Washington

Washington Managed Fee-for-Service Financial Alignment Model Demonstration 

SPOTLIGHT & RELEASES

Key Dates

October 24, 2012 - CMS and Washington sign MOU for MFFS model

June 28, 2013 - CMS and Washington execute Final Demonstration Agreement for MFFS model

July 1, 2013 - MFFS model starts

December 23, 2016 - CMS and Washington execute Final Demonstration Agreement Amendment for MFFS model

December 21, 2018 - CMS and Washington execute Final Demonstration Agreement Amendment for MFFS model, extending demonstration through December 31, 2020

January 22, 2021 - CMS and Washington execute Final Demonstration Agreement Amendment for MFFS model, extending demonstration through December 31, 2022

April 15, 2022 - CMS and Washington execute Final Demonstration Agreement Amendment for MFFS model, extending demonstration through December 31, 2023

December 20, 2023 – CMS and Washington execute Final Demonstration Agreement for MFFS model, extending demonstration through December 31, 2024

December 2, 2024 – CMS and Washington execute Final Demonstration Agreement for MFFS model, extending demonstration through December 31, 2025

Washington Managed Fee-for-Service Model

On October 25, 2012, the Department of Health and Human Services announced that the state of Washington would become the first state to partner with the Centers for Medicare & Medicaid Services (CMS) in the Financial Alignment Initiative (FAI) to test a managed fee-for-service (MFFS) model for providing Medicare-Medicaid enrollees with a more coordinated, person-centered care experience. Through the demonstration, Washington is building upon its Medicaid health home model, targeting Medicare-Medicaid enrollees with chronic health conditions. The demonstration began on July 1, 2013.

More Information from CMS:

• Fact Sheet
• Final Demonstration Agreement (PDF)
  • Final Demonstration Agreement Amendment (12/23/2016) (PDF)
  • Second Final Demonstration Agreement Amendment (12/21/2018) (PDF)
  • Third Final Demonstration Agreement Amendment (01/22/2021) (PDF)
  • Fourth Final Demonstration Agreement Amendment (04/15/2022) (PDF)
  • Fifth Final Demonstration Agreement Amendment (12/20/2023) (DOCX)
  • Sixth Final Demonstration Agreement Amendment (12/02/2024) (DOCX)
• MOU (PDF)
• State Proposal (PDF)
• Final Demonstration Year 7 and Preliminary Demonstration Year 8 Medicare Cost Savings Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (10/05/2023)
• Demonstration Year 7 Preliminary Medicare Cost Savings Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (04/12/2023)
• Fifth Evaluation Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (01/11/2022)
  • Findings at a Glance
• Demonstration Year 5 Final and Demonstration Year 6 Preliminary Medicare Cost Savings Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/15/2021)
• Demonstration Year 4 Final and Demonstration Year 5 Preliminary Medicare Cost Savings Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (07/07/2021)
• Fourth Evaluation Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (07/07/2021)
  • Findings at a Glance
• Demonstration Year 3 Final and Demonstration Year 4 Preliminary Medicare Cost Savings Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/24/2019)
• Third Evaluation Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (09/24/2019)
• Second Evaluation Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (11/29/2018)
• Demonstration Year 2 Final and Demonstration Year 3 Preliminary Medicare Cost Savings Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (11/16/2018)
• First Evaluation Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (10/20/2017)
  • Appendices on Demographic and Health Conditions (10/20/2017) (PDF)
• Demonstration Year 1 Final and Demonstration Year 2 Preliminary Medicare Cost Savings Report for the Washington managed fee-for-service model demonstration under the Medicare-Medicaid Financial Alignment Initiative (07/28/2017)
• Washington Evaluation Design Plan (PDF)
• Letter of Intent to Extend Scheduled End Date (PDF)

Information for Beneficiaries and Providers:

• Washington State Long-Term Care Ombudsman Program

Information from the State of Washington:

• Washington Health Home Program

Funding Support:

• Beneficiary Counseling & Ombudsman Programs

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