{"abstract":"This final rule finalizes revisions to the regulations governing the Medicare Advantage (MA) program (Part C), prescription drug benefit program (Part D) and section 1876 cost plans including conforming changes to the MA regulations to implement statutory requirements regarding special needs plans (SNPs), private fee-for- service plans (PFFS), regional preferred provider organizations (RPPO) plans, and Medicare medical savings accounts (MSA) plans, cost-sharing for dual-eligible enrollees in the MA program and prescription drug pricing, coverage, and payment processes in the Part D program, and requirements governing the marketing of Part C and Part D plans.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2011/09/01/2011-22126.html","cfr_references":[{"chapter":null,"citation_url":null,"part":417,"title":42},{"chapter":null,"citation_url":null,"part":422,"title":42},{"chapter":null,"citation_url":null,"part":423,"title":42}],"citation":"76 FR 54600","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective Date: Except as otherwise specified these regulations are effective on October 31, 2011.","disposition_notes":null,"docket_ids":["CMS-4131-F and CMS 4138-F"],"dockets":[],"document_number":"2011-22126","effective_on":"2011-10-31","end_page":54635,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2011/09/01/2011-22126.xml","html_url":"https://www.federalregister.gov/documents/2011/09/01/2011-22126/medicare-program-medicare-advantage-and-prescription-drug-benefit-programs","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2011-22126?publication_date=2011-09-01","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2011-09-01/2011-22126/mods.xml","not_received_for_publication":null,"page_length":36,"page_views":{"count":2451,"last_updated":"2026-07-27 12:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2011-09-01/pdf/2011-22126.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2011-09-01","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2011/09/01/2011-22126.txt","regulation_id_number_info":{"0938-AP52":{"issue":"200810","html_url":"https://www.federalregister.gov/regulations/0938-AP52/medicare-advantage-and-prescription-drug-programs-mippa-related-marketing-revisions-cms-4138-f-","title":"Medicare Advantage and Prescription Drug Programs: MIPPA-Related Marketing Revisions (CMS-4138-F)\r\n","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=200810&RIN=0938-AP52&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"},"0938-AP24":{"issue":"200804","html_url":"https://www.federalregister.gov/regulations/0938-AP24/medicare-program-revisions-to-the-medicare-advantage-and-prescription-drug-benefit-programs-cms-4131","title":"Medicare Program; 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