United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2008_register executive 2010-09-23 article Part III Rules and Regulations D09002ee1c8083463 D09002ee1c808355e United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This interim final rule with comment period (IFC) revises the regulations governing the Medicare Advantage (MA) program (Part C), prescription drug benefit program (Part D) and section 1876 cost plans. This IFC makes conforming changes to the MA regulations to reflect new statutory requirements regarding special needs plans (SNP), private- fee-for-service plans (PFFS), regional preferred provider organizations (RPPO) plans, Medicare medical savings accounts (MSA) plans, and new statutory provisions governing cost-sharing for dual-eligible enrollees in the MA program prescription drug pricing, coverage, and payment processes in the Part D program. In addition, this IFC sets forth new requirements governing the marketing of Part C and Part D plans which by statute must be in place at a date specified by the Secretary, but no later than November 15, 2008. Both the conforming changes to the regulations to reflect new statutory provisions and the new marketing requirements are based on provisions in the Medicare Improvements for Patients and Providers Act (MIPPA), which became law on July 15, 2008. 73 FR 54226 https://www.govinfo.gov/app/details/FR-2008-09-18/E8-21686 E8-21686 fr18se08-14 RIN 0938-AP52 4120-01-P CMS 4138-IFC https://www.govinfo.gov/app/details/FR-2008-09-18/E8-21686 https://www.govinfo.gov/content/pkg/FR-2008-09-18/html/E8-21686.htm https://www.govinfo.gov/content/pkg/FR-2008-09-18/pdf/E8-21686.pdf Administrative Practice and Procedure Grant Programs-Health Health Care Health Insurance Health Maintenance Organizations (Hmo) Loan Programs-Health Medicare Reporting and Recordkeeping Requirements Health Facilities Penalties Privacy Emergency Medical Services Reporting and Recordkeeping 29 p. 54226 54254 73 FR 54226 Title 42 Part 417 42 CFR Part 417 Title 42 Part 422 42 CFR Part 422 Title 42 Part 423 42 CFR Part 423 RIN 0938-AP52 Medicare Program; Revisions to the Medicare Advantage and Prescription Drug Benefit Programs; Federal Register Vol. 73, Issue RULE E8-21686 III DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2008-09-18 CMS 4138-IFC 4120-01-P E8-21686 Interim final rule with comment period.

This interim final rule with comment period (IFC) revises the regulations governing the Medicare Advantage (MA) program (Part C), prescription drug benefit program (Part D) and section 1876 cost plans. This IFC makes conforming changes to the MA regulations to reflect new statutory requirements regarding special needs plans (SNP), private- fee-for-service plans (PFFS), regional preferred provider organizations (RPPO) plans, Medicare medical savings accounts (MSA) plans, and new statutory provisions governing cost-sharing for dual-eligible enrollees in the MA program prescription drug pricing, coverage, and payment processes in the Part D program. In addition, this IFC sets forth new requirements governing the marketing of Part C and Part D plans which by statute must be in place at a date specified by the Secretary, but no later than November 15, 2008. Both the conforming changes to the regulations to reflect new statutory provisions and the new marketing requirements are based on provisions in the Medicare Improvements for Patients and Providers Act (MIPPA), which became law on July 15, 2008.

Effective Date: September 18, 2008. Private-Fee-For-Service Plans--Sabrina Ahmed, 410-786-7499. Special Needs Plans--LaVern Baty, 410-786-5480. Cost Plans--Chris McClintick, 410-786-4682. Medicare Medical Savings Account Plans--Anne Manley, 410-786-1096. Enrollment--Lynn Orlosky, 410-786-9064. Payment--Frank Szeflinski, 303-844-7119. Marketing--Camille Brown, 410-786-0274, or Chevell Thomas, 410-786- 1387. Contract provision relating to Part D drug benefit--Vanessa Duran, 410- 786-8697, or Deborah Larwood, 410-786-9500. Low-income subsidy and late enrollment penalties--Deondra Moseley, (410) 786-4577 or Meghan Elrington, (410) 786-8675. Administrative Practice and Procedure Grant Programs-Health Health Care Health Insurance Health Maintenance Organizations (Hmo) Loan Programs-Health Medicare Reporting and Recordkeeping Requirements Health Facilities Penalties Privacy Emergency Medical Services Reporting and Recordkeeping Medicare Program: Revisions to the Medicare Advantage and Prescription Drug Benefit Programs, Brenda_Aguilar@omb.eop.gov http://oig.hhs.gov/fraud/advisoryopinions.html http://regulations.gov http://www.ahrq.gov/ http://www.regulations.gov http://www.whitehouse.gov/omb/circulars/index.html Vol. 73, no. 182 Office of the Federal Register, National Archives and Records Administration 2008-09-18 continuing daily deposited born digital 240 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2008-09-18 P0b002ee1809c3fd3 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr18se08 https://www.govinfo.gov/app/details/FR-2008-09-18 https://www.govinfo.gov/content/pkg/FR-2008-09-18/pdf/FR-2008-09-18.pdf https://www.govinfo.gov/content/pkg/FR-2008-09-18/xml/FR-2008-09-18.xml fdlp 54057 54288 DGPO 2010-09-23 2024-06-05 FR-2008-09-18 machine generated eng FR FR-2008-09-18 73 182