Medicare-Medicaid Plan (MMP) Reporting Requirements

SPOTLIGHT & RELEASES

11/01/2022: CMS released revised (11/2022) Core Measure 5.3 Reporting Template CY 2023 Core Reporting Requirements & associated Memorandum & Value Sets Workbook. More information is available below.
 

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 (demonstration ended 12/31/2019)

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

Ohio

Rhode Island

South Carolina

Texas

Virginia (demonstration ended 12/31/2017)


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Page Last Modified:
11/01/2022 11:26 AM