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Financial and Administrative Alignment Demonstrations for Dual Eligible Beneficiaries Compared: States with Memoranda of Understanding Approved by CMS

Table 4:
State Interest in Financial Alignment Demonstrations for Dual Eligible Beneficiaries as of August 2015
State Awarded Design Contract Submitted Letter of Intent Submitted Capitated Proposal to CMS Submitted
Managed FFS Proposal to CMS
MOU Signed with CMS
Alaska X
Arizona X X
California X X X Capitated
Colorado X X X Managed FFS
Connecticut* X X X
Delaware X
Florida X
Hawaii X X
Idaho X X
Illinois X X Capitated
Indiana X
Iowa X X
Kansas X
Kentucky X
Maine X
Maryland X
Massachusetts X X X Capitated
Michigan X X X Capitated
Minnesota* X X X Administrative
Missouri X X
Montana X
Nevada X
New Hampshire
New Jersey
New Mexico X X
New York* X X X X Capitated
North Carolina X X X
North Dakota
Ohio X X Capitated
Oklahoma X X X


Oregon X X X
Pennsylvania X
Rhode Island X X Capitated
South Carolina X X X Capitated
South Dakota
Tennessee X X X
Texas X X Capitated
Vermont X X X
Virginia X X Capitated
Washington* X X X X Capitated (withdrawn);

Managed FFS

West Virginia
Wisconsin X X X
TOTAL: 15 38 21 8 13
NOTES: *MN received approval for administrative alignment only, without financial alignment. WA received approval for two demonstrations, but subsequently withdrew its capitated model; NY withdrew its managed FFS proposal. CT and NY’s capitated DD proposal remain pending with CMS.
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