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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 51 of 61 for 2018 to the Healthy People 2030 baseline goal of 76.4 percent and will adjust the target goal on an annual basis.

Virginia has been using the APNCU to measure adequacy of prenatal care for pregnant women across the Medicaid programs. Using this index as one of the measures for the FAMIS MOMS evaluation will enable DMAS to compare adequacy of prenatal care rates to other pregnant women’s aid categories and identify disparities that may exist across programs, or findings from the strengths of one program that can be implemented in other programs.

DMAS will conduct additional analysis as appropriate, such as stratification of outcomes by geography, race and ethnicity, managed care enrollment, etc., to better understand and address trends that may disproportionately affect subgroups, and/or collection of additional input from current enrollees, case managers, providers, and managed care organization staff and to identify opportunities for improvement.

Hypothesis II: The proportion of individuals enrolled in the FAMIS MOMS program with preterm births (less than 37 weeks gestation) will remain the same or will decrease from SFY 2019 to SFY 2029.

Measure II: Preterm Births (< 37 Weeks Gestation)—The percentage of births that occurred before 37 completed weeks of gestation

Measure 2 Rate of preterm birth for FAMIS MOMS Numerator Number of live, singleton births to FAMIS MOMS born prior to 37 completed weeks gestation Denominator Total number of live, singleton births to FAMIS MOMS

Measure II Description, Specifications and Benchmarks: Data for Measure II will come from eligibility and enrollment records along with birth registry records for live births.

Available at https://health.gov/healthypeople/objectives-and-data/browse-objectives/pregnancy-and- childbirth/increase-proportion-pregnant-women-who-receive-early-and-adequate-prenatal-care-mich-08. Accessed on January 5, 2021. Demonstration Goal: Improve selected birth outcomes of FAMIS MOMS participants and their newborns.

Research Question: Is enrollment in FAMIS MOMS improving birth outcomes of participants?