Minnesota Capitated Financial Alignment Model Demonstration (MN Senior Health Options (MSHO))



02/08/2023: CMS and Minnesota sign third MOU Extension, extending demonstration through December 31, 2023, on September 29, 2020. More information can be found below.

Key Dates

September 12, 2013 - CMS and Minnesota sign MOU

October 26, 2016 - CMS and Minnesota sign MOU Extension

September 29, 2018 - CMS and Minnesota sign second MOU Extension, extending demonstration through December 31, 2020

September 29, 2020 - CMS and Minnesota sign third MOU Extension, extending demonstration through December 31, 2023

Minnesota Senior Health Options (MSHO) Model

On September 12, 2013, the Centers for Medicare & Medicaid Services (CMS) announced a new partnership with the State of Minnesota to test new ways of improving care for Medicare-Medicaid enrollees. Building on the state's Minnesota Senior Health Options (MSHO) program, CMS and Minnesota will work together to improve the beneficiary experience in health plans that maintain contracts with both CMS as Medicare Advantage Special Needs Plans and with the state to deliver Medicaid services.   

More information from CMS:

Information for Plans:

Information from the state of Minnesota:

Funding Support:

Other State-Specific Evaluation Reports

Since 1997, Minnesota has provided Medicare coverage for approximately 35,000 Medicare-Medicaid eligible individuals over age 65 through the Minnesota Senior Health Options (MSHO) program. Today, the Minnesota demonstration recognizes this program stability and is focused on administrative flexibility rather than developing a new capitated system. The current demonstration will be evaluated for its ability to further promote integration. However, the longevity of the MSHO program provides for unique data analysis opportunities. MSHO claims data are a rich resource for researchers to analyze the impact of integrated care on health care outcomes for Medicare-Medicaid eligible.  To that end, the Office of the Assistant Secretary for Planning and Evaluation (ASPE) published Minnesota Managed Care Longitudinal Data Analysis which highlights the importance of providing integrated options for Medicare-Medicaid eligible individuals. It may be found at this link: https://aspe.hhs.gov/report/minnesota-managed-care-longitudinal-data-analysis

Want regular email updates? Sign up by visiting this link.
We’re always looking for ways to improve the experience and usability of our webpages. If you’ve Feedback or issues to report, please contact us at MMCOWeb@cms.hhs.gov.
Page Last Modified:
09/06/2023 04:57 PM