The Centers for Medicare and Medicaid Services (CMS) is currently working with states to design and implement new models for integrating the benefits and financing of both programs. As states build these new models, advocates for dual eligibles must be involved. This website is designed as a resource for advocates, providing resources, background information and, most importantly, in the Advocate Tools section, concrete recommendations that advocates need to engage constructively with their states to ensure that new models improve care for dual eligibles.

Below is a map of states that have expressed an interest in designing new models for serving dual eligibles. Move your cursor over the state map to see the the type of model(s) under consideration. More information including numbers of duals and state websites can be found under State Profiles.

Map of US states with Model Types

Blue: Memorandum of Understanding (MOU) pending.

Red: Proposal withdrawn.

Yellow: Signed MOU.

Gray: Not seeking demonstration. These states are not seeking to do demonstration projects.

Washington - Pursuing both models Oregon - Capitated Managed Care Model California - Capitated Managed Care Model Nevada - Not seeking demonstration Idaho - Capitated Managed Care Model Montana - Not seeking demonstration North Dakota - Not seeking demonstration Wyoming - Not seeking demonstration Utah - Not seeking demonstration Arizona - Capitated Managed Care Model Colorado - Managed Fee-for-Service Model New Mexico - Capitated Managed Care Model Texas - Capitated Managed Care Model South Dakota - Not seeking demonstration Oklahoma - Managed Fee-for-Service Model Nebraska - Not seeking demonstration Minnesota - Capitated Managed Care Model Iowa - Managed Fee-for-Service Model Missouri - Managed Fee-for-Service Model Kansas - Not seeking demonstration Arkansas - Not seeking demonstration Louisiana - Not seeking demonstration Mississippi - Not seeking demonstration Wisconsin - Capitated Managed Care Model Illinois - Capitated Managed Care Model Michigan - Capitated Managed Care Model Indiana - Not seeking demonstration Ohio - Capitated Managed Care Model Tennessee - Capitated Managed Care Model Kentucky - Not seeking demonstration Virginia - Capitated Managed Care Model Alabama - Not seeking demonstration Georgia - Not seeking demonstration Florida - Not seeking demonstration South Carolina - Capitated Managed Care Model North Carolina - Managed Fee-for-Service Model West Virginia - Not seeking demonstration Maine - Not seeking demonstration New York - Capitated Managed Care Model Pennsylvania - Not seeking demonstration Virginia - Capitated Managed Care Model District of Columbia - Not seeking demonstration Maryland - Not seeking demonstration Delaware - Not seeking demonstration New Jersey - Not seeking demonstration Connecticut - Managed Fee-for-Service Model Rhode Island - Capitated Managed Care Model Massachusetts - Capitated Managed Care Model Vermont - Capitated Managed Care Model New Hampshire - Not seeking demonstration Hawaii - Capitated Managed Care Model Alaska - Not seeking demonstration