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 2011_register executive 2011-04-15 article Part II Rules and Regulations D09002ee1c8000a22 D09002ee1c8000b0f 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 final rule makes revisions to the Medicare Advantage (MA) program (Part C) and Prescription Drug Benefit Program (Part D) to implement provisions specified in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act) (ACA) and make other changes to the regulations based on our experience in the administration of the Part C and Part D programs. These latter revisions clarify various program participation requirements; make changes to strengthen beneficiary protections; strengthen our ability to identify strong applicants for Part C and Part D program participation and remove consistently poor performers; and make other clarifications and technical changes. 76 FR 21432 https://www.govinfo.gov/app/details/FR-2011-04-15/2011-8274 2011-8274 fr15ap11-9 RIN 0938-AQ00 4120-01-P CMS-4144-F https://www.govinfo.gov/app/details/FR-2011-04-15/2011-8274 https://www.govinfo.gov/content/pkg/FR-2011-04-15/html/2011-8274.htm https://www.govinfo.gov/content/pkg/FR-2011-04-15/pdf/2011-8274.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 Health Professionals 146 p. 21432 21577 76 FR 21432 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-AQ00 Medicare Program; Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs for Contract Year 2012 and Other Changes; Federal Register Vol. 76, Issue RULE 2011-8274 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2011-06-06 CMS-4144-F 4120-01-P 2011-8274 Final rule.

This final rule makes revisions to the Medicare Advantage (MA) program (Part C) and Prescription Drug Benefit Program (Part D) to implement provisions specified in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act) (ACA) and make other changes to the regulations based on our experience in the administration of the Part C and Part D programs. These latter revisions clarify various program participation requirements; make changes to strengthen beneficiary protections; strengthen our ability to identify strong applicants for Part C and Part D program participation and remove consistently poor performers; and make other clarifications and technical changes.

Effective Dates: These regulations are effective on June 6, 2011, unless otherwise specified in this final rule. Amendments to 42 CFR 422.564, 422.624, and 422.626 published April 4, 2003 at 68 FR 16652 are effective June 6, 2011. Vanessa Duran, (410) 786-8697, Christopher McClintick, (410) 786- 4682, and Sabrina Ahmed, (410) 786-7499, General information. 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 Health Professionals Medicare Program: Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs for Contract Year 2012 and Other Changes , PartCratings@cms.hhs.gov http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&sid=2465b064ba6965cc1fbd2eae60854b11&rgn=div8&view=text&node=13:1.0.1.1.16.1.266.9&idno=13 http://healthit.hhs.gov/portal/server.pt?open=512&objID=1224&parentname=CommunityPage&parentid=27&mode=2&in_hi_userid=11113&cached=true http://www.cms.gov http://www.cms.gov/HealthCareFinancingReview/Downloads/04summerpg119.pdf http://www.cms.gov/ManagedCareMarketing/Downloads/R91MCM.pdf http://www.cms.gov/manuals/downloads/mc86c09.pdf http://www.cms.gov/MedicareAdvtgSpecRateStats/ http://www.cms.gov/MedicareMangCareEligEnrol/Downloads/FINALMAEnrollmentandDisenrollmentGuidanceUpdateforCY2011.pdf http://www.cms.gov/MedicarePresDrugEligEnrol http://www.cms.gov/MedicarePresDrugEligEnrol/Downloads/FINALPDPEnrollmentandDisenrollmentGuidanceUpdateforCY2011.pdf http://www.cms.gov/PhysicianFeeSched/ http://www.cms.gov/PrescriptionDrugCovContra/12_PartDManuals.asp#TopOfPage http://www.cms.gov/PrescriptionDrugCovGenIn/06_PerformanceData.asp http://www.hqlo.com/content/2/1/33 http://www.Medicare.gov http://www.whitehouse.gov/omb/circulars/a004/a-4.pdf https://www.cms.HospitalOPPS/ https://www.medicare.gov/MedicareComplaintForm/home.aspx Medicare.gov www.cms.gov www.medicare.gov Vol. 76, no. 73 Office of the Federal Register, National Archives and Records Administration 2011-04-15 continuing daily deposited born digital 402 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2011-04-15 P0b002ee180cc8426 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr15ap11 https://www.govinfo.gov/app/details/FR-2011-04-15 https://www.govinfo.gov/content/pkg/FR-2011-04-15/pdf/FR-2011-04-15.pdf https://www.govinfo.gov/content/pkg/FR-2011-04-15/xml/FR-2011-04-15.xml fdlp 21221 21612 DGPO 2011-04-15 2024-06-04 FR-2011-04-15 machine generated eng FR FR-2011-04-15 76 73