Information and Guidance for Plans

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
  • Enrollment
  • 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.

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Page Last Modified:
09/06/2023 04:57 PM