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Proposed Rule

Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly

Proposed rule.

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Summary:

This proposed rule would revise the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), Medicaid, Medicare cost plan, and Programs of All-Inclusive Care for the Elderly (PACE) regulations to implement changes related to Star Ratings, marketing and communications, agent/broker compensation, health equity, drug coverage, dual eligible special needs plans (D-SNPs), utilization management, network adequacy, and other programmatic areas, including the Medicare Drug Price Negotiation Program. This proposed rule also includes proposals to codify existing subregulatory guidance in the Part C and Part D programs.

Key Dates
Citation: 89 FR 99340
To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. Eastern Time on January 27, 2025.
Comments closed: January 27, 2025
Public Participation
Topics:
Administrative practice and procedure Aged Citizenship and naturalization Civil rights Grant programs-health Health Health care Health facilities Health insurance Health maintenance organizations (HMO) Health records Individuals with disabilities Medicaid Medicare Penalties Privacy Religious discrimination Reporting and recordkeeping requirements Sex discrimination

Document Details

Document Number2024-27939
FR Citation89 FR 99340
TypeProposed Rule
PublishedDec 10, 2024
Effective Date-
RIN0938-AV40
Docket IDCMS-4208-P
Pages99340–99579 (240 pages)
Text FetchedNo

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