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HHS/CMS RIN: 0938-AU30 Publication ID: Spring 2022 
Title: Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (CMS-4192) 
Abstract:

This final rule revises the Medicare Advantage (MA) (Part C) program and Medicare Prescription Drug Benefit (Part D) program regulations to implement changes related to marketing and communications, past performance, Star Ratings, network adequacy, medical loss ratio reporting, special requirements during disasters or public emergencies, and pharmacy price concessions. This rule also revises regulations related to dual eligible special needs plans (D-SNPs), other special needs plans, and cost contract plans.

 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 422    42 CFR 423   
Legal Authority: 42 U.S.C. 1302    42 U.S.C. 1306    42 U.S.C. 1395w-101 to 1395w-152    42 U.S.C. 1395hh   
Legal Deadline:
Action Source Description Date
Final  Statutory  MMA sec. 902 requires Medicare final rules publish within 3 years of a proposed or interim final rule.  01/12/2025 

Overall Description of Deadline: Per the CMS notice published December 30, 2004 (69 FR 78442), except for certain Medicare payment regulations and certain other statutorily–mandated regulations, we schedule all Medicare final regulations for publication within the 3–year standardized time limit in the current Unified Agenda. We do not intend to delay publishing a Medicare final regulation for 3 years if we are able to publish it sooner.

Timetable:
Action Date FR Cite
NPRM  01/12/2022  87 FR 1842   
NPRM Comment Period End  03/07/2022 
Final Action  05/09/2022  87 FR 27704   
Final Action Effective  06/28/2022 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Melissa Seeley
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Federal Coordinated Health Care Office, MS: Rm 3800, 7500 Security Blvd,
Baltimore, MD 21244
Phone:212 616-2329
Email: melissa.seeley@cms.hhs.gov

Christian Bauer
Director, Division of Part D Policy
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare, MS: C1-26-16, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-6043
Email: christian.bauer@cms.hhs.gov