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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 47 of 61 Hypothesis V: FAMIS Select families will report that they are able to access preventive services, use specialty healthcare services, and schedule timely appointments with preferred providers. Research Question: Outcome Measures: Population: Data Sources: Analytic Methods: Do families report that children in FAMIS Select have a satisfactory level of access to health care services through their private or employer- sponsored insurance subsidized by FAMIS Select? Analysis of responses to focus group questions used to assess level of access to health care services Parents/guardians of current FAMIS Select enrollees

Responses to focus group questions about consumers’ perception of their child’s level of access to health care services and providers under their private or employer-sponsored health insurance plan, including access to preventive services and specialty healthcare services, and ability to schedule timely appointments with preferred providers.

Qualitative analysis of focus group material Hypothesis VI: The FAMIS Select program will be cost-effective as compared to the FAMIS program over the course of the demonstration year (state fiscal year) Research Question: Outcome Measures: Population: Data Sources: Analytic Methods: Is the FAMIS Select program cost-effective? Cost- effectiveness analysis (FAMIS Select- FAMIS comparison)

FAMIS Select enrollees during state fiscal year Fee-for-service claims, managed care encounters and capitation payments, and enrollment records Average per- enrollee, per- month cost and administrative expense associated with the FAMIS Select population, compared to the per-enrollee, per-month cost of providing the FAMIS benefit plan