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HHS/CMS RIN: 0938-AT59 Publication ID: Fall 2022 
Title: Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs for Contract Year 2020; Risk Adjustment Data Validation (CMS-4185) 
Abstract:

The first final rule set forth programmatic and operational changes to the Medicare Advantage (MA) and prescription drug benefit programs for contract year 2020. The second final rule addresses the Medicare Advantage Risk Adjustment Data Validation provisions.

 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 422   
Legal Authority: 42 U.S.C. 1302    42 U.S.C. 1395hh   
Legal Deadline:
Action Source Description Date
Final  Statutory  Under MMA sec. 902, 3-year deadline extended  02/01/2023 

Overall Description of Deadline: MMA section 902 requires Medicare final rules publish within 3 years of a proposed or interim final rule. A notice may publish in the Federal Register before the 3-year deadline extending the timeline. We do not intend to delay publishing the final regulation if we are able to publish it sooner.

Timetable:
Action Date FR Cite
NPRM  11/01/2018  83 FR 54982   
NPRM Comment Period Extension Notice (RADV Only)  12/27/2018  83 FR 66661   
2nd NPRM Comment Period Extension Notice (RADV Only)  04/30/2019  84 FR 18215   
NPRM Comment Period End (RADV Only)  08/28/2019 
Final Action  04/16/2019  84 FR 15680   
Final Action Effective  01/01/2020 
Final Rule Timeline Extension Notice (RADV Only)  10/21/2021  86 FR 58245   
2nd Final Rule Timeline Extension Notice (RADV Only)  11/01/2022  87 FR 86723   
Second Final Action (RADV)  02/00/2023 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Joseph Strazzire
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Program Integrity, MS: AR-22-56, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-2775
Email: joseph.strazzire@cms.hhs.gov