LISTING OF MEDICAID, MR/DD, DEEMING WAIVER, TEFRA & OTHER ASSISTANCE PROGRAMS
Updated June 20, 2005
UNITED STATES: BY STATE
CANADA: BY PROVINCE
INTERNATIONAL: BY COUNTRY
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UNITED STATES
General Info:
CMS - Waiver programs by state (map): http://cms.hhs.gov/medicaid/waivers/waivermap.asp
State Medicaid websites: http://www.medi-cal.ca.gov/RelSites_Oth_States.asp
Home & Community Based Services (HCBS) websites by state (map): http://www.hcbs.org/state_by_state.htm
Understanding Medicaid Home & Community Services - A Primer: http://aspe.os.dhhs.gov/daltcp/reports/primerpt.htm
Family Voices info on waivers: http://www.familyvoices.org/fs/ma-kbw.html
Year 2002 FPL (Federal Poverty Level) Chart: http://www.safetyweb.org/resources/misc/fplchart.asp
Medicaid Policy Manual (section 9.14 covers Katie Beckett/TEFRA children & section 9.17 covers Home & Community Based Services): http://medsweb.clemson.edu/policymanual/ch9.htm
Programs By State:
ALABAMA |
IDT based on individual choice, resources and appropriateness of care. Resources are considered in decision. Alabama Medicaid: http://www.medicaid.state.al.us/ HCBS MR/DD Waiver http://www.medicaid.state.al.us/MANUALS/AdminCode/ad_ch_52.htm
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ALASKA |
Regions serve from waiting lists based on available funds. Eligible individuals are selected from waiting list until no funds are available. Alaska Medicaid: http://www.hss.state.ak.us/dma/ MAKING HCBS WAIVERS WORK FOR ALASKANS: http://add.infoinsights.com/hcbswaivers/ Dept. of Health & Social Services � DMHDD Division: http://www.hss.state.ak.us/dmhdd/
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ARIZONA |
1115 Demonstration Waiver, all eligible enrolled. Arizona Medicaid: http://www.ahcccs.state.az.us/ Arizona Office for Children with Special Health Care Needs: http://www.hs.state.az.us/phs/ocshcn/index.htm ALTCS Program (Long Term Care System): http://www.ahcccs.state.az.us/Services/Overview/ForArizonans.asp#ALTCS
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ARKANSAS |
First come, first served. Plan of care caps for different program levels. Arkansas Medicaid: ArkKids First: http://www.arkidsfirst.com/home.htm Arkansas DDS Services: http://www.state.ar.us/dhs/ddds/ddsback.html
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CALIFORNIA |
Individual's planning team. All eligible, but must be "cost-effective". California Medicaid: Department of Developmental Services (DDS): To find the location of your Regional Center: http://www.arcanet.org/map.htm#map California Children's Services pays for medical equipment and supplies. Read about CCS at: http://www.dhs.ca.gov/prp/cms/html/ccs.htm Genetically Handicapped Persons Program (GHPP): http://www.dhs.ca.gov/prp/cms/HTML/GHPP.htm DHS contacts: http://www.dhs.cahwnet.gov/home/comments.htm
California Waivers (.pdf document):
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COLORADO |
First come, first served - case management agency. Opening matched with identified needs, new resources usually go to high needs. Colorado Medicaid: http://www.chcpf.state.co.us/index.html Children�s Extensive Support Waiver Program: http://www.chcpf.state.co.us/StateRules/503ces.html
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CONNECTICUT |
Individual's IDT and QMRP. State matching funds must have been appropriated. Connecticut Medicaid: http://www.dss.state.ct.us/svcs/medical/index.htm Family Support Grant Program:
http://www.dss.state.ct.us/svcs/adults.htm
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DELAWARE |
Division of MR based on person's support needs. Limited in aggregate by division's budget. Delaware Medicaid:
http://www.state.de.us/dhss/irm/dss/dsshome.htm Disabled Children DSS Program: http://www.state.de.us/dhss/dss/disabledchildren.html
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DISTRICT OF COLUMBIA |
District of Columbia Medicaid:
http://dchealth.dc.gov/information/maa_outline.shtm
