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Virginia FAMIS MOMS and FAMIS Select Section 1115 Demonstration Demonstration Period: October 25, 2019 through June 30, 2029; Amended November 18, 2021 Page 46 of 61 Hypothesis III: The rate of low birth weight births (birth weight less than 5 pounds, 8 ounces [2,500 grams]) among FAMIS MOMS will decline or remain the same over the demonstration period. Research Question: Outcome Measures: Population: Data Sources and Analytic Methods: Benchmarks: Subgroups: Is enrollment in FAMIS MOMS improving birth outcomes of FAMIS MOMS participants? Newborns with Low Birth Weight (<2,500 grams)—The percentage of newborns weighing less than 2,500 grams at birth. This includes birth weights in the very low birth weight category (birth weights less than 1,500 grams) and the low birth weight category (birth weights between 1,500 and 2,499 grams).

Live, singleton births to FAMIS MOMS during a given calendar year

Deterministic and probabilistic data matching are used to create dataset of linked fee-for- service claims, managed care encounters, enrollment records, and birth registry records. Chi-square tests used to assess statistical significance of year-over-year changes. CMS Child Core Set measure Newborns with Low Birth Weight (<2,500 grams). Median and mean for state Medicaid programs in the most recent federal fiscal year -Age -Race/ Ethnicity -Region

FAMIS Select Hypothesis IV: FAMIS Select members’ families will report that they are satisfied with the service offered by the FAMIS Select program, a subsidy for private/employer-sponsored insurance. Research Question: Outcome Measures: Population: Data Sources: Analytic Methods: Is the self- reported consumer experience of participants in FAMIS Select satisfactory? What do participants report can be improved? Analysis of responses to focus group questions used to assess level of overall satisfaction Parents/guardians of current FAMIS Select enrollees

Responses to focus group questions about consumers’ experiences with DMAS-operated components of the program, such as customer service, responsiveness to customer inquiries, and timely processing of subsidy payments. Qualitative analysis of focus group material