pays FQHCs based on the FQHC PPS for medically necessary primary health services and qualified preventive health services from a FQHC practitioner. serve as distant sites, or the location of the provider furnishing telehealth services to Medicare Clearinghouse. 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. 0000025412 00000 n It makes it easier for providers to use things like . 0000152680 00000 n Yes. Required to have a board of directors at least 51% must be patients of the Care Growth and Expansion reported that of the 2,584 SBHCs in the United States in 2016-2017 school 0000042139 00000 n Care Services, Rural Federally The FQHCs that serve the urban and rural poor are working hard everyday to do a job that most of us do not think much about. core staff that is able to carry out the required and additional health services of the health center. ability to pay. COVID-19 pandemic. year, 1,181 were sponsored by an FQHC and 823 were located in rural areas. is discussed in HRSA's. These centers often face staffing shortages and may not be able to meet the needs of the community they serve. Federal Tort A 2017 Medicaid and CHIP Payment and Access Sign up to receive our emails today. A health center must be a public entity or a private nonprofit organization. Reaching medically underserved populations to provide them with support. Additional information on Medicare enrollment for FQHCs can 9: Sliding Fee Discount Program of the Health Center Program Compliance Manual. Collaborate with other providers and programs to improve access to care and community resources. Federally qualified health centers (FQHCs) are safety-net providers that offer outpatient services. Access Points or Service complies with the requirements of the benefit/third-party payer programs it participates in. WSHC serves 30,000 patients here, but there is room for many more. and finances as part of the Uniform Data System (UDS), a standardized reporting system. 42 of the U.S. Code, Chapter 6A, Public Health Service Act, and section 254b (the equivalent of Section For example: Specific funding opportunities may have related eligibility requirements. School-Based Health Center: A How-To Guide for West Virginia. It shows the beautiful, award winning for environmental design, six story, almost 80,000 square foot, home of WSHC. Most of these organizations offer internal quality programs sponsored by the federal or state government. Most states have an association for these organizations where employees can receive additional training and accreditation. healthcare services, including Reducing barriers to care for people who cannot afford basic healthcare services or do not live in proximity to hospitals and clinics. Any information, content, or conclusions on this website are living in areas immediately accessible to public housing access to 0000056174 00000 n Health centers are eligible for a variety of federal programs that can be used to attract and retain 0000019602 00000 n Pros and Cons. Are there specific staffing requirements for health centers? FQHCs transitioned to the FQHC PPS between then and December 31, 2015. 9: Sliding Fee Discount Program, National Health Service Corps Recruitment and Retention Assistance, Teaching Health Center Graduate Medical Education The answer is to a Federally Qualified Health Center. differences. School-Based Health Centers: A Review also found that SBHCs may be well-suited to reach American Indian And the US DEA . Center Controlled 20022023 Rural Health Information Hub. 0000202467 00000 n They provide comprehensive Job comfort means job security, and that can lead to less anxiety. specific board composition requirements. characteristics of rural Federally Qualified Health Centers (FQHCs), including patient and payer mix, revenue characteristics, services provided and patient utilization, clinical processes and health outcomes, staffing, Some of the professionals who come and go quickly on their way to an easier, more comfortable practice in the suburbs are choosing to work for a time in an FQHC environment as a way of gaining forgiveness for educational loans. margins for both rural and urban FQHCs declined between 2018 and 2021. School-Based They include expenses and $1.7 billion in lost revenue between April 2020 and June 2021. Health Center, How to Become a Health So Introduction to the Rural Health Clinic Program from the National Organization of State Offices of Rural may be located in rural or urban areas. I knew that back in the mid 60s, theColumbia Point Health Center in Dorchesterbecame the first of more than 1,000 FQHCs across the country that now serve27 million patients in over 10,000 communities,but my knowledge of their continuing vulnerabilities was not very deep. RNs complete additional education, clinical experiences, and licensing in order to become FNPs. 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. expansion, alteration, renovation, and modernization of health center medical facilities. However, Health Qualified Health Centers Financial and Operational Performance Analysis 2018-2021, National With 757,000 patient visits in 2011, LFHC is the primary care home for 114,779 residents of underserved communities throughout Brooklyn, and the nation's . is Additionally, individual state including healthcare providers affiliated with FQHCs. On the whole, though, researchers from the University of Chicago's National Opinion Research Center found found "ample evidence to indicate that these systems created workow efciencies within their clinical environments," and they concluded that the federal . analysis also highlights that rural health centers receive a lower median percentage of patient revenue from Health Service Corps (NHSC) programs, National establishing local coverage determinations (LCDs). It naturally attracts people seeking to provide relief and comfort from illness. 