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D. Methodology 1. Evaluation Design. The evaluation design will utilize a post-only assessment with a comparison group. The timeframe for the post-only period will begin when the current demonstration period begins, and ends when the current demonstration period ends. The current demonstration period runs from April 7, 2020 through December 31, 2027.

2. Data Collection & Sources. For the data sources identified in the above table, describe how the data will be collected. Additionally, identify the frequency of the data collection, and limitations of the data. Identify which data will be collected prospectively via beneficiary surveys or interviews (if applicable), or retrospectively through administrative data. a. Data Collection. The data presented in table C. Summary of Key Evaluation Questions, Hypotheses, Data Sources, and Analytic Approaches, is will be compiled from several different sources. The main data source will be claims. Wyoming will also use Core Measures as a data source for the measure, “Number of female beneficiaries who utilized long-acting reversible contraceptives in each year of the demonstration/total number of female beneficiaries.” The number of program beneficiaries is obtained using eligibility data, specifically the eligibility program code (A20) that is unique to the Family Planning Waiver, Pregnant by Choice Program. b. Frequency of Data Collection. The data will be collected annually and submitted to CMS for review. This is the frequency desired by CMS per the expectations outlined within the current SPECIAL TERMS AND CONDITIONS document. 3. Data Analysis Strategy. Describe the analytic methods that will be utilized to answer the evaluation questions identified in the above table. If the design is mixed- methods (collecting both quantitative and qualitative), the state should explain how the evaluation team plans to integrate the findings from both types of assessments. a. Analytic Methods: Wyoming intends to use historical program data to compare current data trends to past performance in order to determine program direction and whether the program has improved beneficiaries’ health and if there is positive program growth. A baseline has been established from past annual program data and was submitted to CMS on 11/13/2020. b. Mixed Methods: There will be mixed methods within the data analysis design. The majority of data will be derived from quantitative methods with some qualitative methods. Analysis will be performed from quantitative and qualitative data and outcomes.

4. Quantitative Methods. Wyoming intends to use historical program data to compare current data trends to past performance in order to determine program direction and whether the program has improved beneficiaries’ health and if there is positive program growth. A baseline shall be established from past annual program data – this baseline was submitted to CMS on 11/13/2020.