Medicare-Medicaid Plan (MMP) Reporting Requirements

SPOTLIGHT & RELEASES

03/31/2021: CMS released revised Core Measure 2.1 & 3.2 Frequently Asked Questions.
03/16/2021: CMS released revised State-Specific Reporting Requirements and corresponding Memoranda and Value Sets Workbooks (03/10/2021).
 

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)

Page Last Modified:
04/20/2021 09:19 AM