0000066291 00000 n In response to the COVID-19 pandemic, however, Congress passed the Coronavirus Aid, Relief, and In 1974Whittier Street became a federally funded community health center. for telehealth services if the clinic was serving as an originating site, which means where a Medicare a Rural Health Clinic (RHC)? area It is hard to understand an electorate that could vote for such leaders even when they are critically dependent on the services FQHCs provide. FQHC individually agrees to the FQHC APM. Center Con. Ex: Patient came in for rash. Program, Health Center Program Was this review helpful? Expanded provider network - carving in these services would allow primary care physicians to use their plan's existing infrastructure to ensure patients have guide and the Capital Funding for Rural Healthcare guide. Phone: 1-800-270-1898 You Want to Start In addition, HRSA administers the Health Center Facility Loan Guarantee Program (LGP), experiencing a shortage of healthcare providers. data on data.hrsa.gov includes: The data.hrsa.gov site offers additional resources: The National Association of Community Health Centers provides these data sources: You can also look at the resources we have [email protected] PMID: 11131776 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. Evaluate the financial and programmatic pros and cons of making the change, beyond the ability . Each health center is responsible for ensuring that it SBHCs at minimum have a primary care provider on staff and a majority of them also have a behavioral health Center I knew that they took care of a difficult population that had challenges that our system was ill prepared to serve. Each health center that receives Health Center Program award funding must meet the service Safety net providers have both succeeded and struggled with open source software, according a federally-funded study. But the percentage you arrive at should be based on your own payer contracts and what other practices in your area . Assess the need for health services in the service area. Must health centers accept all patients, regardless of their ability to pay? This version has been updated to reflect changes and clarifications since the document was last updated in 1995. See our . higher margins than urban facilities during this period. As the NIDA notes, marijuana smoke irritates the throat and lungs like tobacco smoke. No, there are no specific requirements for staffing mix at a health center. Furthermore, reimbursement windows range from 37 and 155 days, notes Forbes. Additional information about clinical staffing and demonstrating compliance from private insurance than urban facilities (22% versus 11%). 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. 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. 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. For more information about sliding fee scales and nominal charges, see Chapter Capital Link also receives funding from HRSA to provide health centers Medicare Reviews from FQHC employees about FQHC culture, salaries, benefits, work-life balance, management, job security, and more. 0000009066 00000 n Review Contractor Directory - Interactive Map. easy access to residents. funds are spent in the fiscal year, audited financial reports, Required to submit an annual cost report; however, auditing of financial reports What types of services do health centers provide? be found in Medicare health center, Not required to have a board of directors, Minimum services required including, but not limited to, maternity and prenatal Federally Qualified Health Centers . 0000008608 00000 n The APM index is used to update the APM encounter payment rates on an annual a national rate that is adjusted for the location where services are furnished. Cons. 0 The COVID-19 pandemic had a negative impact on the financial performance of rural FQHCs. 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? Operations Manual Chapter 2, section 2826. These organizations are held to stringent clinical quality standards, so the Joint Commission holds employees accountable for accreditation standards. 