Medicaid Basics

A Brief Overview 

  • Medicaid is state-run health care for those with limited income or individuals with chronic or complex health care needs with special circumstances.
  • Medicaid is available to many families In Washington state who are not eligible for Medicare and are below certain income levels.
  • Apple Health for children has broader eligibility requirements, meaning that more children in Washington state can be covered for low or no cost.
  • You can apply for Medicaid through the Washington Health Plan Finder.
  • Major Changes are in effect for 2027

Medicaid is a federal health care program that each state manages based on their own states legislative system. Washington’s Medicaid program is set up for individuals and families with limited income or that have special circumstances, such as a genetic, medical, or job or accident-related disability. This health care covers physical and mental health and can be low-cost or no cost. To be eligible for fully subsidized (free) Medicaid you must meet the household income eligibility and not be eligible for Medicare. However, Medicaid for those with Medicare can help with some expenses not covered by Medicare for those with low income. It is available for an individual on classic Medicaid whose parent or guardian has died and whose benefits pass to their child. In the state of Washington, Medicaid is generally known as Apple Health and is administered by the Health Care Authority.

There are two main types of Medicaid available in the state of Washington: Apple Health (income based), and Classic Medicaid. The day-to-day administration of Apple Health and Classic Medicaid is run by Managed Care Organizations, or MCOs. Apple Health covers all individuals up to the age of 6. After that, eligibility is based on household income. Apple Health has higher income limits for children than adults, meaning that many children in Washington State are eligible for free Apple Health, even when their parents or guardians are not. If you have Apple Health, you will get healthcare from the providers at one of those MCOs. If you are found (determined) to have a disability or a disabling medical condition and are under the age of 65, you are eligible for Classic Medicaid if you are on Social Security Income or Supplemental Security Income (SSI). This is also considered Apple Health and under one of the MCOs. If an infant, child, or youth through age 21 is in the foster care system they will be covered by Apple Health and will get their healthcare from one specific MCO, no matter where they live in the state.

Recent changes to Medicaid have changed several elements of Apple Health. Eligibility changes for adults are explained below and relate to citizenship status and work status. Adults will have to renew their coverage twice a year, including submitting eligibility documents, instead of once a year.

Apple Health has different eligibility requirements for children and adults. These differences are listed below, including the maximum monthly household income requirements that families may have to obtain coverage.

Eligibility for Apple Health for Children:

  • Children of public employees with access to health insurance coverage under the PEBB or SEBB programs are not eligible for Apple Health for Kids with premiums.
  • Low-cost coverage (Apple Health with premiums) is only available to children who are uninsured when household income is too high to qualify for free Apple Health (no premiums)
  • Income requirements for free coverage: (2026)
ServiceSingle Person 2-Person Household 3-Person Household 4-Person Household 5-Person Household 6-Person Household 7-Person Household 
Apple Health for Kids $2,860
monthly 
$3,879
monthly 
$4,896
monthly 
$5,913
monthly 
$ 6,932
monthly
$ 7,949
monthly
$ 8,966
Monthly

Income requirements for Tier I subsidized coverage ($20 monthly per child; $40 family maximum): 

 ServiceSingle Person 2-Person Household 3-Person Household 4-Person Household 5-Person Household 6-Person Household 7-Person Household 
Apple Health for Kids Tier I $3,525 monthly $4,781
monthly 
$6,034
monthly 
$7,288
monthly 
$8,544
monthly 
$9,797
monthly 
$11,051 monthly 

Income requirements for Tier II subsidized coverage ($30 monthly per child; $60 family maximum): 

 ServiceSingle Person 2-Person Household 3-Person Household 4-Person Household 5-Person Household 6-Person Household 7-Person Household 
Apple Health for Kids Tier II $4,216 monthly $5,719
monthly 
$7,218
monthly 
$8,718
monthly 
$10,220
monthly 
$11,719
monthly 
$13,219
monthly 

Eligibility for Apple Health for Adults:

Eligibility for Apple Health for Adults: 

 ServiceSingle Person 2-Person Household 3-Person Household 4-Person Household 5-Person Household 6-Person Household 7-Person Household 
Apple Health for Adults $1,835 monthly $2,490
monthly 
$3,142 monthly $3,795 monthly $4,449 monthly $5,102
monthly 
$5,755
monthly 

There are a couple of ways to start the process of getting Medicaid or other subsidized health care plans. The Health Insurance Marketplace Calculator provides estimates of health insurance premiums and subsidies for people purchasing insurance on their own in health insurance exchanges or “Marketplaces.” The Washington Health Benefit Exchange can help families and individuals find subsidized health care in their area.

