Skip to Main Content

Medicare-Medicaid Plan (MMP) Quality Withhold Methodology & Technical Notes

RECENT POSTS

10/30/2018 - Capitated Financial Alignment Demonstration Years 2-4 QW Methodology for New York - FIDA-IDD

10/11/2018 - Capitated Financial Alignment Demonstration Years 2-5 QW Methodology for Michigan (rev. 10/10/2018)

08/17/2018 - Capitated Financial Alignment Demonstration Years 2-4 QW Methodology for Rhode Island

08/14/2018 - Capitated Financial Alignment Demonstration Years 2-5 QW Methodology for Illinois (rev. 08/10/2018)


MMPs participating in the capitated model will have a portion of their rates withheld; payment of these withheld amounts is subject to performance consistent with established quality requirements. The quality withhold analysis results for each demonstration will be posted to the state-specific pages as they become available.

More information on the Quality Withhold (QW) methodology and benchmarks is available below:

 

California

Illinois

Massachusetts

Michigan

New York - Fully Integrated Duals Advantage (FIDA)

New York - FIDA Intellectual and Development Disabilities (FIDA-IDD)

Ohio

Rhode Island

South Carolina

Texas

Virginia

(demonstration ended 12/31/2017)
.