Massachusetts is the first state to negotiate a memorandum of understanding (MOU
) with the Centers for Medicare and Medicaid Services (CMS) addressing its proposal to integrate and coordinate care for individuals who are dually eligible for Medicare and Medicaid. The National Senior Citizens Law Center (NSCLC) has prepared a summary
of the MOU. Massachusetts plans to begin implementation of its plan in April 2013. Individuals aged 18-64 will be included in the plan, including individuals with intellectual and developmental disabilities who do NOT receive home and community based waiver services or services in an intermediate care facility for individual with intellectual/developmental disabilities (ICF/ID).