About Advancing Medicare & Medicaid Integration

Advancing Medicare & Medicaid Integration is a funding opportunity supported by Arnold Ventures and coordinated by the Center for Health Care Strategies (CHCS) that is targeted to states ready to make meaningful transformations in care delivery for individuals eligible for both Medicare and Medicaid.

The initiative aims to accomplish three objectives:

  • Increase integration between Medicare and Medicaid through existing or new models;
  • Increase access to and enrollment in integrated care models; and
  • Ensure that dual-eligible individuals receive services that lead to better patient experiences, higher quality of care, and reduced health care costs.

States, or their technical assistance partners, can propose a range of projects of up to 36 months in length to achieve these objectives. Projects may be operated in capitated or fee-for-service Medicaid delivery systems, include some or all of a state’s dual-eligible populations, and Medicaid benefits consistent with state policy. States may propose projects that make a single large-scale shift in care delivery or several smaller-scale changes that represent a significant advancement in the degree of integration achieved or in the size of integrated care enrollment.

Applications to the Advancing Medicare & Medicaid Integration initiative will be considered on a rolling basis. All applicants are required to submit a Letter of Interest (LOI). Unsolicited, full proposals will not be accepted. Potential applicants will receive support to ensure that their project approach meets the initiative’s objectives and to help applicants refine the project design to achieve the best outcomes. Applicants whose LOIs are reviewed favorably will be invited to develop a full proposal. Proposals will be evaluated based on criteria, including whether the project will meaningfully transform care delivery for dual-eligible populations and address issues of health equity.

To learn more about the application process, visit the Information for Applicants page and view an informational webinar.


This September 2022 webinar featured representatives from Washington and Indiana who described new efforts in their states to further Medicare-Medicaid integration and how the Advancing Medicare & Medicaid Integration initiative is supporting these efforts.


The Center for Health Care Strategies (CHCS) is the National Program Coordination Office for the Advancing Medicare & Medicaid Integration initiative. With support from Arnold Ventures, CHCS provides no-cost assistance to states interested in applying, which includes assisting with refinement of project concepts and design.


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