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Page 2 – Lee Grossman, Senior Administrator and State Medicaid Agent Public Notice STC 3 gives CMS the right to amend the STCs to reflect changes in Medicaid law, regulation, or policy without requiring the state to submit an amendment to the demonstration, as described in STC 6. The state was alerted to this change on February 26, 2025, more than 30 business days prior to approval and was given an opportunity to review the changes. Pursuant to STC 3, there was no state or federal public comment period needed. Other Information The award is subject to CMS receiving written acceptance of this award within 30 days of the date of this approval letter. Your project officer for this demonstration is Alex Desatoff, who is available to answer any questions concerning your section 1115 demonstration and his contact information is as follows: Centers for Medicare & Medicaid Services Center for Medicaid and CHIP Services Mail Stop: S2-25-26 7500 Security Boulevard, Baltimore, MD 21244-1850 Email: Alexei.Desatoff@cms.hhs.gov If you have questions regarding this approval, please contact Jacey Cooper, Director, State Demonstrations Group, Center for Medicaid and CHIP Services, at (410) 786-9686. Sincerely, Drew Snyder Deputy Administrator and Director Enclosure cc: Ford Blunt, State Monitoring Lead, Medicaid and CHIP Operations Group