Specifications include, but are not limited to: • Implement an integrated or aligned Medicare/Medicaid solution for dual eligible members that benefits member experience, and encourages the use of Medicaid funded home and community based services (HCBS) to enable vulnerable populations to remain in the community. • Engage provider based organizations as a partner in supporting complex populations, and transition providers away from fee for service toward new alternative payment models that align financial incentives. • Establish a financially viable and sustainable solution for EOHHS and its partners. • Implement an operationally efficient model. • Establish a single solution to support all dual eligible populations, with limited program eligibility exclusions.