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Information and Guidance for Plans

08/14/2019 - (MMP Marketing Information & Resources page)

California CY 2020: Member Handbook Spanish (2020), Provider & Pharmacy Directory (revised) (2020), Summary of Benefits (revised) (2020), List of Covered Drugs (revised) (2020), & Annual Notice of Change (revised) (2020)

08/08/2019 - (MMP Application & Annual Requirements page)

CY 2019 MMP Health Service Delivery (HSD) Network Submission Guidance & CY 2019 MMP Health Service Delivery (HSD) Network Submission Instructions

08/06/2019 - (MMP Marketing Information & Resources page)

CY 2020 Massachusetts MMP Model Materials Memo (08/02/2019) & associated model materials

Illinois CY 2020: Member Handbook Spanish (2020), Provider & Pharmacy Directory (revised) (2020), Summary of Benefits (revised) (2020), List of Covered Drugs (revised) (2020), & Annual Notice of Change (revised) (2020)

08/05/2019 - (MMP Marketing Information & Resources page)

CY 2020 Explanation of Benefits - Drug-Only & CY 2020 Explanation of Benefits - Integrated

07/29/2019 - (MMP Marketing Information & Resources page)

New York FIDA-IDD CY 2020 Integrated Coverage Determination Notice (ICDN) Models  (revised) (2020)

Ohio CY 2020: Member Handbook Spanish (2020), Provider & Pharmacy Directory (revised) (2020), Summary of Benefits (revised) (2020), List of Covered Drugs (revised) (2020), & Annual Notice of Change (revised) (2020)

South Carolina CY 2020: Member Handbook Spanish (2020), Provider & Pharmacy Directory (revised) (2020), Summary of Benefits (revised) (2020), List of Covered Drugs (revised) (2020), & Annual Notice of Change (revised) (2020)

07/26/2019 - (MMP Enrollment page)

Coordinating Passive Enrollment with Medicare Reassignment (07/24/2019)

07/25/2019 - (MMP Marketing Information & Resources page)

Texas CY 2020 Member Handbook Spanish (2020)

Texas CY 2020 Provider & Pharmacy Directory (revised) (2020)

Texas CY 2020 Summary of Benefits (revised) (2020)

Texas CY 2020 List of Covered Drugs (revised) (2020)

Texas CY 2020 Annual Notice of Change (revised) (2020)


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.