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Nursing Homes in Nebraska

Nebraska is home to about 2 million people, and it has a large senior population that accounts for over 16% of the population. It supports its aging population through over 200 nursing homes and skilled nursing facilities, as well as nearly 100 hospitals, including four that provide long-term care. Among its top-ranking hospitals are Nebraska Medical Center and Bryan Medical Center, both of which specialize in senior care. 

Nursing homes in Nebraska provide private and semiprivate rooms, three daily meals, social services, nursing services and most of the medical supplies and equipment residents need. On average, seniors in the state pay $7,194 per month for semiprivate accommodations. Private rooms are a little costlier at $7,931 monthly.  

This guide provides an overview of the cost of nursing home care in Nebraska and how it compares to fees in nearby states and other types of senior care. It outlines the state’s programs and agencies that can help seniors find alternatives to nursing home placement or options for covering costs. The guide also summarizes the rules and regulations that nursing homes in the state must comply with to maintain licensing. 

The Cost of Nursing Home Care in Nebraska

According to the Genworth 2020 Cost of Care Survey, semiprivate rooms in nursing homes in Nebraska cost $7,194 per month, which is about 7% cheaper than the national average of $7,756. While this state is a relatively affordable option for this level of care, several of its bordering states have lower monthly fees. In Iowa, which borders on the east, seniors pay the lowest fees in the region of $6,570 per month. In Kansas, to the south of Nebraska, fees come in at $6,692, and in South Dakota, nursing home care costs $7,011 per month. Wyoming is the only neighboring state with higher care costs, with fees exceeding the national average at $8,258 per month.

Nursing home fees vary depending on factors such as local living costs, amenities and service fee schedules. The most affordable city for nursing home care is Grand Island, where seniors pay approximately $6,608 monthly. In the capital city of Lincoln, fees are closer to the state median at $7,254, and in Omaha, the state’s most populous city, fees are the highest at $8,182 per month. Across state lines, local nursing home fees range widely. Manhattan, Kansas, which is about 70 miles south of Nebraska’s border, is one of the cheapest nearby cities at $5,735 monthly. In Sioux Falls, South Dakota, fees exceed Nebraska’s median at $7,650. Cheyenne, Wyoming, is one of the most expensive nearby cities at $8,547 per month. 

Grand Island




Omaha Area


Sioux Falls, SD


Cheyenne, WY


Manhattan, KS


Nursing home care is the most expensive senior care option in Nebraska, and seniors who need short-term or intermittent skilled nursing services may have more affordable options. Home health care, which features personal care, housekeeping and some nursing services in the individual’s home, is considerably more economical, with monthly fees averaging $4,957 for 44 hours per week of care. In-home care, which includes homemaker services but doesn’t offer nursing care, is a little cheaper at $4,862. Limited skilled nursing services may also be administered in assisted living facilities, where seniors pay $4,188 per month. The most affordable senior care option in Nebraska is adult day care, which costs $1,560 per month. 

In-Home Care


Home Health Care


Adult Day Care


Assisted Living Facility


Nursing Home Care


Does Medicaid Cover Nursing Home Care in Nebraska?

Yes, Medicaid in Nebraska offers seniors a full range of services in nursing homes and other skilled living communities, as the program usually covers 100% of the costs of staying in a residential care facility, including room and board, dietary services, nursing care, oxygen, and most medical equipment and supplies. It will often pay for additional services such as physical and occupational therapy as long as the service focuses on restoration of lost function. 

Data from the Centers for Medicare and Medicaid Services reveals that in July 2021, more than 298,000 Nebraska seniors were enrolled in Medicaid. Fortunately, the state has more than 200 nursing homes with a total of 15,409 licensed beds. The seniors who live in skilled nursing facilities often require access to advanced nursing care and dependable, affordable room and board. At an average cost of $7,483 per month for a semiprivate room, skilled nursing care is often beyond the reach of financial assistance through Medicare. Medicaid services can often mean the difference between living comfortably with a decent quality of care or struggling to find the financial means to stay healthy.

Medicaid Waiver programs are variants of Medicaid that allow the government to waive its Medicaid rules to allow those who most need services to benefit from them in a community setting rather than in an institution. Nebraska has a number of Medicaid Waivers for seniors, including the Aged & Disabled Waiver, the Respite Waiver, the PERS Waiver and the Assisted Living Waiver. Many of these programs have a current waiting list, although in some cases a senior could be given emergency access.

