Information and Guidance for Plans
03/21/2024: (MMP Reporting Requirements page) CMS released revised Core Measure 2.1 & 3.2 Frequently Asked Questions (FAQs). |
02/29/2024: (MMP Reporting Requirements page) CMS released revised State-Specific Reporting Requirements and corresponding Memoranda and Value Sets Workbooks. |
02/23/2024: (MMP Marketing Information & Resources page) CMS released a revised version of the MMP Marketing Model Member Handbook Chapter 4 for Michigan. |
02/07/2024: (MMP Application & Annual Requirements page) CMS published the CY 2024 MMP Health Service Delivery (HSD) Network Submission Guidance Memorandum, Instructions, & Adequacy Standards Criteria Reference Table. |
02/05/2024: (MMP Reporting Requirements page): CMS released the revised (01/18/2024) CY 2024 Core Reporting Requirements and Value Sets Workbook. (MMP QW Methodology & Technical Notes page): CMS released the revised Capitated Financial Alignment QW Methodology for Massachusetts, Michigan, Ohio, Rhode Island, & South Carolina for Demonstration Years 2-12 (accordingly). |
Overview
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.