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 All Inclusive Care for the Elderly.”
The final rule, CMS-4208-F, was published in the Federal Register on April 15, 2025, and can be found here. An April 4, 2025, CMS fact sheet provides additional information on the final rule. PQA previously summarized the associated proposed rule that preceded this publication, CMS4208-P, available here. This summary highlighted points of interest from the proposed rule for our members, including proposed updates to the Star Ratings program.
Download the Summary