THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A. The FMS case documents the bilateral government-to- government agreement between the USG and the international partner.In the LOA document, the. Per the agreement, Defendant is required to serve as the "Gatekeeper of transportation service requests" from Medicaid recipients. Pursuant to contracts with the District, MTM is responsible for providing non-emergency medical transportation services to Medicaid recipients.