Each year CMS and states participating in the Financial Alignment Initiative (FAI) jointly update state-specific marketing guidance and model member materials required for use by Medicare-Medicaid Plans (MMPs) and Minnesota Senior Health Options (MSHO) Plans. Current guidance and model member materials issued by CMS through the Health Plan Management System (HPMS) appear below. General information is followed by state-specific information, which is alphabetized by state name.
General Information
Model Material Updates
Model Materials
- CY 2023 MMP & MSHO Plan Errata (ZIP)
- Explanation of Benefits - Integrated & Drug-Only (2023) (ZIP)
- List of Covered Drugs - English & Spanish
- Provider and Pharmacy Directory - English & Spanish
- Summary of Benefits - English & Spanish
State-Specific Information
Illinois
- CY 2023 Illinois MMP Model Materials Memo (PDF)
- CY 2023 Illinois MMP Marketing Guidance (PDF)
- Member ID Card (2023) (ZIP)
- Member Handbook English (2023) (ZIP)
- Member Handbook Spanish (2023) (ZIP)
- Provider & Pharmacy Directory - English & Spanish (2023) (ZIP)
- Summary of Benefits - English & Spanish (2023) (ZIP)
- List of Covered Drugs - English & Spanish (2023) (ZIP)
- Delegated Notices (2023) (ZIP)
- Integrated Denial Notice (2023) (ZIP)
- Annual Notice of Change - English & Spanish (2023) (ZIP)
- Appeals Notices (2023) (ZIP)
- Explanation of Benefits (EOB) - Drug Only & Integrated (2023) (ZIP)
Massachusetts
- CY 2023 Massachusetts MMP Model Materials Memo (PDF)
- CY 2023 Massachusetts MMP Marketing Guidance (PDF)
- Member ID Card (2023) (ZIP)
- Member Handbook English (2023) (ZIP)
- Member Handbook Spanish (2023) (ZIP)
- Provider & Pharmacy Directory - English & Spanish (2023) (ZIP)
- Summary of Benefits - English & Spanish (2023) (ZIP)
- List of Covered Drugs - English & Spanish (2023) (ZIP)
- Delegated Notices (2023) (ZIP)
- Integrated Denial Notice (2023) (ZIP)
- Annual Notice of Change - English & Spanish (2023) (ZIP)
- Appeals Notices (2023) (ZIP)
Michigan
- CY 2023 Michigan MMP Model Materials Memo (PDF)
- CY 2023 Michigan MMP Marketing Guidance (PDF)
- Member ID Card (2023) (ZIP)
- Member Handbook (2023) (ZIP)
- Provider & Pharmacy Directory (2023) (ZIP)
- Summary of Benefits (2023) (ZIP)
- List of Covered Drugs (2023) (ZIP)
- Delegated Notices (2023) (ZIP)
- Integrated Denial Notice (2023) (ZIP)
- Other Denial Notices (2023) (ZIP)
- Annual Notice of Change (2023) (ZIP)
- Appeals Notices (2023) (ZIP)
- Explanation of Benefits (EOB) - Drug Only (2023) (ZIP)
Minnesota
- CY 2023 Minnesota Plan Model Materials Memo (PDF)
- CY 2023 Minnesota Plan Marketing Guidance (PDF)
- Member Handbook (2023) (ZIP)
- Enrollment Notice (2023) (ZIP)
- Annual Notice of Change (2023) (ZIP)
- Low Income Subsidy Rider (2023) (ZIP)
New York (FIDA-IDD Model)
- CY 2023 New York FIDA-IDD MMP Model Materials Memo (PDF)
- CY 2023 New York FIDA-IDD MMP Marketing Guidance (PDF)
- Participant ID Card (2023) (ZIP)
- Participant Handbook English (2023) (ZIP)
- Participant Handbook Spanish (2023) (ZIP)
- Provider & Pharmacy Directory - English & Spanish (2023) (ZIP)
- Summary of Benefits - English & Spanish (2023) (ZIP)
- List of Covered Drugs - English & Spanish (2023) (ZIP)
- Delegated Notices (2023) (ZIP)
- Part D Letters (2023) (ZIP)
- Integrated Coverage Determination Notice (ICDN) Models (2023) (ZIP)
- Appeal & Grievance Notices (2023) (ZIP)
- Annual Notice of Change - English & Spanish (2023) (ZIP)
- Explanation of Benefits (EOB) - Drug Only (2023) (ZIP)
Ohio
- CY 2023 Ohio MMP Model Materials Memo (PDF)
- CY 2023 Ohio MMP Marketing Guidance (PDF)
- Member ID Card (2023) (ZIP)
- Member Handbook English (2023) (ZIP)
- Member Handbook Spanish (2023) (ZIP)
- Provider & Pharmacy Directory - English & Spanish (2023) (ZIP)
- Summary of Benefits - English & Spanish (2023) (ZIP)
- List of Covered Drugs - English & Spanish (2023) (ZIP)
- Delegated Notices (2023) (ZIP)
- Integrated Denial Notice (2023) (ZIP)
- Annual Notice of Change - English & Spanish (2023) (ZIP)
- Appeal Notice (2023) (ZIP)
- Explanation of Benefits (EOB) - Drug Only (2023) (ZIP)
Rhode Island
- CY 2023 Rhode Island MMP Model Materials Memo (PDF)
- CY 2023 Rhode Island MMP Marketing Guidance (PDF)
- Member ID Card (2023) (ZIP)
- Member Handbook English (2023) (ZIP)
- Member Handbook Spanish (2023) (ZIP)
- Provider & Pharmacy Directory - English & Spanish (2023) (ZIP)
- Summary of Benefits - English & Spanish (2023) (ZIP)
- List of Covered Drugs - English & Spanish (2023) (ZIP)
- Delegated Notices (2023) (ZIP)
- Integrated Denial Notice (2023) (ZIP)
- Annual Notice of Change - English & Spanish (2023) (ZIP)
South Carolina
- CY 2023 South Carolina MMP Model Materials Memo (PDF)
- CY 2023 South Carolina MMP Marketing Guidance (PDF)
- Member ID Card (2023) (ZIP)
- Member Handbook English (2023) (ZIP)
- Member Handbook Spanish (2023) (ZIP)
- Provider & Pharmacy Directory - English & Spanish (2023) (ZIP)
- Summary of Benefits - English & Spanish (2023) (ZIP)
- List of Covered Drugs - English & Spanish (2023) (ZIP)
- Delegated Notices (2023) (ZIP)
- Integrated Denial Notice (2023) (ZIP)
- Annual Notice of Change - English & Spanish (2023) (ZIP)
- Explanation of Benefits (EOB) - Drug Only (2023) (ZIP)
Texas
- CY 2023 Texas MMP Model Materials Memo (PDF)
- CY 2023 Texas MMP Marketing Guidance (PDF)
- Member ID Card (2023) (ZIP)
- Member Handbook English (2023) (ZIP)
- Member Handbook Spanish (2023) (ZIP)
- Provider & Pharmacy Directory - English & Spanish (2023) (ZIP)
- Summary of Benefits - English & Spanish (2023) (ZIP)
- List of Covered Drugs - English & Spanish (2023) (ZIP)
- Delegated Notices (2023) (ZIP)
- Integrated Denial Notice (2023) (ZIP)
- Annual Notice of Change - English & Spanish (2023) (ZIP)
- Explanation of Benefits (EOB) - Drug Only (2023) (ZIP)