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Wisconsin BadgerCare Reform Approval Period: October 29, 2024 through December 31, 2029 Page 68 a. When the state demonstration is: i. Long-standing, non-complex, unchanged, or ii. Has previously been rigorously evaluated and found to be successful, or iii. Could now be considered standard Medicaid policy (CMS published regulations or guidance) b. When the demonstration is also considered successful without issues or concerns that would require more regular reporting, such as: i. Operating smoothly without administrative changes; and ii. No or minimal appeals and grievances; and iii. No state issues with CMS-64 reporting or budget neutrality; and iv. No Corrective Action Plans (CAP) for the demonstration. 3. Attachments 3.1. Independent Evaluator. This includes a discussion of the state’s process for obtaining an independent entity to conduct the evaluation, including a description of the qualifications that the selected entity must possess, and how the state will assure no conflict of interest. Explain how the state will assure that the Independent Evaluator will conduct a fair and impartial evaluation, prepare an objective Evaluation Report, and that there would be no conflict of interest. The Evaluation Design should include “No Conflict of Interest” signed by the independent evaluator. 3.2. Evaluation Budget. A budget for implementing the evaluation shall be provided with the draft Evaluation Design. It will include the total estimated cost, as well as a breakdown of estimated staff, administrative, and other costs for all aspects of the evaluation. Examples include, but are not limited to: the development of all survey and measurement instruments; quantitative and qualitative data collection; data cleaning and analyses; and reports generation. A justification of the costs may be required by CMS if the estimates provided do not appear to sufficiently cover the costs of the draft Evaluation Design or if CMS finds that the draft Evaluation Design is not sufficiently developed. 3.3. Timeline and Major Milestones. Describe the timeline for conducting the various evaluation activities, including dates for evaluation-related milestones, including those related to procurement of an outside contractor, if applicable, and deliverables. The Final Evaluation Design shall incorporate an Interim and Summative Evaluation. Pursuant to 42 CFR 431.424(c)(v), this timeline should also include the date by which the Final Summative Evaluation report is due.