{"abstract":"This interim final rule with comment period (IFC) revises the regulations governing the Medicare Advantage (MA) program (Part C), prescription drug benefit program (Part D) and section 1876 cost plans. This IFC makes conforming changes to the MA regulations to reflect new statutory requirements regarding special needs plans (SNP), private- fee-for-service plans (PFFS), regional preferred provider organizations (RPPO) plans, Medicare medical savings accounts (MSA) plans, and new statutory provisions governing cost-sharing for dual-eligible enrollees in the MA program prescription drug pricing, coverage, and payment processes in the Part D program. In addition, this IFC sets forth new requirements governing the marketing of Part C and Part D plans which by statute must be in place at a date specified by the Secretary, but no later than November 15, 2008. Both the conforming changes to the regulations to reflect new statutory provisions and the new marketing requirements are based on provisions in the Medicare Improvements for Patients and Providers Act (MIPPA), which became law on July 15, 2008.","action":"Interim 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/2008/09/18/E8-21686.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":"73 FR 54226","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective Date: September 18, 2008.","disposition_notes":null,"docket_ids":["CMS 4138-IFC"],"dockets":[],"document_number":"E8-21686","effective_on":"2008-09-18","end_page":54254,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2008/09/18/E8-21686.xml","html_url":"https://www.federalregister.gov/documents/2008/09/18/E8-21686/medicare-program-revisions-to-the-medicare-advantage-and-prescription-drug-benefit-programs","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/E8-21686?publication_date=2008-09-18","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2008-09-18/E8-21686/mods.xml","not_received_for_publication":null,"page_length":29,"page_views":{"count":1464,"last_updated":"2026-04-04 04:15:05 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2008-09-18/pdf/E8-21686.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2008-09-18","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2008/09/18/E8-21686.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"}},"regulation_id_numbers":["0938-AP52"],"regulations_dot_gov_info":{"checked_regulationsdotgov_at":"2011-11-14T19:18:46Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":54226,"subtype":null,"title":"Medicare Program; Revisions to the Medicare Advantage and Prescription Drug Benefit Programs","toc_doc":"Revisions to the Medicare Advantage and Prescription Drug Benefit Programs","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)","Loan programs-health","Medicare","Penalties","Privacy","Reporting and recordkeeping requirements","Reporting and recordkeeping requirements"],"type":"Rule","volume":73}