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Approval Period: October 1, 2022 – September 30, 2027 Amended November 14, 2024 5

b. Be accessible to persons who are limited English proficient and individuals with disabilities, consistent with 42 CFR 435.905(b); and c. If provided in electronic format, comply with requirements for electronic notices in 42 CFR 435.918. The annual reminder of continued eligibility must, at a minimum, include: d. An explanation of the individual’s continued eligibility, including the end date of the continuous eligibility period; e. The circumstances under which the individual must report, and procedures for reporting, any changes that may affect the individual's continuous eligibility; f. Basic information on the level of benefits and services available as described at 42 CFR 435.917(b)(1)(iv); and g. If the beneficiary’s eligibility is based on having household income at or below the applicable MAGI standard, the content regarding non-MAGI eligibility described at 42 CFR 435.917(c).

1.8 Cost Sharing within Continuous Eligibility: Individuals receiving continuous eligibility enrolled in this demonstration may be subject to cost sharing responsibilities, such as monthly premiums and co-payments, to the extent allowable under title XIX requirements or as approved under current section 1115 demonstration authority. However, beneficiaries may not be disenrolled from this demonstration for failure to pay a premium during the individual’s continuous eligibility period approved in the demonstration. 2. Monitoring and Reporting Requirements 2.1 Performance Metrics: For the continuous eligibility policy, monitoring metrics must support tracking enrollment and ex parte renewals. The state must describe successes and challenges related to activities to annually update beneficiary contact information, provide beneficiaries reminders of continued eligibility, verify beneficiary residency, and confirm that the beneficiary is not deceased, for all beneficiaries who qualify for a continuous eligibility period that exceeds 12 months. 3. Evaluation of the Demonstration 3.1 Evaluation Questions and Hypotheses: a. For the continuous eligibility policy, the state must evaluate the impact of the policy on all relevant populations, appropriately tailored for the specific time span of eligibility. Evaluation hypotheses must focus on, but may not be limited to, enrollment continuity, utilization of age-appropriate preventive care, inpatient admissions and avoidable emergency care, and health disparities. 4. General Financial Requirements 4.1 Medicaid Expenditure Groups. Medicaid Expenditure Groups (MEG) are defined for the purpose of identifying categories of Medicaid or demonstration expenditures subject