When ready to apply for coverage from Apple Health:

  1. Review adult and/or child income and other eligibility requirements.
  2. View what services are provided through Apple Health to see if it the best fit for you and your family.
  3. Create an account on Washington Health Plan Finder.
  4. Collect and enter information into the Washington Health Plan Finder application,  downloadable paper form, or call the Washington Healthplanfinder Customer Support Center at 1-855-923-4633. Review the Integrated Health Care Plans responsible for Medicaid in Washington, not all of which may be available in your location.
  5. If you need further help, contact a free Health Plan Navigator.

To get signed up with Medicaid Classic, go online to Washington Connection and select “Apply Now,” or call 1-877-501-2233. For additional help signing up for Medicaid in Washington, help is available from Help Me Grow Washington, which can be contacted at 1-800-322-2588, or PAVE. If, in looking at the information above, you feel that you or the person you care for has lost Medicaid through a mistake or a problem with the system and going through the Washington Connection is not resolving the issue, the Federal Government is asking that you go through Healthcare.gov to get help with re-enrollment.


Creative Options for a Respite Break

The person you care for may have specific assets and strengths that provide an opportunity for you to have a respite break. These include being able to stay home alone safely, to call 911 when needed, not being prone to wandering away from home, and being able to use basic technology like a smart phone. If out in the community other skills include being able to communicate their home address, to use public transportation, and to reach out to a contact person if needed.

Peer-to-Peer Respite for Older Adults – If your loved one has friends he or she once or currently participated in activities with—activities like fishing, playing cards, quilting, etc.—consider setting up ‘dates.’ In the right situations, it is a win-win for all. It provides a break for the caregiver, their loved one gets to engage in ‘normal’ activities, and his or her peers have opportunities to spend time with friends.

Adult Day Centers: The National Adult Day Services Association can help you find local adult day services at nadsa.org/locator and you can find more information for caregivers at nadsa.org/consumers

Learning Experiences: State and community colleges often have opportunities for youth, adults and seniors to take classes on a non-credit basis. Some offer programs that are geared to seniors or individuals with intellectual or developmental disabilities. In WA, residents age 60 and older may be able to waive tuition costs and pay only a small registration fee. Check your local community college or state college or university campus location.

Equine and other animal therapy: Numerous sites around WA state! Some programs involve supervised riding, others involve caring for and walking with the animals. Google “Equine therapy WA State”, “Riding programs WA State”, and “Animal Therapy programs WA State”. Many are specifically designed as respite opportunities.

Sports and Exercise: YMCAs, YWCAs, your town or city’s Parks and Recreation department.

Music Therapy; Inclusive Theater

Day and Overnight Camps (adults as well as children) PAVE publishes a long list of camps supporting individuals with disabilities in Washington State.

After-school Programs through your school department or organizations such as Boys & Girls Club, town or city recreation or sports programs.

Girl Scouts of the USA provides inclusive scouting activities for girls with special needs.

Boy Scouts of America involves boy scouts with physical, developmental or cognitive challenges in local troop activities .

Social activities through your local faith community, with a supportive volunteer.

Find a Family Day Out or a Parents Night Out. A variety of organizations from churches to schools to other civic organizations offer these. Google ‘Family Day Out’ or ‘Parents Night Out’ with the word ‘respite’ to find resources in your area.

Memory Cafes provide a safe and comfortable space where caregivers and their loved ones can socialize, listen to music, play games, and enjoy other appropriate activities. For a directory of Memory Cafes go to The Memory Cafe Directory

Senior Centers in your town or city

The Senior Companion Program through Senior Corps, a branch of the federal Corporation for National & Community Service, matches volunteers older than 55 with seniors living independently to provide companionship, help with daily tasks and a break for family caregivers. Click on this Senior Companionship Program

Time Banking is a time-based currency. Give an hour of service to another and receive a time credit. You might provide an hour of bookkeeping, for example, and receive an hour of respite. Time banking takes place as members give and receive services to each other, or through group and community activities and projects. Members include individuals, groups, and organizations.  Visit the Timebanks website for more information.

