Monthly Integrated Care Exclusively Aligned Enrollment Report: Dually Eligible Individuals Enrolled in Medicare-Medicaid Plans (MMPs), Programs of All-Inclusive Care for the Elderly (PACE), and Applicable Integrated Plans (AIPs)

This document presents plan and state-level enrollment in three types of integrated care plans/programs that operate with exclusively aligned enrollment:

• Medicare-Medicaid Plans (MMPs) that operate within demonstrations offered under the Financial Alignment Initiative. For information about the Financial Alignment Initiative, see https://www.cms.gov/medicaid-chip/medicare-coordination/financial-alignment
• Programs of All-Inclusive Care for the Elderly (PACE). Information about Programs of All-Inclusive Care for the Elderly is available at https://www.cms.gov/medicaid-chip/medicare-coordination/qualified-beneficiary-program/program-all-inclusive-care-elderly-pace
• Applicable Integrated Plans (AIPs). AIPs are Medicare Advantage Dual-Eligible Special Needs Plans (D-SNPs) that operate with exclusively aligned enrollment and cover at least some Medicaid benefits (through the D-SNP or an affiliated Medicaid managed care plan operated by the same parent organization as the D-SNP). AIPs must implement unified plan-level appeal and grievance processes in accordance with the requirements at 42 CFR 422.107(c)(9), 422.629 through 422.634, 438.210, 438.400, and 438.402. For a full definition of AIPs, as well as definitions for other types of D-SNPs and exclusively aligned enrollment, see ICRC’s tip sheet on Definitions of Different Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) Types in 2023 and 2025