CMS TransmittalMedicare Advantage

Federal Register Final Rule: Medicare and Medicaid Programs; Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Program of All-Inclusive Care for the Elderly (PACE), Medicaid Fee-For-Service, and Medicaid Managed Care Programs for Years 2020 and 2021

FR-2023-01942

Document details

Document type
CMS Transmittal
Issuing body
Centers for Medicare & Medicaid Services
Document ID
FR-2023-01942
Published
June 5, 2026
Effective date
April 3, 2023
MAC region
National

Summary

The recent rule aims to enhance the integrity and accuracy of payments in the Medicare Advantage program by outlining a revised audit methodology for the Risk Adjustment Data Validation (RADV). By cod

New Medicare Advantage rule set to alter payment audit processes.

Affected specialty

Medicare Advantage alerts →

Source document

https://www.federalregister.gov/documents/2023/02/01/2023-01942/medicare-and-medicaid-programs-policy-and-technical-changes-to-the-medicare-advantage-medicare

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