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Official Account

CY 2026 Policy and Technical Changes to Medicare Advantage and Part D Programs

Centers for Medicare & Medicaid Services

*CY 2026 Policy and Technical Changes to Medicare Advantage, Medicare Prescription Drug Benefit, Medicare Cost Plan Programs, and Programs of All-Inclusive Care for the Elderly.*

*Feel free to share with interested parties.*

On November 26, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would revise the Medicare Advantage (MA) Program, Medicare Prescription Drug Benefit Program (Part D), Medicare Cost Plan Program, Programs of All-Inclusive Care for the Elderly (PACE). To review or comment on the CY 2026 MA and Part D proposed rule during its 60-day public comment period, visit the Federal Register: https://www.federalregister.gov/documents/2024/12/10/2024-27939/medicare-and-medicaid-programs-contract-year-2026-policy-and-technical-changes-to-the-medicare.

*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 *

*To be assured consideration, **comments must be received no later than 5 p.m. Eastern Time on January 27, 2025**. 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.In commenting, please refer to file code CMS-4208-P. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission. Comments, including mass comment submissions, must be submitted in one of the following three ways (please choose only one of the ways listed):*


* * Electronically.*

*You may submit electronic comments on this regulation to http://www.regulations.gov.*

*Follow the “Submit a comment” instructions.*


* * By regular mail.*

*You may mail written comments to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-4208-P, P.O. Box 8013, Baltimore, MD 21244-8013.*

*Please allow sufficient time for mailed comments to be received before the close of the comment period.*


* * By express or overnight mail.*

*You may send written comments to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-4208-P, Mail Stop C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850.*

CMS Office of Puerto Rico has sent this update. To contact CMS PRVI send an e-mail to cmsprvi@cms.hhs.gov.

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  • [Registrant]Centers for Medicare & Medicaid Services (CMS)
  • [Language]日本語
  • [Location]Baltimore, MD
  • Posted : 2024/12/12
  • Published : 2024/12/12
  • Changed : 2024/12/12
  • Total View : 10 persons
Web Access No.2390829