*Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA

†Medical Scientist Training Program Virginia Commonwealth University, Richmond, VA

‡Virginia Department of Medical Assistance Services, Richmond, VA

These results were presented at the AcademyHealth Annual Research Meeting, June 14–17, 2021 (virtual).

This work was supported by the US Centers for Medicare and Medicaid Services and the Virginia Department of Medical Assistance Services (Interagency Agreement No. 407). The conclusions in this manuscript are those of the authors, and no official endorsement by the Virginia Department of Medical Assistance Services is intended or should be inferred.

N.M., C.B., S.D., and S.B.: employment by the Virginia Department of Medical Assistance Services. S.J.M., L.G., P.J.C., and H.S.: funding from the Virginia Department of Medical Assistance Services. P.J.C.:funding from the Center for Medicare and Medicaid Services, the NIH, and the Jeffress Memorial and Trust. H.S.: employment by the Kaiser Family Foundation.

Correspondence to: Sarah J. Marks, MS, 830 E. Main Street, Richmond, VA 23219. E-mail: [email protected].

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