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Page 4 – Ms. Marie Matthews

Secretary has determined that the Montana Plan First section 1115 demonstration is likely to assist in promoting the objectives of the Medicaid program

Consideration of Public Comments

Consistent with federal transparency requirements, CMS considers all public comments received during both the state and federal public comment periods when evaluating whether the demonstration project as a whole will likely assist in promoting the objectives of Medicaid. Montana received one comment supporting the extension request by stating that federally qualified health centers (FQHCs) around the state have expressed appreciation for the demonstration, and the demonstration fills the family planning needs of women who do not otherwise qualify for Medicaid. CMS received no public comments.

Your project officer for this demonstration is Ms. Valisha Andrus. She is available to answer any questions concerning your section 1115 demonstration and this extension. Ms. Andrus’s contact information is:

Ms. Valisha Andrus Centers for Medicare & Medicaid Services Center for Medicaid & CHIP Services Mail Stop: S2-25-26 7500 Security Boulevard Baltimore, MD 21244-1850 E-mail: valisha.andrus@cms.hhs.gov

Official communications regarding this demonstration should be sent simultaneously to Ms. Andrus and Mr. Richard Allen, Director, Division of Field Operations West. Mr. Allen’s contact information is as follows:

Mr. Richard Allen Director Centers for Medicare & Medicaid Services Division of Field Operations West 1961 Stout Street, Room 08-148 Denver, Colorado 80294 Email: Richard.Allen@cms.hhs.gov

If you have any questions regarding this approval, please contact Ms. Judith Cash, Director, State Demonstrations Group, at (410) 786- 9686.

Sincerely,

/s/

Chris Traylor

Deputy Administrator and Director