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Code of Federal Regulations (Last Updated: May 6, 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 512 - Episode Payment Model |
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Subpart H - CR Incentive Payment Model for EPM and Medicare Fee-for-Service Participants |
§ 512.703 - CR incentive payment model participants.
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§ 512.703 CR incentive payment model participants.
(a) Selection of CR MSAs. The MSAs eligible for selection for AMI and CABG models were classified into one of seven groups based on their historic utilization of CR/ICR services. Within each group, EPM-CR and FFS-CR MSAs were randomly selected. The number of EPM-CRs selected within each group are distributed proportionately between the groups based on the assignment of the 98 EPM MSAs. The same number of FFS-MSAs were then drawn from each group.
(b) Hospitals eligible for CR incentive payments.
(1) Hospitals that are AMI and CABG model participants located in the EPM-CR MSAs.
(2) FFS-CR participants. Hospitals located in the FFS-CR MSAs that would meet all requirements in § 512.100(b) to be an AMI or CABG model participant if the hospital were located in an MSA selected for the AMI and CABG models.