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 2009_register executive 2010-09-23 article Part IV Rules and Regulations D09002ee1c8077c65 D09002ee1c8077d63 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 rule contains final regulations governing the Medicare Advantage (MA) program (Part C) and prescription drug benefit program (Part D), and interim final regulations governing certain aspects of the Retiree Drug Subsidy (RDS) Program, and reflecting new statutory definitions relating to Special Needs Plans under Part C. The final regulations revising the Part C and Part D regulations include provisions regarding medical savings account (MSA) plans, cost-sharing for dual eligible enrollees in the MA program, the prescription drug payment and novation processes in the Part D program, and the enrollment and appeals processes for both programs. This final rule with comment period also responds to public comments on the May 16, 2008 proposed rule and takes into account statutory revisions contained in the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA). 74 FR 1494 https://www.govinfo.gov/app/details/FR-2009-01-12/E9-148 E9-148 fr12ja09-8 4120-01-P CMS-4131-FC -RIN 0938-AP24 https://www.govinfo.gov/app/details/FR-2009-01-12/E9-148 https://www.govinfo.gov/content/pkg/FR-2009-01-12/html/E9-148.htm https://www.govinfo.gov/content/pkg/FR-2009-01-12/pdf/E9-148.pdf Administrative Practice and Procedure Health Facilities Health Maintenance Organizations (Hmo) Medicare Penalties Privacy Reporting and Recordkeeping Requirements Emergency Medical Services Health Maintenance Organizations (Hmos) Reporting and Recordkeeping 56 p. 1494 1549 74 FR 1494 Title 42 Part 422 42 CFR Part 422 Title 42 Part 423 42 CFR Part 423 Medicare Program; Medicare Advantage and Prescription Drug Benefit Programs: Negotiated Pricing and Remaining Revisions; Federal Register Vol. 74, Issue RULE E9-148 IV DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2009-03-13 CMS-4131-FC -RIN 0938-AP24 4120-01-P E9-148 Final rule with comment period.

This rule contains final regulations governing the Medicare Advantage (MA) program (Part C) and prescription drug benefit program (Part D), and interim final regulations governing certain aspects of the Retiree Drug Subsidy (RDS) Program, and reflecting new statutory definitions relating to Special Needs Plans under Part C. The final regulations revising the Part C and Part D regulations include provisions regarding medical savings account (MSA) plans, cost-sharing for dual eligible enrollees in the MA program, the prescription drug payment and novation processes in the Part D program, and the enrollment and appeals processes for both programs. This final rule with comment period also responds to public comments on the May 16, 2008 proposed rule and takes into account statutory revisions contained in the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA).

Effective Date: These regulations are effective on March 13, 2009. Change of Ownership: Scott Nelson, 410-786-1038. Administrative Practice and Procedure Health Facilities Health Maintenance Organizations (Hmo) Medicare Penalties Privacy Reporting and Recordkeeping Requirements Emergency Medical Services Health Maintenance Organizations (Hmos) Reporting and Recordkeeping Medicare Program: Medicare Advantage and Prescription Drug Benefit Programs; Negotiated Pricing and Remaining Revisions, http://regulations.gov http://www.ahrq.gov/ http://www.cms.hhs.gov/PrescriptionDrugCovContra/Downloads/Final%20Sponsor%20Guidance%20on%20BAE%20062707.zip http://www.cms.hhs.gov/PrescriptionDrugCovContra/Downloads/MemoClarifiedBAEGuidance_08%2004%2008_wROconts.pdf http://www.cms.hhs.gov/SpecialNeedsPlans http://www.hcbs.org/moreInfo.php/nb/doc/2216/ http://www.medicare.gov http://www.regulations.gov http://www.ustreas.gov/offices/public-affairs/hsa/ http://www.whitehouse.gov/omb/circulars/a004/a-4.pdf Vol. 74, no. 7 Office of the Federal Register, National Archives and Records Administration 2009-01-12 continuing daily deposited born digital 443 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2009-01-12 P0b002ee1809a60f4 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr12ja09 https://www.govinfo.gov/app/details/FR-2009-01-12 https://www.govinfo.gov/content/pkg/FR-2009-01-12/pdf/FR-2009-01-12.pdf https://www.govinfo.gov/content/pkg/FR-2009-01-12/xml/FR-2009-01-12.xml fdlp 1143 1581 DGPO 2010-09-23 2024-06-05 FR-2009-01-12 machine generated eng FR FR-2009-01-12 74 7