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Page 3 – Ms. Karen Kimsey

We appreciate your commitment to improving the health of people in Virginia, and we look forward to our continued partnership on the Virginia FAMIS MOMS and FAMIS Select section 1115(a) demonstration. If you have any questions regarding this approval, please contact Ms. Judith Cash, Director, State Demonstrations Group, Center for Medicaid and CHIP Services, at (410) 786-9686.

Sincerely,

Daniel Tsai

Deputy Administrator and Director

Enclosures

cc: Margaret Kosherzenko, State Monitoring Lead, Medicaid and CHIP Operations Group