{"abstract":"This final rule will revise the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), Medicare cost plan, and Programs of All-Inclusive Care for the Elderly (PACE) regulations to implement changes related to Star Ratings, marketing and communications, health equity, provider directories, coverage criteria, prior authorization, passive enrollment, network adequacy, and other programmatic areas. This final rule will also codify regulations implementing section 118 of Division CC of the Consolidated Appropriations Act, 2021, section 11404 of the Inflation Reduction Act, and includes provisions that will codify existing sub-regulatory guidance in the Part C, Part D, and PACE programs.","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"},{"raw_name":"Office of the Secretary"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2023/04/12/2023-07115.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},{"chapter":null,"citation_url":null,"part":"455","title":42},{"chapter":null,"citation_url":null,"part":"460","title":42}],"citation":"88 FR 22120","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective date: These regulations are effective on June 5, 2023.","disposition_notes":null,"docket_ids":["CMS-4201-F"],"dockets":[{"supporting_documents":[],"agency_name":"CMS","documents":[{"comment_count":0,"comment_start_date":"2023-04-12","updated_at":"2023-04-25T18:27:55.979-04:00","comment_url":"https://www.regulations.gov/commenton/CMS-2022-0191-0889","allow_late_comments":null,"id":"CMS-2022-0191-0889","comment_end_date":null,"regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"CMS-2022-0191","title":"Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Program for Contract Year 2024"}],"document_number":"2023-07115","effective_on":"2023-06-05","end_page":22345,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2023/04/12/2023-07115.xml","html_url":"https://www.federalregister.gov/documents/2023/04/12/2023-07115/medicare-program-contract-year-2024-policy-and-technical-changes-to-the-medicare-advantage-program","images":{"ER12AP23.004":{"large":"https://img.federalregister.gov/ER12AP23.004/ER12AP23.004_large.png","medium":"https://img.federalregister.gov/ER12AP23.004/ER12AP23.004_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.004/ER12AP23.004_original_size.png"},"ER12AP23.015":{"large":"https://img.federalregister.gov/ER12AP23.015/ER12AP23.015_large.png","medium":"https://img.federalregister.gov/ER12AP23.015/ER12AP23.015_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.015/ER12AP23.015_original_size.png"},"ER12AP23.005":{"large":"https://img.federalregister.gov/ER12AP23.005/ER12AP23.005_large.png","medium":"https://img.federalregister.gov/ER12AP23.005/ER12AP23.005_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.005/ER12AP23.005_original_size.png"},"ER12AP23.016":{"large":"https://img.federalregister.gov/ER12AP23.016/ER12AP23.016_large.png","medium":"https://img.federalregister.gov/ER12AP23.016/ER12AP23.016_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.016/ER12AP23.016_original_size.png"},"ER12AP23.006":{"large":"https://img.federalregister.gov/ER12AP23.006/ER12AP23.006_large.png","medium":"https://img.federalregister.gov/ER12AP23.006/ER12AP23.006_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.006/ER12AP23.006_original_size.png"},"ER12AP23.017":{"large":"https://img.federalregister.gov/ER12AP23.017/ER12AP23.017_large.png","medium":"https://img.federalregister.gov/ER12AP23.017/ER12AP23.017_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.017/ER12AP23.017_original_size.png"},"ER12AP23.007":{"large":"https://img.federalregister.gov/ER12AP23.007/ER12AP23.007_large.png","medium":"https://img.federalregister.gov/ER12AP23.007/ER12AP23.007_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.007/ER12AP23.007_original_size.png"},"ER12AP23.018":{"large":"https://img.federalregister.gov/ER12AP23.018/ER12AP23