GroundRules
Browse Federal regulations
Read the original sections, or search by topic.
- 42 CFR 510.315 · Composite quality scores for determining reconciliation payment eligibility and quality incentive payments.
- 42 CFR 510.320 · Treatment of incentive programs or add-on payments under existing Medicare payment systems.
- 42 CFR 510.325 · Allocation of payments for services that straddle the episode.
- 42 CFR 510.400 · Quality measures and reporting.
- 42 CFR 510.405 · Beneficiary choice and beneficiary notification.
- 42 CFR 510.410 · Compliance enforcement.
- 42 CFR 510.500 · Sharing arrangements under the CJR model.
- 42 CFR 510.505 · Distribution arrangements.
- 42 CFR 510.506 · Downstream distribution arrangements.
- 42 CFR 510.510 · Enforcement authority.
- 42 CFR 510.515 · Beneficiary incentives under the CJR model.
- 42 CFR 510.600 · Waiver of direct supervision requirement for certain post-discharge home visits.
- 42 CFR 510.605 · Waiver of certain telehealth requirements.
- 42 CFR 510.610 · Waiver of SNF 3-day rule.
- 42 CFR 510.615 · Waiver of certain post-operative billing restrictions.
- 42 CFR 510.620 · Waiver of deductible and coinsurance that otherwise apply to reconciliation payments or repayments.
- 42 CFR 510.900 · Termination of the CJR model.
- 42 CFR 512.100 · Basis and scope.
- 42 CFR 512.110 · Definitions.
- 42 CFR 512.120 · Beneficiary protections.
- 42 CFR 512.130 · Cooperation in model evaluation and monitoring.
- 42 CFR 512.135 · Audits and record retention.
- 42 CFR 512.140 · Rights in data and intellectual property.
- 42 CFR 512.150 · Monitoring and compliance.
- 42 CFR 512.160 · Remedial action.
- 42 CFR 512.165 · Innovation center model termination by CMS.
- 42 CFR 512.170 · Limitations on review.
- 42 CFR 512.180 · Miscellaneous provisions on bankruptcy and other notifications.
- 42 CFR 512.190 · Reconsideration review process.
- 42 CFR 512.200 · Basis and scope of subpart.
- 42 CFR 512.205 · Definitions.
- 42 CFR 512.210 · RO participants and geographic areas.
- 42 CFR 512.215 · Beneficiary population.
- 42 CFR 512.217 · Identification of individual practitioners.
- 42 CFR 512.220 · RO participant compliance with RO Model requirements.
- 42 CFR 512.225 · Beneficiary notification.
- 42 CFR 512.230 · Criteria for determining cancer types.
- 42 CFR 512.235 · Included RT services.
- 42 CFR 512.240 · Included modalities.
- 42 CFR 512.245 · Included RO episodes.
- 42 CFR 512.250 · Determination of national base rates.
- 42 CFR 512.255 · Determination of participant-specific professional episode payment and participant-specific technical episode payment amounts.
- 42 CFR 512.260 · Billing.
- 42 CFR 512.265 · Payment.
- 42 CFR 512.270 · Treatment of add-on payments under existing Medicare payment systems.
- 42 CFR 512.275 · Quality measures, clinical data, and reporting.
- 42 CFR 512.280 · RO Model Medicare program waivers.
- 42 CFR 512.285 · Reconciliation process.
- 42 CFR 512.290 · Timely error notice and reconsideration review process.
- 42 CFR 512.292 · Overlap with other models tested under Section 1115A and CMS programs.
- 42 CFR 512.294 · Extreme and uncontrollable circumstances.
- 42 CFR 512.300 · Basis and scope.
- 42 CFR 512.310 · Definitions.
- 42 CFR 512.320 · Duration.
- 42 CFR 512.325 · Participant selection and geographic areas.
- 42 CFR 512.330 · Beneficiary notification.
- 42 CFR 512.340 · Payments subject to the Facility HDPA.
- 42 CFR 512.345 · Payments subject to the Clinician HDPA.
- 42 CFR 512.350 · Schedule of home dialysis payment adjustments.
- 42 CFR 512.355 · Schedule of performance assessment and performance payment adjustment.
- 42 CFR 512.360 · Beneficiary population and attribution.
- 42 CFR 512.365 · Performance assessment.
- 42 CFR 512.370 · Benchmarking and scoring.
- 42 CFR 512.375 · Payments subject to adjustment.
- 42 CFR 512.380 · PPA Amounts and schedules.
- 42 CFR 512.385 · PPA exclusions.
- 42 CFR 512.390 · Notification, data sharing, and targeted review.
- 42 CFR 512.395 · Quality measures.
- 42 CFR 512.397 · ETC Model Medicare program waivers and additional flexibilities.
- 42 CFR 512.400 · Basis and scope.
- 42 CFR 512.402 · Definitions.
- 42 CFR 512.412 · Participant eligibility and selection.
- 42 CFR 512.414 · Patient population.
- 42 CFR 512.422 · Overview of performance assessment and scoring.
- 42 CFR 512.424 · Achievement domain.
- 42 CFR 512.426 · Efficiency domain.
- 42 CFR 512.428 · Quality domain.
- 42 CFR 512.430 · Upside risk payment, downside risk payment, and neutral zone.
- 42 CFR 512.434 · Targeted review.
- 42 CFR 512.436 · Extreme and uncontrollable circumstances.
- 42 CFR 512.440 · Data sharing.
- 42 CFR 512.442 · Transparency requirements.
- 42 CFR 512.450 · Required beneficiary notifications.
- 42 CFR 512.452 · Financial sharing arrangements and attributed patient engagement incentives.
- 42 CFR 512.454 · Distribution arrangements.
- 42 CFR 512.455 · Enforcement authority.
- 42 CFR 512.456 · Beneficiary incentive: Part B and Part D immunosuppressive drug cost sharing support.
- 42 CFR 512.458 · Attributed patient engagement incentives.
- 42 CFR 512.459 · Application of the CMS-sponsored model arrangements and patient incentives safe harbor.
- 42 CFR 512.460 · Audit rights and records retention.
- 42 CFR 512.462 · Compliance and monitoring.
- 42 CFR 512.464 · Remedial action.
- 42 CFR 512.466 · Termination.
- 42 CFR 512.468 · Bankruptcy and other notifications.
- 42 CFR 512.470 · Waivers.
- 42 CFR 512.500 · Basis and scope of subpart.
- 42 CFR 512.505 · Definitions.
- 42 CFR 512.508 · Mandatory participation.
- 42 CFR 512.510 · Voluntary opt-in participation.
- 42 CFR 512.515 · Geographic areas.