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Pennsylvania Keystones of Health Section 1115 Demonstration Approval Period: December 26, 2024 through December 31, 2029 Page 43 of 90 b. In consultation with CMS, and per guidance from CMS, the state will include an evaluation of the demonstration (or demonstration components) that are to phase out or expire without extension along with the Close-Out Report. Depending on the timeline of the phase-out during the demonstration approval period, in agreement with CMS, the evaluation requirement may be satisfied through the Interim and/or Summative Evaluation Reports stipulated in STCs 11.7 and 11.8, respectively. c. The state will present to and participate in a discussion with CMS on the Close-Out Report. d. The state must take into consideration CMS’s comments for incorporation in the final Close-Out Report. e. A revised Close-Out Report is due to CMS no later than 30-calendar days after receipt of CMS’s comments. f. A delay in submitting the draft or final version of the Close-Out Report may subject the state to penalties described in STC 10.1. 10.9. Monitoring Call. CMS will convene periodic conference calls with the state. a. The purpose of these calls is to discuss ongoing demonstration operating, including (but not limited to) any significant actual or anticipated developments affecting the demonstration. Examples include implementation activities, trends in reported data on metrics and associated mid-course adjustments, enrollment and access, budget neutrality, and progress on evaluation activities. b. CMS will provide updates on any pending actions, as well as federal policies and issues that may affect any aspect of the demonstration. c. The state and CMS will jointly develop the agenda for the calls. 10.10. Post Award Forum. Pursuant to 42 CFR 431.420(c), within 6-months of the demonstration’s implementation, and annually thereafter, the state must afford the public with an opportunity to provide meaningful comment on the progress of the demonstration. At least 30-calendar days prior to the date of the planned public forum, the state must publish the date, time and location of the forum in a prominent location on its website. The state must also post the most recent Annual Monitoring Report on its website with the public forum. Pursuant to 42 CFR 431.420(c), the state must include a summary of the public comments in the Monitoring Report associated with the quarter in which the forum was held, as well as in its Annual Monitoring Report. 11. EVALUATION OF THE DEMONSTRATION 11.1. Cooperation with Federal Evaluators and Learning Collaborative: As required under 42 CFR 431.420(f), the state must cooperate fully and timely with CMS and its contractors in any federal evaluation of the demonstration or any component of the demonstration. This includes, but is not limited to, commenting on design and other federal evaluation documents and