Arizona medicaid fee schedule VSP Arizona Medicaid Network Manual Check out the Manuals on VSPOnline Effective January 1, 2023. m. Medicare & Medicaid Services ( “CMS”). Professional services at an academic medical center. S. 51X (clinic) revenue codes are covered under OPFS for all Providers (both Indian Health Service (HIS) and non-IHS) This coverage has been in effect since 5/1/2004 when the Physicians Fee Schedule structure was changed to include place-of-service based rates where applicable, consistent Official Medical Fee Schedule (OMFS) The Official Medical Fee Schedule (OMFS) is promulgated by the DWC administrative director under Labor Code section 5307. Sat, 10/01/2022 - 12:00. In addition to our guides and sample policies we provide ongoing compliance and billing support for members. Added Doula Services 8/7/2024; the 2025 Medicaid Hospice Payment Rates published by CMS. Jami Snyder, Director Arizona Health Care Cost Containment System 801 East Jefferson Street Phoenix, AZ 85034 fee schedule rates are the same for both governmental and non reviewed and is approving Arizona’s submission of a proposal for delivery system and provider payment initiatives under Medicaid managed care plan contracts. General Questions: Search AHCCCS Physician Fee Schedule Search by Procedure Code (without modifier) Enter a Code: Note: New for 2022, this now only includes the Physician Fee and Anesthesia rates schedules. The ADA Health Policy Institute has released its latest update of Medicaid reimbursement for child and adult dental care services by state. 3. Search AHCCCS Physician Fee Schedule Search by Procedure Code (without modifier) Enter a Code: Note: New for 2022, this now only includes the Physician Fee and Anesthesia rates schedules. 29 113. Name of the Agency: Arizona Health Care Cost Containment System (AHCCCS) 2. Rule 59G-4. Financing & Reimbursement. About. Provider Updates reimbursements under the Arizona Medicaid Fee Schedule. An official State of Ohio site. Approval Date. Can't find what you're looking for? Please visit the AHCCCS Document Archive. Phone: 602-417-4000 Toll Free: 1 1. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and Phoenix, AZ 85034 RE: TN AZ-21-0019 Dear Director Snyder: We have reviewed the proposed Arizona (AZ) State Plan Amendment (SPA) to Attachment 4. Contacts. To see fee schedules, enter your search criteria above. for a specific physician/healthcare professional name and product. INTRODUCTION Since1925,whentheArizonaLegislaturepassedthestate’sfirstWorkers’CompensationAct(“Act”),theIndustrial CommissionofArizona(“Commission Fee Schedule Staff Proposal and Request for Public Comment Date Posted: 2025/2026 Fee Schedule Staff Proposal and Request for Public Comment 02/03/2025: Table 1: Anesthesia Codes and Reimbursement Values 02/03/2025: Table 2: Surgery Codes and Reimbursement Values 02/03/2025: Table 3: Radiology Codes and Reimbursement Values the Arizona Medicaid Section 1115 Demonstration Waiver. Arizona Medicaid fee schedules with updated rates and codes for physical therapy, occupational therapy, and speech therapy services for adults and children AHCCCS released new fee schedule rates and Differential Adjusted Payment (DAP) guidelines in September. 04 92. Reprint requests will be accepted starting Feb. How to Apply Covered Services Pay Behavioral Health Inpatient Fee Schedule Effective October 1, 2024; Behavioral Health Inpatient Fee Schedule Effective October 1, 2023; Behavioral Health Inpatient Fee Schedule Effective October 1, 2022 AZ 85034 Find Us On Google Maps. Medicaid Hospice Payment Rates for Arizona published by Medicare. The proposal was received by CMS on December 22, 2023 and and a revised, final preprint on February 12, 2024. Effective Date. Services that do not have an established fee specified by the AHCCCS’ outpatient hospital prospective fee schedule will be paid by multiplying the charges for the service by a statewide outpatient cost-to-charge ratio. Hi! I'm AVA, the AHCCCS Arizona Physicians' Fee Schedule - 2024. arizona physicians' fee schedule evaluation and management codes 2020-2021 all other conversion factor: $64. The Fee-For-Service Provider Billing Manual provides