PQA Summary of 2026 Medicare Advantage and Part D Proposed Rule (CMS-4208-P)

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 (CMS) has issued “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 AllInclusive Care for the Elderly.”

The proposed rule, CMS-4208-P, was published in the Federal Register on December 10, 2024, and can be found here. A November 26, 2024, CMS press release and fact sheet provide additional information on the proposed rule.