Virginia is the 6th state to enter into a memorandum of understanding (MOU) with the Centers for Medicare and Medicaid Services to coordinate health care and long term services and supports for individuals who are eligible for both Medicaid and Medicare. 78,000 Virginians will be eligible to participate in the program slated to begin January 1, 2014. The program will operate in five regions of the Commonwealth and will be phased in over eight months. Individuals who reside in ICFs/IDD or who receive I/DD waiver services will not participate in the program. However, some individuals with I/DD who participate in the Elderly or Disabled with Consumer Direction waiver will be included. All six of the MOUs can be found on the Medicare-Medicaid Coordination Office website.