State MOUs

Financial Alignment Models

States meeting the standards and conditions for the Financial Alignment Demonstration will develop a Memorandum of Understanding (MOU) with CMS establishing the parameters of the initiative.

Below are executed MOUs and related documents. For more information on CMS’ financial alignment models, please visit the CMS website.

Medicare-Medicaid Demonstration Frequently Asked Questions. This FAQ provides information about the MOU process for the financial alignment demonstrations, specifically Massachusetts’ capitated model demonstration.

California: Memorandum of Understanding (MOU) Between the Centers for Medicare & Medicaid Services (CMS) and the State of California (March 27, 2013)

Colorado: Memorandum of Understanding Between the Centers for Medicare & Medicaid Services (CMS) and the State of Colorado (February 28, 2014)

Illinois: Memorandum of Understanding (MOU) Between the Centers for Medicare & Medicaid Services (CMS) and the State of Illinois (February 22, 2013) Three-Way Contract (November 5, 2013)

Massachusetts: Memorandum of Understanding (MOU) Between the Centers for Medicare & Medicaid Services (CMS) and the Commonwealth of Massachusetts (August 22, 2012) Three-Way Contract (July 11, 2013)

Michigan: Memorandum of Understanding (MOU) Between the Centers for Medicare & Medicaid Services (CMS) and the Michigan Department of Community Health (April 3, 2014)

New York: Memorandum of Understanding (MOU) Between the Centers for Medicare & Medicaid Services (CMS) and the State of New York (August 26, 2013)

Ohio: Memorandum of Understanding (MOU) Between the Centers for Medicare & Medicaid Services (CMS) and the State of Ohio (December 12, 2012) Three-Way Contract (February 11, 2014)

South Carolina: Memorandum of Understanding (MOU) Between the Centers for Medicare & Medicaid Services (CMS) and the State of South Carolina (October 28, 2013)

Virginia: Memorandum of Understanding (MOU) Between the Centers for Medicare & Medicaid Services (CMS) and the Commonwealth of Virginia (May 21, 2013) Three-Way Contract (December 5, 2013)

Washington (managed fee-for-service model): Memorandum of Understanding (MOU) Between the Centers for Medicare & Medicaid Services (CMS) and the State of Washington (October 24, 2012) Final Demonstration Agreement (June 28, 2013)

Washington (capitated model): Memorandum of Understanding (MOU) Between the Centers for Medicare & Medicaid Services and the State of Washington (November 25, 2013)

Other Integration Models

Minnesota: Memorandum of Understanding (MOU) between the Centers for Medicare & Medicaid Services (CMS) and the State of Minnesota (September 12, 2013)