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..
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.