Texas

Texas Capitated Financial Alignment Model Demonstration (Texas Dual Eligible Integrated Care Demonstration Project)

 

SPOTLIGHT & RELEASES

09/03/2021: CMS released the latest Quality Withhold Analysis Results for TX MMPs. More information can be found below.  

Key Dates

May 23, 2014 - CMS and Texas sign MOU

November 25, 2014 - CMS, Texas, and participating plans execute three-way contract

March 1, 2015 - Scheduled start of opt-in enrollment

April 1, 2015 - Scheduled start of passive enrollment

December 31, 2015 - CMS, Texas, and participating plans execute updated three-way contract 

November 1, 2020 – CMS, Texas, and participating plans execute three-way contract amendment extending the demonstration

Texas Dual Eligible Integrated Care Demonstration Project Model

On May 23, 2014, the Centers for Medicare & Medicaid Services (CMS) announced that the State of Texas partnered with CMS to test a new model for providing Medicare-Medicaid enrollees with a more coordinated, person-centered care experience. Under the demonstration, also called "Texas Dual Eligible Integrated Care Demonstration Project," Texas and CMS contracted with Medicare-Medicaid plans to coordinate the delivery of, and be accountable for, covered Medicare and Medicaid services for participating Medicare-Medicaid enrollees. 

More Information from CMS:

Information for Plans:

Information for Beneficiaries and Providers:

Information from the State of Texas:

Funding Support:


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Page Last Modified:
12/01/2021 08:00 PM