{"abstract":"This rule contains final regulations governing the Medicare Advantage (MA) program (Part C) and prescription drug benefit program (Part D), and interim final regulations governing certain aspects of the Retiree Drug Subsidy (RDS) Program, and reflecting new statutory definitions relating to Special Needs Plans under Part C. The final regulations revising the Part C and Part D regulations include provisions regarding medical savings account (MSA) plans, cost-sharing for dual eligible enrollees in the MA program, the prescription drug payment and novation processes in the Part D program, and the enrollment and appeals processes for both programs. This final rule with comment period also responds to public comments on the May 16, 2008 proposed rule and takes into account statutory revisions contained in the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA).","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/2009/01/12/E9-148.html","cfr_references":[{"chapter":null,"citation_url":null,"part":422,"title":42},{"chapter":null,"citation_url":null,"part":423,"title":42}],"citation":"74 FR 1494","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective Date: These regulations are effective on March 13, 2009.","disposition_notes":null,"docket_ids":["CMS-4131-FC","-RIN 0938-AP24"],"dockets":[],"document_number":"E9-148","effective_on":"2009-03-13","end_page":1549,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2009/01/12/E9-148.xml","html_url":"https://www.federalregister.gov/documents/2009/01/12/E9-148/medicare-program-medicare-advantage-and-prescription-drug-benefit-programs-negotiated-pricing-and","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/E9-148?publication_date=2009-01-12","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2009-01-12/E9-148/mods.xml","not_received_for_publication":null,"page_length":56,"page_views":{"count":2142,"last_updated":"2026-06-25 12:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2009-01-12/pdf/E9-148.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2009-01-12","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2009/01/12/E9-148.txt","regulation_id_number_info":{},"regulation_id_numbers":[],"regulations_dot_gov_info":{"checked_regulationsdotgov_at":"2011-11-15T09:28:30Z"},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":1494,"subtype":null,"title":"Medicare Program; Medicare Advantage and Prescription Drug Benefit Programs: Negotiated Pricing and Remaining Revisions","toc_doc":"Medicare Advantage and Prescription Drug Benefit Programs; Negotiated Pricing and Remaining Revisions","toc_subject":"Medicare Program:","topics":["Administrative practice and procedure","Emergency medical services","Health facilities","Health maintenance organizations (HMO)","Medicare","Penalties","Privacy","Reporting and recordkeeping requirements"],"type":"Rule","volume":74}