Information and Guidance for Plans

SPOTLIGHT & RELEASES

2/28/2023: (MMP Reporting Requirements page)

CMS released revised State-Specific Reporting Requirements and corresponding Memoranda and Value Sets Workbooks.

01/30/2023:(MMP Quality Withhold Methodology & Technical Notes page)

CMS released the revised Capitated Financial Alignment Demonstration Years 2-10 QW Methodology & CMS Core Technical Notes, as well as the latest versions of the Capitated Financial Alignment Demonstration Years 2-10 QW Methodologies for IL, MA, OH, RI, & TX.

01/11/2023(MMP Application & Annual Requirements page)

CMS released the CY 2024 MMP Initial & Service Area Expansion (SAE) Application, the Medicare Parts C and D annual calendar, & the CY 2023 MMP Health Service Delivery (HSD) Network Adequacy Standards Criteria Reference Table..

 

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.


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Page Last Modified:
03/09/2023 08:54 AM