.018_large.png","medium":"https://img.federalregister.gov/ER12AP23.018/ER12AP23.018_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.018/ER12AP23.018_original_size.png"},"ER12AP23.000":{"large":"https://img.federalregister.gov/ER12AP23.000/ER12AP23.000_large.png","medium":"https://img.federalregister.gov/ER12AP23.000/ER12AP23.000_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.000/ER12AP23.000_original_size.png"},"ER12AP23.011":{"large":"https://img.federalregister.gov/ER12AP23.011/ER12AP23.011_large.png","medium":"https://img.federalregister.gov/ER12AP23.011/ER12AP23.011_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.011/ER12AP23.011_original_size.png"},"ER12AP23.022":{"large":"https://img.federalregister.gov/ER12AP23.022/ER12AP23.022_large.png","medium":"https://img.federalregister.gov/ER12AP23.022/ER12AP23.022_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.022/ER12AP23.022_original_size.png"},"ER12AP23.001":{"large":"https://img.federalregister.gov/ER12AP23.001/ER12AP23.001_large.png","medium":"https://img.federalregister.gov/ER12AP23.001/ER12AP23.001_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.001/ER12AP23.001_original_size.png"},"ER12AP23.012":{"large":"https://img.federalregister.gov/ER12AP23.012/ER12AP23.012_large.png","medium":"https://img.federalregister.gov/ER12AP23.012/ER12AP23.012_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.012/ER12AP23.012_original_size.png"},"ER12AP23.023":{"large":"https://img.federalregister.gov/ER12AP23.023/ER12AP23.023_large.png","medium":"https://img.federalregister.gov/ER12AP23.023/ER12AP23.023_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.023/ER12AP23.023_original_size.png"},"ER12AP23.002":{"large":"https://img.federalregister.gov/ER12AP23.002/ER12AP23.002_large.png","medium":"https://img.federalregister.gov/ER12AP23.002/ER12AP23.002_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.002/ER12AP23.002_original_size.png"},"ER12AP23.013":{"large":"https://img.federalregister.gov/ER12AP23.013/ER12AP23.013_large.png","medium":"https://img.federalregister.gov/ER12AP23.013/ER12AP23.013_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.013/ER12AP23.013_original_size.png"},"ER12AP23.003":{"large":"https://img.federalregister.gov/ER12AP23.003/ER12AP23.003_large.png","medium":"https://img.federalregister.gov/ER12AP23.003/ER12AP23.003_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.003/ER12AP23.003_original_size.png"},"ER12AP23.014":{"large":"https://img.federalregister.gov/ER12AP23.014/ER12AP23.014_large.png","medium":"https://img.federalregister.gov/ER12AP23.014/ER12AP23.014_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.014/ER12AP23.014_original_size.png"},"ER12AP23.008":{"large":"https://img.federalregister.gov/ER12AP23.008/ER12AP23.008_large.png","medium":"https://img.federalregister.gov/ER12AP23.008/ER12AP23.008_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.008/ER12AP23.008_original_size.png"},"ER12AP23.019":{"large":"https://img.federalregister.gov/ER12AP23.019/ER12AP23.019_large.png","medium":"https://img.federalregister.gov/ER12AP23.019/ER12AP23.019_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.019/ER12AP23.019_original_size.png"},"ER12AP23.009":{"large":"https://img.federalregister.gov/ER12AP23.009/ER12AP23.009_large.png","medium":"https://img.federalregister.gov/ER12AP23.009/ER12AP23.009_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.009/ER12AP23.009_original_size.png"},"ER12AP23.020":{"large":"https://img.federalregister.gov/ER12AP23.020/ER12AP23.020_large.png","medium":"https://img.federalregister.gov/ER12AP23.020/ER12AP23.020_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.020/ER12AP23.020_original_size.png"},"ER12AP23.010":{"large":"https://img.federalregister.gov/ER12AP23.010/ER12AP23.010_large.png","medium":"https://img.federalregister.gov/ER12AP23.010/ER12AP23.010_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