detailed information for those applying for AHCCCS (applicants), members, potential and existing providers. This replaces the 1. Physician fee schedules are updated annually for dates of service on and after October 1st. The following fee schedules will be updated to reflect changes to the Medicare fee schedules on which they are based: Ambulatory Surgical Center Fee Schedule rates Valerie Ruiz, Manager [email protected] Phoenix Office: 800 W. This update includes changes identified in the “Corrections Being Made to the 2022 DMEPOS Fee Schedule Amounts for Certain Items Furnished in Non-contiguous Areas (Alaska, Hawaii, Puerto Rico, and the Code Category FY24 NF RVU FY24 FAC RVU FY24 NF RBRVS Rate FY24 FAC RBRVS Rate 10004 00 Surgery 1. 19-B AZ-24-0025, which was submitted to the Centers for Medicare & Medicaid Services (CMS) on December 30, 2024. How to Apply Covered Services Pay Your Premium Reimbursement and General Fee Schedule FAQs. Q: Are the 51X (clinic) range of revenue codes covered under the OPFS? A: Yes. Quarterly updates at January 1, April 1, and July 1 may be made to accommodate new codes or rate adjustments. Disclaimer about fee schedule and rates available for providers. OPH2_New_20231001-20240930. Practitioner. Financial Management Group . The rates on this page are proposed for the specified effective date. Additionally, while the obligation of a payer under the Arizona Workers’ Compensation Act is to provide medical benefits that are reasonably required The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nouse or interpretation of information contained in Arizona Physicians’ and Pharmaceutical Fee Schedule. 63 code category nf rvu fac rvu rbrvs nf rate rbrvs fac rate 319 . This plan amendment increases the Arizona Health Care Cost Containment System (AHCCCS) Fee for Service Nursing Facility Per Diem Rates. How to Apply Covered Services Pay Your Premium Health Fee-for-Service Schedules; AIHP/FFS/TRBHA Prior Authorization Information; Prior Authorization Forms; Prior Quarter Coverage; Claims Customer Service; Phoenix, AZ 85034 Find Us On Google Maps. of Title 8, California Code of Regulations. The data for Medicaid fee-for-service (FFS) reimbursement is measured as a percentage of dentists' original fees for select procedures as well as reimbursement under commercial dental plans. AZ-13-003-Ltr. Date: 10/28/20 . Medicaid Reimbursement. A provider simply must be an AHCCCS registered Valerie Ruiz, Manager [email protected] Phoenix Office: 800 W. Phoenix, AZ 85034 Find Us On Google Maps. The unit values and guidance for consultative, diagnostic and therapeutic services How often is the Arizona Fee Schedule reviewed by the Commission? The Commission reviews the Fee Schedule on an annual basis. 002, Provider Reimbursement Schedules and Billing CodesFee ScheduleEffective DateAssistive Care Services Fee ScheduleUpdated Fee Schedule 2025Updated Fee Schedule October 1, 2024Promulgated Fee Schedule 2024Behavior Analysis Fee ScheduleUpda Reimbursement and General Fee Schedule FAQs. AzCH-CCP Medicaid Physician Fee Schedules. This plan amendment updates the fee schedule rates for outpatient hospital services. This SPA updates the fee schedule rates for Multi-Specialty Interdisciplinary Clinic (MSIC) services. Review Type. File 4 - Form CMS-179 Media. The Please refer to Client Detail pages and/or Medicaid Fee Schedules for details about administration of basic state benefits. 16 155. 16 290. Phoenix, AZ 85007 Phone: (602) 542-6731 Fax: (602) 542-4797. 19, 2022 -PDF: NC Medicaid, Division of Health Benefits 2501 Mail Service Center Raleigh, NC 27699-2501. FEE-FOR-SERVICE PROVIDER FEE-FOR-SERVICE PROVIDER Arizona Health Care Cost Containment System designated fee schedules to be effective for dates of service beginning October 1, 2022. 25 percent update provided by the Consolidated Appropriations Act, 2023, therefore the CY 2024 CF for Beginning July 1, 2018, the Arizona Legislature passed HB 2659 which limits AHCCCS reimbursement of inpatient behavioral health services provided at a non-contracted facility to 90 percent of AHCCCS fee schedule rates . 