Integrated Care Activities

  • Financial Alignment Demonstration: Capitated model
    Dual Eligible Special Needs Plan Contracting: No
    Medicaid Managed Long-Term Services: Yes
    Approved Medicaid Health Home: No
    Program of All-Inclusive Care for the Elderly (PACE): No

Related Resources

  • Other Resource

    State and County Data File, 2012

    The most recent demographic, enrollment, and expenditure data for dually eligible beneficiaries is in the zip file "State and County Data File 2012" found on the Medicare-Medicaid Coordination Office website. Additional data and statistical resources for the years 2007, 2008, 2009, and 2011 can be found in the Medicare-Medicaid Enrollee State Profiles. See also Defining Medicare-Medicaid Enrollees in CMS Data Sources. (Centers for Medicare & Medicaid Services)
    Topic: Data for Medicare-Medicaid Integration
  • Other Resource

    Illinois State Website

    This website provides information on the Medicare-Medicaid Alignment Initiative -- the capitated model Financial Alignment Initiative in Illinois. (Illinois Department of Healthcare and Family Services)
    Topic: Capitated Model
  • Key Demonstration Documents on the MMCO Website

    These documents, including Illinois' proposal, three-way contract, readiness review tool, and evaluation design plan, are posted on the Medicare-Medicaid Coordination Office's website. (Centers for Medicare & Medicaid Services)
  • Other Resource

    Report on Early Implementation of Demonstrations under the Financial Alignment Initiative

    This report describes early implementation activities occurring in the first six months of the seven financial alignment demonstrations launched as of May 1, 2014. (RTI International)
    Topic: Capitated Model, Managed Fee-for-Service Model
  • Brief

    Facilitating Access to Medicaid Durable Medical Equipment for Dually Eligible Beneficiaries in the Fee-for-Service System: Three State Approaches

    This brief describes how three states – California, Connecticut, and Illinois -- promote dually eligible beneficiaries’ access to durable medical equipment (DME) in a fee-for-service environment through the use of provisional prior authorization policies and online lists of DME that Medicare generally does not cover. (Integrated Care Resource Center)
    Topic: Durable Medical Equipment (DME)
  • Technical Assistance Tool

    Monthly Enrollment in Medicare-Medicaid Plans by Plan and by State, November 2017 to November 2018

    This resource reports data on the most recent 12 months of enrollment in the capitated model financial alignment demonstrations. (Integrated Care Resource Center)
    Topic: Enrollment

State Integration Activities