Medicare-Medicaid Plan (MMP) Marketing Information & Resources
Guidance for Medicare-Medicaid Plan (MMP) Marketing Information & Resources.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 17, 2020
07/01/2024: CMS released the CY 2025 MMP English Marketing Model Materials & Memoranda for Illinois, Massachusetts, Michigan, New York (FIDA-IDD), Ohio, Rhode Island, South Carolina, & Texas. 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 2025 Illinois MMP Model Materials Memo (PDF)
- CY 2025 Illinois MMP Model Materials (ZIP)
- CY 2024 Illinois MMP Model Materials Memo (PDF)
- CY 2024 Illinois MMP Model Materials (ZIP)
- CY 2024 Illinois MMP Marketing Guidance (DOCX)
Massachusetts
- CY 2025 Massachusetts MMP Model Materials Memo
- CY 2025 Massachusetts MMP Model Materials
- CY 2024 Massachusetts MMP Model Materials Memo (PDF)
- CY 2024 Massachusetts MMP Model Materials
- 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 2025 Michigan MMP Model Materials Memo
- CY 2025 Michigan MMP Model Materials
- CY 2024 Michigan MMP Model Materials Memo (PDF)
- CY 2024 Michigan MMP Model Materials
- 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 2025 New York FIDA-IDD MMP Model Materials Memo
- CY 2025 New York FIDA-IDD MMP Model Materials
- CY 2024 New York FIDA-IDD MMP Model Materials Memo (PDF)
- CY 2024 New York FIDA-IDD MMP Model Materials
- 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 2025 Ohio MMP Model Materials Memo
- CY 2025 Ohio MMP Model Materials
- CY 2024 Ohio MMP Model Materials Memo (PDF)
- CY 2024 Ohio MMP Model Materials
- 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 2025 Rhode Island MMP Model Materials Memo
- CY 2025 Rhode Island MMP Model Materials
- CY 2024 Rhode Island MMP Model Materials Memo (PDF)
- CY 2024 Rhode Island MMP Model Materials
- 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 2025 South Carolina MMP Model Materials Memo
- CY 2025 South Carolina MMP Model Materials
- CY 2024 South Carolina MMP Model Materials Memo (PDF)
- CY 2024 South Carolina MMP Model Materials
- 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 2025 South Carolina MMP Model Materials Memo
- CY 2025 South Carolina MMP Model Materials
- CY 2024 Texas MMP Model Materials Memo (PDF)
- CY 2024 Texas MMP Model Materials
- 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)
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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.