Information and Guidance for Plans

Information and Guidance for Plans
SPOTLIGHT & RELEASES

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.

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Page Last Modified:
03/21/2024 10:56 AM
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