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Evaluation Design State of Wyoming Pregnant by Choice, Family Planning Waiver Program It should be noted that Wyoming’s Pregnant by Choice, Family Planning Waiver program is at a disadvantage due to the small number of enrollees and even smaller number of those who actually utilize their benefits. A smaller data set can be critically affected by outliers and these can skew perceived results and trends. This can make it excruciatingly difficult to identify accurate data trends. Also, using a smaller sample size lowers the confidence in the data trend outcomes.

Wyoming intends to compare current program data trends to historical data; however, care will be taken to thoughtfully evaluate trends as well as critically evaluate whether making Program changes and adjustments based on these small sample outcomes and trends is appropriate. Another issue Wyoming is aware of is that there might not be enough data to even identify trends at all – there is a chance that the data points may be scattered and will not lend to any interpretation at all.

These are all considerations Wyoming be cognizant of as data is collected and analyzed for future reporting purposes.

5. Qualitative Methods. Wyoming’s Pregnant by Choice Program has seen enrollment hover at around ten (10) beneficiaries each month. With Medicaid eligibility rules extending coverage for recipients during the Public Health Emergency, enrollment in Pregnant by Choice has dipped to six (6) beneficiaries. For this reason, Wyoming will survey one hundred percent (100%) of Pregnant by Choice beneficiaries in the previous Demonstration Year during Q1 of the next Demonstration Year. For example, the first survey would be administered in Q1 of 2022 and sent to beneficiaries enrolled during Demonstration Year 13 (January 1, 2021-December 31, 2021). First, Wyoming shall send a text to alert all beneficiaries that the PBC Program Manager will call in the next few business days. Next, Wyoming plans to telephonically outreach 100% of beneficiaries to administer the survey. If the beneficiary is not reached, Wyoming will leave a HIPAA telephone message to alert her that she should expect a follow-up letter from the PBC Program, requesting she complete the survey using the URL link provided in the letter. • The Wyoming Pregnant by Choice Program Manager will send a text to 100% of identified beneficiaries letting them know someone from Wyoming Medicaid will contact them to ask them questions about their experience and satisfaction with the Pregnant by Choice Program. • The Wyoming Pregnant by Choice Program Manager will telephonically outreach women the following week after text deployment, verify identity, ask survey questions, and input responses. The survey has been built in Google Forms and responses populate a backend spreadsheet for ease of review. • For women who are not reachable by text or phone, a letter shall be sent explaining the purpose of the survey and include a link to the Annual Pregnant by Choice Benefit Awareness and Satisfaction Survey in hopes the beneficiary will complete it themselves.