On April 24, 2019, the Centers for Medicare & Medicaid Services (CMS) urged governors and state Medicaid directors to implement financing and service delivery models to integrate care for people dually eligible for Medicare and Medicaid. In addition to inviting states to launch or continue capitated financial alignment initiative (FAI) demonstration projects, or managed fee-for-service model for high-risk beneficiaries, CMS invited state-developed proposals. As of December 2018, more than 12 million individuals nationwide were enrolled in both Medicare and Medicaid - and 561,295 were enrolled in fully-integrated dual eligible Medicare Advantage Special Needs Plans (FIDE . . .