Data / Federal rules / 2025-06008
Medicare and Medicaid Programs; Contract Year 2026 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
The Centers for Medicare & Medicaid Services published this final rule in the Federal Register on April 15, 2025. It took effect on June 3, 2025.
SpecStream is the live web data engine for teams and agents. It reads every rule and proposed rule in the Federal Register each morning, and this page is that reading. Name your industry once and new rules, comment deadlines and effective dates arrive in your sheet, CRM, Slack or agent as they are published.
What the agency says
This final rule revises 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 prescription drug coverage, the Medicare Prescription Payment Plan, dual eligible special needs plans (D-SNPs), Part C and D Star Ratings, and other programmatic areas, including the Medicare Drug Price Negotiation Program. This final rule also codifies existing sub-regulatory guidance in the Part C and Part D programs.
Key facts
- Document number
- 2025-06008
- Type
- Final rule
- Action
- Final rule
- Agency
- Health and Human Services Department; Centers for Medicare & Medicaid Services
- Published
- April 15, 2025
- Takes effect
- June 3, 2025
- Dates
- Effective date: These regulations are effective June 3, 2025.
- Docket
- CMS-4208-F
- Regulation ID (RIN)
- 0938-AV40
- Code of Federal Regulations
- 42 CFR 417; 42 CFR 422; 42 CFR 423; 42 CFR 460
- 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; Individuals with disabilities; Loan programs-health; Medicaid; Medicare; Penalties; Privacy; Religious discrimination; Reporting and recordkeeping requirements; Sex discrimination
- Significant
- Yes, under Executive Order 12866
- Pages
- 130
Other documents from the Centers for Medicare & Medicaid Services
Everything from the Centers for Medicare & Medicaid Services · Rules on administrative practice and procedure · Rules on aged · Rules on citizenship and naturalization · Published in April 2025
Read from the Federal Register API, last updated 2026-10-23. The document on federalregister.gov is the official record; dates and dockets can change through later corrections. Free to reuse with credit to SpecStream under CC BY 4.0.