Medicare-Medicaid Plan (MMP) Marketing Information & Resources
02/23/2024: CMS released a revised version of the MMP Marketing Model Member Handbook Chapter 4 for Michigan. More information is available below. |
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 2024 MMP Enrollee Model Material Updates Memorandum (PDF)
- CY 2024 MMP & MSHO Plan Errata (DOCX)
- Explanation of Benefits - Integrated & Drug-Only (2024) (ZIP)
State-Specific Information
Illinois
- CY 2024 Illinois MMP Model Materials Memo (PDF)
- CY 2024 Illinois MMP Marketing Guidance (DOCX)
- Member ID Card (2024) (ZIP)
- Member Handbook English (2024) (ZIP)
- Member Handbook Spanish (2024) (ZIP)
- Provider & Pharmacy Directory - English & Spanish (2024) (ZIP)
- Summary of Benefits - English & Spanish (2024) (ZIP)
- List of Covered Drugs - English & Spanish (2024) (ZIP)
- Delegated Notices (2024) (ZIP)
- Integrated Denial Notice (2024) (ZIP)
- Annual Notice of Change - English & Spanish (2024) (ZIP)
- Appeals Notices (2024) (ZIP)
- Explanation of Benefits (EOB) - Drug Only & Integrated (2024) (ZIP)
Massachusetts
- CY 2024 Massachusetts MMP Model Materials Memo (PDF)
- CY 2024 Massachusetts MMP Marketing Guidance (DOCX)
- Member ID Card (2024) (ZIP)
- Member Handbook English (2024) (ZIP)
- Member Handbook Spanish (2024) (ZIP)
- Provider & Pharmacy Directory - English & Spanish (2024) (ZIP)
- Summary of Benefits - English & Spanish (2024) (ZIP)
- List of Covered Drugs - English & Spanish (2024) (ZIP)
- Delegated Notices (2024) (ZIP)
- Integrated Denial Notice (2024) (ZIP)
- Annual Notice of Change - English & Spanish (2024) (ZIP)
- Appeals Notices (2024) (ZIP)
Michigan
- CY 2024 Michigan MMP Model Materials Memo (PDF)
- CY 2024 Michigan MMP Marketing Guidance (DOCX)
- Member ID Card (2024) (ZIP)
- Member Handbook (2024) (ZIP)
- Provider & Pharmacy Directory (2024) (ZIP)
- Summary of Benefits (2024) (ZIP)
- List of Covered Drugs (2024) (ZIP)
- Delegated Notices (2024) (ZIP)
- Integrated Denial Notice (2024) (ZIP)
- Other Denial Notices (2024)
- Annual Notice of Change (2024) (ZIP)
- Appeals Notices (2024) (ZIP)
- Explanation of Benefits (EOB) - Drug Only (2024) (ZIP)
New York (FIDA-IDD Model)
- CY 2024 New York FIDA-IDD MMP Model Materials Memo (PDF)
- CY 2024 New York FIDA-IDD MMP Marketing Guidance (DOCX)
- Participant ID Card (2024) (ZIP)
- Participant Handbook English (2024) (ZIP)
- Participant Handbook Spanish (2024) (ZIP)
- Provider & Pharmacy Directory - English & Spanish (2024) (ZIP)
- Summary of Benefits - English & Spanish (2024) (ZIP)
- List of Covered Drugs - English & Spanish (2024) (ZIP)
- Delegated Notices (2024) (ZIP)
- Part D Letters (2024) (ZIP)
- Integrated Coverage Determination Notice (ICDN) Models (2024) (ZIP)
- Appeal & Grievance Notices (2024) (ZIP)
- Annual Notice of Change - English & Spanish (2024) (ZIP)
- Explanation of Benefits (EOB) - Drug Only (2024) (ZIP)
Ohio
- CY 2024 Ohio MMP Model Materials Memo (PDF)
- CY 2024 Ohio MMP Marketing Guidance (DOCX)
- Member ID Card (2024) (ZIP)
- Member Handbook English (2024) (ZIP)
- Member Handbook Spanish (2024) (ZIP)
- Provider & Pharmacy Directory - English & Spanish (2024) (ZIP)
- Summary of Benefits - English & Spanish (2024) (ZIP)
- List of Covered Drugs - English & Spanish (2024) (ZIP)
- Delegated Notices (2024) (ZIP)
- Integrated Denial Notice (2024) (ZIP)
- Annual Notice of Change - English & Spanish (2024) (ZIP)
- Appeal Notice (2024) (ZIP)
- Explanation of Benefits (EOB) - Drug Only (2024) (ZIP)
Rhode Island
- CY 2024 Rhode Island MMP Model Materials Memo (PDF)
- CY 2024 Rhode Island MMP Marketing Guidance (DOCX)
- Member ID Card (2024) (ZIP)
- Member Handbook English (2024) (ZIP)
- Member Handbook Spanish (2024) (ZIP)
- Provider & Pharmacy Directory - English & Spanish (2024) (ZIP)
- Summary of Benefits - English & Spanish (2024) (ZIP)
- List of Covered Drugs - English & Spanish (2024) (ZIP)
- Delegated Notices (2024) (ZIP)
- Integrated Denial Notice (2024) (ZIP)
- Annual Notice of Change - English & Spanish (2024) (ZIP)
South Carolina
- CY 2024 South Carolina MMP Model Materials Memo (PDF)
- CY 2024 South Carolina MMP Marketing Guidance (DOCX)
- Member ID Card (2024) (ZIP)
- Member Handbook English (2024) (ZIP)
- Member Handbook Spanish (2024) (ZIP)
- Provider & Pharmacy Directory - English & Spanish (2024) (ZIP)
- Summary of Benefits - English & Spanish (2024) (ZIP)
- List of Covered Drugs - English & Spanish (2024) (ZIP)
- Delegated Notices (2024) (ZIP)
- Integrated Denial Notice (2024) (ZIP)
- Annual Notice of Change - English & Spanish (2024) (ZIP)
- Explanation of Benefits (EOB) - Drug Only (2024) (ZIP)
Texas
- CY 2024 Texas MMP Model Materials Memo (PDF)
- CY 2024 Texas MMP Marketing Guidance (DOCX)
- Member ID Card (2024) (ZIP)
- Member Handbook English (2024) (ZIP)
- Member Handbook Spanish (2024) (ZIP)
- Provider & Pharmacy Directory - English & Spanish (2024) (ZIP)
- Summary of Benefits - English & Spanish (2024) (ZIP)
- List of Covered Drugs - English & Spanish (2024) (ZIP)
- Delegated Notices (2024) (ZIP)
- Integrated Denial Notice (2024) (ZIP)
- Annual Notice of Change - English & Spanish (2024) (ZIP)
- Explanation of Benefits (EOB) - Drug Only (2024) (ZIP)