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FLORIDA |
Florida Medicaid: http://www.fdhc.state.fl.us/Medicaid/about/index.shtml
Medi-Kids � Florida KidCare Program:
http://www.fdhc.state.fl.us/Medicaid/MediKids/index.shtml
Children�s Medical Services (CMS):
http://www.floridakidcare.org/partners/programs.html#cms
A really helpful .pdf document of Florida
programs:
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GEORGIA |
MHMRSA regional boards. Regional board must identify the state match for placement. Georgia Medicaid (Dept. of Community Health):
http://www.communityhealth.state.ga.us/
Babies Can�t Wait Program:
http://www.ph.dhr.state.ga.us/programs/bcw/index.shtml
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HAWAII |
DD division determines eligibility for DD services/Medicaid agency determines admission to HCBS. No applicant denied based on availability of funds/priority to persons placed in or risk of placement in institutions. Hawaii Medicaid:
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IDAHO |
Regional DD authority and central office. Idaho Medicaid:
http://www2.state.id.us/dhw/medicaid/index.htm
Developmentally Disabled HCBS waiver:
http://www2.state.id.us/dhw/medicaid/waivers/dd_waiver_main.htm
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ILLINOIS |
DMHDD approves resident placement and supports/person must be eligible to receive the waiver. Priority given to consent decree class members, people living in state operated facilities, and community crisis. Illinois Medicaid:
http://www.state.il.us/dpa/medical_programs.htm
Illinois Waivers:
Auditor�s report on Illinois medicaid programs:
http://www.state.il.us/auditor/meddig.htm
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INDIANA |
Area agencies for diversions, state case managers for conversions/first come, first served. DNF. Indiana Medicaid:
http://www.state.in.us/fssa/servicedisabl/medicaid/index.html
Bureau of Developmental Disabilities (BDDS):
http://www.state.in.us/fssa/servicedisabl/ddars/bdds.html
FSSA First Step Program:
http://www.state.in.us/fssa/first_step/index.html
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IOWA |
County makes decision based on case manager recommendations. Ill and handicapped waiver � after age 18, MR Waiver. Iowa Medicaid:
http://www.dhs.state.ia.us/MedicalServices/hcbs_waivers.asp
Community Living Program - Info on Special Needs Grants
http://www.dhs.state.ia.us/mhdd/MHDDSpecialNeeds.htm
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KANSAS |
Community developmental disability organization. Effectively no constraints. Kansas Medicaid:
http://www.srskansas.org/hcp/medicalpolicy/MPmain.html
HCBS Waiver Info:
http://www.srskansas.org/services/hcbs.htm
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KENTUCKY |
Waiting list/first come, first served. State cap for waiver services. Kentucky Medicaid:
Home & Community Based (HCB) Waiver Program:
http://chs.state.ky.us/dms/services/hcb/default.htm
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LOUISIANA |
State regional officers. First come, first served with a few emergency exceptions. Louisiana Medicaid:
http://www.dhh.state.la.us/medicaid/index.htm
Louisiana CHIP Program:
http://www.dhh.state.la.us/medicaid/LaCHIP/Index.htm
Louisiana Waivers:
http://www.dhh.state.la.us/BCSS/CC_page.htm
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MAINE |
Case Manager, registered nurse, Medicaid rules, available funding. Maine Medicaid:
http://www.state.me.us/bms/bmshome.htm
Katie Beckett waiver info:
http://www.mainecite.org/ping/page17.htm
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MARYLAND |
Services coordinator, case manager. State match must already be appropriated. Maryland Medicaid:
http://www.dhmh.state.md.us/mma/mmahome.html
Waiver Programs: http://www.dhmh.state.md.us/mma/waiverprograms/ HealthChoice:
http://www.dhmh.state.md.us/mma/healthchoice/
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MASSACHUSETTS |
