This amendment adds language directing the agency to implement a change in scope process on January 1, 2025 by which FQHCs may request a reimbursement change to reflect the scope for services that have been added or changed. This amendment authorizes DMAS to reimburse an FQHC for unreimbursed costs, as allowed by federal law. This will allow the FQHCs to cover their costs of patient care during this period through receipt of the full federal match for these reimbursements.