New York
Fully Integrated Duals Initiative (FIDA)
The Fully Integrated Duals Initiative is a capitated duals demonstration program, which began operation in New York City and part of Long Island in 2015. The program is targeted to people who need LTSS, whether in an institutional or community setting. HCBS participants must need those services for a minimum of 120 days to be eligible.
Although the FIDA program excludes people receiving services from the state developmental disabilities agency, a separate managed LTSS duals initiative (FIDA -- Intellectual and Developmental Disabilities) was launched for that population in 2016 (see below).
One blended capitation rates applies to members who are "nursing-home certifiable," regardless of residence. Another rate applies to community residents who are not nursing-home certifiable.
More information
Additional FIDA information and resources
Program documents
Contract with managed care organizations:
Supplemental quality reporting requirements:
Memorandum of Understanding with CMS:
Demonstration proposal to CMS:
Information on uniform LTSS assessment tool (UAS-NY)
Managed Care Quality Strategy:
Fully Integrated Duals Initiative—Intellectual and Developmental Disabilities (FIDA-IDD)
FIDA-IDD is a voluntary (opt-in only) duals demonstration program for people living in New York City or on Long Island who have intellectual or developmental disabilities (I/DD) and receive either institutional services or HCBS through specific programs. Enrollment began in 2016.
FIDA-IDD has two blended capitation rates, based on age but not residential setting or level of service need: one is for people between the ages of 21 and 49 and the other is for ages 50 and older.
More information
Program documents
Contract with managed care organizations:
Supplemental quality reporting requirements:
Memorandum of Understanding with CMS: