Medicare-Medicaid Plans (MMPs)

A Medicare Advantage MMP is a private health plan that provides coordinated Medicare and Medicaid benefits for dually eligible individuals. MMPs simplify the processes for dual eligible individuals to access the care they are entitled to under Medicare and Medicaid programs. This includes providing beneficiaries with a seamless enrollment and disenrollment process and access to high-quality integrated healthcare.

MMPs differ from SNPs in that they are a totally aligned product designed to further strengthen the coordination of Medicare and Medicaid Services. An MMP is an alignment initiative in which Medicare and Medicaid benefits are offered as a single plan in a three-way contract between CMS, the state Medicaid agency (SMA), and the health plan; a D-SNP model is when a health plan holds a contract with Medicare and then a separate contract with the SMA to provide Medicaid benefits at varying levels of integration.

About MMP Integration

The Centers for Medicare and Medicaid Services (CMS) Financial Alignment Initiative (FAI) tested models to better integrate primary, acute, behavioral, and long-term services and supports.  FAI also provided participating states to share in savings.  Fifteen states were initially awarded demonstration contacts and implementation began in 2013.

The two models include (1) a prospective blended rate model for select health plans to provide both Medicare and Medicaid benefits to duals called the “capitated model”, and (2) a model that allows the state to take responsibility for coordinating the beneficiary’s care, called a “managed fee-for-service model (MFFS)”.

All FAI evaluation reports are available on CMS’ website here:

Relevant Statutes & Reports

The SNP Alliance is pleased to provide current and archived information about SNP and MMP contracts, SNP types, locations, and enrollment compiled each month by the CMS Health Plan Management System. The information is also available on the CMS website.

View the Latest Comprehensive Reports