.010/ER12AP23.010_original_size.png"},"ER12AP23.021":{"large":"https://img.federalregister.gov/ER12AP23.021/ER12AP23.021_large.png","medium":"https://img.federalregister.gov/ER12AP23.021/ER12AP23.021_medium.png","original_size":"https://img.federalregister.gov/ER12AP23.021/ER12AP23.021_original_size.png"}},"images_metadata":{"ER12AP23.004":{"large":{"identifier":"ER12AP23.004","content_type":"image/png","size":69061,"width":823,"sha":"2ca578066279f433735f58a0837273f3","url":"https://img.federalregister.gov/ER12AP23.004/ER12AP23.004_large.png","height":899},"medium":{"identifier":"ER12AP23.004","content_type":"image/png","size":40958,"width":574,"sha":"faf9b2c786d4636c43b8ee55d15ecbe6","url":"https://img.federalregister.gov/ER12AP23.004/ER12AP23.004_medium.png","height":627},"original_size":{"identifier":"ER12AP23.004","content_type":"image/png","size":171777,"width":4333,"sha":"7acd82d5f22ac412efac09a7e45855f5","url":"https://img.federalregister.gov/ER12AP23.004/ER12AP23.004_original_size.png","height":4735}},"ER12AP23.015":{"large":{"identifier":"ER12AP23.015","content_type":"image/png","size":49886,"width":823,"sha":"df57e8e7679cfee7d0d90a88f119c5f9","url":"https://img.federalregister.gov/ER12AP23.015/ER12AP23.015_large.png","height":668},"medium":{"identifier":"ER12AP23.015","content_type":"image/png","size":26524,"width":517,"sha":"44b815d819189b1e78d1c0f717828ca2","url":"https://img.federalregister.gov/ER12AP23.015/ER12AP23.015_medium.png","height":419},"original_size":{"identifier":"ER12AP23.015","content_type":"image/png","size":80721,"width":3901,"sha":"43ff0b3105c2cf4652691e8df641a66a","url":"https://img.federalregister.gov/ER12AP23.015/ER12AP23.015_original_size.png","height":3164}},"ER12AP23.005":{"large":{"identifier":"ER12AP23.005","content_type":"image/png","size":41060,"width":823,"sha":"0bbef50a7c3d0d45f75a1441a53db464","url":"https://img.federalregister.gov/ER12AP23.005/ER12AP23.005_large.png","height":454},"medium":{"identifier":"ER12AP23.005","content_type":"image/png","size":23855,"width":574,"sha":"5252f67bb6e2be6a107111e6809fd162","url":"https://img.federalregister.gov/ER12AP23.005/ER12AP23.005_medium.png","height":317},"original_size":{"identifier":"ER12AP23.005","content_type":"image/png","size":95037,"width":4333,"sha":"ef703eb2bb138bb78e2f48f395ac0cae","url":"https://img.federalregister.gov/ER12AP23.005/ER12AP23.005_original_size.png","height":2390}},"ER12AP23.016":{"large":{"identifier":"ER12AP23.016","content_type":"image/png","size":51908,"width":822,"sha":"77ab371b11f4007a2cb68fbe3c5238a5","url":"https://img.federalregister.gov/ER12AP23.016/ER12AP23.016_large.png","height":670},"medium":{"identifier":"ER12AP23.016","content_type":"image/png","size":26463,"width":517,"sha":"eba07bd18614999c3732100beacc2be3","url":"https://img.federalregister.gov/ER12AP23.016/ER12AP23.016_medium.png","height":421},"original_size":{"identifier":"ER12AP23.016","content_type":"image/png","size":79883,"width":3901,"sha":"de6c5bc106063f36a46cff59a93ab029","url":"https://img.federalregister.gov/ER12AP23.016/ER12AP23.016_original_size.png","height":3178}},"ER12AP23.006":{"large":{"identifier":"ER12AP23.006","content_type":"image/png","size":15952,"width":823,"sha":"84eca2007db25239cf22cfdac6961408","url":"https://img.federalregister.gov/ER12AP23.006/ER12AP23.006_large.png","height":164},"medium":{"identifier":"ER12AP23.006","content_type":"image/png","size":9943,"width":574,"sha":"7c5fd5b21f625280848c3911c017361c","url":"https://img.federalregister.gov/ER12AP23.006/ER12AP23.006_medium.png","height":114},"original_size":{"identifier":"ER12AP23.006","content_type":"image/png","size":30342,"width":4333,"sha":"06e66ca75dce0bb3ee99325d83163890","url":"https://img.federalregister.gov/ER12AP23.006/ER12AP23.006_original_size.png","height":864}},"ER12AP23.017":{"large":{"identifier":"ER12AP23.017","content_type":"image/png","size":37632,"width":823,"