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Wyoming Pregnant by Choice CMS Extension Approved: April 7, 2020; Effective through December 31, 2027 Amendment Approved: April 30, 2025 Page 2 of 2

To the extent necessary to enable the state to not provide medical assistance to the demonstration population for any time prior to when an application for the demonstration is made.

4. Early and Periodic Screening, Diagnostic, and Treatment Section 1902(a)(43)(A) (EPSDT) To the extent necessary to enable the state to not furnish or arrange for EPSDT services to the demonstration populations.