Medicaid Eligibility in Nebraska

To be eligible for nursing home care, seniors must require a nursing facility level of care, which means they must have many of the same care requirements as those who are already living in a skilled nursing facility. This usually means they need assistance with much of their personal care tasks such as bathing, grooming, eating or mobility. In addition, applicants will need to have a Preadmission Screening and Resident Review (PASRR) to ensure they’re medically stable yet require 24-hour care and supervision due to long-lasting health issues.

Monthly income requirements for seniors applying for Medicaid are straightforward. Seniors are typically designated as categorically needy and must have an income of 100% of the Federal Poverty Level or less. Individuals can make up to $14,580 per year in Social Security, pension, disability and veterans’ benefits, and they can have assets amounting to $4,000. A married couple who apply together for Medicaid coverage can earn up to $19,728 per year with up to $6,000 in assets. The applicant’s private home, vehicle, business-owned property and irrevocable burial funds are not counted as assets.

If only one spouse is applying for coverage, the applicant’s assets must not amount to more than $4,000. The Spousal Impoverishment provisions demand that an applicant’s spouse not be subjected to that limitation. Therefore, they may have assets of up to $148,620.  Medicaid covers nursing-level care provided in a nursing home, residential facility or private home.

Household SizeNumber of ApplicantsIncome Limits Per Year*Asset Limits: Applicant(s)Asset Limits: Non-Applicants
One Person1$14,580$4,000
Two People1$14,580**$4,000$148,620
Two People 2$19,716$6,000***

*Except for a $60/mo. personal needs allowance, Medicare premiums and possibly a spousal income allowance for a non-applicant spouse, all of a recipient's monthly income must be put toward the cost of nursing home care.

**Income limit is for applicant only.

***Assets are limited to $4,000 per spouse

In addition to these financial requirements, seniors seeking Medicaid in Nebraska must meet several additional qualifications. These include:

  • 65 or older
  • Resident of Nebraska at the time of application
  • U.S. national, citizen, permanent resident or legal alien

How To Apply for Medicaid in Nebraska

Seniors in Nebraska have plenty of options when applying for Medicaid. For those with dependable internet service, the most straightforward option is to apply online. Applicants simply visit the ACCESSNebraska homepage through The Department of Health and Human Services and click on either the English or Spanish language button in the center of the screen, then choose the Healthcare/Medicaid Application box, read about the steps involved in the Application Process and click Continue. Follow the instructions to progress through the application and submit when prompted.

Another way to apply for Medicaid services is by calling one of the following numbers below between the hours of 8 a.m. and 5 p.m., Monday through Friday. Seniors can either complete the application on the phone or request a paper application be mailed to them.

Toll-free: (855) 632-7633

In Omaha: (402) 595-1178

In Lincoln: (402) 473-7000

Finally, seniors who prefer to fill the application out on their own time can drop it off at their nearest DHHS office or complete the Medicaid program application at the office in person.

Information You Will Need:


  • Proof of identity: Marriage certificate, Social Security card, driver’s license or birth certificate
  • Proof of residency: Current utility bill in your name, rent receipt, pay stubs, tax returns
  • Proof of resources: Stock statements if applicable, checking account statements or other financial documents noting assets
  • Proof of income: 4-8 weeks of pay stubs, most recent income tax return, rental or lease statements

Additional Medicaid Support & Resources in Nebraska

Though applying for Medicaid is presented as a straightforward process, it can be difficult to navigate the income reporting particulars. The following chart provides a list of resources that Nebraska seniors might find useful.

Legal Aid of Nebraska1-800-527-7249Legal Aid's ElderAccessLine provides seniors 60+ with free consultations and assistance with applying for benefit services such as Medicaid and disaster relief funds. Legal professionals can also help seniors who have been terminated from federal programs or are having difficulty qualifying for Medicaid coverage.
Nebraska Department of Health and Human Services(855) 632-7633The Nebraska Department of Health and Human Services administers the Nebraska Medicaid program in addition to a number of other economic and disability assistance programs. Seniors who need assistance filling out the Medicaid application can call the hotline and speak with a specialist. Visitors to the website can find necessary forms, apply for benefits on NebraskaAccess, search for license information and view their current plan information. 
Benefits.govOnlineThe federal website provides seniors with a central location for guidance on how to apply for Medicaid, necessary documentation and links to further information. The page also has a drop-down eligibility table and access to a simple quiz that can help potential applicants quickly determine if they're eligible for the Nebraska Medical Assistance Program.

