Information and Guidance for Plans
CMS released revised State-Specific Reporting Requirements and corresponding Memoranda and Value Sets Workbooks (03/10/2021).
12/30/2020: (MMP Application & Annual Requirements page)
CMS released the Contract Year 2022 MMP Initial & Service Area Expansion Application and the associated CY 2021 MMP Health Service Delivery Network Adequacy Standards Criteria Reference Table.
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
- 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.