This week, our In Focus section reviews the completed memorandum of understanding (MOU) between Rhode Island and the Centers for Medicare & Medicaid Services (CMS) for the state’s capitated dual eligible financial alignment demonstration, known as the Integrated Care Initiative (ICI). The MOU paves the way for the Rhode Island Executive Office of Health and Human Services (EOHHS) to implement Phase II of the ICI later this year. EOHHS previously launched Phase I of the ICI in November 2013, coordinating only Medicaid benefits for the dual eligible population and users of long-term supports and services (LTSS). Phase II, scheduled to begin no sooner than December 1, 2015, could enroll as many as 30,000 dual eligibles in a combined Medicare-Medicaid Plan (MMP).