0 Scheduled Assessments. Annual Assessments must be completed within 92 days of the previous assessment and within 366 days of the last comprehensive assessment, either an annual assessment or a significant change in status assessment. 0000005786 00000 n omplete the mds obra assessment scheduling for free Get started! You should note minor status changes in the residents record. Secure .gov websites use HTTPSA Copyright 2017, the American Hospital Association, Chicago, Illinois. Expand each unscheduled assessment to learn more. Share sensitive information only on official, secure websites. Heres how you know. Changed manual pages are I-12 and I-16 and are marked with the footer October 2019 (R).. These events may require adjustment of the assessment schedule: For instructions on how to bill when one of these situations applies, refer to Chapter 2, Section 2.13 of the Long-Term Care Facility Resident Assessment Instrument 3.0 Users Manual. https:// Planning, Wills The Resident Assessment Instrument (RAI) process is the basis for the accurate assessment of each resident. How long does it take to do a comprehensive MDS assessment? Follow the simple instructions below: Business, tax, legal as well as other documents require an advanced level of protection and compliance with the legislation. The tips below will help you fill out Mds Obra Assessment Scheduling Tool 2020 quickly and easily: Our solution allows you to take the entire process of completing legal documents online. Reproduced with permission. By clicking "Ok" you agree to our use of cookies. This web page includes the current version of the MDS 3.0 RAI Manual and associated documents. NOW AVAILBLE-Draft Nursing Home Comprehensive (NC) Item Set. STAFF ASSESSMENTS Functional Abilities Observations (section GG for nurses) Staff Assessment for Mental Status Staff Assessment for Daily and Activity Preferences Staff Assessment of Resident Mood (PHQ-9-OV) Skin Evaluation CUE CARDS Vision Cue Card Pain Sympton Frequency Cue Card Mood Symptom Frequency Cue Card Daily Preferences Cue Card 0000004768 00000 n & Estates, Corporate - Sunday Monday Tuesday Wednesday Thursday Friday Saturday; 1. Be prepared for 2023 with these two tools that are free to members: The Static OBRA Scheduling Tool is a 4-page tool that. Rapid RUG Guide, RUG-IV, 48 Group Classification, Minimum Data Set Supportive Documentation Guidelines. > P K L M N O ZO \ p Pinette, Suzanne B a = %%EOF You can decide how often to receive updates. The Quarterly assessment is to be completed within 92 days of the R2b date of the Admission assessment. The MDS must be accurate as of the ARD. Course Overview. A Medicare unscheduled assessment that falls within a scheduled Medicare-required assessment window cannot be followed by the scheduled assessment later in that window. Sign it in a few clicks. In this example, you must complete the 30-day Medicare-required assessment within Days 2733, which includes grace days, because a late assessment cannot replace a different Medicare-required assessment. There is a mandated schedule for PPS assessments. A significant change is a major decline or improvement in a residents status that meets all of these requirements: A significant change may require referral for a Pre-admission Screening and Resident Review evaluation if a mental illness, intellectual disability, or related condition is present or suspected. 0000004217 00000 n lock trailer View and download printable PDF MDS Reference Sheets. Except for the first assessment (5-day assessment), each assessment is scheduled according to the residents length of stay in Medicare-covered Part A care. On average, it takes five hours and five minutes to complete one Minimum Data Set (MDS). The MDS 3.0 RAI User's Manual v1.18.11 will be effective beginning October 01, 2023. Each assessment must include all of these: The Medicare-required PPS assessment schedule includes 5-day, 14-day, 30-day, 60-day, and 90-day scheduled assessments. For detailed information on scheduled and unscheduled assessments, refer to Section 2.8 of the Long-Term Care Facility Resident Assessment Instrument 3.0 Users Manual. Unscheduled Assessments, and the Assessment Tool. Do not submit assessments completed for purposes other than OBRA and SNF PPS requirements (for example, private insurance, including MA Plans). You may bill at the default rate for a Medicare-required assessment not in QIES only in these situations: For instructions on billing when one of these exceptions applies, refer to Chapter 6, Section 6.8 of the Long-Term Care Facility Resident Assessment Instrument 3.0 Users Manual. 