Michigan

Michigan Capitated Financial Alignment Model Demonstration (MI Health Link)

SPOTLIGHT & RELEASES

Key Dates

April 3, 2014 - CMS and MI sign MOU

October 7, 2014 - CMS, MI, and participating plans execute three-way contract

March 1, 2015 - Start of opt-in enrollment in the Upper Peninsula and southwest MI

May 1, 2015 - Start of opt-in enrollment in Macomb and Wayne Counties. Passive enrollment begins in the Upper Peninsula and southwest MI

July 1, 2015 - Start of passive enrollment in Macomb and Wayne Counties

January 1, 2018 - CMS, MI and participating plans execute an amended three-way contract

January 1, 2019 - CMS, MI and participating plans execute an amended three-way contract

September 1, 2020 - CMS, MI and participating plans execute an amended three-way contract

January 1, 2022 - CMS, MI and participating plans execute an updated three-way contract & an amendment to the three-way contract

Health Link Model

On April 3, 2014, the Centers for Medicare & Medicaid Services (CMS) announced a new partnership with the State of Michigan to test an initiative to improve care for Medicare-Medicaid enrollees.

Under the demonstration, Michigan and CMS will contract with health plans called Integrated Care Organizations (ICOs), which will provide an integrated set of Medicare and Medicaid benefits to enrolled beneficiaries in four regions of the state.   

More Information from CMS:

• Fact Sheet
• Three-Way Contract (DOCX)
  • Three-Way Contract Summary of Changes (01/01/2023) (PDF)
• MOU (PDF)
• State Proposal (PDF)
• Beneficiary Experience Research Results for the MI Health Link Demonstration in Michigan (01/09/2023) (PDF)
• Second Evaluation Report for the Michigan capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (03/08/2022)
  • Findings at a Glance
• First Evaluation Report for the Michigan capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/24/2019)
• Readiness Review Tool (PDF)
• Michigan Evaluation Design Plan (PDF)
• Letter of Intent to Extend Scheduled End Date (PDF)
• Michigan Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 1 (PDF)
• Michigan Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 2 (PDF)
• Michigan Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 3 (PDF)
• Michigan Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 4 (PDF)
• Michigan Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 5 (PDF)
• Michigan Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 6 (PDF)
• Michigan Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 7 (PDF)

Information for Plans:

• All state-specific information and guidance for plans is available on the Information and Guidance for Plans page.

Information for Beneficiaries and Providers:

• MI Health Link Ombudsman
• Michigan MI Health Link Provider Frequently Asked Questions (FAQs) (PDF)

Information from the state of Michigan:

• Integrated Care for People Eligible for Medicare and Medicaid

Funding Support:

• Beneficiary Counseling & Ombudsman Programs

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