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Medicare-Medicaid Plan (MMP) Reporting Requirements

SPOTLIGHT & RELEASES

03/21/2019 -

California-Specific Reporting Update Memo (02/28/2019) 

California-Specific Reporting Requirements (02/28/2019) 

California-Specific Value Sets Workbook (02/28/2019) 

Illinois-Specific Reporting Update Memo (02/28/2019) 

Illinois-Specific Reporting Requirements (02/28/2019) 

Illinois-Specific Value Sets Workbook (02/28/2019) 

Massachusetts-Specific Reporting Update Memo (02/28/2019) 

Massachusetts-Specific Reporting Requirements (02/28/2019) 

Massachusetts-Specific Value Sets Workbook (02/28/2019) 

Michigan-Specific Reporting Update Memo (02/28/2019) 

Michigan-Specific Reporting Requirements (02/28/2019) 

Michigan-Specific Value Sets Workbook (02/28/2019) 

New York FIDA-Specific Reporting Update Memo (02/28/2019) 

New York FIDA-Specific Reporting Requirements (02/28/2019) 

New York FIDA-Specific Value Sets Workbook (02/28/2019) 

New York FIDA-IDD-Specific Reporting Update Memo (02/28/2019) 

New York FIDA-IDD-Specific Reporting Requirements (02/28/2019) 

New York FIDA-IDD-Specific Value Sets Workbook (02/28/2019) 

Ohio-Specific Reporting Update Memo (02/28/2019) 

Ohio-Specific Reporting Requirements (02/28/2019) 

Ohio-Specific Value Sets Workbook (02/28/2019) 

Rhode Island-Specific Reporting Update Memo (02/28/2019) 

Rhode Island-Specific Reporting Requirements (02/28/2019) 

Rhode Island-Specific Value Sets Workbook (02/28/2019) 

South Carolina-Specific Reporting Update Memo (02/28/2019) 

South Carolina-Specific Reporting Requirements (02/28/2019) 

South Carolina-Specific Value Sets Workbook (02/28/2019) 

Texas-Specific Reporting Update Memo (02/28/2019) 

Texas-Specific Reporting Requirements (02/28/2019) 

Texas-Specific Value Sets Workbook (02/28/2019)

03/19/2019 -

Core Measure 2.1 Frequently Asked Questions (FAQs) (03/14/2019)

Core Measure 3.2 Frequently Asked Questions (FAQs) (03/14/2019)


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)