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
| 04/23/2024: CMS released the Rhode Island Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 6. More information is available 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
July 1, 2022 - CMS, RI, and participating plans execute updated three-way contract amendment
July 1, 2023 - CMS, RI, and participating plans execute updated three-way contract amendment
More information from CMS:
- Fact Sheet
- Three-Way Contract (PDF)
- Three-Way Contract Amendment (07/01/2023) (PDF)
- MOU (PDF)
- State Proposal (PDF)
- Third Evaluation Report for the Rhode Island capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (12/20/2023)
- Beneficiary Experience Research Results for the Integrated Care Initiative Demonstration in Rhode Island (10/01/2022) (PDF)
- Combined First and Second Evaluation Report for the Rhode Island capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (01/11/2022)
- Readiness Review Tool (PDF)
- Letter of Intent to Extend Scheduled End Date (PDF)
- Rhode Island Evaluation Design Plan (PDF)
- Rhode Island Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 1 (PDF)
- Rhode Island Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 2 (PDF)
- Rhode Island Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 3 (PDF)
- Rhode Island Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 4 (PDF)
- Rhode Island Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 5 (PDF)
- Rhode Island Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 6 (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:
- Rhode Island Integrated Care Initiative Continuity of Care Provisions (PDF)
- Integrated Care Initiative Ombudsman Program
- Integrated Care Initiative Provider Frequently Asked Questions (FAQs) (PDF)
Information from the state of Rhode Island:
Funding Support:
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