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- 42 CFR 512.520 · Participation tracks.
- 42 CFR 512.522 · APM options.
- 42 CFR 512.525 · Episodes.
- 42 CFR 512.535 · Beneficiary inclusion criteria.
- 42 CFR 512.537 · Determination of the episode.
- 42 CFR 512.540 · Determination of preliminary target prices.
- 42 CFR 512.545 · Determination of reconciliation target prices.
- 42 CFR 512.547 · Quality measures, composite quality score, and display of quality measures.
- 42 CFR 512.550 · Reconciliation process and determination of the reconciliation payment or repayment amount.
- 42 CFR 512.552 · Treatment of incentive programs or add-on payments under existing Medicare payment systems.
- 42 CFR 512.555 · Proration of payments for services that extend beyond an episode.
- 42 CFR 512.560 · Appeals process.
- 42 CFR 512.561 · Reconsideration review processes.
- 42 CFR 512.562 · Data sharing with TEAM participants.
- 42 CFR 512.563 · Health data reporting.
- 42 CFR 512.564 · Referral to primary care services.
- 42 CFR 512.565 · Sharing arrangements.
- 42 CFR 512.568 · Distribution arrangements.
- 42 CFR 512.570 · Downstream distribution arrangements.
- 42 CFR 512.575 · TEAM beneficiary incentives.
- 42 CFR 512.576 · Application of the CMS-sponsored model arrangements and patient incentives safe harbor.
- 42 CFR 512.580 · TEAM Medicare Program Waivers.
- 42 CFR 512.582 · Beneficiary protections.
- 42 CFR 512.584 · Cooperation in model evaluation and monitoring.
- 42 CFR 512.586 · Audits and record retention.
- 42 CFR 512.588 · Rights in data and intellectual property.
- 42 CFR 512.590 · Monitoring and compliance.
- 42 CFR 512.592 · Remedial action.
- 42 CFR 512.594 · Limitations on review.
- 42 CFR 512.595 · Bankruptcy and other notifications.
- 42 CFR 512.596 · Termination of TEAM or TEAM participant from model by CMS.
- 42 CFR 512.600 · Basis and scope of subpart.
- 42 CFR 512.605 · Definitions.
- 42 CFR 512.610 · Mandatory participation.
- 42 CFR 512.615 · CJR-X APM options.
- 42 CFR 512.620 · Beneficiary inclusion criteria.
- 42 CFR 512.622 · Beneficiary notifications.
- 42 CFR 512.625 · Scope of episode.
- 42 CFR 512.630 · Determination of the episode.
- 42 CFR 512.635 · Quality measures, composite quality score, and display of quality measures.
- 42 CFR 512.640 · Determination of preliminary target prices.
- 42 CFR 512.645 · Determination of reconciliation target prices.
- 42 CFR 512.650 · Reconciliation process and determination of the reconciliation payment or repayment amount.
- 42 CFR 512.652 · Treatment of incentive programs or add-on payments under existing Medicare payment systems.
- 42 CFR 512.655 · Proration of payments for items and services that extend beyond an episode.
- 42 CFR 512.660 · Appeals process.
- 42 CFR 512.665 · Data sharing with CJR-X participants.
- 42 CFR 512.670 · Sharing arrangements.
- 42 CFR 512.675 · Distribution arrangements.
- 42 CFR 512.680 · Downstream distribution arrangements.
- 42 CFR 512.685 · CJR-X beneficiary incentives.
- 42 CFR 512.690 · Application of the CMS-sponsored Model Arrangements and Patient Incentives Safe Harbor.
- 42 CFR 512.695 · CJR-X Medicare Program Waivers.
- 42 CFR 512.700 · Basis and scope of subpart.
- 42 CFR 512.705 · Definitions.
- 42 CFR 512.710 · Participant eligibility and selection.
- 42 CFR 512.715 · Overview of performance assessment.
- 42 CFR 512.720 · Data submission requirements.
- 42 CFR 512.725 · Quality ASM performance category.
- 42 CFR 512.730 · Cost ASM performance category.
- 42 CFR 512.735 · Improvement activities ASM performance category.
- 42 CFR 512.740 · Promoting Interoperability ASM performance category.
- 42 CFR 512.745 · Final scoring.
- 42 CFR 512.750 · Payment adjustment.
- 42 CFR 512.755 · Timely error notice process.
- 42 CFR 512.760 · Data sharing with ASM participants.
- 42 CFR 512.765 · Application of the CMS-sponsored model arrangements and patient incentives safe harbor.
- 42 CFR 512.770 · ASM beneficiary incentives.
- 42 CFR 512.771 · Collaborative care arrangements.
- 42 CFR 512.775 · Medicare program waivers.
- 42 CFR 512.780 · Extreme and uncontrollable circumstances.
- 42 CFR 600.1 · Scope.
- 42 CFR 600.5 · Definitions and use of terms.
- 42 CFR 600.100 · Program description.
- 42 CFR 600.105 · Basis, scope, and applicability of subpart B.
- 42 CFR 600.110 · BHP Blueprint.
- 42 CFR 600.115 · Development and submission of the BHP Blueprint.
- 42 CFR 600.120 · Certification of a BHP Blueprint.
- 42 CFR 600.125 · Revisions to a certified BHP Blueprint.
- 42 CFR 600.130 · Withdrawal of a BHP Blueprint prior to implementation.
- 42 CFR 600.135 · Notice and timing of HHS action on an initial BHP Blueprint submission.
- 42 CFR 600.140 · State termination of a BHP.
- 42 CFR 600.142 · HHS withdrawal of certification and termination of a BHP.
- 42 CFR 600.145 · State program administration and operation.
- 42 CFR 600.150 · Enrollment assistance and information requirements.
- 42 CFR 600.155 · Tribal consultation.
- 42 CFR 600.160 · Protections for American Indian and Alaska Natives.
- 42 CFR 600.165 · Nondiscrimination standards.
- 42 CFR 600.170 · Annual report content and timing.
- 42 CFR 600.200 · Federal program compliance reviews and audits.
- 42 CFR 600.300 · Basis, scope, and applicability.
- 42 CFR 600.305 · Eligible individuals.
- 42 CFR 600.310 · Application.
- 42 CFR 600.315 · Certified application counselors.
- 42 CFR 600.320 · Determination of eligibility for and enrollment in a standard health plan.
- 42 CFR 600.330 · Coordination with other insurance affordability programs.
- 42 CFR 600.335 · Appeals.
- 42 CFR 600.340 · Periodic redetermination and renewal of BHP eligibility.
- 42 CFR 600.345 · Eligibility verification.
- 42 CFR 600.350 · Privacy and security of information.