Explore the list of Lifespan Respite WA registered providers for out-of-home respite options in your area. Programs and services for adults and children. (You do not need to have a respite voucher award from Lifespan to use these programs, although they do charge fees).

Medicaid or Medicare-Which Covers Long-Term Care?

This quick tip sheet explains which of these programs covers long-term care either in your home, or in a nursing home or other care facility.

Medicare:  No long-term care coverage in the home or in a care facility

  • The Medicare Part A benefit for medically necessary skilled nursing facility care becomes active after hospital treatment for an illness or injury.   
  • Medicare Part A pays for medically necessary skilled nursing facility care, up to 100 days, if the patient is actively participating in rehabilitation services and showing improvement within their plan of care.
  • Medicare Part A does not pay for ongoing long-term (custodial) care in a skilled nursing facility once rehabilitation is complete, nor does Part A pay for ongoing long-term (custodial) care in assisted living, memory care, or adult family homes. 
  • Medicare Part B pays for medically necessary home health care, if the patient is homebound, actively participating in rehabilitation services (physical therapy, occupational therapy, respiratory therapy) and showing improvement within their plan of care.

Medicaid:  Long-term care coverage is available in the home and in certain care facilities.

  • Eligibility is based upon the income, resources, and functional need of the applicant.
  • There are special allowances for income, resources, and housing costs of married couples.
  • Medicaid can pay for in-home care or residential care in certain facilities that accept Medicaid funding to pay for the long-term (custodial care) of their residents.
  • Recipients may be required to pay “financial participation” to their care provider, to qualify for and to maintain their Medicaid eligibility, depending upon their income level. 
  • Estate recovery is required to return Medicaid funds to the state once a Medicaid recipient or the surviving spouse of a Medicaid recipient dies.
  • There is a five-year “lookback period” to determine whether an applicant had been “gifting away” resources to qualify for Medicaid. 
  • Eligibility for a recipient receiving Medicaid is reviewed every twelve months. 

Courtesy of Pierce County Washington’s Aging and Disability Resource Center (ADRC), part of the Aging and Disability Resource Centers network across WA State. Find your area’s ADRC at Community Living Connections.

Lifespan Respite WA for Professionals: Social Services and Medical

What Lifespan Respite WA does:

We offer interpretation if arranged in advance for almost any language. Email us in a preferred language to set this up.

Contact us:     Email: getrespite@wapave.org; Phone:  253-442-3214

Essential Information

  • Caregivers must not be receiving respite care funded through any other program or organization, whether government-funded or private sector. Family helping out by paying for respite care doesn’t count as “paid respite”. (On the other hand, families who are approved for publicly funded programs, but who won’t get services for at least 30 days or on a no-paid-services list are eligible for a Lifespan voucher).
  • We do not ask for any proof of condition or diagnosis, any proof of income, or any documentation. Everything is self-reported.
  • We are required to get a statement (emailed, texted) from a caregiver if the care recipient is on Medicaid, that no paid respite is being received from any program or agency. Financial help from family members is ok.
  • This program is for PLANNED, not crisis or emergency respite. No exceptions.
  • Short-term!! Must use within 4 months, unless for summer camps or recreation. In that case, proof of registration is required.
  • Extensions may be approved under compelling circumstances, on a case-by-case basis.
  • Usual award amount is $1,000.00 per household.
  • ONE voucher per household—if there are multiple care recipients, voucher is evenly split and can’t be transferred from one family member to another.
  • There is a wait list since there are always more applications than funds. We cannot tell exactly when an award will be made. According to our contract with the state, vouchers are given based on the date of application, but also on an equitable distribution of vouchers across WA State, taking into account the population density and numbers of applications from different regions.
  • Applicants get an email notice when we get their application. We will be sending interim notices to let applicants know their application is still on the list
  • Caregivers can reapply in one year from the date of their most recent application.
  • Caregivers have the responsibility to find out the hourly or session rate charged by the program or agency, and to keep track of hours or sessions so as not to run over the voucher amount. Caregivers are financially responsible for any charges over the amount of the voucher.

