{"abstract":"This final rule with comment period revises the Medicare Advantage (MA) program (Part C) regulations and prescription drug benefit program (Part D) regulations to implement new statutory requirements; strengthen beneficiary protections; exclude plan participants that perform poorly; improve program efficiencies; and clarify program requirements. It also responds to public comments regarding the long-term care facility conditions of participation pertaining to pharmacy services.","action":"Final rule with comment period.","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/2012/04/12/2012-8071.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":"77 FR 22072","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective dates: These regulations are effective on June 1, 2012 unless otherwise specified in section I.B. of this final rule with comment period (see Table 1). Amendments to the definitions of \"other health or prescription drug coverage\" at Sec. 423.2305 and \"supplemental benefits\" at Sec. 423.100 are effective January 1, 2013.","disposition_notes":null,"docket_ids":["CMS-4157-FC"],"dockets":[],"document_number":"2012-8071","effective_on":"2012-06-01","end_page":22175,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2012/04/12/2012-8071.xml","html_url":"https://www.federalregister.gov/documents/2012/04/12/2012-8071/medicare-program-changes-to-the-medicare-advantage-and-the-medicare-prescription-drug-benefit","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2012-8071?publication_date=2012-04-12","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2012-04-12/2012-8071/mods.xml","not_received_for_publication":null,"page_length":104,"page_views":{"count":18535,"last_updated":"2026-07-26 22:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2012-04-12/pdf/2012-8071.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2012-08071.pdf?1333397831","publication_date":"2012-04-12","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2012/04/12/2012-8071.txt","regulation_id_number_info":{"0938-AQ86":{"issue":"201110","html_url":"https://www.federalregister.gov/regulations/0938-AQ86/policy-and-technical-changes-to-the-medicare-advantage-and-the-medicare-prescription-drug-benefit-pr","title":"Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs for Contract Year 2013 (CMS-4157-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201110&RIN=0938-AQ86&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AQ86"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AQ86/policy-and-technical-changes-to-the-medicare-advantage-and-the-medicare-prescription-drug-benefit-pr","title":"Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs for Contract Year 2013 (CMS-4157-F)"},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2011-0157","supporting_documents_count":0,"docket_id":"CMS-2011-0157","regulation_id_number":"0938-AQ86","title":"Medicare Program; Proposed Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs for Contract Year 2013 and Other Proposed Changes; Considering Changes to the Conditions of Participation for Long Term Care Facilities","checked_regulationsdotgov_at":"2012-06-13T05:01:52Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":22072,"subtype":null,"title":"Medicare Program; Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs for Contract Year 2013 and Other Changes","toc_doc":"Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs for Contract Year 2013 and Other Changes","toc_subject":"Medicare Program:","topics":["Administrative practice and procedure","Emergency medical services","Grant programs-health","Health care","Health facilities","Health insurance","Health maintenance organizations (HMO)","Health professions","Loan programs-health","Medicare","Penalties","Privacy","Reporting and recordkeeping requirements"],"type":"Rule","volume":77}