sha":"8bd4d703479422ca6795476fd73108d9","url":"https://img.federalregister.gov/ER12AP23.017/ER12AP23.017_large.png","height":418},"medium":{"identifier":"ER12AP23.017","content_type":"image/png","size":17000,"width":480,"sha":"72e034922fbc34b48988ffc21ab3f656","url":"https://img.federalregister.gov/ER12AP23.017/ER12AP23.017_medium.png","height":244},"original_size":{"identifier":"ER12AP23.017","content_type":"image/png","size":55751,"width":3626,"sha":"5ffdad90970fb798bfa9b0137a76dfa1","url":"https://img.federalregister.gov/ER12AP23.017/ER12AP23.017_original_size.png","height":1842}},"ER12AP23.007":{"large":{"identifier":"ER12AP23.007","content_type":"image/png","size":13039,"width":823,"sha":"1384bb1b409682a07cb2157632ae6c16","url":"https://img.federalregister.gov/ER12AP23.007/ER12AP23.007_large.png","height":123},"medium":{"identifier":"ER12AP23.007","content_type":"image/png","size":6566,"width":522,"sha":"41cf18a01cfcf0258a33caedcbd1d124","url":"https://img.federalregister.gov/ER12AP23.007/ER12AP23.007_medium.png","height":78},"original_size":{"identifier":"ER12AP23.007","content_type":"image/png","size":20415,"width":3942,"sha":"5db642d7afa4146c6fcf6081182e4995","url":"https://img.federalregister.gov/ER12AP23.007/ER12AP23.007_original_size.png","height":588}},"ER12AP23.018":{"large":{"identifier":"ER12AP23.018","content_type":"image/png","size":27070,"width":823,"sha":"97b000fd5070649d0adf544d5f3cbe4a","url":"https://img.federalregister.gov/ER12AP23.018/ER12AP23.018_large.png","height":477},"medium":{"identifier":"ER12AP23.018","content_type":"image/png","size":14022,"width":480,"sha":"50ce39eabd75e2e741a4ee2996298e23","url":"https://img.federalregister.gov/ER12AP23.018/ER12AP23.018_medium.png","height":278},"original_size":{"identifier":"ER12AP23.018","content_type":"image/png","size":43667,"width":3626,"sha":"a3d47d8062e959d474cb7cbae30719ed","url":"https://img.federalregister.gov/ER12AP23.018/ER12AP23.018_original_size.png","height":2101}},"ER12AP23.000":{"large":{"identifier":"ER12AP23.000","content_type":"image/png","size":98302,"width":823,"sha":"e110113beb1ae0ea39c9f6e573fdbd35","url":"https://img.federalregister.gov/ER12AP23.000/ER12AP23.000_large.png","height":858},"medium":{"identifier":"ER12AP23.000","content_type":"image/png","size":51098,"width":573,"sha":"8ebbc5bc3944f275becbb029a7cae0f2","url":"https://img.federalregister.gov/ER12AP23.000/ER12AP23.000_medium.png","height":598},"original_size":{"identifier":"ER12AP23.000","content_type":"image/png","size":210921,"width":4333,"sha":"dc7e329865a2dd3c41a5b7278e3dbac7","url":"https://img.federalregister.gov/ER12AP23.000/ER12AP23.000_original_size.png","height":4520}},"ER12AP23.011":{"large":{"identifier":"ER12AP23.011","content_type":"image/png","size":21260,"width":823,"sha":"c665ab587af1dffd30a2fe8d6eb77f93","url":"https://img.federalregister.gov/ER12AP23.011/ER12AP23.011_large.png","height":223},"medium":{"identifier":"ER12AP23.011","content_type":"image/png","size":12945,"width":574,"sha":"3eee21a0b83cdb6677e0ff2280949678","url":"https://img.federalregister.gov/ER12AP23.011/ER12AP23.011_medium.png","height":156},"original_size":{"identifier":"ER12AP23.011","content_type":"image/png","size":43876,"width":4333,"sha":"102b2a6d17b8bdfa517b84178ed7c13a","url":"https://img.federalregister.gov/ER12AP23.011/ER12AP23.011_original_size.png","height":1174}},"ER12AP23.022":{"large":{"identifier":"ER12AP23.022","content_type":"image/png","size":14385,"width":822,"sha":"7fea11d066f4c5fa5c8b434b7d702777","url":"https://img.federalregister.gov/ER12AP23.022/ER12AP23.022_large.png","height":163},"medium":{"identifier":"ER12AP23.022","content_type":"image/png","size":7903,"width":574,"sha":"76f0176dd75a5adf5643226fc389f98c","url":"https://img.federalregister.gov/ER12AP23.022/ER12AP23.022_medium.png","height":114},"original_size":{"identifier":"ER12AP23.022","content_type":"image/png","size":22046,"width":