Important for family caregivers to know

  • The biggest barrier to voucher use, for many caregivers, appears to be contacting programs or agencies and persisting until they get a response back. This is why we recommend checking providers out even before a voucher is awarded. Check our “List of Providers” page to find out if the type of respite they have in mind is available in their area.
  • There is no guarantee that any program or agency has availability even when on our Providers list.
  • We have providers of some type in each county in WA; but some counties do not have much provider choice. We are constantly working on that!
  • Voucher applicants may suggest a provider if there is no availability among the registered providers, or if they have requirements registered providers cannot meet. The team will reach out and see if the suggested provider is willing to take the voucher funding.
  • We can’t pay a family member OR ANY OTHER INDIVIDUAL to be a caregiver. The only respite we will pay for is from one of our Registered providers.

Respite Offers a Break for Caregivers and Those They Support

Respite offers a short-term break for caregivers and those they support. This article provides information and resources to get started seeking respite services. Resources and links include sources of respite in WA State.

A Brief Overview

  • What family caregiving is
  • What respite care is, and why it’s important for family caregivers
  • Types of respite
  • How to decide on the best type of respite services for your family
  • Free and low-cost respite in WA State, including links to Veterans Administration and options for active duty military families.
  • Paying out-of-pocket for respite in WA State

What is family caregiving?

Modern families come in many styles. The primary caregivers of a person with a disability or special health care need might be parents or spouses or adult children, and they might be other relatives (kinship caregivers), friends, or neighbors.

They can also be described as “family caregivers”. This term is used widely by social service professionals, medical providers, and organizations and agencies that offer respite services and decide on respite care eligibility.

Some professionals use the term “care recipient” to describe the person who needs care from the family caregiver. However, in this article we will use the term “loved one” or “loved ones”, because family caregivers are usually not paid workers providing a service. They give care because families love and care for one another, and because “That’s what family is for”.

What is respite care? Why is it important for family caregivers?

Respite care is a short break from caregiving tasks for the family caregiver. It might last a few hours or include 24-hour a day care that lets the family caregiver (s) have a vacation.
Family caregiving can create deep bonds, be emotionally fulfilling and full of loving acts of kindness. It’s also physically, emotionally, and mentally tiring. Family caregivers don’t just run errands or do housecleaning for loved ones; they organize medical care, take loved ones to appointments, provide personal hygiene, handle finances, arrange after-school and childcare, wrestle with health insurance companies, Apple Health, or Medicare, and may have legal responsibilities such as being a court-appointed guardian or an agent under a Durable Power of Attorney.  

These responsibilities often add up to a full-time job in addition to paid employment and caring for other family members.  Respite breaks from caregiving are one of the top requests family caregivers make when they apply for caregiver supports and benefits, along with financial help. 

Family caregivers often wait until they are burnt out before looking for respite care. They may not realize it’s available for their situation, or their loved one may not like the idea of getting help from anyone but family. Putting everyone else’s needs before your own can take care of an immediate problem; in the long term, it can lead to increased anxiety, frustration, resentment, depression and even illness. Whether you think of yourself as a family caregiver or not, these are all signs of caregiver burnout and stress.

Time apart can boost well-being for both the family caregiver and their loved one. While caregivers temporarily shift their focus to necessary self-care, loved ones can meet new people and explore new interests.


What respite services would be most helpful?

Respite includes a wide variety of programs and services, such as:

  • In-Home Services (errands, light chores, personal care, companionship, medication reminders, etc.) *
  • Recreation (sports, exercise, crafts, and other leisure activities)
  • Day or Overnight Camps which serve individuals with disabilities
  • Day Services (dementia or memory centers, after-school and weekend programming for adults, children, and youth, daycares, etc.)
  • Education/Classes (may include preschools, nature schools, art, music, recreational skills, academics, etc.)
  • Organizations offering therapeutic benefits for a loved one (social skills groups, music therapy, equine/animal therapy, etc.)
  • 24-hour care

* In-home respite care does not include services that need to be performed by a nurse, occupational therapist or physical therapist. Some home-care agencies can provide services from those professionals, but most of the time, such services are arranged for and covered by health insurance.

Tools can help you decide which type or types of respite will work for you and your family:

Washington’s Pathways to Respite booklet includes “fill-in-the-blanks” tools to help define needs, like these examples:

“I would like to take a break, but I am concerned that___________” and “If I had some time to myself, I would _____________.”

