State Demonstrations to Integrate Medicare and Medicaid

The Center for Medicare and Medicaid Innovation (the Innovation Center) has awarded 15 states contracts of up to $1 million each to design systems of integrated care for “dual eligibles”—people who are enrolled in both Medicare and Medicaid. Since neither Medicare nor Medicaid is responsible for coordinating care and benefits, dual eligibles often find themselves in a highly fragmented system.

The Innovation Center requires states to engage both beneficiaries and advocates in the design of systems to integrate Medicare and Medicaid. To help advocates in this process, Families USA has put together a Guide for Advocates: State Demonstrations to Integrate Medicare and Medicaid. The guide explains the requirements for state demonstrations to integrate care for dual eligibles, discusses possible models of integration and issues to consider with each model, and provides guidance to advocates on how to get involved in the planning process.

For your reference, we are also providing copies of some states’ initial proposals listed below.

California	Oklahoma
Colorado	Oregon
Connecticut	South Carolina
Massachusetts	Tennessee
Michigan	Vermont
Minnesota	Washington
New York	Wisconsin
North Carolina

It is our understanding that these are the fiinal draft versions of the proposals submitted by the states. However, if they are not in fact the official final draft, they are very close draft version of the final copy.