Information and Guidance for Plans

SPOTLIGHT & RELEASES

11/01/2019 - (MMP Reporting Requirements page)

CY 2020 Core Reporting Update Memo (11/01/2019), (PDF) CY 2020 Core Reporting Requirements (11/01/2019), (PDF) & CY 2020 Core Value Sets Workbook (11/01/2019) (XLSX)

10/30/2019 - (MMP Marketing Information & Resources page)

Illinois CY 2020: Appeals Notices  (2020) (ZIP) (revised)

10/29/2019 - (MMP Application & Annual Requirements page)

CY 2021 Notice of Intent to Apply (NOIA) for the Medicare Advantage (MA), Medicare-Medicaid Plans (MMP), & Prescription Drug Benefit (Part D) Application Cycle

10/8/2019 - (MMP Marketing Information & Resources page)

Michigan CY 2020: Member Handbook (2020) (ZIP) (revised)

10/3/2019 - (MMP Marketing Information & Resources page)

Revised versions:

Illinois CY 2020: Member Handbook English (2020) (ZIP), Provider & Pharmacy Directory - English & Spanish (2020) (ZIP), Delegated Notices (2020) (ZIP), & Annual Notice of Change - English & Spanish (2020) (ZIP)

Massachusetts CY 2020: Member Handbook English (2020) (ZIP), Provider & Pharmacy Directory - English & Spanish (2020) (ZIP), Summary of Benefits - English & Spanish (2020) (ZIP), List of Covered Drugs - English & Spanish (2020) (ZIP), Member ID Card (2020) (ZIP), Delegated Notices - Exhibits 5a & 5b (2020) (ZIP), & Appeals Notices (2020) (ZIP)

Ohio CY 2020: Member Handbook English (2020) (ZIP), Provider & Pharmacy Directory - English & Spanish  (2020) (ZIP), & Annual Notice of Change - English & Spanish (2020) (ZIP)

Texas CY 2020: Member Handbook English (2020) (ZIP), Delegated Notices - (Exhibits 5a & 5b) (2020) (ZIP), & Annual Notice of Change - English & Spanish (2020) (ZIP)

10/02/2019 - (MMP Enrollment page)

MMP Enrollment Technical Guidance Version 3.1 (for submitting enrollment-related transactions to CMS)


Overview

This page includes information and guidance for Medicare-Medicaid Plans (MMPs) participating in the Financial Alignment Initiative capitated model demonstrations and the Minnesota Demonstration to Integrate Care for Dual Eligibles in the following areas:

  • Application & Annual Requirements
  • Reporting Requirements
  • Audit Programs
  • Enrollment
  • Encounter Data Reporting
  • Marketing Information & Resources
  • Quality Withhold Methodology & Technical Notes
  • Chronic Care Improvement Programs & Quality Improvement Projects

Email us if you need more information about MMP requirements.

More information on each state's demonstration can be found on the Financial Alignment Initiative page.

Page Last Modified:
11/01/2019 06:36 AM