Medicare-Medicaid Plan (MMP) Reporting Requirements

SPOTLIGHT & RELEASES
11/01/2019 - CY 2020 Core Reporting Update Memo (11/01/2019), (PDF) CY 2020 Core Reporting Requirements (11/01/2019), (PDF) & CY 2020 Core Value Sets Workbook (11/01/2019) (XLSX)

MMPs are required to regularly submit monitoring and performance data to CMS and participating states. The following documents provide guidance, technical specifications, and applicable codes for the core and state-specific measures that MMPs must report. The core and state-specific measures supplement existing Medicare Part C and Part D reporting requirements, as well as measures that MMPs report through other venues, such as HEDIS®, HOS, CAHPS®, and state Medicaid agencies.

California

Illinois

Massachusetts

Michigan

New York - Fully Integrated Duals Advantage (FIDA) Demonstration

New York - FIDA Intellectual and Developmental Disabilities (FIDA-IDD) Demonstration

Ohio

Rhode Island

South Carolina

Texas

Virginia

(demonstration ended 12/31/2017)
Page Last Modified:
11/01/2019 06:34 AM