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Evaluation Design State of Wyoming Pregnant by Choice, Family Planning Waiver Program Social Determinants of Health (SDoH) screenings, and PHQ-2 (depression) screenings, where positive screens are escalated to nurse care managers. As part of the educational messages, awareness and promotion of the Pregnant by Choice Program is included. Project Juno is in Design, Develop, and Implementation (DDI) currently, but should be deployed in mid-2022.

The Agency has a Facebook, Twitter, and Instagram account where promotional messages about the Pregnant by Choice Program are routinely posted. These efforts are discussed

F. Attachments 1. Independent Evaluator. All reporting related to the Family Planning Waiver, Pregnant by Choice Program will be compiled and completed using staff within the Wyoming Medicaid Technology and Business Operations Unit (in-house), as well as informed by the Family Planning Waiver, Pregnant by Choice Program Manager. No independent contractors will be used for demonstration evaluation purposes at this time. The Agency would like to reserve the right to utilize an independent entity(ies) if advantageous in the future.

2. Evaluation Budget. The required budget will consist of the following line items: • Computer programming (cost per hour x hours); (Report development) $35x100=$3,500 • Analysis of the data (cost per hour x hours); $35x5=$175 • Preparation of the report (cost per hour x hours); $35x5=$175 • Other (specify work, cost per hour, and hours). If work is outside the requirements of the basic evaluation this should be identified in the draft evaluation design along with justification for an increased budget match. The costs and hours listed here are only representative of building and compiling this Modified Evaluation Design report, and do not include time anticipated to be spent on the Monitoring Report, nor the Budget Neutrality Workbook. 3. Timeline & Major Milestones. The table below outlines the timeline for conducting the evaluation activities, including deliverable submissions. Activities will be struck through as they are completed.

Deliverable/Activity Due Date Benefit Awareness & Satisfaction Survey (data collection)* Schedule 2/1 - due 3/31/2022 Annual Monitoring & Compliance Public Forum Schedule 2/1 - due 3/31/2022 Annual Monitoring Report March 31, 2022 Budget Neutrality Workbook March 31, 2022 Benefit Awareness & Satisfaction Survey (data collection & analysis of 2022 and 2023 responses) Schedule 2/1 - due 3/31/2023 Annual Monitoring & Compliance Public Forum Schedule 2/1 - due 3/31/2023 Annual Monitoring Report March 31, 2023 Budget Neutrality Workbook March 31, 2023