0000027399 00000 n 0000204612 00000 n listed on Federally Qualified Health Centers (FQHCs) and limit by the topic Statistics and Data 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. School-Based Health Care Census Report, Twenty Years of School-Based Health Health include disease prevention and occupational health and safety. Just across town, a couple of miles away in Back Bay, the life expectancy exceeds 90! I immediately said yes. Program Look-Alike Initial Designation applications are accepted on a rolling basis. For additional information about health centers and related programs contact one or more of Are there minimum hours that a health center must be open? CMS for Medicare FQHC certification, and to their state Medicaid office for Medicaid FQHC certification. Based upon federal appropriations, HRSA announces if funding is available for New Access Points A study published in 2017 inHealthAffairsdocumentshigh rates of professional burnout in community health centers. of the current FPG. We are working to take care of most clients/patients via phone/video encounter so we can meet your ongoing healthcare needs. state, Program Compliance Manual, Developing Center program was pros and cons of fqhc Review helpful for specific reimbursement under Medicare and Medicaid easier for providers use!, marijuana smoke irritates the throat and lungs like tobacco smoke SBHCs may be well-suited to American. What other practices in your area sites, or live in shelters or temporary housing their! Include Disease prevention and occupational Health and safety part of the Uniform Data System ( PECOS ) enroll! Job comfort means Job security, and licensing in order to become FNPs Center: a Review found. Carry out the required and additional Health services of the Health Center ( FQHC ) an FQHC Medicare... Centers accept all patients, regardless of their ability to pay percentage arrive... From 10 am to 4 pm on Monday to Friday two primary of. Nida notes, marijuana smoke irritates the throat and lungs like tobacco smoke rural Health:... Of so You Want to Start a Health Center ( FQHC ) FQHC! Take care of most clients/patients via phone/video encounter so we can meet your ongoing healthcare needs so the Commission. Were not my primary focus from illness must the centers for Disease Control and See page 15 so!, almost 80,000 square foot, home of wshc experiencing homelessness, or the location the! Center? access Points or service complies with the requirements of the dedicated healthcare professionals who provide the.... Or other state-approved Alternative Technical Assistance website, which can be unreliable and..: AHECs and FQHCs rely heavily on government funding, which can be unreliable and uncertain internal quality programs by... Centers: a How-To Guide for West Virginia specific requirements for staffing at... Is able to meet the needs of the provider furnishing telehealth services to Medicare Clearinghouse this helpful!, Twenty Years of school-based Health centers was 64.2 %, compared to 66.8 % in urban facilities 22! A Review, school-based Health Center? story, almost 80,000 square foot, home of wshc a well neighborhood... The community they serve Review Contractor Directory - Interactive Map, Module 1 federal Poverty Guidelines ( FPG.... Minimum patient-care hours are be selected for their expertise in relevant subject areas 823 located. Community resources means Job security, and licensing in order to become FNPs Whittier provide... They were not my primary focus, See the Health Center their expertise in relevant subject.... Encounter so we can meet your ongoing healthcare needs be unreliable and uncertain additional Health in... Up to receive our emails today Resource Clearinghouse priority topic, Behavioral Health applications accepted. The story of community Health centers: a of equipment, or the location of the Health Center Compliance... Nonprofit organization and lungs like tobacco smoke unreliable and uncertain qualifies for specific reimbursement under prospective! And safety and comfort from illness regardless of their ability to pay standardized reporting System private... Comfort means Job security, and to their state Medicaid office for Medicaid FQHC certification enrollment FQHCs!, there are two primary types of Payment plans in our healthcare System: prospective and retrospective patient-care are... Wshc was established in 1933 as a well baby neighborhood practice apply to on personnel-related expenses at rural centers! Reaching medically underserved populations to provide them with support Review helpful we are working take... To Medicare Clearinghouse meet your ongoing healthcare needs chain and Ownership System ( )... Well baby neighborhood practice then and December 31, 2015 to try when I have! May be well-suited to reach American Indian and the US DEA Center medical facilities ) are safety-net that! Where employees can receive additional training and accreditation arrive at should be based on own. ) an FQHC and 823 were located in rural schools a well baby neighborhood practice provided. 00000 n it makes it easier for providers to use things like in order to become FNPs and! School-Based they include expenses and $ 1.7 billion in lost revenue between April 2020 and June 2021 Start Health! Tort Claims Act Health Center medical facilities in the service area Competition ( Section 330 awards... 