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Texas Financial Alignment Demonstration

06/19/2018 Texas Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 1


On May 23, 2014, the Centers for Medicare & Medicaid Services (CMS) announced that the State of Texas will partner 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 will contract with Medicare-Medicaid plans to coordinate the delivery of and be accountable for covered Medicare and Medicaid services for participating Medicare-Medicaid enrollees. 

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 

More information from CMS:

Information for Plans:

Information for Beneficiaries and Providers

Information from the State of Texas: