Public Notice: The Michigan Department of Community Health (MDCH) intends to submit §1915(b)/(c) waiver applications for the MI Health Link demonstration program. The purpose of this waiver is to coordinate supports and services for individuals who are eligible for both Medicare and Medicaid, are age 21 or older, and reside in any of the following Michigan counties: Alger, Baraga, Barry, Berrien, Branch, Calhoun, Cass, Chippewa, Delta, Dickinson, Gogebic, Houghton, Iron, Kalamazoo, Keweenaw, Luce, Mackinac, Macomb, Marquette, Menominee, Ontonagon, St. Joseph, Schoolcraft, Van Buren, and Wayne. Some population exclusions do apply – please see the waiver applications for details. Medicare and Medicaid supports and services will be provided through managed care organizations called Integrated Care Organizations (ICOs) under contract with CMS and MDCH. All enrolled individuals may receive physical health care services through the MI Health Link §1915(b) waiver. MI Health Link HCBS is a §1915(c) waiver which will operate concurrently with the MI Health Link §1915(b) waiver. The MI Health Link HCBS waiver offers home and community-based services (HCBS) to MI Health Link enrollees who are elderly and/or physically disabled and meet nursing facility level of care. If approved by CMS, the MI Health Link §1915(b)/(c) waiver applications will be effective January 1, 2015. It is expected that the entire MI Health Link demonstration will be cost neutral, not spending more money than would be spent absent the demonstration.