Rhode Island

Rhode Island Capitated Financial Alignment Model Demonstration (Medicare-Medicaid Alignment Integrated Care Initiative (ICI) Demonstration)

SPOTLIGHT & RELEASES

On July 30, 2015, the Centers for Medicare & Medicaid Services (CMS) announced that the state of Rhode Island will partner with CMS to test a new model for providing Medicare-Medicaid enrollees with a more coordinated, person-centered care experience.

Under the demonstration, called the Medicare-Medicaid Alignment Integrated Care Initiative Demonstration (ICI Demonstration), Rhode Island, and CMS will contract with a Medicare-Medicaid plan to coordinate the delivery of and be accountable for covered Medicare and Medicaid services for participating Medicare-Medicaid enrollees. 

Key Dates

July 30, 2015 - CMS and Rhode Island sign MOU

April 15, 2016 - CMS, Rhode Island, and participating plan execute three-way contract, amended August 3, 2016

July 1, 2016 - Start of opt-in enrollment

October 1, 2016 - Start of passive enrollment

January 1, 2018 - CMS, RI, and participating plans execute three-way contract

March 1, 2020 - CMS, RI, and participating plans execute updated three-way contract

August 1, 2020 - CMS, RI, and participating plans execute updated three-way contract amendment

July 1, 2022 - CMS, RI, and participating plans execute updated three-way contract amendment

July 1, 2023 - CMS, RI, and participating plans execute updated three-way contract amendment

More information from CMS:

• Fact Sheet
• Three-Way Contract (PDF)
  • Summary of Contract Changes (07/01/2022) (PDF)
• Three-Way Contract Amendment (07/01/2023) (PDF)
  • Summary of Contract Changes (07/01/2023) (PDF)
• MOU (PDF)
• State Proposal (PDF)
• Third Evaluation Report for the Rhode Island capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (12/20/2023)
  • Findings at a Glance
• Beneficiary Experience Research Results for the Integrated Care Initiative Demonstration in Rhode Island (10/01/2022) (PDF)
• Combined First and Second Evaluation Report for the Rhode Island capitated model demonstration under the Medicare-Medicaid Financial Alignment Initiative (01/11/2022)
  • Findings at a Glance
• Readiness Review Tool (PDF)
• Letter of Intent to Extend Scheduled End Date (PDF)
• Rhode Island Evaluation Design Plan (PDF)
• Rhode Island Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 1 (PDF)
• Rhode Island Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 2 (PDF)
• Rhode Island Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 3 (PDF)
• Rhode Island Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 4 (PDF)
• Rhode Island Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 5 (PDF)
• Rhode Island Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 6 (PDF)

Information for Plans:

• All state-specific information and guidance for plans is available on the Information and Guidance for Plans page.

Information for Beneficiaries and Providers:

• Rhode Island Integrated Care Initiative Continuity of Care Provisions (PDF)
• Integrated Care Initiative Ombudsman Program
• Integrated Care Initiative Provider Frequently Asked Questions (FAQs) (PDF)

Information from the state of Rhode Island:

• Integrated Care Initiative

Funding Support:

• Beneficiary Counseling & Ombudsman Programs

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