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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 37 of 38

This section provides the evidence that the demonstration evaluation used the best available data and describes why potential alternative data sources were not used; reported on, controlled for, and made appropriate adjustments for the limitations of the data and their effects on results; and discusses the generalizability of results. This section should provide enough transparency to explain what was measured and how. Specifically, this section establishes that the approved Evaluation Design was followed by describing:

1) Evaluation Design – Will the evaluation be an assessment of: pre/post, post-only, with or without comparison groups, etc?

2) Target and Comparison Populations – Describe the target and comparison populations; include inclusion and exclusion criteria.

3) Evaluation Period – Describe the time periods for which data will be collected.

4) Evaluation Measures – What measures are used to evaluate the demonstration, and who are the measure stewards?

5) Data Sources – Explain where the data will be obtained, and efforts to validate and clean the data.

6) Analytic methods – Identify specific statistical testing which will be undertaken for each measure (t-tests, chi-square, odds ratio, ANOVA, regression, etc.).

7) Other Additions – The state may provide any other information pertinent to the evaluation of the demonstration.

E. Methodological Limitations This section provides sufficient information for discerning the strengths and weaknesses of the study design, data sources/collection, and analyses. F. Results – In this section, the state presents and uses the quantitative and qualitative data to show to whether and to what degree the evaluation questions and hypotheses of the demonstration were achieved. The findings should visually depict the demonstration results (tables, charts, graphs). This section should include information on the statistical tests conducted.

G. Conclusions – In this section, the state will present the conclusions about the evaluation results.

1) In general, did the results show that the demonstration was/was not effective in achieving the goals and objectives established at the beginning of the demonstration?