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State Proposals

Recent Posts: 

9/19/14 - Texas state proposal addendum posted.

A total of 26 states submitted proposals by the deadline of May 31, 2012, and those with active proposals are listed below. Submission of a demonstration proposal is an important step - but not the final step - toward demonstration approval. The proposals below include capitated, managed fee-for-service (FFS), and alternative models.

States interested in the new financial alignment opportunities were required to submit a letter of intent by October 1, 2011. 

When a state meets the standards and conditions for the Financial Alignment Initiative, the Centers for Medicare & Medicaid Services (CMS) and a state will develop a memorandum of understanding (MOU) to establish the parameters of the initiative. 

To access the signed MOUs, click on the dates listed in the chart below, under the column labeled "MOU Signed."

 

State 2012 Proposal Model Proposed MOU Signed
California

State Proposal

More Information

Capitated 3/27/2013
Colorado State Proposal FFS 2/28/14
Connecticut State Proposal FFS  
Hawaii State Proposal Capitated  
Illinois State Proposal Capitated 2/22/2013
Massachusetts

State Proposal

Addendum

More Information

Capitated 8/22/2012
Michigan State Proposal Capitated 4/3/2014
Minnesota State Proposal Alternative 9/12/2013
New York

State Proposal

Addendum

More Information

Capitated 8/23/2013
Ohio

State Proposal

Addendum

Capitated 12/11/2012
Oklahoma State Proposal FFS  
Rhode Island State Proposal Capitated  
South Carolina

State Proposal

Addendum

Capitated 10/25/2013
Texas

State Proposal

Addendum

Capitated 5/23/2014
Virginia

State Proposal

Addendum

More Information

Capitated 5/21/2013
Washington

State Proposal

Addendum

Capitated and FFS

FFS: 10/24/2012

Capitated: 11/25/2013

 

Standards and Conditions

As indicated in the State Medicaid Director (SMD) letter, demonstration proposals are evaluated against standards and conditions that CMS is requiring of all states seeking to participate in the demonstration.

Public Comments

As part of the proposal review process, CMS hosted a public comment period for each proposal. These periods have closed, but interested parties can still review the proposals above and read the public comments submitted to CMS.