4333,"sha":"acc8a20a6b1ef60ec774a7b168af3c0b","url":"https://img.federalregister.gov/ER12AP23.022/ER12AP23.022_original_size.png","height":859}},"ER12AP23.001":{"large":{"identifier":"ER12AP23.001","content_type":"image/png","size":51073,"width":823,"sha":"513471fb11c435f8f3b16768c2ffdac2","url":"https://img.federalregister.gov/ER12AP23.001/ER12AP23.001_large.png","height":470},"medium":{"identifier":"ER12AP23.001","content_type":"image/png","size":26558,"width":574,"sha":"f7b7ec8aea4d27f78f38e357e54aa843","url":"https://img.federalregister.gov/ER12AP23.001/ER12AP23.001_medium.png","height":327},"original_size":{"identifier":"ER12AP23.001","content_type":"image/png","size":108721,"width":4333,"sha":"aa257dcdc2af2a91ea6b331737879f49","url":"https://img.federalregister.gov/ER12AP23.001/ER12AP23.001_original_size.png","height":2472}},"ER12AP23.012":{"large":{"identifier":"ER12AP23.012","content_type":"image/png","size":59021,"width":823,"sha":"1342388a3390ca19e96618a7cc91e5bd","url":"https://img.federalregister.gov/ER12AP23.012/ER12AP23.012_large.png","height":545},"medium":{"identifier":"ER12AP23.012","content_type":"image/png","size":31209,"width":542,"sha":"3580599d530699b566bb85010bbd004f","url":"https://img.federalregister.gov/ER12AP23.012/ER12AP23.012_medium.png","height":359},"original_size":{"identifier":"ER12AP23.012","content_type":"image/png","size":123648,"width":4093,"sha":"469235e5d4eaef83ed1a24de0f470c98","url":"https://img.federalregister.gov/ER12AP23.012/ER12AP23.012_original_size.png","height":2712}},"ER12AP23.023":{"large":{"identifier":"ER12AP23.023","content_type":"image/png","size":11896,"width":822,"sha":"781e76fdd2a73c7671ac8d78ebbad4bb","url":"https://img.federalregister.gov/ER12AP23.023/ER12AP23.023_large.png","height":182},"medium":{"identifier":"ER12AP23.023","content_type":"image/png","size":6753,"width":574,"sha":"8f82325b447f3cc94b4ef6bf482ec837","url":"https://img.federalregister.gov/ER12AP23.023/ER12AP23.023_medium.png","height":127},"original_size":{"identifier":"ER12AP23.023","content_type":"image/png","size":17442,"width":4333,"sha":"f7fbe5586fca883d2b922c6b606a6134","url":"https://img.federalregister.gov/ER12AP23.023/ER12AP23.023_original_size.png","height":959}},"ER12AP23.002":{"large":{"identifier":"ER12AP23.002","content_type":"image/png","size":85401,"width":823,"sha":"aa5f3c21208cc5ea5ff3dfef4e19ab22","url":"https://img.federalregister.gov/ER12AP23.002/ER12AP23.002_large.png","height":698},"medium":{"identifier":"ER12AP23.002","content_type":"image/png","size":43478,"width":574,"sha":"52110eb24bbd6da173e40537b888cdb2","url":"https://img.federalregister.gov/ER12AP23.002/ER12AP23.002_medium.png","height":487},"original_size":{"identifier":"ER12AP23.002","content_type":"image/png","size":185456,"width":4333,"sha":"4b26a8d5119c02e746a7f1f25bbb8ba4","url":"https://img.federalregister.gov/ER12AP23.002/ER12AP23.002_original_size.png","height":3675}},"ER12AP23.013":{"large":{"identifier":"ER12AP23.013","content_type":"image/png","size":149737,"width":823,"sha":"0ba1555ead72cc443b2877b2099e646d","url":"https://img.federalregister.gov/ER12AP23.013/ER12AP23.013_large.png","height":1389},"medium":{"identifier":"ER12AP23.013","content_type":"image/png","size":50561,"width":418,"sha":"6836756331663c098954cf166c2636c9","url":"https://img.federalregister.gov/ER12AP23.013/ER12AP23.013_medium.png","height":706},"original_size":{"identifier":"ER12AP23.013","content_type":"image/png","size":177541,"width":3159,"sha":"ab4cc31ad171ba60e5c6e330520ee418","url":"https://img.federalregister.gov/ER12AP23.013/ER12AP23.013_original_size.png","height":5333}},"ER12AP23.003":{"large":{"identifier":"ER12AP23.003","content_type":"image/png","size":68405,"width":823,"sha":"71425097c71f61d5ff84b49d0eb0c246","url":"https://img.federalregister.gov/ER12AP23.003/ER12AP23.003_large.png","height":793},"medium":{"identifier":"ER12AP23.003","content_type":"