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HHS/CMS RIN: 0938-AO54 Publication ID: Fall 2008 
Title: Prohibition of Mid-Year Benefit Enhancements for Medicare Advantage Organizations Offering Plans in Calendar Year 2007 and Subsequent Calendar Years (CMS-4121-F) 
Abstract: This rule implements new policy to prohibit Medicare Advantage (MA) organizations from offering mid-year benefit enhancements (MYBEs). In order to fully comply with the statute (MMA), CMS can no longer permit MYBEs as these threaten the integrity of the competitive bidding process established by the statute. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 422.2   
Legal Authority: 42 USC 1302    42 USC 1395hh   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  09/01/2006  71 FR 52014   
NPRM Comment Period End  10/31/2006    
Final Action  07/28/2008  73 FR 43688   
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Christopher McClintick
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare, MS: C4-22-04, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4682
Email: christopher.mcclintick@cms.hhs.gov