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      <Form990PartVIISectionAGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Management has evaluated NAMD's tax positions and concluded that the financial statements do not include any uncertain tax positions.</ExplanationTxt>
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        <PersonNm>Dianne Hasselmann</PersonNm>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Leadership Program: Began a new portfolio focusing on leadership development and capacity building for Medicaid directors, their senior staff, and agency managers. The goal of the effort is to invest in leadership development opportunities for Medicaid directors and other agency officials to provide a strong foundation as they tackle the intricate work of running a state Medicaid agency. Conducted leadership training for new Medicaid directors and their senior staff as well as new director orientations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization changed the bylaws during the year due to the restructering of the board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The members of the Association elect the president, president-elect, the 8 regional reps and 1 territory representative.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>NAMD is an association composed of directors, administrators, and deputies responsible for the administration of the Medicaid program in each state, U.S. territories and the District of Columbia jurisdictions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The members of the Association elect the President, Vice President, eight (8) Regional Members and one Territorial Representative.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Decisions are subject to approval of the members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is prepared by an accounting firm and is reviewed and signed by the NAMD Executive Director.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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        <ExplanationTxt>Annual conflict of interest policy is reviewed and signed by the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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        <ExplanationTxt>The Board of Directors annually evaluates the performance of the Executive Director and sets the salary and any bonus.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>These documents are not available to the public.</ExplanationTxt>
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  </ReturnData>
</Return>