Financial and Administrative Alignment State Demonstrations for Dual Eligible Beneficiaries

The ACA provides CMS with the authority to test capitated and managed fee-for-service (FFS) financial alignment models under the mandate to improve care for and control costs attributable to dual eligible beneficiaries (individuals who receive both Medicare and Medicaid benefits). CMS has partnered with states to coordinate care for dual eligible beneficiaries through State Demonstrations to Integrate Care for Dual Eligible Individuals. The purpose of these state demonstrations is to identify and validate delivery system and payment coordination models that can be tested and replicated in other states. CMS is also offering technical assistance to all states interested in improving services for dual eligible beneficiaries. CMS has stated that it will limit total participation in all state demonstrations to two million dual eligible beneficiaries.

Download this issue/policy brief: Dual Eligible Demonstration Project Policy Brief (PDF)