Medicare Advantage organizations benefitted from temporary enforcement discretion related to certain MA policies during the COVID Public Health Emergency. Some plans used this accommodation to make mid-year benefice enhancements to their plans. For example, some plans added an opportunity for some of their enrollees to receive in-home food delivery benefit. CMS notified plans March 24th that this enforcement discretion would end with the PHE on May 11th and this will prohibit plans from providing any expanded or additional benefits including cost sharing reductions if they are not already in the plans benefit package that was approved for Contract Year 2023, which started January 1, 2023.