image/png","size":41622,"width":574,"sha":"461956247d548fec34e2ce28b859c587","url":"https://img.federalregister.gov/ER12AP23.003/ER12AP23.003_medium.png","height":553},"original_size":{"identifier":"ER12AP23.003","content_type":"image/png","size":171468,"width":4333,"sha":"07d3165bcd2d59caae6aa001ede2c2a3","url":"https://img.federalregister.gov/ER12AP23.003/ER12AP23.003_original_size.png","height":4174}},"ER12AP23.014":{"large":{"identifier":"ER12AP23.014","content_type":"image/png","size":9726,"width":823,"sha":"1648601a9d19414a862ba457050bbb04","url":"https://img.federalregister.gov/ER12AP23.014/ER12AP23.014_large.png","height":120},"medium":{"identifier":"ER12AP23.014","content_type":"image/png","size":5442,"width":515,"sha":"fe993dfbdcb8f283ef13b900f70335c0","url":"https://img.federalregister.gov/ER12AP23.014/ER12AP23.014_medium.png","height":75},"original_size":{"identifier":"ER12AP23.014","content_type":"image/png","size":14799,"width":3901,"sha":"ba6a4781c992e3dbdc3b2767185795d5","url":"https://img.federalregister.gov/ER12AP23.014/ER12AP23.014_original_size.png","height":568}},"ER12AP23.008":{"large":{"identifier":"ER12AP23.008","content_type":"image/png","size":43004,"width":823,"sha":"831dd67bb1640b3c56521108b3878a24","url":"https://img.federalregister.gov/ER12AP23.008/ER12AP23.008_large.png","height":536},"medium":{"identifier":"ER12AP23.008","content_type":"image/png","size":25475,"width":574,"sha":"b20e24d400a9928dc68436198546b80e","url":"https://img.federalregister.gov/ER12AP23.008/ER12AP23.008_medium.png","height":374},"original_size":{"identifier":"ER12AP23.008","content_type":"image/png","size":94115,"width":4333,"sha":"ec9cad6275cf52587f05109306b13eb5","url":"https://img.federalregister.gov/ER12AP23.008/ER12AP23.008_original_size.png","height":2823}},"ER12AP23.019":{"large":{"identifier":"ER12AP23.019","content_type":"image/png","size":19026,"width":823,"sha":"5545c76886721aadbf8877c5a1c27ae8","url":"https://img.federalregister.gov/ER12AP23.019/ER12AP23.019_large.png","height":164},"medium":{"identifier":"ER12AP23.019","content_type":"image/png","size":10131,"width":527,"sha":"0384f18e593804d2468a50d000fbaedb","url":"https://img.federalregister.gov/ER12AP23.019/ER12AP23.019_medium.png","height":105},"original_size":{"identifier":"ER12AP23.019","content_type":"image/png","size":36625,"width":3973,"sha":"0cd0c3a5b7846130adf0d05257bca817","url":"https://img.federalregister.gov/ER12AP23.019/ER12AP23.019_original_size.png","height":792}},"ER12AP23.009":{"large":{"identifier":"ER12AP23.009","content_type":"image/png","size":70798,"width":823,"sha":"5f0bdb3977da71d60ee96e7f8c2cc10f","url":"https://img.federalregister.gov/ER12AP23.009/ER12AP23.009_large.png","height":583},"medium":{"identifier":"ER12AP23.009","content_type":"image/png","size":33731,"width":517,"sha":"436af31c1603fdd1451b4c62898799d8","url":"https://img.federalregister.gov/ER12AP23.009/ER12AP23.009_medium.png","height":366},"original_size":{"identifier":"ER12AP23.009","content_type":"image/png","size":127104,"width":3901,"sha":"382e207c0919d773d629026425a7c68c","url":"https://img.federalregister.gov/ER12AP23.009/ER12AP23.009_original_size.png","height":2764}},"ER12AP23.020":{"large":{"identifier":"ER12AP23.020","content_type":"image/png","size":16360,"width":823,"sha":"35e3aa64a7f914bef956ead18b2b3af4","url":"https://img.federalregister.gov/ER12AP23.020/ER12AP23.020_large.png","height":163},"medium":{"identifier":"ER12AP23.020","content_type":"image/png","size":9489,"width":574,"sha":"352f67aa8bbd4cd2cf48b4abcf348234","url":"https://img.federalregister.gov/ER12AP23.020/ER12AP23.020_medium.png","height":114},"original_size":{"identifier":"ER12AP23.020","content_type":"image/png","size":37697,"width":4333,"sha":"dccee91c9475e0ec410001a919a35864","url":"https://img.federalregister.gov/ER12AP23.020/ER12AP23.020_original_size.png","height":858}},"ER12AP23.010":{"large":{"identifier":