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Final 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

Final rule.

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Summary:

This final rule revises the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), Medicare cost plan, and Programs of All-Inclusive Care for the Elderly (PACE) regulations to implement changes related to prescription drug coverage, the Medicare Prescription Payment Plan, dual eligible special needs plans (D-SNPs), Part C and D Star Ratings, and other programmatic areas, including the Medicare Drug Price Negotiation Program. This final rule also codifies existing sub-regulatory guidance in the Part C and Part D programs.

Key Dates
Citation: 90 FR 15792
Effective date: These regulations are effective June 3, 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 Number2025-06008
FR Citation90 FR 15792
TypeFinal Rule
PublishedApr 15, 2025
Effective DateJun 3, 2025
RIN0938-AV40
Docket IDCMS-4208-F
Pages15792–15921 (130 pages)
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