Medicare-Medicaid Plan (MMP) Reporting Requirements

MMPs are required to regularly submit monitoring and performance data to CMS and participating states. The following documents provide guidance, technical specifications, and applicable codes for the core and state-specific measures that MMPs must report. The core and state-specific measures supplement existing Medicare Part C and Part D reporting requirements, as well as measures that MMPs report through other venues, such as HEDIS®, HOS, CAHPS®, and state Medicaid agencies.

• CY 2024 Core Reporting Update Memo (11/01/2023) (PDF)
• CY 2024 Core Reporting Requirements (01/18/2024) (PDF)
• CY 2024 Core Value Sets Workbook (01/18/2024) (XLSX)
• CY 2023 Core Reporting Update Memo (11/01/2022) (PDF)
• CY 2023 Core Reporting Requirements (11/01/2022) (PDF)
• CY 2023 Core Value Sets Workbook (11/01/2022) (XLSX)
• Core Measure 2.1 Frequently Asked Questions (FAQs) (03/2024) (PDF)
• Core Measure 3.2 Frequently Asked Questions (FAQs) (03/2024) (PDF)
• Core Measure 9.3 Frequently Asked Questions (FAQs) (07/01/2023) (PDF)
• Core Reporting Templates (ZIP)
• Core Reporting Requirements & Value Sets Workbooks Archive (ZIP)

California (demonstration ended 12/31/2022)

• California-Specific Reporting Requirements & Value Sets Workbooks Archive (ZIP)

Illinois

• Illinois-Specific Reporting Update Memo (02/29/2024) (PDF)
• Illinois-Specific Reporting Requirements (02/29/2024) (PDF)
• Illinois-Specific Value Sets Workbook (02/29/2024) (XLSX)
• Illinois-Specific Reporting Update Memo (02/28/2023) (PDF)
• Illinois-Specific Reporting Requirements (02/28/2023) (PDF)
• Illinois-Specific Value Sets Workbook (02/28/2023) (XLSX)
• Illinois-Specific Reporting Requirements & Value Sets Workbooks Archive (ZIP)

Massachusetts

• Massachusetts-Specific Reporting Update Memo (02/29/2024) (PDF)
• Massachusetts-Specific Reporting Requirements (02/29/2024) (PDF)
• Massachusetts-Specific Value Sets Workbook (02/29/2024) (XLSX)
• Massachusetts-Specific Reporting Update Memo (02/28/2023) (PDF)
• Massachusetts-Specific Reporting Requirements (02/28/2023) (PDF)
• Massachusetts-Specific Value Sets Workbook (02/28/2023) (XLSX)
• Massachusetts-Specific Reporting Requirements & Value Sets Workbooks Archive (ZIP)

Michigan

• Michigan-Specific Reporting Update Memo (02/29/2024) (PDF)
• Michigan-Specific Reporting Requirements (02/29/2024) (PDF)
• Michigan-Specific Value Sets Workbook (02/29/2024) (XLSX)
• Michigan-Specific Reporting Update Memo (02/28/2023) (PDF)
• Michigan-Specific Reporting Requirements (02/28/2023) (PDF)
• Michigan-Specific Value Sets Workbook (02/28/2023) (XLSX)
• Michigan-Specific Reporting Requirements & Value Sets Workbooks Archive (ZIP)

New York - Fully Integrated Duals Advantage (FIDA) Demonstration (demonstration ended 12/31/2019)

• New York FIDA-Specific Reporting Requirements & Value Sets Workbooks Archive (ZIP)

New York - FIDA Intellectual and Developmental Disabilities (FIDA-IDD) Demonstration

• New York FIDA-IDD-Specific Reporting Update Memo (02/29/2024) (PDF)
• New York FIDA-IDD-Specific Reporting Requirements (02/29/2024) (PDF)
• New York FIDA-IDD-Specific Value Sets Workbook (02/29/2024) (XLSX)
• New York FIDA-IDD-Specific Reporting Update Memo (02/28/2023) (PDF)
• New York FIDA-IDD-Specific Reporting Requirements (02/28/2023) (PDF)
• New York FIDA-IDD-Specific Value Sets Workbook (02/28/2023) (XLSX)
• New York FIDA-IDD-Specific Reporting Requirements & Value Sets Workbooks Archive (ZIP)

Ohio

• Ohio-Specific Reporting Update Memo (02/29/2024) (PDF)
• Ohio-Specific Reporting Requirements (02/29/2024) (PDF)
• Ohio-Specific Value Sets Workbook (02/29/2024) (XLSX)
• Ohio-Specific Reporting Update Memo (02/28/2023) (PDF)
• Ohio-Specific Reporting Requirements (02/28/2023) (PDF)
• Ohio-Specific Value Sets Workbook (02/28/2023) (XLSX)
• Ohio-Specific Reporting Requirements & Value Sets Workbooks Archive (ZIP)

Rhode Island

• Rhode Island-Specific Reporting Update Memo (02/29/2024) (PDF)
• Rhode Island-Specific Reporting Requirements (02/29/2024) (PDF)
• Rhode Island-Specific Value Sets Workbook (02/29/2024) (XLSX)
• Rhode Island-Specific Reporting Update Memo (02/28/2023) (PDF)
• Rhode Island-Specific Reporting Requirements (02/28/2023) (PDF)
• Rhode Island-Specific Value Sets Workbook (02/28/2023) (XLSX)
• Rhode Island-Specific Reporting Requirements & Value Sets Workbooks Archive (ZIP)

South Carolina

• South Carolina-Specific Reporting Update Memo (02/29/2024) (PDF)
• South Carolina-Specific Reporting Requirements (02/29/2024) (PDF)
• South Carolina-Specific Value Sets Workbook (02/29/2024) (XLSX)
• South Carolina-Specific Reporting Update Memo (02/28/2023) (PDF)
• South Carolina-Specific Reporting Requirements (02/28/2023) (PDF)
• South Carolina-Specific Value Sets Workbook (02/28/2023) (XLSX)
• South Carolina-Specific Reporting Requirements & Value Sets Workbooks Archive (ZIP)

Texas

• Texas-Specific Reporting Update Memo (02/29/2024) (PDF)
• Texas-Specific Reporting Requirements (02/29/2024) (PDF)
• Texas-Specific Value Sets Workbook (02/29/2024) (XLSX)
• Texas-Specific Reporting Update Memo (02/28/2023) (PDF)
• Texas-Specific Reporting Requirements (02/28/2023) (PDF)
• Texas-Specific Value Sets Workbook (02/28/2023) (XLSX)
• Texas-Specific Reporting Requirements & Value Sets Workbooks Archive (ZIP)

Virginia (demonstration ended 12/31/2017)

• Virginia-Specific Reporting Requirements & Value Sets Workbooks Archive (ZIP)

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