Skip to Main Content

Information and Guidance for Plans

RECENT POSTS

11/09/2018 - MMP Enrollment Technical Guidance Version 2.9 (for submitting enrollment-related transactions to CMS) (10/29/2018)  (MMP Enrollment page)

11/05/2018 - CY 2019 Core Reporting Requirements Memo (11/01/2018), CY 2019 Core Reporting Requirements (11/01/2018), CY 2019 Core Value Sets Workbook (11/01/2018)  (MMP Reporting Requirements page)

10/30/2018 - Capitated Financial Alignment Demonstration Years 2-4 QW Methodology for New York - FIDA-IDD  (MMP Quality Withhold Methodology & Technical Notes page)

10/29/2018 - MI Revisions: Member Handbook (Chapter 9 (rev. 10/26/2018)) (2019) & Appeals Notices (Appeal Denial Notice (rev. 10/26/2018) & Grievance Notice) (2019)  (MMP Marketing Information & Resources page)

10/11/2018 - Capitated Financial Alignment Demonstration Years 2-5 QW Methodology for Michigan (rev. 10/10/2018)  (MMP Quality Withhold Methodology & Technical Notes page)


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.

.