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demonstration, the state must comply with the state notice procedures set forth in 59 Fed. Reg. 49249 (September 27, 1994) prior to submitting an application.

The state must also comply with the public notice procedures set forth in 42 CFR 447.205 for changes in statewide methods and standards for setting payment rates.

In states with Federally-recognized Indian tribes, Indian health programs, and/or Urban Indian health organizations, the state is required to comply with tribal and Indian Health Program/Urban Indian Organization consultation requirements at section 1902(a)(73) of the Act, 42 CFR 431.408(b), State Medicaid Director Letter #01-024, or as contained in the state’s approved Medicaid state plan, when any program changes to the demonstration, either through amendment as set out in STC 6 or extension, are proposed by the state.

14. Federal Financial Participation (FFP). No federal matching funds for expenditures for this demonstration, including administrative and medical assistance expenditures, will be available until the effective date identified in the CMS demonstration approval letter. 15. Common Rule Exemption. The state must ensure that the only involvement of human subjects in research activities that may be authorized and/or required by this demonstration is for projects which are conducted by or subject to the approval of CMS, and that are designed to study, evaluate, or otherwise examine the Medicaid or CHIP program – including public benefit or service programs, procedures for obtaining Medicaid or CHIP benefits or services, possible changes in or alternatives to Medicaid or CHIP programs or procedures, or possible changes in methods or levels of payment for Medicaid benefits or services. CMS has determined that this demonstration as represented in these approved STCs meets the requirements for exemption from the human subject research provisions of the Common Rule set forth in 45 CFR 46.104(d)(5).

IV. ELIGIBILITY AND ENROLLMENT 16. Eligibility for the Demonstration. Family planning services are provided to eligible individuals as defined below, provided the individual is redetermined eligible for the program on an annual basis in alignment with the requirements of section 1943 of the Act.

Eligibility criteria for the demonstration is as follows: (1) Are transitioning from the Wyoming Medicaid Pregnant Women program; (2) Are between the ages of 19 and 44; (3) Are not eligible for another Medicaid program; (4) Do not have health insurance (i.e., must not be eligible for other insurance that provides family planning services); (5) Have not had a medical procedure to prevent pregnancy; (6) Have a family income at or below 159 percent of the Federal Poverty Level (FPL); (7) Are U.S. citizens or qualified immigrants; (8) Are residents of Wyoming; and,