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Medicare-Medicaid Plan (MMP) Marketing Information & Resources

RECENT POSTS

08/28/2018 - CA CY 2019 Spanish materials: Member Handbook Spanish (2019), Provider & Pharmacy Directory - English & Spanish (2019), Summary of Benefits - English & Spanish (2019), List of Covered Drugs - English & Spanish (2019), & Annual Notice of Change - English & Spanish (2019)

08/28/2018 - Revisions: MI Member Handbook (Chapter 4- rev. 08/22/2018) (2018) & (2019), & MI Summary of Benefits (rev. 08/22/2018) (2018) & (2019)

08/24/2018 - SC CY 2019 Spanish materials: Member Handbook Spanish (2019), Provider & Pharmacy Directory - English & Spanish (2019), Summary of Benefits - English & Spanish (2019), List of Covered Drugs - English & Spanish (2019), & Annual Notice of Change - English & Spanish (2019)

08/24/2018 - NY FIDA CY 2019 Spanish materials: Member Handbook Spanish (2019), Provider & Pharmacy Directory - English & Spanish (2019), Summary of Benefits - English & Spanish (2019), List of Covered Drugs - English & Spanish (2019), & Annual Notice of Change - English & Spanish (2019)

08/24/2018 - NY FIDA-IDD CY 2019 Spanish materials: Member Handbook Spanish (2019), Provider & Pharmacy Directory - English & Spanish (2019), Summary of Benefits - English & Spanish (2019), List of Covered Drugs - English & Spanish (2019), & Annual Notice of Change - English & Spanish (2019)

08/24/2018 - Delegated Notices (P2-P5): NY FIDA (2019) & NY FIDA-IDD (2019)

08/24/2018 - Revisions: NY FIDA Member Handbook (Chapter 4- rev. 08/16/2018) English (2019)

08/24/2018 - Revisions: SC Member Handbook (Chapter 4- rev. 08/16/2018) English (2018) & (2019) &  SC Member Handbook (Chapter 4- rev. 08/21/2018) Spanish (2018)

08/24/2018 - Revisions: CY 2019 MMP Marketing & Beneficiary Communications Guidance (08/20/2018) & CY 2019 MSHO Marketing & Beneficiary Communications Guidance (08/20/2018)

08/15/2018 - CY 2019 Explanation of Benefits - Integrated & CY 2019 Explanation of Benefits - Drug-Only

08/09/2018 - CY 2019 CA materials: Member Handbook (English - Chapters 9 & 11 (2019)) & Integrated Denial Notices (2019)

08/09/2018 CY 2019 MMP Marketing & Beneficiary Communications Guidance (08/03/2018) & CY 2019 MSHO Marketing & Beneficiary Communications Guidance (08/03/2018)

08/06/2018 - CY 2019 materials: Explanation of Benefits (EOB) - Drug Only & Integrated (IL  (2019)) & Drug Only (MI (2019), OH (2019) & SC (2019)); Delegated Notices (IL - Exhibits 4 & 16-30 (2019)); & Member Handbook (MI - Chapter 9 (2019))

08/06/2018 - CY 2019 MMP & Minnesota Senior Health Options (MSHO) Member Material Updates Memo (07/30/2018)

07/31/2018 - MMP & MSHO Plan Errata (07/31/2018)

07/30/2018 - TX CY 2019 Spanish materials: Member Handbook Spanish (2019), Provider & Pharmacy Directory - English & Spanish (2019), Summary of Benefits - English & Spanish (2019), List of Covered Drugs - English & Spanish (2019), & Annual Notice of Change - English & Spanish (2019)

07/30/2018 - OH CY 2019 Spanish materials: Member Handbook Spanish (2019), Provider & Pharmacy Directory - English & Spanish (2019), Summary of Benefits - English & Spanish (2019), List of Covered Drugs - English & Spanish  (2019), & Annual Notice of Change - English & Spanish (2019)

07/30/2018 - NY (FIDA-IDD Model) & NY (FIDA Model) CY 2019 materials: Explanation of Benefits (EOB) - Drug Only (NY FIDA) (2019) & Explanation of Benefits (EOB) - Drug Only (NY FIDA-IDD) (2019)

07/30/2018 - MI CY 2019 materials: CY 2019 Marketing Guidance for Michigan MMPs (07/23/2018), Member ID Card (2019), Member Handbook (2019), Provider & Pharmacy Directory (2019), Summary of Benefits (2019), List of Covered Drugs (2019), Delegated Notices (2019), Integrated Denial Notice (2019), Late Coverage Decision Notice (2019), Appeals Notices (2019), & Annual Notice of Change (2019)

07/30/2018 - CY 2018 MMP Provider & Pharmacy Directory Monitoring Frequently Asked Questions (FAQs) (07/25/2018)


Each year CMS and states participating in the Financial Alignment Initiative jointly update state-specific marketing guidance and model member materials required for use by MMPs and Minnesota Senior Health Options (MSHO) Plans. Current guidance and model member materials issued by CMS through the Health Plan Management System (HPMS) appear below. General information is followed by state-specific information, which is alphabetized by state name.


General Information

Policy and Guidance

Model Material Updates

Model Materials

Provider and Pharmacy Directories (PPDs)


State-Specific Information 

California

Illinois

Massachusetts

Michigan

Minnesota

New York (FIDA Model)

New York (FIDA-IDD Model)

Ohio

Rhode Island

South Carolina

Texas

.