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These studies were supported by P50 GM115318 from the National Institute of General Medical Sciences (R.M.K., M.W.M., K.R.), U54 DK120342 from the National Institute of Diabetes and Digestive and Kidney Disease/Office of Research on Womens Health (K.R.), U54 HL170326 from the National Heart Lung and Blood Institute/Office of Research on Womens Health, R21 AR077782 (K.R

CONCLUSION APPENDICES APPENDIX A: Policy Options for HHS and States to Enhance Medicare-Medicaid Integration in D-SNPs APPENDIX B: Subject Matter Experts, Case Study Interviewees, and State Officials APPENDIX C: Additional Policy Options LIST OF EXHIBITS EXHIBIT 1: Percentage of Dual Eligible Beneficiaries Enrolled in D-SNPs, 2017 EXHIBIT 2: Tennessee's Approach to Promoting Aligned D-SNP-MLTSS Plan Enrollment EXHIBIT 3: States with Aligned D-SNPs and MLTSS Programs, 2017 EXHIBIT 4: Minnesota Provides Input on D-SNP Provider Network Standards EXHIBIT 5: Massachusetts' Care Management Requirements Promote Continuity of Care EXHIBIT 6: Arizona Uses Marketing Tools to Encouraging Aligned Enrollment EXHIBIT 7: Massachusetts and Minnesota Use Integrated Materials to Improve Beneficiaries' Experience of Care EXHIBIT 8: Tennessee Requires Data Exchange to Promote Care Coordination EXHIBIT 9: Arizona and Tennessee Encourage Aligned Enrollment Through Seamless Conversion EXHIBIT 10: Criteria for FIDE SNP and Highly Integrated D-SNP Designations EXHIBIT 11: New Jersey Uses FIDE SNPs to Provide Integrated Care ACRONYMS The following acronyms are mentioned in this report and/or appendices

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Later Monday morning, Gordon was sworn in before the public at the Cheyenne Civic Center, where recent governors including Republican Matt Mead and Democrat Dave Freudenthal took their oaths of office