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TEAMKY Demonstration

Approval Period: January 1, 2025 through December 31, 2029

Page 61 of 155 expenditure limit. Any expenditures in excess of the limit from Hypothetical Budget Neutrality Test 2 are counted as WW expenditures under the Main Budget Neutrality Test.

Table 7: Hypothetical Budget Neutrality Test 2 MEG PC or Agg WOW Only, WW Only, or Both Trend Rate DY 9 DY 10 DY 11 DY 12 DY 13 DY 14 RRSS PC Both 5.0% $18.18 $18.97 $19.92 $20.92 $21.97 $22.65

88. Hypothetical Budget Neutrality Test 3: SMI. The table below identifies the MEGs that are used for Hypothetical Budget Neutrality Test 3. MEGs that are designated “WOW Only” or “Both” are the components used to calculate the budget neutrality expenditure limit. The Composite Federal Share for the Hypothetical Budget Neutrality Test is calculated based on all MEGs indicated as “WW Only” or “Both.” MEGs that are indicated as “WW Only” or “Both” are counted as expenditures against this budget neutrality expenditure limit. Any expenditures in excess of the limit from Hypothetical Budget Neutrality Test 3 are counted as WW expenditures under the Main Budget Neutrality Test.

Table 8: Hypothetical Budget Neutrality Test 3 MEG PC or Agg WOW Only, WW Only, or Both

Trend Rate DY 9 DY 10 DY 11 DY 12 DY 13 DY 14 SMI MCO PC Both 4.8% $1,497.67 $1,560.39 $1,635.29 $1,713.78 $1,796.04 $1,849.45 SMI FFS PC Both 4.8% $21,842.91 $22,757.61 $23,849.98 $24,994.78 $26,194.53 $26,973.44

89. Hypothetical Budget Neutrality Test 4: Reentry. The table below identifies the MEGs that are used for Hypothetical Budget Neutrality Test 4. MEGs that are designated “WOW Only” or “Both” are the components used to calculate the budget neutrality expenditure limit. The Composite Federal Share for the Hypothetical Budget Neutrality Test is calculated based on all MEGs indicated as “WW Only” or “Both.” MEGs that are indicated as “WW Only” or “Both” are counted as expenditures against this budget