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C. Summary of Key Evaluation Questions, Hypotheses, Data Sources, and Analytic Approaches

Evaluation Component Evaluation Question Evaluation Hypotheses Measure (to be reported for each Demonstration Year) Recommended Data Source Administrative data (state should specify source) Analytic Approach Descriptive statistics (frequencies and percentages) Demonstration Goal 1: Ensure access to and utilization of family planning and/or family planning-related services for individuals not otherwise eligible for Medicaid.

Objective 1: Improve use of Medicaid family planning services by women who have received Medicaid pregnancy related services and are not otherwise eligible for Medicaid.

Process How did beneficiaries utilize covered health services? Enrollees will utilize family planning services and/or family planning related services. Number of beneficiaries who had a family planning or family planning related service encounter in each year of the demonstration/total number of beneficiaries Medicaid Claim Data 1. Numerator/Denominator 2. #% 3. Symbols (▲►▼) indicating direction of change from baseline or last report Number of family planning services utilized/total number of beneficiaries Medicaid Claim Data 1. Numerator/Denominator 2. #% 3. Symbols (▲►▼) indicating direction of change from baseline or last report Number of female beneficiaries who utilized any contraceptive in each year of the demonstration /total number of female beneficiaries Medicaid Claim Data 1. Numerator/Denominator 2. #% 3. Symbols (▲►▼) indicating direction of change from baseline or last report Number of female beneficiaries who utilized long-acting reversible contraceptives in each year of the demonstration/ total number of female beneficiaries Core Measures 1. Numerator/Denominator 2. #% 3. Symbols (▲►▼) indicating direction of change from baseline or last report Number of beneficiaries tested for any sexually transmitted disease (by STD)/total number of beneficiaries Medicaid Claim Data 1. Numerator/Denominator 2. #% 3. Symbols (▲►▼) indicating direction of change from baseline or last report Number of female beneficiaries who obtained a cervical cancer screening/total number of female beneficiaries Medicaid Claim Data 1. Numerator/Denominator 2. #%