Recommendation of service coordinator and ISP team/HCBS eligibility. Prioritized waiting lists. Massachusetts Medicaid:
http://www.magnet.state.ma.us/dma/
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MICHIGAN |
Local responsible mental health agency. Persons with most severe conditions served first. Michigan Medicaid:
http://www.mdch.state.mi.us/msa/mdch_msa/msahome.HTM
Children�s Special Health Care Services (CSHCS) info:
http://www.mdch.state.mi.us/msa/cshcs/CSHCS.htm
Trust Fund for Children With Special Health Care Needs info:
http://www.mdch.state.mi.us/msa/cshcs/
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MINNESOTA |
County social service agency. Aggregate average allowed each county. Minnesota Medicaid:
http://www.dhs.state.mn.us/HealthCare/asstprog/mmap.htm
Info on Home & Community Based Waivers:
http:http://www.dhs.state.mn.us/Contcare/disability/hcbwaiver.htm
MR/RC Waivers:
http://www.dhs.state.mn.us/Contcare/disability/mrrcwaiver.htm
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MISSISSIPPI |
Regional retardation facilities. Person and financial caps as approved in waiver. Mississippi Medicaid:
First Step - Early Intervention Program:
http://www.msdh.state.ms.us/OPHS/EARLYINT/home.htm
MR/DD Waiver info:
http://www.dmh.state.ms.us/mental_retardation_developmental_disabilities_services.htm
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MISSOURI |
State agency determines eligibility/individual chooses to accept HCBS. Missouri Medicaid:
http://www.dss.state.mo.us/dms/
Sarah Lopez waiver:
http://www.dss.state.mo.us/dms/pages/description.htm#waivers
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MONTANA |
Team composed of state and provider staff. Assessment information used to determine if provider can meet person's needs. Montana Medicaid:
http://www.dphhs.state.mt.us/hpsd/medicaid/index.htm
Developmental Disabilities Program:
http://www.dphhs.state.mt.us/dsd/govt_programs/ddp/index.htm
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NEBRASKA |
State Medicaid agency/Dept. of Social Services. Individual Medicaid eligibility. Nebraska Medicaid:
http://www.hhs.state.ne.us/med/medindex.htm
Children With Disabilities � programs offered (Adobe Acrobat .PDF files):
http://www.hhs.state.ne.us/chd/chdindex.htm
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NEVADA |
Caseworker in conjunction with IDT, director of community services. Review of persons needing supports, state priority and waiting list, comparison of alternative settings. Nevada Medicaid:
http://dhcfp.state.nv.us/index.htm
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NEW HAMPSHIRE |
State decides on proposals from local agencies. Sufficient funds, HCFA cap, overall average. New Hampshire Medicaid:
http://www.dhhs.state.nh.us/DHHS/MEDICAIDPROGRAM/default.htm
Division of Developmental Services:
http://www.dhhs.state.nh.us/DHHS/DDS/default.htm
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NEW JERSEY |
Eligibility for DD services and received waiver eligible services. Availability of funds. New Jersey Medicaid:
http://www.state.nj.us/humanservices/dmahs/index.html
NJ Developmental Disabilities Council:
http://www.njddc.org/index.htm
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NEW MEXICO |
DD division determines eligibility for DD services and budget availability, HSD/ISD determines financial eligibility, BC/BS determines medical eligibility. Federal and state appropriations determines number of individuals served based on aggregate costs. New Mexico Medicaid:
http://www.state.nm.us/hsd/mad/Index.htm
New Mexico Waiver Programs:
http://www.health.state.nm.us/ltsd/medwaiv_3.html
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NEW YORK |
Regional office directors. OMRDD's annual priorities for HCBS enrollment and funding. New York Medicaid:
http://www.health.state.ny.us/nysdoh/medicaid/medicaid.htm
Early Intervention Program: http://www.health.state.ny.us/nysdoh/eip/index.htm New York MR/DD Office:
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NORTH CAROLINA |