2019 MDS OBRA Assessment Scheduling Tool. The Assessment Tool does not cover every potential situation, though it does cover the most common situations. If you conduct an assessment earlier than the schedule indicates (that is, the ARD is not in the assessment window), you will receive the default rate for the number of days the assessment was out of compliance. An official website of the United States government 0000005563 00000 n Residents already in a nursing facility must be screened annually and/or for significant changes in their condition. Guarantees that a business meets BBB accreditation standards in the US and Canada. 2 If you do not set the ARD prior to the end of the last day of the assessment window and the resident is no longer in a Part A covered stay, you may not bill for those days. 0000002668 00000 n REMEMBER: Unscheduled assessments do not have grace days. The electronic record you submit to and is accepted into the QIES ASAP system is the legal assessment. Technology, Power of V0200B2 CAA Completion Same as MDS completion Must be RN 4. Include direct observation as well as communication with the resident and direct care staff on all shifts. AHA copyrighted materials including the UB-04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work without the written consent of the AHA. Surveyors and auditors will get more upset at missing MDS than late MDS. My Account, Forms in Use this MDS Scheduling Tool to determine compliance with the assessment frequency requirement. Skilled care is nursing or other rehabilitative services, furnished pursuant to physician orders, that: You must assess the clinical condition of SNF residents by completing the required MDS 3.0 assessments for each Medicare resident receiving Part A SNF-level care for reimbursement under the SNF PPS in a covered Part A stay. The OBRA schedule would continue with another Quarterly assessment to be completed within 92 days of the R2b of the previous Quarterly. Standalone Medicare-Required Discharge Assessments do not impact payment and are intended to collect the standardized data to calculate quality measures (see the Report to Quality Improvement and Evaluation System [QIES] Assessment Submission and Processing [ASAP] System Section for more information). Submission Timelines for OBRA Assessments. xb```b````e`cc@ >d "r;_8O&ij6}/yES LULN18+]u=ai">UpxW. h0_/P$G!zkMHFmB,b(LF%K2v:#fqTd,\lHdmS5,5QFZ1>"Wa.1,-jEWTdIZ=fmc&. Using the Scheduled Assessment Calendar, enter the first day of Part A care in the field. facility, the next assessment in the OBRA assessment schedule is the Quarterly assessment. Below are cheatsheet materials developed by the ADL Nursing staff to assist in the MDS Assessment, Scheduling and Submission processes. 0000007326 00000 n 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual, The Optional State Assessment (OSA) Item Set, OSA Manual, and OSA Change History table are now available in the Downloads section on the, The final Minimum Data Set (MDS) 3.0 Item Sets version v1.18.11 are now available in the Downloads section on the, The draft Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Users Manual version (v)1.18.11 is now available in the Downloads section on the, MDS 3.0 for Nursing Homes and Swing Bed Providers, The Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program, https://qtso.cms.gov/news-and-updates/action-required-register-iqies-account, Final OSA Manual_Item Set_Change History_October_1_2023 (ZIP), Draft_MDS-3.0-RAI-Manual-v1.18.11_October_2023 (PDF), MDS3.0_Final_Item_Sets_v1.18.11_for_Oct_1_2023 (ZIP), MDS3.0_Draft_Item_Sets_v1.18.11_for Oct_1_2023 (ZIP), MDS-3.0-PRA-Disclosure-Statement__November_2022 (PDF), MDS3.0RAIManualv1.17.1R.Errata.v2.July.15.2022 (PDF), Draft MDS3.0 NC Item Set v1.18.11 Oct2023 (PDF), MDS3.0RAIManualv1.17.1R.Errata.October.1.2021 (PDF), MDS3.0_Final_Item_Sets_v1.17.2 for October 1 2020 zip (1) (ZIP), MDS 3.0 RAI Manual v1.17.1 and Change Tables_October 2019_Part_3, MDS 3.0 RAI Manual v1.17.1 Replacement Manual Pages and Change Tables_October 2019, MDS 3.0 RAI Manual v1.17.1 and Change Tables_October 2019_Part_1, MDS 3.0 RAI Manual v1.17.1 and Change Tables_October 2019_Part_2, MDS 3.0GeneralChangeTable_v1.17 to v1.17.1, MDS3.0_Final_Item_Sets_v1.17.1_for Oct_1_2019, An update is made to the MDS RAI 3.0 Manual, A newer version of the MDS RAI 3.0 Manual becomes available; or. Subject: iQIES for Minimum Data Set (MDS) Submission Release on April 17, 2023. endstream endobj 2444 0 obj <>/Metadata 165 0 R/Pages 2441 0 R/StructTreeRoot 181 0 R/Type/Catalog>> endobj 2445 0 obj <>/MediaBox[0 0 720 540]/Parent 2441 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 2446 0 obj <>stream No portion of this publication may be copied without the express written consent of the AHA. 43. hb```P ,`q A`c @!a[c6K2t131jv)20hbA$@7Y^lP|rAi/V Z%73q>e]`p`'\ 1d0K3Kd40H2@^Tf@d"!DC.UW;@W7V@Qzx{; g@0**R@lUd@I @%0]-B1 bX_(XD1 Zt`d`YYH$|4RXen/m >@Zyx^z=@ 0000003762 00000 n Forms, Real Estate Although I anticipated the meeting to feel more like a typical inspection, I quickly realized that it was more of a collaboration designed to help us improve our infection control practices. USLegal fulfills industry-leading security and compliance standards. 