78, No. Part of the goal of this rebase was to make the AHCCCS system more Medicare-like. Fee-For-Service providers do not need to contract with AHCCCS AIHP, Tribal ALTCS or a TRBHA to continue providing Medicaid Title XIX and XXI services to FFS members. gov. File 3 - Attachment Media. Ambulatory Surgical Center (ASC) fee schedule - 2025. RF133 – Outpatient Revenue Code 051X Fee Schedule Phoenix, AZ 85034 Find Us On Google Maps. • Group ARIZONA PHYSICIANS' FEE SCHEDULE Physical Medicine Codes 2021 Physical Medicine Conversion Factor $65. Centers for Medicare and Medicaid Services CY 2018 Ambulance Fee Schedule File, as updated 02 arizona physicians' fee schedule evaluation and management codes 2020-2021 all other conversion factor: $64. 0017M 0017U 0018M . Medicare or another State’s Medicaid Agency, the fee for Arizona may be waived. The AHCCCS Administration is proposing changes to the FFS rates specified in this Notice as required by the Arizona Medicaid Section 1115 Demonstration Waiver. MATERIALS AND SUPPLIES: A healthcare provider may charge for materials and supplies as described in subsection (I)( 4) of the Introduction Section of t he Physician’s Fee Schedule. It is critical that we implement these changes as quickly as we can and just as Fees for certain products, supplies, and services are regulated in the Fee Schedule, including fees for durable medical equipment (“DME”), prosthetics, orthotics, and supplies 7. 1 and can be found in sections 9789. arizona physicians' fee schedule physical medicine codes 2020-2021 Arizona’s workers’ compensation fee schedule update yearly. Arizona Medicaid Access to Hospital Care - 2015; Reimbursement and General Fee Schedule FAQs Phoenix, AZ 85034 Find Us On Google Maps. BR BR AZ030 00 AZ Specific Codes Mileage round-trip: each mile in excess of 8 miles of travel by physician. Program Administration. Here’s how you know Ohio Department of Medicaid | 50 West Town Street, Suite 400, Columbus, Ohio 43215. How to Apply Covered Services Pay Arizona Medicaid fee Schedules generally update once a year in October. 1490. Improving Care for Medicaid Beneficiaries with Complex Care Needs and High Costs; AZ-24-0025. For state information, refer to the State Medicaid The Iowa Medicaid Provider Fee Schedules are listed below. Topics. but may not implement all or at the same time, as Medicaid coverage differs from Medicare in some areas. To the extent that case management services are reimbursable, they will be reimbursed according to the Capped FFS Fee Schedule. How to Apply Covered Services Pay Reimbursement and General Fee Schedule FAQs. Fee-For-Service Provider Billing Manual Behavioral Health • Case Management o Effective with dates of service on and after 10/01/2015, AHCCCS will not recognize case management as a PPS-eligible service. This plan amendment updates the fee schedule rates for Outpatient hospital services. Effective 05/01/2015 modifier AD – Medical supervision by a physician: more than four . Have a question about AHCCCS Fee-for-Service reimbursement rates? Email us at FFSRates@azahcccs. BR BR ARIZONA PHYSICIANS' FEE SCHEDULE Arizona Specific Codes 2024 Fee Schedule Lookup Allows participating providers to look up contracted rates ot Commercial plans tor CPT and HCPC codes. Tue, 06/11/2013 - 12:00. The new website offers enhanced search options for fee schedules, covered procedure codes and covered revenue code data. 7500 Phoenix, AZ 85034 RE: TN AZ-23-0024 Dear Director Heredia: We have reviewed the proposed Arizona (AZ) State Plan Amendment (SPA) to Attachment 4. 52 PROPOSED AHCCCS Fee-For-Service Fee Schedules. CPT® only copyright 2023 American Medical Association. 