Illinois Capitated Financial Alignment Model Demonstration (Medicare-Medicaid Alignment Initiative) 



04/12/2023: CMS released the Third (Preliminary) Evaluation Report for the Illinois capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative & associated Findings at a Glance & the Illinois Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 7More information is available below.

Key Dates

February 22, 2013 - CMS and Illinois sign MOU

March 1, 2014 - Start of opt-in enrollment

June 1, 2014 - Start of passive enrollment

September 14, 2016 - CMS, Illinois, & participating plans execute an updated three-way contract

September 1, 2019 - CMS, Illinois, & participating plans execute three-way contract amendment

July 1, 2021 - CMS, Illinois, & participating plans execute an updated three-way contract

MMAI Model

On February 22, 2013, the Department of Health and Human Services announced that the State of Illinois will partner with the Centers for Medicare & Medicaid Services (CMS) to test a new model for providing Medicare-Medicaid enrollees with a more coordinated, person-centered care experience.

Under the demonstration, also called the "Medicare-Medicaid Alignment Initiative," Illinois and CMS will contract with health plans to coordinate the delivery of and be accountable for all 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 Illinois:

Funding Support:

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Page Last Modified:
09/06/2023 04:57 PM