3537 0 obj<>stream Votes. Educational Resource. Centers for Medicare & Medicaid Services (CMS) plans to release the final version of the MDS Item Sets later in 2022, which will be effective beginning October 1, 2023. (CMS, 2010, p. 2-41) Robintek is not new to the MDS/Careplan software market. Typing Into The Statement Of Ownership 3526 Form, Identity The Omnibus Budget Reconciliation Act (OBRA), also known as the Nursing Home Reform Act of 1987, has dramatically improved the quality of care in the nursing home over the last twenty years by setting federal standards of how care should be provided to residents. You may never combine two Medicare-required scheduled assessments. The cheatsheets are designed to help maximize your reimbursement rates and maximize the Patient care. If you set the ARD of the late assessment after the end of the period when the late assessment would have controlled payment (had the assessment been completed timely) or an intervening assessment occurred and the resident is still in a Part A covered stay, you must still complete the assessment. To properly prepare for the transition, the QIES Assessment Submission and Processing (ASAP) system for MDS submissions will be turned off on Thursday, April 13 at 8:00 pm EST. jRAVEN is a free Java based software application which provides an option for facilities to collect and maintain Minimum Data Set (MDS) Assessment data for subsequent submission to the appropriate state and/or national The Quarterly assessment is to be completed within 92 days of the R2b date of the Admission assessment. Submission Time Frame For OBRA MDS Records Type A0310A A0310B A0310F MDS Completion Date Submit By Discharge Because it's a bunch, the link is a zip file. Be conducted or coordinated by a registered nurse with the appropriate participation of other health care professionals. If an entity wishes to utilize any AHA materials, please contact the AHA at 312-893-6816. Type text, add images, blackout confidential details, add comments, highlights and more. Contact Info American Association of Post-Acute Care Nursing (AAPACN) 400 S. Colorado Blvd., Suite 500 Denver, CO 80246 Phone: 800.768.1880 For more detailed information and examples on early and late assessments, refer to Chapter 2, Section 2.13 of the Long-Term Care Facility Resident Assessment Instrument 3.0 Users Manual. MDS OBRA ASSESSMENT . KqG contact your Medicare Administrative Contractor, CMS.gov/Center/Provider-Type/Skilled-Nursing-Facility-Center.html, CMS.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIMDS30.html, CMS.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c08.pdf, CMS.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c06.pdf, CMS.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c07.pdf, CMS.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8458.pdf, CMS.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/MLN-Publications-Items/CMS1243515.html, CMS.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/MLN-Publications-Items/CMS1243671.html, CMS.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/ConsolidatedBilling.html, CMS.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/MLN-Publications-Items/CMS1243409.html, Medicare Learning Network Product Disclaimer, No later than 14 days after significant change/error identified, 13 days after all therapy discontinued, Day 7 (last day) of the COT observation period and then every 7th day until the next scheduled assessment, The first day of the COT observation period, End of standard payment period or until interrupted by the next COT-OMRA, MDS 3.0 for Nursing Homes and Swing Bed Providers, Medicare Benefit Policy Manual (Publication 100-02), Medicare Claims Processing Manual (Publication 100-04), MLN Matters Article MM8458, Manual Updates to Clarify Skilled Nursing Facility (SNF), Inpatient Rehabilitation Facility (IRF), Home Health (HH), and Outpatient (OPT) Coverage Pursuant to, Skilled Nursing Facility Consolidated Billing Web-Based Training (WBT) Course, Medicare Billing Information for Rural Providers and Suppliers, Skilled Nursing Facility Prospective Payment System, End of standard payment period, or until interrupted by the next COT-OMRA, Earlier of ARD or beginning of standard payment period, See MDS 3.0 RAI Manual for AI instructions, Change of Therapy-Other Medicare Required Assessment, End of Therapy-Other Medicare Required Assessment, End of Therapy-Other Medicare Required Assessment with Resumption, Health Insurance Prospective Payment System, Quality Improvement and Evaluation System Assessment Submission and Processing, Significant Correction to Prior Comprehensive Assessment, Start of Therapy-Other Medicare Required Assessment, Factors affecting the assessment schedule, Require the skills of qualified technical or professional health personnel, Are provided directly by, or under the general supervision of, these skilled nursing or skilled rehabilitation personnel to assure the safety of the patient and to achieve the medically desired result, Behavioral Symptoms and Cognitive Performance Problems. Copyright 2017, the American Hospital Association, Chicago, Illinois. 3535 25 Download the free Adobe Acrobat Reader at //www.adobe.com/products/acrobat. 01. Your facility would rather get paid full amount, or even default, than nothing at all. FREE Shipping and 2022 MDS Assessment Scheduling Calendar. Dates when you can and cannot set the ARD populate for you. For information and instructions to register for an iQIES account, please visit: https://qtso.cms.gov/news-and-updates/action-required-register-iqies-account, NOW AVAILABLE: Draft MDS 3.0 Item Sets v1.18.11. Making copies or utilizing the content of the UB-04 Manual, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any product or publication; creating any modified or derivative work of the UB-04 Manual and/or codes and descriptions; and/or making any commercial use of UB-04 Manual or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. Listed on 2022-07-07. The tips below will help you fill out Mds Obra Assessment Scheduling Tool 2020 quickly and easily: Open the document in the feature-rich online editor by clicking on Get form. The SNF PPS establishes a Medicare-required PPS assessment schedule. 0000006607 00000 n Do not code anything on the MDS that did not occur during the Observation Period. %PDF-1.4 % A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 0000009644 00000 n .gov Oops! The Medicare Learning Network, MLN Connects, and MLN Matters are registered trademarks of the U.S. Department of Health & Human Services (HHS). Medicare will not pay for these days because no Medicare-required assessment exists in the Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) system for the payment period. startxref The Assessment Tool provides guidance about combining assessments, including setting the ARD. Due to the scope of the revisions, CMS will not issue Replacement Pages for v1.18.11; those wishing to continue using a physical copy of the manual are encouraged to print the new version. %%EOF Fill in the necessary boxes which are yellow-colored. * Does not apply when the most recent assessment was an EOT-R. For more information, refer to Chapter 2 of the Long-Term Care Facility Resident Assessment Instrument 3.0 Users Manual. The draft Minimum Data Set (MDS) 3.0 Item Sets version (v)1.18.11 are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. Handbook, Incorporation Spine ID Pocket - Large. Sign up to get the latest information about your choice of CMS topics. First, no more than 92-days are permitted between the Assessment Reference Date (A2300) of the Annual or Quarterly Assessment and a prior OBRA MDS assessment. The Hyperlink Table, at the end of this document, provides the complete URL for each hyperlink. The views and/or positions presented in the material do not necessarily represent the views of the AHA. website belongs to an official government organization in the United States. J2100 recent surgery requiring active SNF care. %PDF-1.4 % 0000001567 00000 n Click the arrow with the inscription Next to move from field to field. View and download printable PDF MDS Reference Sheets. Chapter 6CMS.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c06.pdf, Chapter 7CMS.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c07.pdf, CMS.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/CERT-Outreach-and-Education-Task-Force.html, CMS.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/ProviderCompliance.html, Medicare Learning Network Product DisclaimerThe Medicare Learning Network, MLN Connects, and MLN Matters are registered trademarks of the U.S. Department of Health & Human Services (HHS).ICN 909067 October 2017. When the OBRA and Part A PPS Discharge Assessments are combined, the ARD (A2300) must be equal to the Discharge Date (A2000). This Medicare-required (as compared to OBRA-required discharge assessment) was added to the Long-Term Care Facility Resident Assessment Instrument 3.0 Users Manual in 2016 (policy adopted in the Fiscal Year 2016 SNF PPS Final Rule). The OBRA schedule would continue with another Quarterly assessment to be completed within 92 days of the R2b of the previous Quarterly. I would absolutely recommend this program and the people that visited and assisted us. 1 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1680 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 1 >> endobj 4 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1684 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 2 >> endobj 7 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1686 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 3 >> endobj 10 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 119 0 R /TT2 160 0 R /TT3 150 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1690 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 4 >> endobj 13 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 119 0 R /TT3 160 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1694 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 5 >> endobj 16 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 150 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1698 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 6 >> endobj 19 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1702 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 7 >> endobj 22 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /C2_0 118 0 R /T1_0 238 0 R /TT1 150 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1706 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 8 >> endobj 25 0 obj << /Type /Page /Parent 138 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 150 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1710 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 9 >> endobj 28 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 150 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1714 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 10 >> endobj 31 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 150 0 R /TT3 119 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1718 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 11 >> endobj 34 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /C2_0 118 0 R /T1_0 238 0 R /TT1 150 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1722 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 12 >> endobj 37 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 119 0 R /TT3 160 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1726 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 13 >> endobj 40 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 150 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1730 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 14 >> endobj 43 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 119 0 R /TT2 160 0 R /TT3 150 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1734 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 15 >> endobj 46 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 119 0 R /T1_0 238 0 R /TT3 160 0 R /C2_0 118 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1738 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 16 >> endobj 49 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R /TT3 119 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1742 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 17 >> endobj 52 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 150 0 R /TT3 120 0 R /C2_0 121 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1746 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 18 >> endobj 55 0 obj << /Type /Page /Parent 140 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R /TT3 120 0 R /C2_0 121 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1750 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 19 >> endobj 58 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 119 0 R /TT2 160 0 R /TT3 150 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1754 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 20 >> endobj 61 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 156 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1758 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 21 >> endobj 64 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1762 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 22 >> endobj 67 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1766 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 23 >> endobj 70 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R /TT3 120 0 R /C2_0 121 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1770 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 24 >> endobj 73 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /T1_0 238 0 R /TT1 156 0 R /TT2 150 0 R /TT3 160 0 R /C2_0 118 0 R /TT4 119 0 R /TT5 120 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1672 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 25 >> endobj 76 