About the Medicare-Medicaid Coordination Office

WE APOLOGIZE FOR THE INCONVENIENCE AS OUR WEBSITE IS EXPERIENCING TECHNICAL DIFFICULTIES. WHILE WE ARE WORKING TO REMEDIATE THE ISSUES, DIRECT LINKS TO SOME OF OUR PAGES ARE PROVIDED BELOW. THANK YOU FOR YOUR PATIENCE.

We’re always looking for ways to improve the experience and usability of our webpages. If you’ve Feedback or issues to report, please contact us via MMCOWeb@cms.hhs.gov.

Information and Guidance for Plans

Medicare-Medicaid Plan (MMP) Application & Annual Requirements

Medicare-Medicaid Plan (MMP) Audit Programs

Medicare-Medicaid Plan (MMP) Marketing Information & Resources

Financial Alignment Initiative (FAI)

Michigan

New York

Ohio

Rhode Island

South Carolina

Texas

SPOTLIGHT & RELEASES

NEW! 11/01/2021: (Opportunities for States page)

CMS released Medicare Part D Low Income Subsidy Program Enrollment and Medicare Savings Program Enrollment (June 2021) data.

NEW! 10/20/2021: (MMP Enrollment page)

CMS released a Memo to Long Term Care Facilities on Disenrollment Issues. More information can be found below under "Enrollment & Disenrollment Memos."

Medicare COVID-19 Vaccination Data for Medicaid Managed Care Organizations Pilot (08/09/2021)

The Centers for Medicare & Medicaid Services (CMS) invites eligible Medicaid managed care organizations (MCOs) to participate in a data-sharing pilot project to facilitate increased care coordination for individuals dually eligible for Medicare and Medicaid, also known as “dually eligible beneficiaries,” during the COVID-19 public health emergency. This pilot project (herein referred to as the “Medicare COVID-19 Vaccination Data for Medicaid MCOs pilot (PDF)”) will be managed by CMS’ Medicare-Medicaid Coordination Office (MMCO), and is open to a maximum of 20 MCOs that enroll dually eligible beneficiaries. The Deadline to submit an application is 08/30/2021.

10/08/2021: (D-SNPs: Integration & Unified Appeals & Grievance Requirements page)

CMS released Integration Status for Contract Year 2022 D-SNPs.

 

Advancing Care for People with Medicaid and Medicare

The Federal Coordinated Health Care Office (Medicare-Medicaid Coordination Office) serves people who are dually enrolled in both Medicare and Medicaid, also known as dually eligible individuals or Medicare-Medicaid enrollees.  Our goal is to make sure dually eligible individuals have full access to seamless, high quality health care and to make the system as cost-effective as possible.

The Medicare-Medicaid Coordination Office works with the Medicaid and Medicare programs, across federal agencies, states, and stakeholders to align and coordinate benefits between the two programs effectively and efficiently. We partner with states to develop new care models and improve the way dually eligible individuals receive health care.

Goals

The goals of the Medicare-Medicaid Coordination Office are:

1. Providing dual eligible individuals full access to the benefits to which such individuals are entitled to under the Medicare and Medicaid programs. 

2. Simplifying the processes for dual eligible individuals to access the items and services they are entitled to under the Medicare and Medicaid programs. 

3. Improving the quality of health care and long-term services for dual eligible individuals. 

4. Increasing dual eligible individuals' understanding of and satisfaction with coverage under the Medicare and Medicaid programs. 

5. Eliminating regulatory conflicts between rules under the Medicare and Medicaid programs. 

6. Improving care continuity and ensuring safe and effective care transitions for dual eligible individuals. 

7. Eliminating cost-shifting between the Medicare and Medicaid program and among related health care providers. 

8. Improving the quality of performance of providers of services and suppliers under the Medicare and Medicaid programs. 

You may also sign up for regular email updates by visiting this link.


We’re always looking for ways to improve the experience and usability of our webpages. If you’ve Feedback or issues to report, please contact us via MMCOWeb@cms.hhs.gov.
Page Last Modified:
11/01/2021 09:38 AM