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- Hi there, my name is Nathan Johnson. I am the chief policy officer here at the Washington State Healthcare Authority and today it is my privilege to introduce you to the first of several videos were calling white board sessions on our Medicaid transformation waiver. Our goal today is to give you just a flavor of what Medicaid transformation means for our state and also remind you that these demonstrations are at times complicated. Theres a lot of moving parts and pieces. We certainly wont have time today to cover all of those complex pieces, but at least give you a high level overview that allows you to engage in this process meaningfully going forward. So then you might ask what is an 1115 waiver? Well the first thing I might say about that in answer to that question is lets not get so hung up on the word waiver. What were really talking about is a demonstration, a demonstration of what Medicaid transformation can mean in the state of Washington. It also is a few other things a