This respite planning guide is from the Veterans Administration, but can work for any caregiver, civilian or military: https://www.caregiver.va.gov/CAREGIVER/support/docs/docs2024/Caregiver-Respite-Tool-2022.pdf#.

Ways to pay for respite and find respite providers:

If a family will pay out of pocket for respite services, they can find respite providers online. Here are some ideas to start a search:

  • “Adult Day Services Washington State”
  • “After-school programs children with special health care needs Washington State”
  • “In-home care agencies near me”
  • Check the listings at Lifespan Respite WA; listed agencies meet state standards for background checks and liability insurance.

Care.com is a paid private, online service connecting respite or personal care workers with potential care recipients and their families. Families are on their own to follow up on an individual worker’s qualifications, references, and background, although some listings will show someone has passed a background check. This service requires payment and a subscription, but it is easy to cancel once a caregiver has been hired. They also offer a program to manage tax withholding and payments for the independent workers hired.

If a care recipient is eligible for respite through private medical insurance, the insurance company will list approved providers or caregivers may call their insurance company representative.

When researching a respite agency, caregivers can check whether the agency meets standards and follows appropriate safety measures.

Here are a few examples of questions you might ask:

  • How are the workers chosen and trained?
  • Can the respite worker give medicine or help with medical tasks?
  • How are emergencies and problems handled?

A thorough guide is available at the ARCH National Respite Network and Resource Center: How to Choose a Respite Provider.

Free and low-cost respite services:

In Washington State, eligibility for free or low-cost respite services may depend on the caregiver or loved one’s circumstances or category of disability.

Seniors and Adults with Disabilities

Seniors 65 and older who meet functional and financial eligibility can get a variety of services through Department of Social and Health Services Home and Community Services Administration (HCSA).

Unpaid (family) caregivers of adults who are 55 and older who meet functional and financial eligibility can get respite care and other needed support services like caregiver education, support groups, housework and errands and other services.

The easiest way to learn about services and eligibility is to contact the county or regional Area Agency on Aging, which administers many of HCSA’s services. They are also listed at Washington’s Community Living Connections/waclc.org.

Some programs are:

Medicaid Alternative Care (MAC) and Tailored Supports for Older Adults (TSOA), Medicaid Demonstration Projects funded through Department of Health. Information and applications are handled through the Aging and Disability Resource Centers/Are Agencies on Aging (DSHS). These are WA’s most direct programs for unpaid family caregivers of people age 55 and older. They fund caregiver’s needs including respite care, caregiver training, and supplies. MAC serves people who are Medicaid-eligible but choose not to enroll in CFC. TSOA serves people who are not financially eligible for Medicaid, with higher income and asset limits, and does not require an unpaid caregiver.

As of September 2026, these programs have an automatic waitlist. Check back with the agency where you applied for updates.

Family Caregiver Support Program (FCSP)  An eligible caregiver is a spouse, relative, or friend who has responsibility for the care of an adult with a functional disability and does not receive financial compensation for the care provided. This program is administered by Aging and Disability Resource Centers/Area Agencies on Aging across the state. Respite funds vary by source, and availability of respite funding varies by location.

Catholic Community Services in WA are non-denominational in the services they offer. In addition to in-home supports, many other community/social service programs are available such as housing support, mental health support and treatment, food and financial assistance, teen and youth support, and more.

Catholic Community Services of Western WA

Catholic Charities of Central WA

Catholic Charities Eastern WA

Don’t forget to look in your community and nearby for memory cafes, volunteer-based dementia or disability day programs, and senior center offerings!

Respite for All Ages:

American Indian and Alaska Native Caregivers:

Lifespan Respite WA Voucher Programis open to all eligible American Indian and Alaskan Native caregivers.

Contacts for Tribal programs in WA State can be found on the HCLA Tribal Affairs website at Washington’s Department of Social and Health Services (DSHS). Individual Tribes direct their own caregiving and/or respite programs.

Community First Choice (CFC): your loved one is eligible if:

  • Financial Eligibility: must be financially eligible for Medicaid (Apple Health)
  • Functional Eligibility: require an “institutional level of care” (such as nursing home placement or an intermediate care facility) but choose to receive care at home or in an alternative living facility.
  • Medicaid Enrollment: Must be enrolled in Washington Apple Health (Medicaid) under a categorically needy (CN) or alternative benefit plan (ABP) scope of care.
  • If your loved one is age 65 or older, blind, disabled, or on Medicare, apply at WashingtonConnection.org.
  • If your loved one is under age 65 or not eligible for Medicare, apply using the WA HealthPlan Finder.
  • You can also apply in-person at a local Home and Community Services office.

