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Code of Federal Regulations (Last Updated: November 8, 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 - Standard Provisions for Innovation Center Models and Specific Provisions for Certain Models |
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Subpart E - Transforming Episode Accountability Model (TEAM) |
| § 512.400 - Quality measures and reporting - general. |
| § 512.411 - Quality measures and reporting for AMI model. |
| § 512.412 - Quality measures and reporting for CABG model. |
| § 512.413 - Quality measures and reporting for SHFFT model. |
| § 512.450 - Beneficiary choice and beneficiary notification. |
| § 512.460 - Compliance enforcement. |
| Reconciliation and Review Process |
| § 512.550 - Reconciliation process and determination of the reconciliation payment or repayment amount. |
| § 512.552 - Treatment of incentive programs or add-on payments under existing Medicare payment systems. |
| § 512.555 - Proration of payments for services that extend beyond an episode. |
| § 512.560 - Appeals process. |
| § 512.561 - Reconsideration review processes. |
| Pricing Methodology |
| § 512.540 - Determination of preliminary target prices. |
| § 512.545 - Determination of reconciliation target prices. |
| General |
| § 512.500 - Basis and scope of subpart. |
| § 512.505 - Definitions. |
| Financial Arrangements and Beneficiary Incentives |
| § 512.565 - Sharing arrangements. |
| § 512.568 - Distribution arrangements. |
| § 512.570 - Downstream distribution arrangements. |
| § 512.575 - TEAM beneficiary incentives. |
| § 512.576 - Application of the CMS-sponsored model arrangements and patient incentives safe harbor. |
| Quality Measures and Composite Quality Score |
| § 512.547 - Quality measures, composite quality score, and display of quality measures. |
| General Provisions |
| § 512.582 - Beneficiary protections. |
| § 512.584 - Cooperation in model evaluation and monitoring. |
| § 512.586 - Audits and record retention. |
| § 512.588 - Rights in data and intellectual property. |
| § 512.590 - Monitoring and compliance. |
| § 512.592 - Remedial action. |
| § 512.594 - Limitations on review. |
| § 512.595 - Bankruptcy and other notifications. |
| § 512.596 - Termination of TEAM or TEAM participant from model by CMS. |
| § 512.598 - Decarbonization and resilience initiative. |
| Data Sharing and Other Requirements |
| § 512.562 - Data sharing with TEAM participants. |
| § 512.563 - Health equity reporting. |
| § 512.564 - Referral to primary care services. |
| Medicare Program Waivers |
| § 512.580 - TEAM Medicare Program Waivers |
| TEAM Participation |
| § 512.510 - Voluntary opt-in participation. |
| § 512.515 - Geographic areas. |
| § 512.520 - Participation tracks. |
| § 512.522 - APM options. |
| § 512.525 - Episodes. |
| § 512.535 - Beneficiary inclusion criteria. |
| § 512.537 - Determination of the episode. |