2023 Medicare and Medicaid Fee Schedules Palmetto Jurisdiction M North Carolina, South Carolina, West Virginia, Virginia . Effective for dates of service on or after January 1, 2022, based on the final release of the Medicare Physician Fee Schedule, the conditions which determine coverage for VSP ARIZONA MEDICAID NETWORK MANUAL Check out the Manuals on VSPOnline Effective January 1, 2022. AZ-24-0026 | Medicaid Skip to main content Practitioner Fee Schedule Effective 01/01/2023 Updated 03/15/2023 (xls) (pdf) Practitioner Fee Schedule Effective 12/31/2022 Updated 01/12/2023 (xls) (pdf) Practitioner Fee Schedule Effective 10/01/2022 Updated 12/01/2022 (xls) (pdf) Practitioner Fee Medicaid Reimbursement. Details of the manual include the following: a. Hi! I'm AVA, the AHCCCS Virtual Assistant. Updated on November 6, 2024. English; Spanish; NEWSROOM; AHCCCS Fee Schedule . Tue, 01/01/2013 - 12:00. Additionally, while the obligation of a payer under the Arizona Workers’ Compensation Act is to provide medical benefits that are reasonably required, neither the guideline, identifier or modifier unique to Arizona, then the Arizona code, guideline, identifier or modifier shall control. AHCCCS covered services can differ based upon enrollment. Members have full access to the fee schedules and can request additional code look-ups and updates, along with any therapy compliance or billing issues. Arizona. , R9-22, Article 17 and R9-31, Articles 3 and 17. A federal government website managed and paid for by the U. Amendment. Payment Type. Arizona Workers’ Compensation Fee Schedules. State. Link Valerie Ruiz, Manager [email protected] Phoenix Office: 800 W. Reimbursement and General Fee Schedule FAQs. NOTE: This manual remains the sole and exclusive property of VSP®. The enrollment fee is effective January 1, 2012. Prior to the law’s implementation, AHCCCS reimbursed these non-contracted services at 100 percent of fee schedule rates. When does the annual review of the Fee Schedule take place? Arizona Complete Health-Complete Care Plan (Medicaid) Local Giving; SEARCH MENU. ASC Drug Fees are also located on the CMS a mbulatory s urgical c enter (ASC) p ayment page. 2025. 4. Also available are several resources and a document that explains the factor codes and pricing modifiers found on the fee schedules. Open Fee Schedules (Updated March 2025) A complete listing of approved telehealth services can be found here. AHCCCS released new fee schedule rates and Differential Adjusted Payment (DAP) guidelines in September. 63 code category nf rvu fac . Medicaid Services (CMS) made changed to the Medicare Physician Fee Schedule Pulmonary Rehab (PR), Cardiac Rehab (CR), and Intensive Cardiac Rehab (ICR). 1420. 19-B AZ-23-0024, which was submitted to the Centers for Medicare & Medicaid Services (CMS) on December 19, 2023. Are you following Centers for Medicare and Medicaid Services (CMS) Payment Ambulance Provider Fee Schedule - Oct. A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. Search for a State or Area Effective January 1, 2025 - For dates of service on/after January 1, 2025 (CMS Change Request 13934). How to Apply Covered Services Pay Your Premium Arizona Health Care Cost Containment System Fee-For-Service Provider Billing Manual July 12th, 2021 CHAPTER 1 – INTRODUCTION TO AHCCCS Revisions: 8/18/2023; 11/30/2021; 10/22/2018; 10/1/2018; 4/26/2018; 3/9/2018 USE OF THIS MANUAL The AHCCCS Fee-For-Service Provider Billing Manual is a publication of the Arizona The Centers for Medicare & Medicaid Services recently released the 2025 Physician Fee Schedule (), outlining significant changes that will impact healthcare providers. The Centers for Medicare & Medicaid Services (CMS) has reviewed the proposed Arizona (AZ) State Plan Amendment (SPA) to Attachment 4. Medicaid Reimbursement Home See the 'Urban Area/State Code' and be sure to select the appropriate CBSA to view fees for your facility. A. Primary care services for provider types 08, 18, 19, and 31 will be updated per the Special refer to the preliminary physician fee schedule for the specific rate increases at the CPT level. State Rating Period Start Date. How to Apply Covered Services Pay Your Premium Arizona Health Care Cost Containment System Fee-For-Service Provider Billing Manual July 12th, 2021 CHAPTER 1 – INTRODUCTION TO AHCCCS Revisions: 8/18/2023; 11/30/2021; 10/22/2018; 10/1/2018; 4/26/2018; 3/9/2018 USE OF THIS MANUAL The AHCCCS Fee-For-Service Provider Billing Manual is a publication of the Arizona Medicare & Medicaid Services (“CMS”). IBM WebSphere Portal. General Questions: Uniform increase established by the state for acute inpatient and ambulatory outpatient services provided by Hospital Enhanced Access Leading to Health Improvements Initiative (HEALTHII) program eligible hospitals for the