Medicare-Medicaid Plans (MMPs) cover all Medicaid and Medicare benefits under a single entity through a three-way contract between the Centers for Medicare & Medicaid Services (CMS), the state, and the health plan. This three-way contract allows for fully integrated coverage for people who are dually eligible for Medicare and Medicaid. As of December 2023, beneficiaries were enrolled in MMPs across eight states: Illinois, Massachusetts, Michigan, New York, Ohio, Rhode Island, South Carolina, and Texas. In May 2022, CMS finalized the rule that sunsets MMPs under the Financial Alignment Initiative by the end of 2025 and proposes that states transition MMP enrollees to integrated Medicare Advantage dual eligible special needs plans (D-SNPs).
MACPAC has been monitoring this transition and provided our first update to Commissioners at the December 2022 meeting. Since then, MACPAC has regularly engaged state staff regarding their transition to integrated D-SNPs as well as their progress in completing transition activities within the two-year timeline that CMS established. This presentation discussed stakeholder outreach strategies from our most recent state interviews and concluded with next steps to continue monitoring progress as states move into the procurement phase of their transition.
