Information and Guidance for Plans
04/14/2022: (MMP Quality Withhold Methodology & Technical Notes page)
CMS released revised versions of the Capitated Financial Alignment Demonstration Years 2-7 QW Methodology for New York FIDA-IDD, & Capitated Financial Alignment Demonstration Years 2-8 QW Methodology for California, Illinois, & Ohio.
04/11/2022: (MMP Application & Annual Requirements page)
CMS released revisions to the Submission of Plan Benefit Packages, Plan Benefit Package Checklist for Medicare-Medicaid Plans, & the Part D Formulary Submission Information for Contract Year 2023.
(MMP Reporting Requirements page)
CMS released revised (03/2022) Core Measure 2.1 & 3.2 Frequently Asked Questions (FAQs).
(MMP Audit Programs page)
CMS released a revised version of the 2022 MMPCC Supplemental Questionnaire.
02/28/2022: (MMP Reporting Requirements page)
CMS released revised (2022) State-Specific Reporting Requirements and corresponding Memoranda and Value Sets Workbooks for CA, IL, MI, MA, NY FIDA-IDD, OH, RI, SC, and TX.
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.