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Information and Guidance for Plans

SPOTLIGHT & RELEASES

02/2019 - (MMP Enrollment page)

MMP Enrollment Guidance Appendix 5: South Carolina

02/2019 - (MMP Audit Programs page)

CMS Program Audit Frequently Asked Questions (FAQs) (02/2019)

02/12/2019 - (MMP Application & Annual Requirements page)

CY 2019 Supplemental Benefits Offered by MMPs

02/05/2019 -(MMP Quality Withhold Methodology & Technical Notes page)

Capitated Financial Alignment Demonstration Years 2-6 QW Methodology for Massachusetts

01/25/2019 - (MMP Quality Withhold Methodology & Technical Notes page)

Capitated Financial Alignment Demonstration Years 2-5 QW Methodology for South Carolina


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.

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