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Code of Federal Regulations (Last Updated: April 5, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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SubChapter H - Health Care Infrastructure and Model Programs |
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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. |