Health and Human Services Department, Centers for Medicare & Medicaid Services
This final rule revises the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), and Medicare cost plan regulations to implement changes related to Star Ratings, marketing and communications, drug coverage, enrollment processes, special needs plans, and other programmatic areas.
Document Headings Document headings vary by document type but may contain the following: the agency or agencies that issued and signed a document the number of the CFR title and the number of each part the document amends, proposes to amend, or is directly related to the agency docket number / agency internal file number the RIN which identifies each regulatory action listed in the Unified Agenda of Federal Regulatory and Deregulatory Actions See the Document Drafting Handbook for more details. Department of Health and Human Services Centers for Medicare & Medicaid Services 42 CFR Parts 422 and 423 [CMS-4208-F3 and CMS-4212-F] RIN 0938-AV40 and 0938-AV63 ( printed page 17384) AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS). ACTION: Final rule. SUMMARY: This final rule revises the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), and Medicare cost plan regulations to implement changes related to Star Ratings, marketing and communications, drug coverage, enrollment processes, special needs plans, and other programmatic areas. DATES: Effective date: These regulations are effective June 1, 2026. Applicability date: These regulations are applicable to coverage beginning January 1, 2027. FOR FURTHER INFORMATION CONTACT: Kristy Nishimoto, (206) 615-2367—General Questions and Beneficiary Enrollment Issues. Naseem Tarmohamed, (410) 786-0814—Part C and Cost Plan Issues. Lucia Patrone, (410) 786-8621—Part D Issues. Alissa Gross, (410) 786-1120—Parts C and D Payment Issues. Sara Klotz, (410) 786-1984—D-SNP Issues. Beckie Peyton, (410) 786-1572—Manufacturer Discount Program Issues. PartCandDStarRatings@cms.hhs.gov —Parts C and D Star Ratings Issues. CMMI_MAStrategy@cms.hhs.gov —RFI on Future Directions in Medicare Advantage CPI_PartC& D_RegIssues@cms.hhs.gov —Part D Program Integrity Issues SUPPLEMENTARY INFORMATION: I. Executive Summary…
Citation: 91 FR 17384
