Medicare-Medicaid Plan (MMP) Reporting Requirements
Guidance for Medicare-Medicaid Plan (MMP) Reporting Requirements, including submission of monitoring and performance data.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: March 13, 2020
| 03/21/2024: CMS released revised Core Measure 2.1 & 3.2 Frequently Asked Questions (FAQs). More information is available below. |
| 02/29/2024: CMS released revised State-Specific Reporting Requirements and corresponding Memoranda and Value Sets Workbooks. More information is available below. |
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)
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 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)
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