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Rhode Island Capitated Financial Alignment Model Demonstration (Medicare-Medicaid Alignment Integrated Care Initiative (ICI) Demonstration)

Guidance for Rhode Island Capitated Financial Alignment Model Demonstration (Medicare-Medicaid Alignment Integrated Care Initiative (ICI) Demonstration).

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: September 23, 2020

Rhode Island Capitated Financial Alignment Model Demonstration (Medicare-Medicaid Alignment Integrated Care Initiative (ICI) Demonstration)

 

SPOTLIGHT & RELEASES

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

 

On July 30, 2015, the Centers for Medicare & Medicaid Services (CMS) announced that the state of Rhode Island 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, called the Medicare-Medicaid Alignment Integrated Care Initiative Demonstration (ICI Demonstration), Rhode Island, and CMS will contract with a Medicare-Medicaid plan to coordinate the delivery of and be accountable for covered Medicare and Medicaid services for participating Medicare-Medicaid enrollees. 

Key Dates

July 30, 2015 - CMS and Rhode Island sign MOU

April 15, 2016 - CMS, Rhode Island, and participating plan execute three-way contract, amended August 3, 2016

July 1, 2016 - Start of opt-in enrollment

October 1, 2016 - Start of passive enrollment

January 1, 2018 - CMS, RI, and participating plans execute three-way contract

March 1, 2020 - CMS, RI, and participating plans execute updated three-way contract

August 1, 2020 - CMS, RI, and participating plans execute updated three-way contract amendment

More information from CMS:

Information for Plans:

Information for Beneficiaries and Providers:

Information from the state of Rhode Island:

Funding Support:

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