Information and Guidance for Plans
08/14/2023:(MMP Marketing Information & Resources page)
CMS released the CY 2024 National Explanation of Benefits Model Materials, the CY 2024 MMP Enrollee Model Material Updates Memorandum, & the CY 2024 MMP MSHO PLAN ERRATA.
08/09/2023: (MMP Enrollment page)
CMS released the MMP Eligibility & Enrollment Transaction Processing Technical Guide Version 8.0.
08/09/2023: (MMP Application & Annual Requirements page)
CMS released the CY 2023 MMP Health Service Delivery (HSD) Network Submission Guidance Memorandum & Instructions.
08/09/2023: (MMP Marketing Information & Resources page)
CMS released the CY 2024 MMP Model Materials Memoranda, Marketing Guidance, & Model Materials (English & Spanish, as applicable), for Illinois, Massachusetts, Michigan, Minnesota, New York (FIDA-IDD), Ohio, Rhode Island, South Carolina, & Texas.
07/01/2023: (MMP Reporting Requirements page)
CMS released revised Core Measure 9.3 Frequently Asked Questions (FAQs).
This page includes information and guidance for Medicare-Medicaid Plans (MMPs) participating in the Financial Alignment Initiative capitated model demonstrations and the Minnesota Demonstration to Integrate Care for Dual Eligibles in the following areas:
- Application & Annual Requirements
- Reporting Requirements
- Audit Programs
- Encounter Data Reporting
- Marketing Information & Resources
- Quality Withhold Methodology & Technical Notes
- Chronic Care Improvement Programs & Quality Improvement Projects
Email us if you need more information about MMP requirements.
More information on each state's demonstration can be found on the Financial Alignment Initiative page.