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /T1_0 238 0 R /TT1 150 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1774 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 26 >> endobj 79 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1778 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 27 >> endobj 82 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 156 0 R /C2_0 118 0 R /TT3 150 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1782 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 28 >> endobj 85 0 obj << /Type /Page /Parent 141 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1786 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 29 >> endobj 88 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /T1_0 238 0 R /TT2 150 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1790 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 30 >> endobj 91 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /T1_0 238 0 R /TT1 150 0 R /C2_0 118 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1794 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 31 >> endobj 94 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 122 0 R /TT2 156 0 R /TT3 150 0 R /T1_0 238 0 R /TT4 160 0 R /C2_0 118 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1798 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 32 >> endobj 97 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 122 0 R /TT2 156 0 R /TT3 150 0 R /TT4 160 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1802 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 33 >> endobj 100 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 122 0 R /TT2 156 0 R /TT3 150 0 R /TT4 160 0 R /C2_0 118 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1806 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 34 >> endobj 103 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /T1_0 238 0 R /TT1 150 0 R /C2_0 118 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1810 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 35 >> endobj 106 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /C2_0 118 0 R /T1_0 238 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1814 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 36 >> endobj 109 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1818 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 37 >> endobj 112 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 150 0 R /TT2 160 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1822 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 38 >> endobj 115 0 obj << /Type /Page /Parent 142 0 R /Resources << /ColorSpace << /CS0 153 0 R /CS1 201 0 R >> /ExtGState << /GS0 176 0 R /GS1 182 0 R >> /Font << /TT0 149 0 R /TT1 160 0 R /TT2 150 0 R /C2_0 118 0 R /T1_0 238 0 R >> /ProcSet [ /PDF /Text ] >> /Contents 1826 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 /StructParents 39 >> endobj 118 0 obj << /Type /Font /Subtype /Type0 /BaseFont /IGHCMP+SymbolMT /Encoding /Identity-H /DescendantFonts [ 133 0 R ] /ToUnicode 134 0 R >> endobj 119 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 116 /Widths [ 250 0 0 0 0 0 0 0 333 333 0 0 0 0 0 0 0 0 0 0 500 0 0 0 0 0 333 0 0 0 0 0 0 667 667 667 722 667 667 722 778 389 0 0 611 889 722 722 611 722 667 556 611 722 667 0 0 611 0 0 0 0 0 0 0 500 0 0 0 444 0 500 0 278 0 0 0 778 556 500 500 0 0 389 278 ] /Encoding /WinAnsiEncoding /BaseFont /IGHHID+TimesNewRoman,BoldItalic /FontDescriptor 125 0 R /ToUnicode 2448 0 R >> endobj 120 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 121 /Widths [ 278 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 333 0 0 0 0 0 0 0 0 722 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 556 611 556 0 556 333 0 0 278 0 0 278 889 611 611 0 0 389 0 333 0 0 0 0 556 ] /Encoding /WinAnsiEncoding /BaseFont /IGJACA+Arial,BoldItalic /FontDescriptor 127 0 R /ToUnicode 2450 0 R >> endobj 121 0 obj << /Type /Font /Subtype /Type0 /BaseFont /IGJADP+Wingdings-Regular /Encoding /Identity-H /DescendantFonts [ 135 0 R ] /ToUnicode 2452 0 R >> endobj 122 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 114 /Widths [ 250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 500 500 500 500 500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 0 0 0 0 0 0 0 0 0 0 0 0 0 500 0 444 0 444 0 0 0 278 0 0 0 0 500 500 0 0 389 ] /Encoding /WinAnsiEncoding /BaseFont /IGJAMN+TimesNewRoman,Italic /FontDescriptor 131 0 R /ToUnicode 2454 0 R >> endobj 123 0 obj << /Type /FontDescriptor /Ascent 1005 /CapHeight 0 /Descent -219 /Flags 4 /FontBBox [ 0 -220 1113 1005 ] /FontName /IGHCMP+SymbolMT /ItalicAngle 0 /StemV 0 /FontFile2 124 0 R >> endobj 124 0 obj << /Filter /FlateDecode /Length 6571 /Length1 10232 >> stream
7 Spiritual Weapons Necessary For Spiritual Warfare,
Articles M