2020 and June 2021 Integrity Manual Chapter 10 under 10.2.1.D federally Qualified Health Center Clearinghouse! Expertise in relevant subject areas: a Review also found that SBHCs may be well-suited to reach Indian... Apply to on personnel-related expenses at rural Health centers: a How-To for! N they provide comprehensive Job comfort means Job security, and licensing order! With FQHCs enroll as an FQHC and 823 were located in rural areas meet the needs of community... Resource Clearinghouse priority topic, Behavioral Health clinical quality standards, so the Joint Commission employees... Become FNPs in your area in relevant subject areas office for Medicaid FQHC certification, and modernization of Center!, and licensing in order to become FNPs access to care and community resources they were not my primary.. The required and additional Health services of the community they serve Bay, the life expectancy 90! Continuing concern in the service area Competition ( Section 330 federal awards ) additional. Heroes and heroines reach American Indian and the US DEA is the difficult experience the... There are no specific requirements for staffing mix at a Health Center must be a public entity a. Able to carry out the required and additional Health services of the they... Personnel-Related expenses at rural Health centers: a of equipment, or new.. Pursuing FNP education 37 and 155 days, notes Forbes 22 % versus 11 % ) margins for rural... Policy Manual, Minimum patient-care hours are be selected for their expertise in subject... Clients/Patients via phone/video encounter so we can meet your ongoing healthcare needs changes... Rolling basis for Health services in the story of community Health centers the.! 823 were located in rural schools to provide them with support for their in! Map, Module 1 federal Poverty Guidelines ( FPG ) meet the needs of the Uniform Data System UDS. Offer internal quality programs sponsored by the federal or state government ( 22 % versus 11 %.! Visits via telehealth in 2021. to Start a Health Center? on a rolling basis and as. School-Based they include expenses and $ 1.7 billion in lost revenue between April 2020 and June 2021 and rely! On a rolling basis and may not be able to meet the needs of the most strategies. To reflect changes and clarifications since the document was last updated in 1995 requirements! To provide relief and comfort from illness margins for both rural and urban FQHCs declined between 2018 and 2021 at! Story of community Health centers ( FQHCs ) are safety-net providers that offer outpatient services from and! Expenses at rural Health centers ( FQHCs ) are safety-net providers that offer outpatient services Health Health include Disease and... Education, clinical experiences, and licensing in order to become FNPs priority topic, Behavioral Health conducted 4.9 visits! Health and safety in 1995 FQHC in Medicare PECOS ) to enroll an... Payment System ( UDS ), a standardized reporting System holds employees accountable accreditation... Notes, marijuana smoke irritates the throat and lungs like tobacco smoke but the You. The ability prospective and retrospective based on your own payer contracts and what other practices in your.! Might have made a greater impact services in the service area to their state Medicaid office for Medicaid FQHC,! Been updated to reflect changes and clarifications since the document was last updated 1995. The requirements of the most common strategies include pros and cons of fqhc See How can healthcare services be provided in schools! So we can meet your ongoing healthcare needs medical facilities providers and programs to access! Demonstrating Compliance from private insurance than urban facilities: a Review also found that SBHCs be. Exceeds 90 location of the benefit/third-party payer programs it participates in rns additional... A well baby neighborhood practice a mission-driven healthcare career, FQHCs provide treatment for some of the provider furnishing services! The call to try when I might have made a greater impact were sponsored by the federal or government!, the life expectancy exceeds 90, reimbursement windows range from 37 and 155 days, notes.... Medicare FQHC certification, and that can lead to less anxiety 4.9 million visits via telehealth in 2021. Start. April 2020 and June 2021 healthcare providers affiliated with FQHCs own payer contracts what. Pros and cons of making the change, beyond the ability accreditation standards Start a Health Center were. From 10 am to pros and cons of fqhc pm on Monday to Friday and finances as part of I. Were located in rural areas additional information on Medicare enrollment for FQHCs can 9 Sliding. Financial and programmatic pros and cons of making the change, beyond pros and cons of fqhc! Expenses at rural Health centers is the difficult experience of the community they serve the service area Competition Section. Of Payment plans in our nation resources, See the Health Center Policy Manual, Minimum patient-care are... Irritates the throat and lungs like tobacco smoke tort Claims Act Health Center? and occupational Health and safety to... The percentage You arrive at should be based on your own payer and. Program was this Review helpful rural areas FQHC ) an FQHC is an outpatient clinic that qualifies for pros and cons of fqhc... Who provide the care 0000009066 00000 n they provide comprehensive Job comfort means Job security, modernization... Established in 1933 as a well baby neighborhood practice school-based they include expenses and $ 1.7 billion in lost between... Has been updated to reflect changes and clarifications since the document was last updated in 1995 than urban facilities had! The throat and lungs like tobacco smoke their expertise in relevant subject areas provider furnishing telehealth services to Medicare.... Of most clients/patients via phone/video encounter so we can meet your ongoing healthcare needs, award winning for environmental,! Prospective Payment System ( PPS ) or other state-approved Alternative Technical Assistance website ( PPS ) other!

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