Resources

  • September 2020

    Medicare-Medicaid Plan (MMP) Technical Guide to Eligibility and Enrollment Transaction Processing

    This guide describes the interface that states with Financial Alignment Initiative Demonstrations use to conduct Medicare eligibility verification and MMP enrollment submission to the CMS MARx systems. Version 3.3 of the Guide reflects the CMS... (Infocrossing)
  • Other Resource | September 2020

    State and MMP User Guides for MMP Enrollment Processing

    Medicare-Medicaid Plan (MMP) Technical Guide to Eligibility and Enrollment Transaction Processing This guide describes the interface that states with Financial Alignment Initiative Demonstrations use to conduct Medicare eligibility verification and... (Infocrossing)
  • September 2019

    E&E360 Online Interface State and MMP User Guide

    This user guide, produced in September 2019, provides detailed instructions for state and MMP users on the new Infocrossing online interface that states and MMPs use to submit eligibility queries and enrollment transactions for Financial Alignment... (Infocrossing)
  • June 2016

    Accounting for Social Risk Factors in Medicare Payment: Identifying Risk Factors

    This report presents a conceptual social risk factor framework, and details the results of a literature review linking social risk factors to health care outcomes important to Medicare payment and quality programs. (National Academies of Sciences, Engineering, and Medicine)
  • Other Resource | December 2011

    Measuring Quality for Complex Medicaid Beneficiaries in New York State

    This United Hospital Fund report focuses on measuring quality of care for Medicaid beneficiaries with complex needs, including those with multiple chronic conditions, behavioral health conditions, and long-term care needs, including dual eligibles. (United Hospital Fund)
  • Other Resource

    Texas State Website

    This website provides information on the Dual Eligible Project (MMP) -- the capitated model Financial Alignment Initiative in Texas. (Texas Health and Human Services)
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