Does Medicare Cover Nursing Home Care in Nebraska?

Medicare provides limited coverage for short-term stays in a skilled nursing facility following a hospital stay, but seniors must meet a number of specific requirements. This benefit is available to beneficiaries who have been hospitalized for at least three days, excluding the date of discharge, so it’s most valuable for those who are recovering from an injury, illness or surgery.

Once seniors meet the hospitalization requirement, Medicare will pay for up to 100 days of skilled nursing per benefit period. The first 20 days are covered in full. Starting on day 21, beneficiaries must pay a daily coinsurance rate. After day 100, seniors are responsible for the entire cost.

What Does Medicare Cover?

Medicare covers a number of specific services, including:


  • Meals
  • A semiprivate room
  • Medications
  • Skilled nursing
  • Physical therapy
  • Occupational therapy
  • Speech therapy
  • Audiologist care
  • Medical supplies
  • Medical social services
  • Nutritional counseling
  • Ambulance transportation


What Isn’t Covered by Medicare?

Medicare does not cover long-term custodial care that addresses seniors’ day-to-day needs. This includes help with daily activities, such as bathing, dressing and using medical equipment.

For more information about Medicare and when it covers Nursing Home Care, read our Guide to Nursing Homes.

Medicare Support and Resources in Nebraska

Even seniors who are familiar with Medicare may not know all the ways this benefit program can help them live more comfortably as they travel through their twilight years. The resources in the table below can help seniors learn more about the ins and outs of the Nebraska Medicare program.

Nebraska SHIP(800) 234-7119The Nebraska State Health Insurance Assistance Program (SHIP) is a Department of Insurance program provided through the Administration on Community Living in Nebraska and designed to assist seniors who need help signing up for Medicare. Nebraska SHIP provides objective advice through its toll-free hotline, allowing seniors to ask insurance questions, meet one-on-one with financial counselors and problem-solve to find the best insurance options for their personal needs.
Volunteers Assisting Seniors(402) 444-6617Volunteers Assisting Seniors (VAS) is an Omaha-based team of trained and certified volunteers who provide seniors with the knowledge they need to make informed decisions about their financial future. Seniors receive Homestead Exemption assistance, financial counseling services and access to educational workshops, as well as guidance with estate planning. The nonprofit organization is open Monday through Friday during regular business hours. is the government website for the Medicare program, the source of all information on how to sign up, what will be covered and how to get the most from the program. Visitors to the website can choose to view pages in 11 different languages, and with a live chat function, there's someone available for questions 24/7.

Other Financial Assistance Options for Nursing Home Care in Nebraska

While Medicaid and Medicare are two of the most common programs used to pay for Nursing Home Care, there are other financial assistance options available, depending on your unique situation.

NameHow To ApplyHow It Works
Aid and AttendanceLearn more and apply online at who receive a VA pension may also be eligible for the Aid and Attendance benefit, a monthly cash allowance that veterans receive in addition to their standard pension amount. The benefit is intended for veterans in need of long-term care services and may be used towards paying for skilled nursing care.
Reverse MortgagesLearn more about your options and how to apply at ftc.govIf you own a home, you may be able to use a reverse mortgage to help pay for nursing care. Reverse mortgages are loans that one can take out against the value of their home, essentially converting some of the home's equity into cash. Reverse mortgage loans do need to be repaid with interest, typically within 12 months of receiving the loan.
Long-Term Care (LTC) InsuranceLearn more about Long-Term Care Insurance and how to apply for a policy at who already have long-term care insurance may be able to use it to pay for skilled nursing care. Most policies cover at least a portion of the cost, but it depends on the specific policy terms. Note that older adults who are already in need of skilled nursing care will not typically be eligible to sign up for a LTC insurance policy.

Free and Low-Cost Resources for Seniors in Nebraska

There are many resources in Nebraska that assist seniors in their retirement. has compiled information on local organizations, programs and agencies and categorized them into care types for easy reference.

