Dual-eligible Integrated Care Demonstration Project (Dual Demo)

Overview

Effective March 1, 2015, HHSC implemented a new managed care program for certain clients dually enrolled in Medicare and Medicaid (dual-eligibles) – the Texas Dual Eligibles Integrated Care Demonstration Project. The program is a joint venture between the CMS and HHSC and is designed to better align the financial incentives of Medicare and Medicaid and to improve coordination of care for dual-eligibles. The program is voluntary and open to eligible beneficiaries in the following counties: Bexar, Dallas, El Paso, Harris, Hidalgo and Tarrant.

Payment Rate Information

Effective 9/1/2024 (.pdf) These rates are pending CMS Approval.

Revised rates for FY2023 (.pdf) (MCO contracts effective 1/1/2024)-These rates are pending CMS Approval.

Effective 9/1/2023 (.pdf) These rates are pending CMS Approval.

Effective 9/1/2022 (.pdf) These rates are pending CMS Approval.

Effective 3/1/2022 (.pdf) These rates are pending CMS Approval.

Effective 1/1/2022 (.pdf) These rates are pending CMS Approval.

Effective 9/1/2021 (.pdf) These rates are pending CMS Approval.

Effective 3/1/2021 (.pdf)

Effective 9/1/2020 (.pdf) These rates are pending CMS Approval.

Effective 4/1/2020 (.pdf) These rates are pending CMS Approval.

Effective 3/1/2020 (.pdf)

Effective 9/1/2019 (.pdf) 

Effective 3/1/2019 (.pdf)

Effective 9/1/2018 (.pdf)

Revised Rates for FY 2018 (.pdf) (8/1/2018)

Effective 3/1/2018 (.pdf)

Effective 9/1/2017 (.pdf)

Effective 9/1/2016 (.pdf)

Effective 6/1/2016 (.pdf)

Effective 9/1/2015 (.pdf)

Effective 3/1/2015 (.pdf)