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Information and Guidance for Plans

06/10/2019 - (MMP Application & Annual Requirements page)

CY 2020 Part D Formulary Submission Information

05/23/2019 - (MMP Reporting Requirements page)

Michigan-Specific Value Sets Workbook (02/28/2019) (rev. 5/2019)

05/20/2019 - (MMP Enrollment page)

MMP Enrollment Guidance Appendix 5: California (04/30/2019)

05/14/2019 - (MMP Enrollment page)

Clarification of Medicaid Provider Enrollment Provisions for Services Provided by Integrated D-SNPs & MMPs (04/22/2019)


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.