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Medicare-Medicaid Plan (MMP) Reporting Requirements


07/13/2018 - Core Reporting Templates (Core Measure Reporting Template (5.3 (07/05/2018))

05/03/2018 - Core Measure 2.1 Frequently Asked Questions (FAQs) (04/12/2018) (revised) & Core Measure 3.2 Frequently Asked Questions (FAQs) (04/12/2018)

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 (CA)

Illinois (IL)

Massachusetts (MA)

Michigan (MI)

New York (NY) - Fully Integrated Duals Advantage (FIDA) Demonstration

New York (NY) - Fully Integrated Duals Advantage (FIDA) Intellectual and Developmental Disabilities (IDD) Demonstration

Ohio (OH)

Rhode Island (RI)

South Carolina (SC)

Texas (TX)

Virginia (VA)

(demonstration ended 12/31/2017)