Area Agency on Aging

Retirees can find support and advice on various senior-related issues from their local Area Agency on Aging. The agency provides advice on topics such as financial assistance programs, in-home care and long-term care planning. It also connects seniors and caregivers with community-based resources.

Program NamePhone NumberDescription
Nebraska Area Agencies on AgingThere are eight Area Agencies on Aging (AAA) throughout Nebraska. Help typically falls under one of five areas: nutritional services, access to services, elder rights, in-home services and community-based services. Seniors can receive assistance if they are aged 60+. Contact information for each AAA is available via the Nebraska Department of Health and Human Services website.

Cash Assistance Programs

Cash assistance programs in Nebraska provide financial support to help low-income retirees remain in their own homes for as long as possible. Seniors and caregivers can apply for tax rebates and reductions, discounts on vital services and help covering the cost of heating and cooling their home.

Program NamePhone NumberDescription
Nebraska Lifeline Program800-234-9473The LifeLine Program offers a discount on landline or mobile telephone service, ensuring that participants can stay in contact with loved ones.

Food Assistance Programs

Local organizations help ensure elderly citizens have a balanced diet and receive essential vitamins and minerals to remain healthy. Through nutrition programs, congregate meals, home-delivered meals and food pantries, these programs help Nebraska seniors afford the nutritious food they need.

Program NamePhone NumberDescription
Nebraska Emergency Food Assistance ProgramNebraska seniors can turn to the state's Emergency Food Assistance Program to receive donated food. The EFAP distributes its food to two Nebraska food banks, Food Bank for the Heartland and Food Bank of Lincoln. Nebraska seniors in need of assistance may contact these facilities for information on food distribution points in their local area.
Nebraska Meals on WheelsNebraska Meals on Wheels provides well-balanced meals to eligible seniors statewide. To qualify, seniors must be aged 60 and over. Those mobile enough can enjoy meals with peers at their local congregate meal site, while those who are immobile receive daily meal delivery with an accompanying safety check to monitor their well-being. Services are offered on a sliding-fee scale. Additional services are also available and vary from program to program, including transportation to doctor appointments, telephone reassurance and pet food delivery.
Nebraska Senior Farmers' Market Nutrition Program (SFMNP)402-471-6857The state departments of Agriculture and Health and Human Services administer the Nebraska Senior Farmers Market Nutrition Program. Seniors aged 60 and over whose income is at or below 185% of the federal poverty level can receive limited funds annually via this program. Older adults can use SFMNP coupons at markets to acquire unprepared fruits and vegetables, honey and other locally produced and seasonal foods.
Nebraska Supplemental Nutrition Assistance Program (SNAP)800-221-5689The Nebraska Supplemental Nutrition Assistance Program helps eligible seniors over age 60 obtain healthy food. To qualify, applicants must meet certain resource and income requirements. SNAP benefits are placed on an electronic benefits transfer card, and they can only be used for food. Most supermarkets and grocery stores statewide and some Meals on Wheels services accept SNAP funds. Liquor, wine, beer, tobacco products and prepared foods, such as restaurant meals, can't be paid for using SNAP benefits.

Free Used Medical Equipment

Due to the high cost of purchasing new medical equipment, several organizations in Nebraska collect lightly used medical devices such as wheelchairs, ramps and walkers and distribute them to local seniors and residents in need.

Program NamePhone NumberDescription
Nebraska Methodist's Equipment Loan ProgramThe Equipment Loan Program, offered by Methodist Health Partners, accepts donated used medical equipment, inspects and sanitizes it according to Centers for Disease Control (CDC) guidelines, and offers it for free or on loan to Nebraskans who need the equipment but cannot afford it or get it covered by their public or private health insurance plan.
Nebraska ReUse NetworkThe Nebraska ReUse Network helps seniors retain their independence at home by providing access to needed medical equipment that might not be covered by Medicare, Medicaid or the individual's private health insurance plan.

Home Repair and Modifications

Seniors and those with disabilities can access a variety of local resources to help them pay for home repairs and modifications. Programs in Nebraska have different eligibility criteria and often assist retirees by providing grants or loans.

