Fifteen states have won federal grants from the Centers for Medicare and Medicaid Services (CMS) to design strategies to implement person-centered models to coordinate primary, acute, behavioral health, and long term care services and supports for individuals with Medicare/Medicaid dual eligibility.  These individuals often have very complex, costly medical conditions. They are only 16 percent of Medicare beneficiaries but represent 27 percent of Medicare expenditures; they are only 15 percent of Medicaid recipients but represent 39 percent of Medicaid expenditures. Combined Medicare/Medicaid expenditures nationally for these dual eligible individuals represent over $300 billion in federal and state expenditures each year. The States of California, Colorado, Connecticut, Massachusetts, Michigan, Minnesota, New York, North Carolina, Oklahoma, Oregon, South Carolina, Tennessee, Vermont, Washington, and Wisconsin have each been awarded up to $1 million under section 2602 of the Affordable Care Act (ACA) to design creative, effective strategies, tailored to the needs of each state, to be included in demonstration proposals. States that successfully complete the design phase (over the next twelve months) and demonstration proposal (over the following six months) may qualify for implementation funding, and other states may evaluate, adapt, and replicate the strategies of successful states.