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Information and Guidance for Plans

SPOTLIGHT & RELEASES

04/18/2019 - (MMP Enrollment page)

MMP Enrollment Guidance Appendix 5: Ohio (04/17/2019)

04/18/2019 - (MMP Marketing Information & Resources page)

MMP & MSHO Plan Errata (04/15/2019)

04/11/2019 - (MMP Application & Annual Requirements page)

CY 2020 Medication Therapy Management Program Guidance and Submission Instructions (04/05/2019)

04/10/2019 - (MMP Application & Annual Requirements page)

CY 2020 Submission of Plan Benefit Packages Memorandum (04/08/2019)

04/04/2019 - (MMP Quality Withhold Methodology & Technical Notes page)

Quality Withhold Adjustment for Extreme and Uncontrollable Circumstances (04/01/2019)

04/03/2019 - (MMP Application & Annual Requirements page)

Applicability of CY 2020 Final Call Letter Provisions to MMPs (04/02/2019) 

CY 2020 Medicare Advantage Capitation Rates & Part D Payment Policies Final Call Letter (04/01/2019)


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.