States are increasingly seeking ways to better integrate care for people dually eligible for Medicare and Medicaid, who are among the highest need and most expensive populations in either program due to a high prevalence of multiple chronic conditions, physical and behavioral health disabilities, and need for long-term services and supports (LTSS). A good option for states looking to integrate care for dually eligible beneficiaries is to use contracting strategies that maximize the opportunity for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs) and Medicaid managed care (MMC) plans to have aligned enrollment—the beneficiary is enrolled in a D-SNP and MMC offered by the same parent company in the same geographic area (aligned plans).