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Information and Guidance for Plans

SPOTLIGHT & RELEASES

10/8/2019 - (MMP Marketing Information & Resources page)

Michigan CY 2020: Member Handbook (2020) (revised)

10/3/2019 - (MMP Marketing Information & Resources page)

Revised versions:

Illinois CY 2020: Member Handbook English (2020), Provider & Pharmacy Directory - English & Spanish (2020), Delegated Notices (2020), & Annual Notice of Change - English & Spanish (2020)

Massachusetts CY 2020: Member Handbook English (2020), Provider & Pharmacy Directory - English & Spanish (2020), Summary of Benefits - English & Spanish (2020), List of Covered Drugs - English & Spanish (2020), Member ID Card (2020), Delegated Notices - Exhibits 5a & 5b (2020), & Appeals Notices (2020)

Ohio CY 2020: Member Handbook English (2020), Provider & Pharmacy Directory - English & Spanish  (2020), & Annual Notice of Change - English & Spanish (2020)

Texas CY 2020: Member Handbook English (2020), Delegated Notices - (Exhibits 5a & 5b) (2020), & Annual Notice of Change - English & Spanish (2020)

10/02/2019 - (MMP Enrollment page)

MMP Enrollment Technical Guidance Version 3.1 (for submitting enrollment-related transactions to CMS)

10/1/2019 - (MMP Marketing Information & Resources page)

New York FIDA MMP Non-Renewal & Service Area Reduction Guidance Memo & Non-renewal Notices (2019)

09/18/2019 - (MMP Marketing Information & Resources page)

South Carolina CY 2020: Member Handbook English (2020) (revised) & Member Handbook Spanish (2020) (revised)

09/17/2019 - (MMP Marketing Information & Resources page)

Rhode Island CY 2020: Member Handbook Spanish (2020) (revised)

09/13/2019 - (MMP Marketing Information & Resources page)

CY 2020 California MMP Marketing Guidance Memo & CY 2020 California MMP Marketing Guidance

CY 2020 Illinois MMP Marketing Guidance Memo & CY 2020 Illinois MMP Marketing Guidance 

CY 2020 Massachusetts MMP Marketing Guidance Memo & CY 2020 Massachusetts MMP Marketing Guidance 

CY 2020 Michigan MMP Marketing Guidance Memo & CY 2020 Michigan MMP Marketing Guidance 

CY 2020 Minnesota MMP Marketing Guidance Memo & CY 2020 Minnesota MMP Marketing Guidance 

CY 2020 New York FIDA-IDD MMP Marketing Guidance Memo & CY 2020 New York FIDA-IDD MMP Marketing Guidance 

CY 2020 Ohio MMP Marketing Guidance Memo & CY 2020 Ohio MMP Marketing Guidance 

CY 2020 Rhode Island MMP Marketing Guidance Memo & CY 2020 Rhode Island MMP Marketing Guidance 

CY 2020 South Carolina MMP Marketing Guidance Memo & CY 2020 South Carolina MMP Marketing Guidance 

CY 2020 Texas MMP Marketing Guidance Memo & CY 2020 Texas MMP Marketing Guidance

09/13/2019 - (MMP Marketing Information & Resources page)

CY 2020 MMP & MSHO Member Material Updates Memo

09/13/2019 - (MMP Marketing Information & Resources page)

California CY 2020: Member Handbook Spanish (2020) (revised) & Member Handbook English (2020) (revised)

Illinois CY 2020: Member Handbook Spanish (2020) (revised) & Member Handbook English (2020) (revised)

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

Michigan CY 2020: Member Handbook (2020) (revised)

Minnesota CY 2020: Member Handbook (2020) (revised)

New York FIDA-IDD CY 2020: Participant Handbook English (2020) (revised), Participant Handbook Spanish (2020), Provider & Pharmacy Directory - English & Spanish (2020) (revised), Summary of Benefits - English & Spanish (2020) (revised), List of Covered Drugs - English & Spanish (2020) (revised), & Annual Notice of Change - English & Spanish (2020) (revised)

Ohio CY 2020: Member Handbook English (2020) (revised) & Member Handbook Spanish (2020) (revised)

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

South Carolina CY 2020: Member Handbook English (2020) (revised) & Member Handbook Spanish (2020) (revised)

Texas CY 2020: Member Handbook English (2020) (revised) & Member Handbook Spanish (2020) (revised)

09/10/2019 - (MMP Enrollment page)

MMP Enrollment Guidance Appendix 5: Michigan (08/29/2019)


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.