Managed Fee-for-Service (MFFS) Model

Under the FFS model, the Centers for Medicare & Medicaid Services (CMS) and a state enter into an agreement through which the state would be eligible to benefit from savings resulting from initiatives that improve quality and reduce costs for both Medicare and Medicaid.

Additional Information:

• Guidance Issued 4/17/2013 (PDF)

State Demonstrations

To participate in the Financial Alignment Initiative, each state had to submit a proposal outlining its proposed approach. States interested in the new financial alignment opportunities were required to submit a letter of intent by October 1, 2011. When a proposal meets the standards and conditions for the Financial Alignment Initiative, CMS and a state may develop a memorandum of understanding (MOU) to establish the parameters of the demonstration. 

• View the State Proposals
• Approved Demonstrations and Signed MOUs

Visit these pages for more information about CMS approved MFFS demonstrations in specific states:

• Colorado
• Washington

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