Local DD programs (eligibility determined by state DD and MA). Priority listing in terms of client needs. North Carolina Medicaid:
http://www.dhhs.state.nc.us/dma/
CAP-MR/DD and CAP/C Programs:
http://www.dhhs.state.nc.us/dma/commaltprog.htm
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NORTH DAKOTA |
DD case manager. HCBS level of care does not include resource considerations. North Dakota Medicaid:
http://lnotes.state.nd.us/dhs/dhsweb.nsf/ServicePages/MedicalServices
Developmental Disabilities services:
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OHIO |
First come, first served. State regulations include cost as a component of eligibility. Ohio Medicaid:
http://www.state.oh.us/odjfs/ohp
Ohio Home Care Program:
http://www.state.oh.us/odjfs/ohp/bcltcs/ohiocare.stm
Ohio Waivers:
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OKLAHOMA |
Waiting list/ first come, first served. No disqualification from HCBS due to severity of need. Oklahoma Medicaid:
Oklahoma Developmental Disabilities Services Division:
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OREGON |
State based on eligibility and funding. Waiting list, based on whether or not appropriate service can be provided in the community. Oregon Medicaid:
http://www.dhs.state.or.us/healthplan/index.html
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PENNSYLVANIA |
Placement controlled by county MH/MR program. Caps on number of people served and maximum per capita expense. Pennyslvania Medicaid:
http://www.dpw.state.pa.us/omap/dpwomap.asp
Home & Community Based Services info:
http://www.dpw.state.pa.us/general/hacbbroc.asp
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RHODE ISLAND |
State case manager. Overall state budget must be met, no individual cost limit. Rhode Island Medicaid:
http://www.dhs.state.ri.us/dhs/dheacre.htm Children with special needs: http://www.dhs.state.ri.us/dhs/famchild/dchspec.htm
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SOUTH CAROLINA |
Dept. of Disabilities and Special Needs. HCBS can not exceed the cost of serving an individual in an ICF-MR. South Carolina Medicaid:
http://www.dhhs.state.sc.us/Medicaid_info/mediciaidindex.htm
South Carolina Dept. of Disabilities & Special Needs:
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SOUTH DAKOTA |
Division of DD. Prioritized waiting list. South Dakota Medicaid:
http://www.state.sd.us/state/executive/social/medicaid/index.htm
Children�s Special Health Services:
http://www.state.sd.us/doh/Famhlth/child.htm
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TENNESSEE |
DMH/MR. Statewide average may not be exceeded; individual averaging allowed. TennCare:
http://www.state.tn.us/tenncare/
Council for Developmental Disabilities:
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TEXAS |
DMH/MR. Persons enrolled first come, first served off waiting list. Texas Medicaid:
http://www.hhsc.state.tx.us/Medicaid/index.html
Children With Special Health Care Needs (CSHCN) Programs:
http://www.tdh.state.tx.us/cshcn/ http://www.tdh.state.tx.us/cshcn/familysupport.htm
Medically Dependent Children Waiver Program (MDCP):
http://www.dhs.state.tx.us/programs/communitycare/mdcp/
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UTAH |
Waiver case manager. Considered in scope of services, must stay within aggregate average. Utah Medicaid:
http://hlunix.hl.state.ut.us/medicaid/ Children with Special Health Care Needs - Community Based Services: http://health.utah.gov/cshcn/cbs/index.htm
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VERMONT |
State DD division. Provided to eligible people in accordance with funding that prioritizes funding based on need. Vermont Medicaid:
http://www.dsw.state.vt.us/districts/HAEU/Medicaid.htm
Disabled Children Health Care (DCHC) & Katie Beckett Waiver & other Vermont programs:
http://www.partoparvt.org/SixWays.html
Vermont Dept. of Social Welfare � policy bulletin:
http://www.dsw.state.vt.us/policy/partm2/m200s.htm
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VIRGINIA |
