Part 510 - Comprehensive Care for Joint Replacement Model  


Subpart A - General Provisions
§ 510.1 - Basis and scope.
§ 510.2 - Definitions.
Subpart B - Comprehensive Care for Joint Replacement Program Participants
§ 510.100 - Episodes being tested.
§ 510.105 - Geographic areas.
§ 510.110 - xxx
§ 510.115 - xxx
§ 510.120 - xxx
Subpart C - Scope of Episodes
§ 510.200 - Time periods, included and excluded services, and attribution.
§ 510.205 - Beneficiary inclusion criteria.
§ 510.210 - Determination of the episode.
Subpart D - Pricing and Payment
§ 510.300 - Determination of episode quality-adjusted target prices.
§ 510.301 - xxx
§ 510.305 - Determination of the NPRA and reconciliation process.
§ 510.310 - Appeals process.
§ 510.315 - Composite quality scores for determining reconciliation payment eligibility and quality incentive payments.
§ 510.320 - Treatment of incentive programs or add-on payments under existing Medicare payment systems.
§ 510.325 - Allocation of payments for services that straddle the episode.
Subpart E - Quality Measures, Beneficiary Protections, and Compliance Enforcement
§ 510.400 - Quality measures and reporting.
§ 510.405 - Beneficiary choice and beneficiary notification.
§ 510.410 - Compliance enforcement.
Subpart F - Financial Arrangements and Beneficiary Incentives
§ 510.500 - Sharing arrangements under the CJR model.
§ 510.505 - Distribution arrangements.
§ 510.506 - xxx
§ 510.510 - Enforcement authority.
§ 510.515 - Beneficiary incentives under the CJR model.
Subpart G - Waivers
§ 510.600 - Waiver of direct supervision requirement for certain post-discharge home visits.
§ 510.605 - Waiver of certain telehealth requirements.
§ 510.610 - Waiver of SNF 3-day rule.
§ 510.615 - Waiver of certain post-operative billing restrictions.
§ 510.620 - Waiver of deductible and coinsurance that otherwise apply to reconciliation payments or repayments.
Subparts H--J - XXX
Subpart K - Model Termination
§ 510.900 - Termination of the CJR model.