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Medicare-Medicaid Plan Demonstration Transition Updates and Monitoring

The Centers for Medicare & Medicaid Services in May 2022 finalized a rule that sunsets an existing integrated care model, the Medicare-Medicaid plans (MMPs) under the Financial Alignment Initiative, with a potential transition of MMP enrollees to integrated Medicare Advantage dual eligible special needs plans (D-SNPs) by 2025. The Commission had previously highlighted contracting strategies available to states to integrate care through D-SNPs, and commented on this rule when it was first proposed.

This presentation provided an update for commissioners on the transition of MMPs to integrated D-SNPs, including progress to date and challenges that states face.