Local community services board and case manager. Financial constraints may limit access, localities prioritize need. Virginia Medicaid:
DD Waiver Program:
http://www.dmas.state.va.us/ltc-dev_disability_waiver.htm
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WASHINGTON |
Individual case manager. Amount of funding determines capacity. Washington Medicaid:
Division of Developmental Disabilities (DDD):
http://www1.dshs.wa.gov/ddd/services.shtml
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WEST VIRGINIA |
Selection committee form MR/DD waiver service coordinator agencies, with final eligibility determined by state certification agency. Prioritization guidelines examine natural supports, entitlement programs, current resources, and unmet needs due to unavailability or inaccessibility of needed supports through alternative resources. West Virginia Medicaid:
MR/DD Home and Community-Based Services Waiver and TEFRA Programs:
http://www.wvdhhr.org/bms/BehAltCare/bms_beh_alt_main.htm http://www.wvdhhr.org/bhhf/mrddwaiver/default.asp
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WISCONSIN |
County program. Financial resources. Wisconsin Medicaid:
http://www.dhfs.state.wi.us/medicaid/
Developmental Disabilities Services & Programs:
http://www.dhfs.state.wi.us/bdds/index.htm
Katie Beckett Waiver Program (Wisconsin):
http://www.dhfs.state.wi.us/bdds/kbp.htm
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WYOMING |
Adult and child DD manages within limits of waiver. Wyoming Medicaid:
http://wyequalitycare.acs-inc.com/
Wyoming Developmental Disabilities Division:
Children�s Waiver & Respite Services:
http://ddd.state.wy.us/Documents/kathy1.htm http://ddd.state.wy.us/Documents/kidsvcs.htm
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CANADA
Programs By Province:
ALBERTA |
Handicapped Children�s Services (HCS): http://www.gov.ab.ca/cs/services/hcs/hcs.htm
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BRITISH COLUMBIA |
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MANITOBA |
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NEW BRUNSWICK |
Community Based Services For Children With Special Needs: http://www.gov.nb.ca/hcs-ssc/english/services/fcss/support.htm
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NEWFOUNDLAND |
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NOVA SCOTIA |
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ONTARIO |
Ontario OHIP: http://www.gov.on.ca/MOH/english/program/ohip/ohip_mn.html Ministry of Community, Family & Children�s Services: - Developmental Services / Special Services At Home (SSAH): http://www.cfcs.gov.on.ca/CFCS/en/programs/SCS/DevelopmentalServices/default.htm - Ontario Disabilities Support Program: http://www.cfcs.gov.on.ca/CFCS/en/programs/IES/OntarioDisabilitySupportProgram/default.htm
Ministry of Health & Long Term Care: - Long Term Care / In Home Services: http://www.gov.on.ca/health/english/program/ltc/homecare.html - Assisted Devices Program: http://www.gov.on.ca/health/english/program/adp/adp_mn.html - Ontario Drug Benefit http://www.gov.on.ca/health/english/program/drugs/drugs_mn.html Ministry of Transportation: - Handicapped Parking Permit: http://www.mto.gov.on.ca/english/dandv/vehicle/disabled.htm |
PRINCE EDWARD ISLAND |
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QUEBEC |
Info on grants for adapting your home: SOCIETE HABITATION DU QUEBEC - PAD PROGRAM (in french)
http://www.shq.gouv.qc.ca/fr/pg/ad/pgadah00.html
Info on grants for adapting your vehicle:
SOCIETE AUTOMOBILE DU QUEBEC
Info on how to receive a handicapped parking permit:
SOCIETE AUTOMOBILE DU QUEBEC (in french)
http://www.saaq.gouv.qc.ca/route/vignette_stationnement.html
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SASKATCHEWAN |
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YUKON & NW TERRITORIES |
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INTERNATIONAL
Programs By Country:
AUSTRALIA |
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NEW ZEALAND |
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