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Texas Capitated Financial Alignment Model Demonstration (Texas Dual Eligible Integrated Care Demonstration Project)

Guidance for Texas Capitated Financial Alignment Model Demonstration (Texas Dual Eligible Integrated Care Demonstration Project)

Final

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

Issue Date: August 31, 2020

Texas Capitated Financial Alignment Model Demonstration (Texas Dual Eligible Integrated Care Demonstration Project)

 

SPOTLIGHT & RELEASES

02/01/2022: CMS released the Texas Contract Amendment (effective 12/01/2022) & associated summary of changes. More information can be found below.

Key Dates

May 23, 2014 - CMS and Texas sign MOU

November 25, 2014 - CMS, Texas, and participating plans execute three-way contract

March 1, 2015 - Scheduled start of opt-in enrollment

April 1, 2015 - Scheduled start of passive enrollment

December 31, 2015 - CMS, Texas, and participating plans execute updated three-way contract 

November 1, 2020 – CMS, Texas, and participating plans execute three-way contract amendment extending the demonstration

December 1, 2021 – CMS, Texas, and participating plans execute a three-way contract amendment

December 1, 2022 – CMS, Texas, and participating plans execute a three-way contract amendment

Texas Dual Eligible Integrated Care Demonstration Project Model

On May 23, 2014, the Centers for Medicare & Medicaid Services (CMS) announced that the State of Texas partnered with CMS to test a new model for providing Medicare-Medicaid enrollees with a more coordinated, person-centered care experience. Under the demonstration, also called "Texas Dual Eligible Integrated Care Demonstration Project," Texas and CMS contracted with Medicare-Medicaid plans to coordinate the delivery of, and be accountable for, 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 Texas:

Funding Support:


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