"ER12AP23.010","content_type":"image/png","size":30025,"width":822,"sha":"ae1750dac023dd48a83aa935b24be5eb","url":"https://img.federalregister.gov/ER12AP23.010/ER12AP23.010_large.png","height":266},"medium":{"identifier":"ER12AP23.010","content_type":"image/png","size":14962,"width":516,"sha":"543bdd38f8d4f7a51c8a374d38363ac3","url":"https://img.federalregister.gov/ER12AP23.010/ER12AP23.010_medium.png","height":167},"original_size":{"identifier":"ER12AP23.010","content_type":"image/png","size":53005,"width":3901,"sha":"d89645ccfb1f8c27dc172a0ba540c79c","url":"https://img.federalregister.gov/ER12AP23.010/ER12AP23.010_original_size.png","height":1262}},"ER12AP23.021":{"large":{"identifier":"ER12AP23.021","content_type":"image/png","size":133682,"width":822,"sha":"c4f7eac22eb62d42231bbb9f0dbd0d28","url":"https://img.federalregister.gov/ER12AP23.021/ER12AP23.021_large.png","height":1361},"medium":{"identifier":"ER12AP23.021","content_type":"image/png","size":48293,"width":427,"sha":"c4744ecbf514fd8fb7e8c394645aae25","url":"https://img.federalregister.gov/ER12AP23.021/ER12AP23.021_medium.png","height":706},"original_size":{"identifier":"ER12AP23.021","content_type":"image/png","size":160810,"width":3222,"sha":"ce9047394f7bac6d9c376324f07a55d4","url":"https://img.federalregister.gov/ER12AP23.021/ER12AP23.021_original_size.png","height":5333}}},"json_url":"https://www.federalregister.gov/api/v1/documents/2023-07115?publication_date=2023-04-12","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2023-04-12/2023-07115/mods.xml","not_received_for_publication":null,"page_length":226,"page_views":{"count":115745,"last_updated":"2026-05-25 12:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2023-04-12/pdf/2023-07115.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2023-07115.pdf?1680725718","publication_date":"2023-04-12","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2023/04/12/2023-07115.txt","regulation_id_number_info":{"0938-AU96":{"issue":"202210","html_url":"https://www.federalregister.gov/regulations/0938-AU96/contract-year-2024-changes-to-the-medicare-advantage-medicare-prescription-drug-benefit-medicare-cos","title":"Contract Year 2024 Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Medicare Cost Plan Programs, Medicare Overpayment Provisions of the Affordable Care Act, and PACE (CMS-4201)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=202210&RIN=0938-AU96&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AU96"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AU96/contract-year-2024-changes-to-the-medicare-advantage-medicare-prescription-drug-benefit-medicare-cos","title":"Contract Year 2024 Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Medicare Cost Plan Programs, Medicare Overpayment Provisions of the Affordable Care Act, and PACE (CMS-4201)"},"comments_count":0,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2022-0191","supporting_documents_count":0,"docket_id":"CMS-2022-0191","document_id":"CMS-2022-0191-0889","regulation_id_number":"0938-AU96","title":"Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Program for Contract Year 2024","checked_regulationsdotgov_at":"2023-04-26T13:55:11Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":22120,"subtype":null,"title":"Medicare Program; Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly","toc_doc":"Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly","toc_subject":"Medicare Program:\n","topics":["Administrative practice and procedure","Aged","Citizenship and naturalization","Civil rights","Grant programs-health","Health","Health care","Health facilities","Health insurance","Health maintenance organizations (HMO)","Health records","Incorporation by reference","Individuals with disabilities","Medicaid","Medicare","Penalties","Privacy","Religious discrimination","Reporting and recordkeeping requirements","Sex discrimination"],"type":"Rule","volume":88}