COPES: a wraparound service for individuals on the Community First Choice plan. Individuals must have needs that exceed what is available in Community First Choice. Eligible individuals are in the Community First Choice Program. 

Home and Community-Based Services for individuals with developmental disabilities, which may include respite for their caregivers (through the Developmental Disabilities Administration/DDA)

Eligibility is based on the presence of one of four developmental disabilities (Intellectual disability, Cerebral palsy, Epilepsy, Autism) or associated disabilities, an age of onset prior to diagnostic criteria or age 18, and evidence of substantial limitations.

Important:

  • An individual must first apply to see if they are eligible (family member may apply for the individual).
  • Once eligible, the individual or family must apply for specific services.

Detailed information on the application process and on specific programs (“waivers”) can be found on the Informing Families website.

Lifespan Respite WA: offers a voucher (small grant) for unpaid family caregivers who support a family member, friend, or neighbor who needs assistance with daily living activities. The voucher is used to pay for services or programs that allow the caregiver to have respite, or short breaks from caregiving tasks. Lifespan Respite vouchers are for temporary short-term respite. 

Eligibility: the caregiver

  • Is not paid to care for their family member, friend, or neighbor;  
  • Provide 40 or more hours per week of care or support for someone with a special need or condition (the person can be any age), and the 40 or more hours must include supervision of the person receiving care;
  • Live in Washington State; 
  • Not be able to afford respite care on their own;
  • The caregiver or the person they care for are not enrolled in any program that provides respite services, unless they are on a wait list and not scheduled to receive services within 30 days of the voucher application.

Read more about Lifespan Respite WA and apply online.

Department of Children Youth and Families (DCYF):

Foster parents provide temporary homes for children whose parents are unable to care for them. DCYF and the family court system authorize placement of a child or youth in foster care when it is necessary for a child’s safety and well-being. More than half of children and youth using foster care in WA State are cared for by a kinship caregiver—a grandparent, other relative, unrelated close friend or “chosen family”. Federally recognized Tribes in WA decide who is a relative of a child who needs foster care.

Three types of respite are available through DCYF for Licensed Foster Parents, Unlicensed Relative Caregivers and “Other Suitable Persons”  (definitions at DCYF): Retention Respite (monthly breaks, emergent situations); Exchange Respite (arranged between licensed caregivers, approved by case workers and is not financially reimbursed); and Child-Specific Respite for relief from caregiving responsibilities linked to medical, behavioral or special needs of an individual child or youth.

Informal kin caregivers who do not have any contact with the foster care system may receive access to some benefits through the Kinship Program at WA’s Department of Social and Health Services. They may also be eligible if they or their kin child qualifies under any of the other programs listed under “All Ages”.

The WA Cares Fund is a public long-term care insurance program. All working Washingtonians contribute a small percentage of their income into the fund. Benefits can fund respite care and many in-home services. If a family caregiver retired prior to the program start in 2023, or if they left to care for their loved one, they may not be eligible for this program. If they did work from the start of the program but need respite services sooner than later, they may not have accumulated much in the fund. The maximum amount for benefits is $36,500, which will be adjusted for inflation.

Veterans and Military Family Caregivers

Active duty family members’ loved ones may be eligible for respite under Tricare Echo, a benefit under the military healthcare plans.

Exceptional Family Member Program: Provides all four military branches with care and respite support for families with a member who has a special need or disability. When military respite is not available, military families should know they are also eligible to apply for civilian respite services while living in Washington State.

Coast Guard Special Needs Program: provides Coast Guard family members who have special needs or a disability with care and support. Coast Guard families may also apply to civilian sources of respite care in Washington State.

Financial help paying for respite care may be available through Coast Guard Mutual Assistance. https://mycgma.org/

Veterans Affairs offers the Program of Comprehensive Assistance for Family Caregivers (PCAFC) which offers respite services.

Do you have questions about respite?

Please contact Get Support and select “respite (Lifespan)” as a reason for contacting PAVE, or call Lifespan Respite WA at 253-442-3214.