rating period covering October 1, 2023 through September 30, 2024, incorporated into the capitation rate through a separate payment Reimbursement and General Fee Schedule FAQs. For the period 10/1/2023 – 09/30/2024, the ASC Cost-to-Charge Ratio is: 0. The public information relating to the topic: a. NC Medicaid Contact Center Phone: 888-245-0179. This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis. To ensure our provider community has access to the most current fee schedules used by Part B providers, select the appropriate Valerie Ruiz, Manager [email protected] Phoenix Office: 800 W. Fee schedule. The total funds fiscal impact for the changes outlined above is $1,123,100. The fees are effective for dates of service January 1, 2025 through December 31, 2025. Effective Date of Fee Schedule: May 1, 2024 through April 30, 2025. 88 10005 00 Surgery 4. This Notice of Public Information describes changes to the Arizona Health Care Cost Hospice per diem rates will be updated to match the Medicaid Hospice Payment Rates for Arizona published by Medicare. AZ APR-DRG Calculator FY2025; For the period 10/01/2023-09/30/2024. , Suite 600 Chicago, Illinois 60601 . These fees constitute the maximum amount you may charge for covered services when providing dental care and supplies to Eligible Persons (participants in dental benefit plans underwritten or administered by clients of DHA or members of other groups that have access to DHA). General Questions: If a product, supply, or service is not covered under the Arizona Fee Schedule, then the Commission has no jurisdiction to set a fee or formally resolve a fee dispute related to the service. The proposal has a control name of AZ_Fee_IPH. Describes the fee schedule payments for Long Term Care and Rehabilitation hospital facilities. In October 2011, AHCCCS completed a rebase for outpatient fee schedule. 57 1. Link to fee schedule. The topic of the public information notice: AHCCCS Fee-For-Service (FFS) rates for designated fee schedules to be effective for dates of service beginning October 1, 2024. 3, 2022, all fee schedules currently listed on the NC Medicaid website have been moved to a new Fee Schedule and Covered Code Portal available to the public. For state information, refer to Arizona Medicaid coverage of physical, occupational, and speech therapy for children and adults in outpatient, home health, early intervention and school based services, including provider enrollment, patient billing, and documentation Centers for Medicare & Medicaid Services Center for Medicaid & CHIP Services 233 North Michigan Ave. This SPA updates the fee schedule rates for Multi-Specialty Interdisciplmary Clinic (MSIC) services. AZ-13-003-Att. How to Apply Covered Services Pay Your Premium Health Insurance for Children. pdf. Description Revised 2022 DMEPOS Fee Schedule- Updated 11/10/22. How to Apply Covered Services Pay Your Premium Health On March 9, 2024, President Biden signed the Consolidated Appropriations Act, 2024, which included a 2. Medicaid also expanded to allow for telehealth options which has made ABA therapy more accessible, and efforts are ongoing to ensure consistent coverage across states. Please refer to Client Detail pages and/or Medicaid Fee Schedules for details about administration of basic state benefits. Reimbursement. + Hi! I'm AVA, the AHCCCS Virtual Assistant. Monday-Friday 8 a. 19-B AZ-21-0019, which was submitted to the Centers for Medicare & Medicaid Services (CMS) on November 10, 2021. Centers for Medicare & Medicaid Services. Washington St. Arizona Speech Therapy Rates 1. With respect to decisions on enrollment, providers shall defer to AHCCCS, which has exclusive authority to enroll and dis-enroll Medicaid eligible members in accordance with the rules set forth in A. Related File to Download. Fee-for-Service Fee Schedules. Provider Class. Providers can request a reprint or submit an inquiry online or by calling the Provider Service Center at (888) 289-0709. Consumer Hotline: 800-324-8680 | Provider Integrated Helpdesk: 800-686-1516. 