Michigan Capitated Financial Alignment Model Demonstration (MI Health Link)
Guidance for Michigan Capitated Financial Alignment Model Demonstration (MI Health Link).
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 31, 2020
Michigan Capitated Financial Alignment Model Demonstration (MI Health Link)
SPOTLIGHT & RELEASES
| 04/23/2024: CMS released the Michigan Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 7. More information is available below. |
Key Dates
April 3, 2014 - CMS and MI sign MOU
October 7, 2014 - CMS, MI, and participating plans execute three-way contract
March 1, 2015 - Start of opt-in enrollment in the Upper Peninsula and southwest MI
May 1, 2015 - Start of opt-in enrollment in Macomb and Wayne Counties. Passive enrollment begins in the Upper Peninsula and southwest MI
July 1, 2015 - Start of passive enrollment in Macomb and Wayne Counties
January 1, 2018 - CMS, MI and participating plans execute an amended three-way contract
January 1, 2019 - CMS, MI and participating plans execute an amended three-way contract
September 1, 2020 - CMS, MI and participating plans execute an amended three-way contract
January 1, 2022 - CMS, MI and participating plans execute an updated three-way contract & an amendment to the three-way contract
Health Link Model
On April 3, 2014, the Centers for Medicare & Medicaid Services (CMS) announced a new partnership with the State of Michigan to test an initiative to improve care for Medicare-Medicaid enrollees.
Under the demonstration, Michigan and CMS will contract with health plans called Integrated Care Organizations (ICOs), which will provide an integrated set of Medicare and Medicaid benefits to enrolled beneficiaries in four regions of the state.
More Information from CMS:
- Fact Sheet
- Three-Way Contract (DOCX)
- MOU (PDF)
- State Proposal (PDF)
- Beneficiary Experience Research Results for the MI Health Link Demonstration in Michigan (01/09/2023) (PDF)
- Second Evaluation Report for the Michigan capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (03/08/2022)
- First Evaluation Report for the Michigan capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/24/2019)
- Readiness Review Tool (PDF)
- Michigan Evaluation Design Plan (PDF)
- Letter of Intent to Extend Scheduled End Date (PDF)
- Michigan Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 1 (PDF)
- Michigan Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 2 (PDF)
- Michigan Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 3 (PDF)
- Michigan Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 4 (PDF)
- Michigan Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 5 (PDF)
- Michigan Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 6 (PDF)
- Michigan Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 7 (PDF)
Information for Plans:
- All state-specific information and guidance for plans is available on the Information and Guidance for Plans page.
Information for Beneficiaries and Providers:
Information from the state of Michigan:
Funding Support:
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