Program NamePhone NumberDescription
Nebraska 504 Home Repair ProgramRural Development housing repair loans and grants help low-income and elderly Nebraska homeowners procure funds to remove health or safety hazards from their homes, and modernize or weatherize their dwellings. The funds from these loans or grants can be used on projects such as HVAC repair, insulation and water supply repair or replacement.

Many organizations offer free or low-cost legal services to Nebraska seniors. Older adults can access advice on issues such as estate planning, living wills and power of attorney. Some firms also act as long-term care ombudsmen, advocating for the rights of seniors in senior living communities.

Program NamePhone NumberDescription
Legal Aid of Nebraska877-250-2018Legal Aid of Nebraska helps seniors with various civil law issues, including disputes regarding evictions, disability and Medicaid benefits and utility shutoffs. Walk-ins are welcome at LAN's Omaha, Lincoln, Grand Island and Scottsbluff offices. The Omaha office is open Monday through Wednesday, 1 to 4 p.m., and the Lincoln location is staffed Monday and Wednesday during the same hours. The Grand Island and Scottsbluff offices hold hours on Tuesdays, 12 to 3 p.m. and 1 to 4 p.m., respectively.

Senior Centers

Senior centers in Nebraska bring together residents through recreational activities and events. Many also offer advice and support on senior issues, run wellness and nutrition programs, and connect older adults with other resources in the local area.

Program NamePhone NumberDescription
Nebraska State Unit on Aging402-471-2307A division of the Nebraska Department of Health and Human Services, the State Unit on Aging offers a variety of services to help older adults, individuals with cognitive and physical disabilities, and caregivers. The center has a list of supportive resources for those with Alzheimer's disease and other types of dementia. Guidance with insurance coverage and Medicare is provided, and legal services are available for low-income seniors. An elder abuse awareness program is also offered.

Senior Engagement

Senior engagement resources and programs in Nebraska help older adults remain active and ensure they contribute to the community. Resources include wellness programs, volunteer opportunities, support groups and organizations that help residents connect with the community to live fulfilling lives.

Program NamePhone NumberDescription
Alzheimer's Association of Nebraska Chapter402-502-4300The Nebraska chapter of the Alzheimer's Association helps individuals with dementia-related impairments. Seniors and their caregivers have access to early-stage services, such as care consultations, safety programs and social engagement activities. In-person and online workshops are offered, and there are support groups available for those impacted by cognitive conditions.

Medicaid Resources

Navigating the Medicaid system is often difficult and confusing. Several Nebraska resources help older adults by providing advice on Medicaid options, waiver programs and eligibility criteria to help seniors receive the right health care benefits.

Program NamePhone NumberDescription
Nebraska Aged and Disabled Medicaid Waiver877-667-6266Nebraska's Aged and Disabled Medicaid Waiver provides funding for seniors who require a nursing home level of care. This funding can be used to pay for nursing home or assisted living costs. If the recipient prefers to live independently, the Aged and Disabled Medicaid Waiver can cover the costs of home or vehicle modifications to enable them to age in place.
Nebraska Traumatic Brain Injury Medical Waiver877-667-6266The Traumatic Brain Injury Medical Waiver provides financial assistance to Nebraska residents who require nursing home or assisted living care because of a traumatic brain injury that was caused by an external mechanical force.

Social Security Offices

Social Security offices in Nebraska help seniors and disabled people access the benefits they're entitled to. Older adults can contact their local office for information about receiving retirement benefits, disability allowance and Supplemental Security Income.

Program NamePhone NumberDescription
Nebraska Social SecuritySocial Security is a source of income available to retirees and people who can no longer work because of a disability. The money for Social Security comes from a payroll tax levied on employers, employees and self-employed individuals. When you retire, you'll receive monthly payments based on how much you earned when you were working.

Tax Assistance

Seniors can apply for tax assistance from several Nebraska resources. Elderly residents and those with disabilities could be eligible for tax exemptions on medical expenses, reductions on property tax and other tax assistance programs.

Program NamePhone NumberDescription
Nebraska Homestead Exemption402-471-5984The Homestead Tax Exemption provides property tax relief for Nebraska seniors as well as for homeowners who fit into several additional categories, such as disabled veterans and individuals with physical or developmental disabilities.

Utility & Energy Bill Assistance

Low-income seniors who are struggling to meet the costs of maintaining their homes can find support from organizations that offer assistance with utility and energy bills. Nebraska retirees could also qualify for emergency funding programs if they're in danger of losing utility services due to unpaid invoices.

Program NamePhone NumberDescription
Nebraska Low Income Home Energy Assistance (LIHEAP)800-383-4278The Nebraska Low Income Home Energy Assistance Program (LIHEAP) provides financial assistance to low-income Nebraskans, helping them offset the cost of high heating and cooling bills. Residents can turn to LIHEAP for help with HVAC and furnace repair, along with home weatherization services.

Veteran's Services

Nebraska retirees who have served in the U.S. military can find support from local veteran services. These offices and organizations help vets access the benefits they're eligible for and provide advice and information on a variety of issues.

Program NamePhone NumberDescription
Nebraska VA Benefits and Health CareNebraska VA Benefits and Health Care supports qualifying senior veterans through a range of clinical services, medical equipment supply, benefits assistance, loans and more. Alongside Omaha and Grand Island VA Medical Centers, it operates an outpatient clinic in Lincoln and seven community-based outpatient clinics throughout the state. Vet Centers are located in Lincoln and Omaha, with advice and assistance also available from Papillion Community Living Center.

Nursing Home Laws and Regulations in Nebraska

Licensing Requirements All nursing homes in Nebraska are required to be licensed through the Nebraska Health and Human Services Department. The initial license must be obtained at least 30 days before the facility opens. The facility must renew its license on an annual basis.
Staffing Requirements While Nebraska doesn’t enforce specific staffing ratios in nursing homes, facilities are required to have enough qualified staff members at any given time to meet residents’ needs for assistance with personal care, daily living activities, supportive services, supervision and medical care.
Staff Training Requirements Nursing homes must provide initial and ongoing training by an individual who meets knowledge, education and experience qualifications. Training includes an initial orientation that outlines residents' rights, emergency procedures, job duties and responsibilities and medical emergency directives. Ongoing training varies for nursing assistants, medication aides and food service directors and must be relevant to their job duties. 
Admission Restrictions Nursing homes can only admit residents who have a physician’s written approval. The residents can only live in the facility for as long as it’s able to meet their needs for care, treatment and supervision.
Care Planning Requirements Nursing homes must develop and implement care plans for each resident to ensure that they provide the degree and quality of care needed. The care plan must include: A comprehensive, interdisciplinary assessment of the resident's needs Measurable objectives to meet the resident’s needs The services that the resident is to receive and who is to provide them Time-specific and measurable goals for the resident A personalized discharge plan A preliminary care plan must be developed within 24 hours of the resident’s admission, and a comprehensive care plan must be created within seven days of admission. It must be reviewed and revised quarterly or when the resident’s needs change.
Dietary and Nutritional Services Requirements Facilities are required to provide residents with three nourishing, well-balanced meals daily that meet their nutritional and special dietary needs. Menus must be developed based on the Food and Nutrition Board of the National Research Council and accommodate the food preferences of residents. Those who refuse food must be offered substitutes that are similar in nutritive value. 
Specialized Rehabilitative Services All nursing homes must provide specialized rehabilitative services as ordered by a medical practitioner and outlined in the residents' care plans. These services must be designed to preserve and improve residents’ abilities to function as independently as possible. If the facility doesn’t have qualified personnel to provide these services, it’s required to contract with a third party that meets its professional standards.
Medication and Pharmaceutical Services Nursing homes must employ or obtain the services of a state-licensed pharmacist to provide the development, implementation and supervision of pharmaceutical services. They must abide by state guidelines pertaining to acquiring, storing, administering and disposing of prescription drugs. They're also permitted to buy nonprescription drugs in bulk.
Activities RequirementsNursing homes are required to designate a qualified resident activities director who provides daily activities to promote residents’ physical, spiritual, social, emotional and intellectual well-being. Residents should be encouraged, but not forced, to participate in activities.
Infection Control RequirementsAll facilities must maintain practices that promote a healthy environment and avoid sources and transmission of infections and communicable diseases. This includes ensuring that facilities have measures in place for recognizing and controlling infections and preventing cross-contamination. 
Medicaid Coverage Nursing home services in Nebraska are covered under the state’s Medicaid program for those who meet medical eligibility and income and asset requirements. Medicaid also covers nursing services for seniors who live in a private residence or a residential care community.

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