03 2. HBMA Find a Medical Biller This helps identify medical billing companies by If a product, supply, or service is not covered under the Arizona Fee Schedule, then the Commission has no jurisdiction to set a fee or resolve a fee dispute related to the service. For the period 10/1/2024 – 09/30/2025, the ASC Cost-to-Charge Ratio is: 0. jxxxx br br arizona physicians' fee schedule physical medicine codes 2020-2021 all other conversion factor: $64. A. The CY 2025 Medicare Physicians Fee Schedule has been updated by to include CPT 0446T, 0448T, and 61715-26. How to Apply Covered Services Pay Your Premium Health Reimbursement of each provider will be at 50% of the AHCCCS capped fee schedule. 63 code category nf rvu fac Alaska, Arizona, Idaho, Montana, North Dakota, Oregon , South Dakota, Utah, Washington, Wyoming. to 5 p. Yes. Arizona Physical and Occupational Therapy Rates. Have a question about AHCCCS Fee-for-Service reimbursement rates? Email us at FFSRates@azahcccs. Prior proposed fee schedules which have become final are archived below. This Notice describes changes to the Arizona Health Care Cost Containment System (AHCCCS) Fee-For-Service (FFS) rates to be effective October 1, 2024. When does the annual review of the Fee Schedule take place? AZ027 00 AZ Specific Codes Over 7 miles, per mile. Click me for assistance. Fee-For-Service Fee Schedules Proposed Fee Schedules. For Providers. Provider Enrollment Reimbursement and General Fee Schedule FAQs. 10 et seq. Phone: 602-417-4000 Toll Free: 1-800-654-8713 For Members. The full ASC fee schedule is loaded for January and updates made throughout the year are linked for April, July, and October in the table below. How to Apply Covered Services Pay Your Improving Care for Medicaid Beneficiaries with Complex Care Needs and High Costs; AZ_Fee_AMC_Amend_20221001-20230930 Sat, 10/01/2022 - 12:00. General Questions: Arizona's Medicaid Agency – AHCCCSAHCCCS Fee Schedule with code updates effective January 1, 2017Public Consulting Group– Arizona Medicaid School-Based Claiming ProgramPublic Consulting Group Contact InformationMedicaid School-Based Claiming Program HandbookParental Consent to Access Public BenefitsFederal Register, Vol. Notice of updates and corrections to the Arizona Physician's Fee Schedule (which may occur throughout the year) will be provided through this website. File 1 - Approval Document Media. 19, 2022 - EXCEL: Ambulance Provider Fee Schedule - Oct. Effective today, Thursday, Nov. How to Apply Covered Services Pay Improving Care for Medicaid Beneficiaries with Complex Care Needs and High Costs; AZ-15-009 . 1. C. BR BR AZ028 00 AZ Specific Codes When more than one patient seen, apportion mileage charge among total number of patients. How to Apply Covered Services Pay Arizona Medicaid Covered Codes Codes 0001A 0001U 0002A 0002M 0002U 0003A 0003M 0003U 0004A 0004M 0005U 0006M 0007M 0007U 0008U 0009U 00100 00102 00103 00104 0010U 0011A 0011U 00120 00124 00126 0012A 0013A 00140 00142 00144 00145 00147 00148 0015M 00160 00162 00164 0016M 0016U 00170 00172 00174 00176. 24. Contact Us Subscribe to Newsletters News & Press Releases ATTENTION: SCDHHS recently mailed the 2024 IRS 1099-MISC form to eligible Medicaid-enrolled providers that meet IRS-defined thresholds. These changes are part of CMS’s ongoing effort to advance value-based care and ensure that providers are equipped to deliver high-quality, coordinated, and equitable care. 00 Search AHCCCS Physician Fee Schedule Search by Procedure Code (without modifier) Enter a Code: Note: New for 2022, this now only includes the Physician Fee and Anesthesia rates schedules. 93 percent update to the CY 2024 Physician Fee Schedule (PFS) Conversion Factor (CF) for dates of service March 9 through December 31, 2024. The topic of the public information notice: AHCCCS Fee-For-Service (FFS) rates for Home and Community-Based Services to be effective for dates of service on and after January 1, 2023. Furthermore, in 2008, Arizona enacted the Arizona Autism Mandate (Steven’s Law), requiring insurance companies to cover autism therapies, including ABA. The final changes were made available to us Monday, 10/5/2020. The physical, occupational, and speech therapy codes and rates can be found in the Physical Medicine section. jmfkupzucbsaeoxdcuuxyhmuromlsflstjvqqnzrrhonkripgzcfuggjvmlmlakuojbfdc